Diagnostic crossover and outcome predictors in XXXX according to DSM-IV and DSM-V proposed criteria: a 6-year follow-up study.

@entity1 @entity146 @entity1278 @entity1316 @entity1277 @entity2613 @entity5550
OBJECTIVE: To evaluate in a 6-year follow-up study the course of a large clinical sample of @entity1 with @entity1277 ( @entity1277 ) who were treated with individual cognitive behavior therapy. The diagnostic crossover, recovery, and relapses were assessed, applying both Diagnostic and Statistical Manual of @entity146 , Fourth Edition (DSM-IV) and the DSM-V proposed criteria. @entity1 with @entity1277 move in and out of illness states over time, display frequent relapses, show a relevant lifetime @entity146 comorbidity, and migrate between different diagnoses. METHOD: A total of 793 @entity1 (including @entity1278 , @entity5550 , and @entity1277 not otherwise specified) were evaluated on the first day of admission, at the end of treatment, 3 years after the end of treatment, and 3 years after the first follow-up. Clinical data were collected through a face-to-face interview; diagnosis was performed by means of the Structured Clinical Interview for DSM-IV and the Eating Disorder Examination Questionnaire was applied. RESULTS: A consistent rate of relapse and crossover between the different diagnoses over time was observed. @entity1316 comorbidity has been found to be an important determinant of diagnostic instability, whereas the severity of shape concern represented a relevant outcome modifier. Using the DSM-V proposed criteria, most @entity1 of @entity1277 not otherwise specified were reclassified, so that the large majority of @entity2613 @entity1 seeking treatment would be included in full-blown diagnoses. CONCLUSIONS: Among @entity1277 , there are different subgroups of @entity1 displaying various courses and outcomes. The diagnostic instability involves the large majority of @entity1 . An integration of categorical and dimensional approaches could improve the psychopathological investigation and the treatment choices.
