Classification of bulimic-type eating disorders: from DSM-IV to DSM-5

SummaryDSM-5 contains substantial changes to eating disorder diagnoses. We examined relative prevalence rates of DSM-IV and DSM-5 eating disorder diagnoses using Eating Disorder Examination–Questionnaire diagnostic algorithms in 117 community out-patients. DSM-5 criteria produced a reduction in combined ‘other specified feeding or eating disorder’ and ‘unspecified feeding or eating disorder’ diagnoses from 46% to 29%, an increase in anorexia nervosa diagnoses from 35% to 47%, the same number of bulimia nervosa diagnoses and a 5% rate of binge eating disorder diagnoses.

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The Classification of Eating Disorders

The Oxford Handbook of Eating Disorders ◽

10.1093/oxfordhb/9780195373622.013.0002 ◽

2010 ◽

pp. 7-24 ◽

Cited By ~ 1

Author(s):

Kathryn H. Gordon ◽

Jill M. Holm-Denoma ◽

Ross D. Crosby ◽

Stephen A. Wonderlich

Keyword(s):

Eating Disorders ◽

Eating Disorder ◽

Latent Class ◽

Minority Groups ◽

Statistical Manual ◽

Text Revision ◽

Diagnostic And Statistical Manual ◽

Key Issues ◽

Dsm Iv

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.

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Comparison of DSM-IV versus proposed DSM-5 diagnostic criteria for eating disorders: Reduction of eating disorder not otherwise specified and validity

International Journal of Eating Disorders ◽

10.1002/eat.20892 ◽

2011 ◽

Vol 44 (6) ◽

pp. 553-560 ◽

Cited By ~ 100

Author(s):

Pamela K. Keel ◽

Tiffany A. Brown ◽

Jill Holm-Denoma ◽

Lindsay P. Bodell

Keyword(s):

Eating Disorders ◽

Eating Disorder ◽

Diagnostic Criteria ◽

Dsm 5 ◽

Not Otherwise Specified ◽

Dsm Iv

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Eating disorders

CNS Spectrums ◽

10.1017/s1092852916000304 ◽

2016 ◽

Vol 21 (4) ◽

pp. 304-309 ◽

Cited By ~ 6

Author(s):

Stefano Erzegovesi ◽

Laura Bellodi

Keyword(s):

Eating Disorders ◽

International Classification Of Diseases ◽

Statistical Manual ◽

Diagnostic And Statistical Manual ◽

Dsm 5 ◽

Feeding And Eating Disorders ◽

Not Otherwise Specified ◽

Classification Of Diseases ◽

Icd 10

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.

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What is OSFED? The predicament of classifying ‘other’ eating disorders

BJPsych Open ◽

10.1192/bjo.2021.985 ◽

2021 ◽

Vol 7 (5) ◽

Author(s):

Zoe M. Jenkins ◽

Serafino G. Mancuso ◽

Andrea Phillipou ◽

David J. Castle

Keyword(s):

Cluster Analysis ◽

Eating Disorders ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Binge Eating ◽

Treatment Seeking ◽

Clinical Feature ◽

Dsm 5 ◽

Feeding And Eating Disorders ◽

Dsm Iv

The transition from DSM-IV to DSM-5 relaxed diagnostic criteria for anorexia nervosa and bulimia nervosa, and recognised a third eating disorder, binge eating disorder. However, a large proportion of cases remain in the ill-defined category of ‘other specified feeding and eating disorders’. We sought to investigate the utility of a proposed solution to classify this group further, subdividing based on the dominant clinical feature: binge eating/purging or restraint. Cluster analysis failed to identify clusters in a treatment-seeking sample based on symptoms of restraint, binge eating, purging and over-evaluation of shape and weight. Further investigation of this highly heterogeneous group is required.

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