Distribution of eating disorders in children and adolescents using the proposed DSM-5 criteria for feeding and eating disorders

Rollyn M. Ornstein, David S. Rosen, Kathleen A. Mammel, S. Todd Callahan, Sara Forman, M. Susan Jay, Martin Fisher, Ellen Rome, B. Timothy Walsh

Research output: Contribution to journalArticlepeer-review

96 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)303-305
Number of pages3
JournalJournal of Adolescent Health
Volume53
Issue number2
DOIs
StatePublished - Aug 2013

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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