title: Distribution of eating disorders in children and adolescents using the proposed DSM-5 criteria for feeding and eating disorders.
abstract: OBJECTIVE
  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.
authors.affiliation: Division of Adolescent Medicine and Eating Disorders, Penn State Hershey Children's Hospital, Hershey, PA, USA. rornstein@hmc.psu.edu
authors.forename: Rollyn M
authors.initials: RM
authors.lastname: Ornstein
authors.forename: David S
authors.initials: DS
authors.lastname: Rosen
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Mammel
authors.forename: S Todd
authors.initials: ST
authors.lastname: Callahan
authors.forename: Sara
authors.initials: S
authors.lastname: Forman
authors.forename: M Susan
authors.initials: MS
authors.lastname: Jay
authors.forename: Martin
authors.initials: M
authors.lastname: Fisher
authors.forename: Ellen
authors.initials: E
authors.lastname: Rome
authors.forename: B Timothy
authors.initials: BT
authors.lastname: Walsh
mesh_terms: D000293:Adolescent; D002648:Child; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Adolescents; Children; DSM-5; Diagnosis; Eating disorders