Special Section Review Article/Eating Disorders in DSM-V: Review of Existing Literature (Part 2)
Broad categories for the diagnosis of eating disorders (BCD-ED): An alternative system for classification
Article first published online: 31 JUL 2009
Copyright © 2009 American Psychiatric Association. This Article is being co-published by the International Journal of Eating Disorders and the American Psychiatric Association.
International Journal of Eating Disorders
Volume 42, Issue 8, pages 754–764, December 2009
How to Cite
Walsh, B. T., Sysko, R. (2009), Broad categories for the diagnosis of eating disorders (BCD-ED): An alternative system for classification. Int. J. Eat. Disord., 42: 754–764. doi: 10.1002/eat.20722
- Issue published online: 11 NOV 2009
- Article first published online: 31 JUL 2009
- Manuscript Accepted: 9 JUN 2009
- National Institutes of Health. Grant Number: 5T32MH015144
- diagnostic criteria
Eating Disorder Not Otherwise Specified (EDNOS), a residual category in DSM-IV, is the most commonly used eating disorder diagnosis in clinical settings. A diagnostic scheme, termed Broad Categories for the Diagnosis of Eating Disorders (BCD-ED), is proposed to diminish use of the EDNOS category while preserving the existing eating disorder categories. The objective of this review was to examine the advantages and disadvantages of adopting this scheme for DSM-V.
We reviewed published studies to assess the proportion of individuals with DSM-IV EDNOS that would be reclassified under the BCD-ED system, support for the hierarchy of the three categories, and the potential risk of “overdiagnosis.”
Adopting the BCD-ED scheme would have both advantages and disadvantages, but would likely substantially reduce the number of individuals who would receive an EDNOS diagnosis.
BCD-ED is a potential method of addressing the high frequency of EDNOS, but would be a major change in how eating disorders are categorized. © 2009 American Psychiatric Association. Int J Eat Disord 2009