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Should amenorrhea be a diagnostic criterion for anorexia nervosa?
International Journal of Eating Disorders, 08/06/09
Attia E et al. – Based on these findings, one option is to describe amenorrhea in DSM–V as a frequent occurrence among individuals with AN that may provide important information about clinical severity, but should not be maintained as a core diagnostic feature. The possibilities of retaining the criterion or eliminating it altogether are discussed.
Methods- The psychological and biological literatures on the utility of amenorrhea as a distinguishing diagnostic criterion for AN and as an indicator of illness severity are reviewed.
- The majority of differences among patients with AN who do and do not meet the amenorrhea criterion appear largely to reflect nutritional status.
- Overall, the two groups have few psychological differences.
- There are mixed findings regarding biological differences between those with AN who do and do not menstruate and the relationship between amenorrhea and bone health among patients with AN.
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