The Classification of Eating Disorders

Author(s):  
Kathryn H. Gordon ◽  
Jill M. Holm-Denoma ◽  
Ross D. Crosby ◽  
Stephen A. Wonderlich

The purpose of the chapter is to elucidate the key issues regarding the classification of eating disorders. To this end, a review of nosological research in the area of eating disorders is presented, with a particular focus on empirically based techniques such as taxometric and latent class analysis. This is followed by a section outlining areas of overlap between the current Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition, Text Revision (DSM-IV-TR; American Psychiatric Association, 2000) eating disorder categories and their symptoms. Next, eating disorder classification models that are alternatives to the DSM-IV-TR are described and critically examined in light of available empirical data. Finally, areas of controversy and considerations for change in next version of the DSM (i.e., the applicability of DSM criteria to minority groups, children, males; the question of whether clinical categories should be differentiated from research categories) are discussed.

Author(s):  
Kathryn H. Gordon ◽  
Jill M. Holm-Denoma ◽  
Valerie J. Douglas ◽  
Ross Crosby ◽  
Stephen A. Wonderlich

The purpose of this chapter is to elucidate the key issues regarding the classification of eating disorders. To this end, a review of nosological research in the area of eating disorders is presented, with a particular focus on empirically based techniques such as taxometric analysis, latent class analysis, and factor mixture modeling. This is followed by a section outlining areas of overlap between the current Diagnostic and Statistical Manual of Mental Disorders–Fifth Edition (DSM-5) eating disorder categories and their symptoms. Next, eating disorder classification models that are alternatives to the DSM-5 are described and critically examined in light of available empirical data. Finally, areas of controversy and considerations for change in next version of the DSM (i.e., the applicability of DSM criteria to minority groups, children, and males; the question of whether clinical categories should be differentiated from research categories) are discussed.


Author(s):  
Robyn Sysko ◽  
G. Terence Wilson

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) describes two eating disorder diagnoses, anorexia nervosa (AN) and bulimia nervosa (BN). Provisional criteria are also provided in DSM-IV for binge eating disorder (BED), which is an example of an eating disorder not otherwise specified. This chapter presents a summary and synthesis of research related to the clinical features and treatment of AN, BN, and BED, including studies of prevalence, common comorbidities, and treatment efficacy. Both psychological and pharmacological treatments are reviewed, including cognitive-behavioral therapy, interpersonal psychotherapy, family therapy, and the use of antidepressant medications. Recommendations are made for future research across the eating disorders.


1997 ◽  
Vol 12 (7) ◽  
pp. 342-344 ◽  
Author(s):  
P Cotrufo ◽  
V Barretta ◽  
P Monteleone

SummaryIn this study, we investigated the prevalence of full syndrome (FS), partial syndrome (PS) and subclinical syndrome (SCS) eating disorders in a sample of 356 high school girls. We identified two cases of anorexia nervosa (0.56%), 14 of bulimia nervosa (3.94%) and one of binge eating disorder (0.28%) according to Diagnostic and Statistical Manual (DSM)-IV. Moreover, 17 girls (4.77%) were recognized as PS cases and 49 (13.7%) as SCS cases. A follow-up is now ongoing to explore the clinical evolution of partial and subclinical syndromes.


2015 ◽  
Vol 27 (4) ◽  
pp. 437-441 ◽  
Author(s):  
Martin Fisher ◽  
Marisol Gonzalez ◽  
Joan Malizio

Abstract Purpose: This study aimed to determine the changes in diagnosis that occur in making the transition from Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria in an adolescent medicine eating disorder program. Methods: During the months of September 2011 through December 2012, a data sheet was completed at the end of each new outpatient eating disorder evaluation listing the patient’s gender, age, ethnicity, weight, height, DSM-IV diagnosis, and proposed DSM-5 diagnosis. Distributions were calculated using the Mann-Whitney and Wilcoxon rank sum analyses to determine differences between diagnostic groups. Results: There were 309 patients evaluated during the 16-month period. DSM-IV diagnoses were as follows: anorexia nervosa, 81 patients (26.2%); bulimia nervosa, 29 patients (9.4%); binge eating disorder, 1 patient (0.3%); and eating disorder not otherwise specified (EDNOS), 198 patients (64.6%). By contrast, DSM-5 diagnoses were as follows: anorexia nervosa, 100 patients; atypical anorexia nervosa, 93 patients; avoidant/restrictive food intake disorder, 60 patients; bulimia nervosa, 29 patients; purging disorder, 18 patients; unspecified feeding or eating disorder, 4 patients; subthreshold bulimia nervosa, 2 patients; subthreshold binge eating disorder, 2 patients; and binge eating disorder, 1 patient. Conclusion: Almost two thirds (64.6%) of the 309 patients had a diagnosis of EDNOS based on the DSM-IV criteria. By contrast, only four patients had a diagnosis of unspecified feeding or eating disorder based on the DSM-5 criteria. These data demonstrate that the goal of providing more specific diagnoses for patients with eating disorders has been accomplished very successfully by the new DSM-5 criteria.


Author(s):  
Robyn Sysko ◽  
G. Terence Wilson

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) describes two eating disorder diagnoses, anorexia nervosa (AN) and bulimia nervosa (BN). Provisional criteria are also provided in DSM-IV for binge eating disorder (BED), which is an example of an eating disorder not otherwise specified. This chapter presents a summary and synthesis of research related to the clinical features and treatment of AN, BN, and BED, including studies of prevalence, common comorbidities, and treatment efficacy. Both psychological and pharmacological treatments are reviewed, including cognitive-behavioral therapy, interpersonal psychotherapy, family therapy, and the use of antidepressant medications. Recommendations are made for future research across the eating disorders.


2010 ◽  
pp. 53-66

Vengono presentati i principali sistemi di diagnosi psichiatrica, e precisamente le ultime edizioni del Diagnostic and Statistical Manual (DSM) dell'American Psychiatric Association (il DSM-III del 1980, il DSM-III-R del 1987, il DSM-IV del 1994, il DSM-IV-TR del 2000, e il DSM-V previsto per il 2013), la 10a edizione dell'International Classification of Diseases (ICD-10) proposta nel 1992 dall'Organizzazione Mondiale della Sanitŕ (OMS), e il Manuale Diagnostico Psicodinamico (PDM) prodotto dalla comunitŕ psicoanalitica internazionale nel 2006. A proposito dei DSM, vengono discussi alcuni problemi metodologici quali le dicotomie validitŕ/attendibilitŕ, categorie/dimensioni e politetico/monotetico, e anticipati alcuni dibattiti critici a proposito del futuro DSM-V. Infine, vengono discusse le seguenti problematiche: la psicopatologia "descrittiva" e "strutturale"; la diagnosi come "difesa" del terapeuta; l'aspetto scientifico e l'aspetto filosofico della diagnosi; i tentativi di "sospensione" del giudizio e dei nostri preconcetti; la dicotomia nomotetico-idiografico.


CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 304-309 ◽  
Author(s):  
Stefano Erzegovesi ◽  
Laura Bellodi

Twenty years have passed from the International Classification of Diseases, Tenth Revision (ICD-10) to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and, in the meanwhile, a lot of research data about eating disorders has been published. This article reviews the main modifications to the classification of eating disorders reported in the “Feeding and Eating Disorders” chapter of the DSM-5, and compares them with the ICD-10 diagnostic guidelines. Particularly, we will show that DSM-5 criteria widened the diagnoses of anorexia and bulimia nervosa to less severe forms (so decreasing the frequency of Eating Disorders, Not Otherwise Specified (EDNOS) diagnoses), introduced the new category of Binge Eating Disorder, and incorporated several feeding disorders that were first diagnosed in infancy, childhood, or adolescence. On the whole, the DSM-5 revision should allow the clinician to make more reliable and timely diagnoses for eating disorders.


Author(s):  
MacKenzie A. Sayer ◽  
Sarah Ostrowski-Delahanty ◽  
Maria L. Pacella-LaBarbara ◽  
Douglas L. Delahanty

The diagnosis of acute stress disorder (ASD) was originally introduced in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) to identify survivors soon after a trauma who were likely to develop posttraumatic stress disorder (PTSD). However, despite demonstrating acceptable predictive power, subsequent research often failed to display high rates of sensitivity or specificity for ASD predicting PTSD. This led researchers to question the utility of the diagnosis and ultimately led to a revision of the diagnosis in the fifth edition of DSM. The updated ASD diagnosis was intended to primarily promote access to healthcare services following a traumatic event, and symptoms were not selected with the aim of predicting likelihood of one developing PTSD. Ultimately, the DSM-5 ASD criteria align more closely with PTSD symptoms without an emphasis on dissociative symptoms (as was true of the DSM-IV). This chapter summarizes the development of the ASD criteria/diagnosis and evaluates the utility of the reconceptualized diagnosis for both clinicians and researchers.


Salud Mental ◽  
2018 ◽  
Vol 41 (2) ◽  
pp. 91-100
Author(s):  
Héctor Julián Velázquez López ◽  
◽  
Rosalía Vázquez Arévalo ◽  
Juan Manuel Mancilla Díaz

Background. Although binge eating disorder (BED) formally appeared in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), after nearly two decades of research, it is still considered understudied in men. Objective. To carry out a literature review with the variables that have been relevant in research on BED in men, from 1994 to 2015. Method. The article search was conducted in Medline and PsycINFO databases. Results. Twenty-eight articles were analyzed, none specifically investigated male population. Men engage less in restrictive dieting than women (29.8% and 57.3%, respectively). Regarding body image, both men and women are prone to body dissatisfaction, although the ideal body is not necessarily the same. Regarding comorbidity, anxiety disorders are the most common ones in men with BED, in addition to the fact that they are more susceptible to substance abuse. Discussion and conclusion. Investigation on BED has mainly been conducted on female population, which suggests the need for more research on men that provides more empirical evidence.


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