title: Comparison of DSM-IV diagnostic criteria versus the Broad Categories for the Diagnosis of Eating Disorders scheme in a Japanese sample.
abstract: The purposes of this study were to compare DSM-IV diagnostic criteria and the Broad Categories for the Diagnosis of Eating Disorders (BCD-ED) scheme in terms of the number of cases of Eating Disorder Not Otherwise Specified (EDNOS) and to test which diagnostic tool better captures the variance of psychiatric symptoms in a Japanese sample. 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. The BCD-ED scheme dramatically decreased the proportion of DSM-IV EDNOS from 45.1% to 1.5%. However, the categorization of patients with the BCD-ED scheme was less able to capture the variance in psychopathology scales than the DSM-IV, suggesting that the BCD-ED scheme may differentiate ED groups less effectively than the DSM-IV. These results suggest that the BCD-ED scheme may have the potential to eliminate the use of DSM-IV EDNOS, but it may have problems capturing the variance of psychiatric symptoms.
authors.affiliation: Kyoto Institute of Health Sciences, Kyoto, Japan. ynakai@helen.ocn.ne.jp
authors.forename: Yoshikatsu
authors.initials: Y
authors.lastname: Nakai
authors.forename: Kazuko
authors.initials: K
authors.lastname: Nin
authors.forename: Satoshi
authors.initials: S
authors.lastname: Teramukai
authors.forename: Ataru
authors.initials: A
authors.lastname: Taniguchi
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Fukushima
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
mesh_terms: D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000145:classification* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007564:Japan; D015203:Reproducibility of Results; D055815:Young Adult
keywords: Diagnostic criteria; Eating Disorder Not Otherwise Specified; Eating disorders