Zusammenfassung
Seit der Veröffentlichung der ersten AWMF-S3-Leitlinie „Diagnostik und Therapie der Essstörungen“ erfolgte 2013 die Veröffentlichung der neuen amerikanischen Psychiatrieleitlinien im Diagnostischen und Statistischen Manual psychischer Störungen DSM-5 (deutsche Ausgabe 2015). Darin wurden (kindliche) Fütterstörungen im Kapitel „Fütter- und Essstörungen“ zu einem Bereich zusammengefasst. Im DSM-5-Manual liegen für folgende Störungen diagnostische Kriterien vor: Pica, Ruminationsstörung, Störung mit Vermeidung oder Einschränkung der Nahrungsaufnahme (alle drei hauptsächlich im Kindesalter vorkommend) sowie Anorexia nervosa (AN), Bulimia nervosa (BN) und Binge-Eating-Störung (BES). Die diagnostischen Kriterien, wie z. B. für AN, BN und BES, wurden auch geändert – sie wurden etwas breiter gefasst. Das hat unmittelbaren Einfluss im Sinne einer mäßigen Erhöhung der Inzidenz- und Prävalenzzahlen. Die Veränderung der diagnostischen Kriterien von DSM-IV auf DSM-5 ist auch aus anderen Gründen relevant: die meisten wissenschaftlichen Arbeiten zu Neuerkrankungsraten und zur Häufigkeit psychischer Erkrankungen wurden auf der Basis der DSM-Kriterien gemacht. In Deutschland sind andererseits klinisch und gegenüber Kassen und Rentenversicherungen die internationalen Diagnosekriterien ICD relevant.
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Fichter, M.M. (2019). Epidemiologie der Ess- und Fütterstörungen. In: Herpertz, S., et al. S3-Leitlinie Diagnostik und Behandlung der Essstörungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59606-7_1
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