Classification of eating disorders: comparison of relative prevalence rates using DSM-IV and DSM-5 criteria

Br J Psychiatry. 2015 Jun;206(6):519-20. doi: 10.1192/bjp.bp.113.143461. Epub 2015 Mar 5.

Abstract

DSM-5 contains substantial changes to eating disorder diagnoses. We examined relative prevalence rates of DSM-IV and DSM-5 eating disorder diagnoses using Eating Disorder Examination-Questionnaire diagnostic algorithms in 117 community out-patients. DSM-5 criteria produced a reduction in combined 'other specified feeding or eating disorder' and 'unspecified feeding or eating disorder' from 46% to 29%, an increase in anorexia nervosa diagnoses from 35% to 47%, the same number of bulimia nervosa diagnoses and a 5% rate of binge eating disorder diagnoses.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Algorithms
  • Diagnostic and Statistical Manual of Mental Disorders
  • Epidemiologic Methods
  • Feeding and Eating Disorders / classification*
  • Feeding and Eating Disorders / diagnosis
  • Feeding and Eating Disorders / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Victoria / epidemiology
  • Young Adult