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Handbook of Aggressive and Destructive Behavior in Psychiatric Patients pp 409–428Cite as

Eating Disorders

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Abstract

The diagnostic criteria for anorexia nervosa, according to the fourth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (American Psychiatric Association, 1993), are summarized as follows: (1) refusal to maintain a body weight over a minimally normal weight for age and height (e.g., weight loss leading to maintenance of a body weight less than 85% of that expected, or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected); (2) intense fear of gaining weight or becoming fat, even though underweight; (3) disturbance in the way that body weight, size, or shape is experienced; and (4) amenorrhea in females (absence of at least 3 menstrual cycles). The new DSM-IV criteria formalize earlier overlapping conventions for subtyping anorexia nervosa into restricting and binge eating/purging types based on the presence or absence of the bingeing and/or purging (i.e., self-induced vomiting, or the misuse of laxatives, or diuretics). This is consistent with recent research favoring purging over bingeing as the marker for defining anorexia nervosa subtypes(Garner, Garner & Rosen, 1993 It is important to note that patients move between these two subtypes with chronicity leading toward aggregation in the binge eating/purging subgroup (Hsu, 1988).

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  1. Department of Psychiatry, Michigan State University, East Lansing, Michigan, 48824, USA

    David M. Garner & Lionel W. Rosen

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  1. David M. Garner
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  1. Nova Southeastern University, Fort Lauderdale, Florida, USA

    Michel Hersen

  2. Western Pennsylvania School for Blind Children, Pittsburgh, Pennsylvania, USA

    Robert T. Ammerman  & Lori A. Sisson  & 

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Garner, D.M., Rosen, L.W. (1994). Eating Disorders. In: Hersen, M., Ammerman, R.T., Sisson, L.A. (eds) Handbook of Aggressive and Destructive Behavior in Psychiatric Patients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2403-8_23

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