DSM-IV versus DSM-5: Implementation of proposed DSM-5 criteria in a large naturalistic database
Article first published online: 23 DEC 2011
Copyright © 2011 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 45, Issue 3, pages 353–361, April 2012
How to Cite
Birgegård, A., Norring, C. and Clinton, D. (2012), DSM-IV versus DSM-5: Implementation of proposed DSM-5 criteria in a large naturalistic database. Int. J. Eat. Disord., 45: 353–361. doi: 10.1002/eat.20968
- Issue published online: 8 MAR 2012
- Article first published online: 23 DEC 2011
- Manuscript Accepted: 12 OCT 2011
Problems with the current DSM-IV eating disorder (ED) section have resulted in proposed changes toward the upcoming DSM-5 (http://www.dsm5.org/ProposedRevisions/Pages/EatingDisorders.aspx). We investigated consequences of these by implementing the proposal in a large naturalistic database.
Patients were 2,584 children/adolescents and adults enrolled at specialized ED clinics in Sweden. DSM-IV diagnoses anorexia nervosa, bulimia nervosa, and “not otherwise specified” examples were compared with DSM-5 anorexia, bulimia, and binge ED, as well as atypical anorexia, subthreshold bulimia, and binge eating, purging disorder, and the residual unspecified category. Assessment methods included a semistructured diagnostic interview and self-ratings of ED and psychiatric symptoms.
We studied age-separated diagnostic distributions and explained variance in clinical variables associated with the two systems. Results showed some improvement of diagnostic specification as well as a slight increase in explained variance.
Remaining problems with the proposed changes were also highlighted, and possible further refinement is discussed. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2012)