Karina Limburg1,2, Chloe Y Shu2, Hunna J Watson3,4,5, Kimberley J Hoiles2, Sarah J Egan3. 1. Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technichal University of Munich, Munich, Germany. 2. Eating Disorders Program, Child and Adolescent Mental Health Service, Perth, Australia. 3. School of Psychology, Curtin University, Perth, Australia. 4. Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, USA. 5. School of Paediatrics and Child Health, The University of Western Australia, Perth, Australia.
Abstract
OBJECTIVE: The aim of the study was to compare the DSM-IV, DSM-5, and ICD-10 eating disorders (ED) nomenclatures to assess their value in the classification of pediatric eating disorders. We investigated the prevalence of the disorders in accordance with each system's diagnostic criteria, diagnostic concordance between the systems, and interrater reliability. METHOD: Participants were 1062 children and adolescents assessed at intake to a specialist Eating Disorders Program (91.6% female, mean age 14.5 years, SD = 1.75). Measures were collected from routine intake assessments. RESULTS: DSM-5 categorization led to a lower prevalence of unspecified EDs when compared with DSM-IV. There was almost complete overlap for specified EDs. Kappa values indicated almost excellent agreement between the two coders on all three diagnostic systems, although there was higher interrater reliability for DSM-5 and ICD-10 when compared with DSM-IV. DISCUSSION: DSM-5 nomenclature is useful in classifying eating disorders in pediatric clinical samples.
OBJECTIVE: The aim of the study was to compare the DSM-IV, DSM-5, and ICD-10 eating disorders (ED) nomenclatures to assess their value in the classification of pediatric eating disorders. We investigated the prevalence of the disorders in accordance with each system's diagnostic criteria, diagnostic concordance between the systems, and interrater reliability. METHOD:Participants were 1062 children and adolescents assessed at intake to a specialist Eating Disorders Program (91.6% female, mean age 14.5 years, SD = 1.75). Measures were collected from routine intake assessments. RESULTS: DSM-5 categorization led to a lower prevalence of unspecified EDs when compared with DSM-IV. There was almost complete overlap for specified EDs. Kappa values indicated almost excellent agreement between the two coders on all three diagnostic systems, although there was higher interrater reliability for DSM-5 and ICD-10 when compared with DSM-IV. DISCUSSION: DSM-5 nomenclature is useful in classifying eating disorders in pediatric clinical samples.
Authors: Francesco Borgia; Plinio Cirillo; Maria Pia Riccio; Francesco Raimondi; Danilo Franco; Luigi Scippa; Adriana Franzese; Giovanni Esposito; Nicola De Luca; Carmela Bravaccio Journal: Eur J Pediatr Date: 2021-05-28 Impact factor: 3.183
Authors: Afaf F Moustafa; Kerry M Quigley; Thomas A Wadden; Robert I Berkowitz; Ariana M Chao Journal: Obesity (Silver Spring) Date: 2021-07-05 Impact factor: 9.298