Comparison of DSM-IV versus proposed DSM-5 diagnostic criteria for eating disorders in a Japanese sample.
OBJECTIVE
The purpose of this study was to compare the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) and the proposed Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) diagnostic criteria in terms of the number of cases of eating disorder not otherwise specified (EDNOS) and to see which diagnostic system can effectively capture variance in psychiatric symptoms in a Japanese sample.


METHODS
One thousand and twenty-nine women with an eating disorder (ED) participated in this study. Assessment methods included structured clinical interviews and administration of the Eating Attitudes Test and the Eating Disorder Inventory.


RESULTS
Relaxing the diagnostic criteria for anorexia nervosa and bulimia nervosa and recognizing binge ED decreased the proportion of EDNOS (from 45.1% to 26.1%). The DSM-5 categorization of patients was better able to capture variance in psychopathology scales.


CONCLUSIONS
The proposed revisions to EDs in the DSM-5 partially reduced reliance on EDNOS. The DSM-5 may differentiate ED groups more effectively than the DSM-IV.
Kyoto Institute of Health Sciences, Kyoto 604-0845, Japan. ynakai@helen.ocn.ne.jp
Yoshikatsu
Y
Nakai
Mitsuo
M
Fukushima
Ataru
A
Taniguchi
Kazuko
K
Nin
Satoshi
S
Teramukai
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000145:classification / Q000453:epidemiology; D056912:Binge-Eating Disorder / Q000145:classification / Q000453:epidemiology; D052018:Bulimia Nervosa / Q000145:classification / Q000453:epidemiology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000145:classification / Q000453:epidemiology; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D055815:Young Adult