Comparison of DSM-IV versus proposed DSM-5 diagnostic criteria for eating disorders: Reduction of eating disorder not otherwise specified and validity
Article first published online: 14 FEB 2011
Copyright © 2011 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 44, Issue 6, pages 553–560, September 2011
How to Cite
Keel, P. K., Brown, T. A., Holm-Denoma, J. and Bodell, L. P. (2011), Comparison of DSM-IV versus proposed DSM-5 diagnostic criteria for eating disorders: Reduction of eating disorder not otherwise specified and validity. Int. J. Eat. Disord., 44: 553–560. doi: 10.1002/eat.20892
- Issue published online: 5 AUG 2011
- Article first published online: 14 FEB 2011
- Manuscript Accepted: 8 OCT 2010
- National Institute of Mental Health. Grant Number: R01 MH63758
- eating disorders;
- diagnostic criteria;
Revised Eating Disorder (ED) diagnostic criteria have been proposed for the Diagnostic and Statistical Manual (DSM)-5 to reduce the preponderance of eating disorder not otherwise specified (EDNOS) and increase the validity of diagnostic groups. This article compares DSM-IV and proposed DSM-5 diagnostic criteria on number of EDNOS cases and validity.
Participants (N = 397; 91% female) completed structured clinical interviews in a two-stage epidemiological study of EDs. Interviewers did not follow standard skip rules, making it possible to evaluate alternative ED diagnostic criteria.
Using DSM-IV versus DSM-5 criteria, 34 (14%) versus 48 (20%) had anorexia nervosa, 43 (18%) versus 44 (18%) had bulimia nervosa, and 163 (68%) had EDNOS versus 20 (8%) had binge eating disorder (BED), and 128 (53%) had EDNOS, respectively, reflecting a significant decrease in EDNOS. Validation analyses supported significant differences among groups with some improvement associated with delineation of BED.
Proposed revisions to EDs in the DSM-5 significantly reduced reliance on EDNOS without loss of information. © 2011 by Wiley Periodicals, Inc.