Should Amenorrhoea be Necessary for the Diagnosis of Anorexia Nervosa?

Author:

Garfinkel Paul E.,Lin E.,Goering P.,Spegg C.,Goldbloom D.,Kennedy S.,Kaplan A. S.,Woodside D. Blake

Abstract

BackgroundThis study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea.MethodThe study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15–64. DSM–III–R diagnoses were made using the Composite International Diagnostic Interview.ResultsEighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.ConclusionsAmenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion.

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

Reference20 articles.

1. Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review

2. Anorexia nervosa and anorexic-like symptoms in a population-based female twin study;Walters;American Journal of Psychiatry,1995

3. Anorexia Nervosa in a Swedish Urban Region

4. Personality disorders in anorexic patients

5. Offord D. R. , Boyle M. , Campbell D. , et al (1994) Mental health in Ontario: Selected findings from the Ontario Health Supplement to the 1990 Ontario Health Survey. Report to the Ontario Ministry of Health.

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