PURPOSE: To determine the distribution of eating disorders (ED) in children and adolescents comparing the fourth edition of the Diagnostic and Statistical Manual (DSM) to the proposed fifth edition DSM criteria. METHODS: A total of 215 consecutive patients (15.4 ± 3.3 years) presenting for initial ED evaluation to adolescent medicine physicians from six institutions were assigned ED diagnoses using current DSM-IV criteria as well as proposed DSM-5 criteria. RESULTS: Diagnoses of anorexia nervosa and bulimia nervosa increased using the proposed DSM-5 criteria (from 30.0% to 40.0% and from 7.3% to 11.8%, p < .001). Approximately 14% of patients received the presumptive DSM-5 diagnosis of avoidant/restrictive food intake disorder. Cases of ED not otherwise specified decreased from 62.3% to 32.6% (p < .001). CONCLUSIONS: Proposed DSM-5 criteria substantially decreased the frequency of ED not otherwise specified diagnoses and increased the number of cases of anorexia nervosa and bulimia nervosa in a population of young patients presenting for ED treatment. Avoidant/restrictive food intake disorder appears to be a significant diagnosis.
PURPOSE: To determine the distribution of eating disorders (ED) in children and adolescents comparing the fourth edition of the Diagnostic and Statistical Manual (DSM) to the proposed fifth edition DSM criteria. METHODS: A total of 215 consecutive patients (15.4 ± 3.3 years) presenting for initial ED evaluation to adolescent medicine physicians from six institutions were assigned ED diagnoses using current DSM-IV criteria as well as proposed DSM-5 criteria. RESULTS: Diagnoses of anorexia nervosa and bulimia nervosa increased using the proposed DSM-5 criteria (from 30.0% to 40.0% and from 7.3% to 11.8%, p < .001). Approximately 14% of patients received the presumptive DSM-5 diagnosis of avoidant/restrictive food intake disorder. Cases of ED not otherwise specified decreased from 62.3% to 32.6% (p < .001). CONCLUSIONS: Proposed DSM-5 criteria substantially decreased the frequency of ED not otherwise specified diagnoses and increased the number of cases of anorexia nervosa and bulimia nervosa in a population of young patients presenting for ED treatment. Avoidant/restrictive food intake disorder appears to be a significant diagnosis.
Authors: Kendra R Becker; Ani C Keshishian; Rachel E Liebman; Kathryn A Coniglio; Shirley B Wang; Debra L Franko; Kamryn T Eddy; Jennifer J Thomas Journal: Int J Eat Disord Date: 2018-12-22 Impact factor: 4.861
Authors: Robyn Sysko; Deborah R Glasofer; Tom Hildebrandt; Patrycja Klimek; James E Mitchell; Kelly C Berg; Carol B Peterson; Stephen A Wonderlich; B Timothy Walsh Journal: Int J Eat Disord Date: 2015-01-30 Impact factor: 4.861
Authors: Andrea B Goldschmidt; Ross D Crosby; Li Cao; Markus Moessner; Kelsie T Forbush; Erin C Accurso; Daniel Le Grange Journal: J Abnorm Psychol Date: 2018-02
Authors: Sarah E Strandjord; Erin H Sieke; Miranda Richmond; Arjun Khadilkar; Ellen S Rome Journal: Eat Weight Disord Date: 2015-11-23 Impact factor: 4.652