Parts of this manuscript were presented at the 10th Annual Meeting of the Eating Disorders Research Society, Toronto, Canada, September 29–October 1, 2005.
Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth†
Article first published online: 15 MAY 2007
Copyright © 2007 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 40, Issue 5, pages 409–417, July 2007
How to Cite
Ackard, D. M., Fulkerson, J. A. and Neumark-Sztainer, D. (2007), Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. Int. J. Eat. Disord., 40: 409–417. doi: 10.1002/eat.20389
- Issue published online: 7 JUN 2007
- Article first published online: 15 MAY 2007
- Manuscript Accepted: 16 MAR 2007
- Maternal and Child Health Bureau (Title V, Social Security Act). Grant Number: R40 MC 00319
- Health Resources and Services Administration
- Department of Health and Human Services
- anorexia nervosa;
- bulimia nervosa;
- binge eating disorder;
To examine the prevalence and utility of DSM-IV eating disorder (ED) criteria and anorexia (AN), bulimia (BN), and binge eating disorder (BED) among adolescents.
An ethnically diverse population-based sample of 4,746 public middle and high school students completed anthropometric measures and Project EAT survey items.
Many youth endorsed body shape perception disturbance (41.5% female; 24.9% male), undue influence of body shape/weight on self-esteem (36.4% female; 23.9% male), and compensatory behavior (9.4% female; 13.5% male). Prevalence among females and males, respectively, was: AN = 0.04%, 0%; BN = 0.3%, 0.2%; BED = 1.9%, 0.3%. Analyses of individual criteria showed high sensitivity and negative predictive values for each disorder and corresponding criteria, low specificity for several AN (27.8%) and BN (32.0%) criteria, and low positive predictive values (0.06–40.2%).
Body disparagement and compensatory behaviors indicate eating disturbance, despite low prevalence of EDs. Diagnostic classification may be clinically useful, but is complicated for use in epidemiological populations. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2007.