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Diagnosis and classification of eating disorders in adults with intellectual disability: the Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation (DC-LD) approach.

BACKGROUND: Previous classifications of eating disorders [EDs] employed a narrower concept of EDs. They did not include the wide range of abnormal eating behaviours [AEBs], persistent feeding disorders and EDs psychopathology, aetiological and comorbidity factors seen in adults with intellectual dis...

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Published in:Journal of Intellectual Disability Research Vol. 47; pp. 72 - 84
Main Author: Gravestock S
Format: tables/charts Journal Article
Published: Wiley-Blackwell Sep2003 Supplement 1
Online Access:View this record in EBSCOhost
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      dt: Sep2003 Supplement 1
      vid: 47
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        106677880
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        10.1046/j.1365-2788.47.s1.41.x
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        atl: Diagnosis and classification of eating disorders in adults with intellectual disability: the Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation (DC-LD) approach.
      aug:
        au: Gravestock S
        affil: Oxleas NHS Trust/University of London; shaun.gravestock@oxleas.nhs.uk
      sug:
        subj:
          Eating Disorders Classification
          Eating Disorders Diagnosis
          Intellectual Disability Complications
          Reference Tools
          Diagnosis, Differential
          DSM
          International Classification of Diseases
      ab: BACKGROUND: Previous classifications of eating disorders [EDs] employed a narrower concept of EDs. They did not include the wide range of abnormal eating behaviours [AEBs], persistent feeding disorders and EDs psychopathology, aetiological and comorbidity factors seen in adults with intellectual disability [ID]. METHODS: The International Classification of Diseases--10 [ICD-10], ICD-10-MR, Diagnostic and Statistical Manual--IV [DSM-IV] and Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation[DC-LD] diagnostic approaches to EDs in adults with ID are compared. RESULTS: The DC-LD encourages conceptually clearer and systematic hierarchical differential diagnostic classification of AEBs and EDs. The DC-LD also allows consideration of relevant aetiological and comorbidity issues. DC-LD-based multi-axial case formulation supports the multimodal clinical assessment of AEBs and EDs. CONCLUSIONS: Further research should develop similar systematic and evidence-based multicomponent clinical diagnostic, management and service models for adults with ID and EDs.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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