DSM-IV versus DSM-5: Implementation of proposed DSM-5 criteria in a large naturalistic database

作者：Birgegard Andreas^*; Norring Claes; Clinton David

来源：International Journal of Eating Disorders, 2012, 45(3): 353-361.

DOI：10.1002/eat.20968

• diagnostics
• anorexia
• bulimia
• EDNOS
• criteria
• DSM-5

Objective: Problems with the current DSM-IV eating disorder (ED) section have resulted in proposed changes toward the upcoming DSM-5 (). We investigated consequences of these by implementing the proposal in a large naturalistic database.
Method: 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.
Results: 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.
Discussion: Remaining problems with the proposed changes were also highlighted, and possible further refinement is discussed.

• 出版日期2012-4