Abstract：
OBJECTIVE: This study investigated whether mental health providers have different diagnostic impressions and treatment recommendations for patients with restrictive eating disorders, depending on the patient\'s body weight.
METHODS: Participants were given one of three versions of a vignette depicting a patient who meets DSM-5 criteria for anorexia nervosa (AN) or atypical AN with the patient\'s weight described as either below, within, or above the average range for her age and height. Participants were then asked to respond to a series of questions about diagnosis, symptoms, and treatment recommendations. Results were compared between the three weight conditions with the goal of better understanding how a patient\'s body weight may influence different aspects of participants\' clinical impressions.
RESULTS: Participants given the low weight version of the vignette were more likely to identify the presenting problem as an eating disorder and to agree that the patient experienced dietary restriction and weight loss, weight gain avoidance, and body image concerns. Participants given the low weight description were also more likely to recommend specialized eating disorder treatment and medical follow-up.
CONCLUSIONS: Findings suggest that mental health providers were generally more responsive to restrictive eating disorder symptoms when the patient was at a lower body weight. These results are concerning because they suggest patients with atypical AN may be less likely to receive an accurate diagnosis or adequate treatment compared to underweight patients with AN, despite experiencing the same symptoms.
UNASSIGNED: Restrictive eating disorders like AN and atypical AN can cause comparable physical and psychological symptoms in people of any body weight. Despite having the same symptoms, people with a higher body weight are less likely to receive a diagnosis or treatment. This study compared mental health providers\' reactions to a description of a patient with an eating disorder at different body weights and found differences in diagnosis, detection of symptoms, and treatment recommendations.
METHODS: Participants were given one of three versions of a vignette depicting a patient who meets DSM-5 criteria for anorexia nervosa (AN) or atypical AN with the patient\'s weight described as either below, within, or above the average range for her age and height. Participants were then asked to respond to a series of questions about diagnosis, symptoms, and treatment recommendations. Results were compared between the three weight conditions with the goal of better understanding how a patient\'s body weight may influence different aspects of participants\' clinical impressions.
RESULTS: Participants given the low weight version of the vignette were more likely to identify the presenting problem as an eating disorder and to agree that the patient experienced dietary restriction and weight loss, weight gain avoidance, and body image concerns. Participants given the low weight description were also more likely to recommend specialized eating disorder treatment and medical follow-up.
CONCLUSIONS: Findings suggest that mental health providers were generally more responsive to restrictive eating disorder symptoms when the patient was at a lower body weight. These results are concerning because they suggest patients with atypical AN may be less likely to receive an accurate diagnosis or adequate treatment compared to underweight patients with AN, despite experiencing the same symptoms.
UNASSIGNED: Restrictive eating disorders like AN and atypical AN can cause comparable physical and psychological symptoms in people of any body weight. Despite having the same symptoms, people with a higher body weight are less likely to receive a diagnosis or treatment. This study compared mental health providers\' reactions to a description of a patient with an eating disorder at different body weights and found differences in diagnosis, detection of symptoms, and treatment recommendations.
摘要：
目的：这项研究调查了精神卫生提供者对限制性进食障碍患者的诊断印象和治疗建议是否不同，取决于病人的体重。
方法：参与者获得三个版本的小插图之一，描述符合DSM-5神经性厌食症（AN）或非典型AN标准的患者，其体重如下所述，内,或高于她的年龄和身高的平均范围。然后要求参与者回答一系列关于诊断的问题，症状,和治疗建议。比较了三种体重状况的结果，目的是更好地了解患者的体重如何影响参与者的临床印象。
结果：接受低体重小插图的参与者更有可能将目前的问题确定为饮食失调，并同意患者经历了饮食限制和体重减轻，避免体重增加，和身体形象问题。具有低体重描述的参与者也更有可能推荐专门的饮食失调治疗和医学随访。
结论：研究结果表明，当患者处于较低体重时，心理健康提供者对限制性进食障碍症状的反应通常更敏感。这些结果令人担忧，因为它们表明，与体重过轻的AN患者相比，非典型AN患者接受准确诊断或适当治疗的可能性较小。尽管有同样的症状.
■限制性饮食失调，如AN和非典型AN，可在任何体重的人中引起相当的身体和心理症状。尽管有同样的症状,体重较高的人接受诊断或治疗的可能性较小。这项研究比较了心理健康提供者对不同体重的饮食失调患者的描述的反应，并发现了诊断的差异，检测症状，和治疗建议。
方法：参与者获得三个版本的小插图之一，描述符合DSM-5神经性厌食症（AN）或非典型AN标准的患者，其体重如下所述，内,或高于她的年龄和身高的平均范围。然后要求参与者回答一系列关于诊断的问题，症状,和治疗建议。比较了三种体重状况的结果，目的是更好地了解患者的体重如何影响参与者的临床印象。
结果：接受低体重小插图的参与者更有可能将目前的问题确定为饮食失调，并同意患者经历了饮食限制和体重减轻，避免体重增加，和身体形象问题。具有低体重描述的参与者也更有可能推荐专门的饮食失调治疗和医学随访。
结论：研究结果表明，当患者处于较低体重时，心理健康提供者对限制性进食障碍症状的反应通常更敏感。这些结果令人担忧，因为它们表明，与体重过轻的AN患者相比，非典型AN患者接受准确诊断或适当治疗的可能性较小。尽管有同样的症状.
■限制性饮食失调，如AN和非典型AN，可在任何体重的人中引起相当的身体和心理症状。尽管有同样的症状,体重较高的人接受诊断或治疗的可能性较小。这项研究比较了心理健康提供者对不同体重的饮食失调患者的描述的反应，并发现了诊断的差异，检测症状，和治疗建议。
