[The STEPWISE database--what can we learn from a Swedish quality registry for eating disorders?].

National quality registries aim at improving health care. Sweden has experience in this area for over 30 years, and to date there are 73 official national registries in use within certain specialties. To our knowledge, Sweden is the only country using a web-based national quality registry (RIKSÄT) that systematically documents eating disorder treatment and outcome.

Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in outpatients with anorexia nervosa (ANTOP study): randomised controlled trial.

Background: Psychotherapy is the treatment of choice for patients with anorexia nervosa, although evidence of efficacy is weak. The Anorexia Nervosa Treatment of OutPatients (ANTOP) study aimed to assess the efficacy and safety of two manual-based outpatient treatments for anorexia nervosa--focal psychodynamic therapy and enhanced cognitive behaviour therapy--versus optimised treatment as usual.

Methods: The ANTOP study is a multicentre, randomised controlled efficacy trial in adults with anorexia nervosa.

DSM-5: problems and suggestions.

The upcoming DSM5 will impact clinical work and research substantially, and we here point to a few problems that may have been overlooked. These concern inconsistencies and lack of clarity, and the future "not elsewhere classified" atypical anorexia nervosa category. We propose solutions in the form of working definitions and operationalizations to facilitate clinical implementation as well as streamline research.

Vomiting and feeling fat--coincidence of achalasia and bulimia nervosa.

Objective: In clinical practice it is often difficult to distinguish between organic and psychological vomiting.

Method: We present a case of a 34-year-old woman with an 18-month history of vomiting with the initial diagnosis of bulimia nervosa (BN). However, the patient showed an unusual vomiting behavior.