Does the broad categories for the diagnosis of eating disorders (BCD-ED) scheme reduce the frequency of eating disorder not otherwise specified?
Article first published online: 5 NOV 2010
Copyright © 2010 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 44, Issue 7, pages 625–629, November 2011
How to Cite
Sysko, R. and Walsh, B. T. (2011), Does the broad categories for the diagnosis of eating disorders (BCD-ED) scheme reduce the frequency of eating disorder not otherwise specified?. Int. J. Eat. Disord., 44: 625–629. doi: 10.1002/eat.20860
- Issue published online: 13 OCT 2011
- Article first published online: 5 NOV 2010
- Manuscript Accepted: 27 JUN 2010
- National Institute of Diabetes and Digestive and Kidney Diseases. Grant Number: K23DK088532
- eating disorder not otherwise specified;
This study evaluated whether the Broad Categories for the Diagnosis of Eating Disorders (BCD-ED) proposal (Walsh and Sysko, Int J Eat Disord, 42, 754–764, 2009) reduces the number of individuals who receive a DSM-IV eating disorder not otherwise specified (EDNOS) diagnosis.
Individuals calling a tertiary care facility completed a brief telephone interview and were classified into a DSM-IV eating disorder category (anorexia nervosa, bulimia nervosa, EDNOS). Subsequently, the proposed DSM-5 criteria for eating disorders and the BCD-ED scheme were also applied.
A total of 247 individuals with telephone interview data met criteria for an eating disorder, including 97 (39.3%) with an EDNOS. Of patients with an EDNOS diagnosis, 97.6% were reclassified using the BCD-ED scheme.
The BCD-ED scheme has the potential to virtually eliminate the use of DSM-IV EDNOS; however, additional data are needed to document its validity and clinical utility. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2010)