Classification of eating disorders: comparison of relative prevalence rates using DSM-IV and DSM-5 criteria.
DSM-5 contains substantial changes to eating disorder diagnoses. We examined relative prevalence rates of DSM-IV and DSM-5 eating disorder diagnoses using Eating Disorder Examination-Questionnaire diagnostic algorithms in 117 community out-patients. DSM-5 criteria produced a reduction in combined 'other specified feeding or eating disorder' and 'unspecified feeding or eating disorder' from 46% to 29%, an increase in anorexia nervosa diagnoses from 35% to 47%, the same number of bulimia nervosa diagnoses and a 5% rate of binge eating disorder diagnoses.
Serafino G. Mancuso, PhD, St Vincent's Mental Health, Melbourne, Department of Psychiatry, The University of Melbourne, Melbourne and Centre for Excellence in Research Methods, Eastern Hill Academic Centre, Department of Medicine, The University of Melbourne, Melbourne; J. Richard Newton, MBChB, MRCPsych, Department of Psychiatry, The University of Melbourne, Melbourne, Mental Health Clinical Service Unit, Austin Health, Melbourne and Department of Psychological Medicine, Monash University, Melbourne; Peter Bosanac, MD, FRANZCP, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne; Susan L. Rossell, PhD, Department of Psychiatry, The University of Melbourne, Melbourne and Psychological and Statistical Sciences, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne; Julian B. Nesci, DPsych(Clin), St Vincent's Mental Health, Melbourne and Mental Health Clinical Service Unit, Austin Health, Melbourne, Australia; David J. Castle, MD, MRCPsych, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne, Australia.
Serafino G
SG
Mancuso
Serafino G. Mancuso, PhD, St Vincent's Mental Health, Melbourne, Department of Psychiatry, The University of Melbourne, Melbourne and Centre for Excellence in Research Methods, Eastern Hill Academic Centre, Department of Medicine, The University of Melbourne, Melbourne; J. Richard Newton, MBChB, MRCPsych, Department of Psychiatry, The University of Melbourne, Melbourne, Mental Health Clinical Service Unit, Austin Health, Melbourne and Department of Psychological Medicine, Monash University, Melbourne; Peter Bosanac, MD, FRANZCP, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne; Susan L. Rossell, PhD, Department of Psychiatry, The University of Melbourne, Melbourne and Psychological and Statistical Sciences, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne; Julian B. Nesci, DPsych(Clin), St Vincent's Mental Health, Melbourne and Mental Health Clinical Service Unit, Austin Health, Melbourne, Australia; David J. Castle, MD, MRCPsych, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne, Australia.
J Richard
JR
Newton
Serafino G. Mancuso, PhD, St Vincent's Mental Health, Melbourne, Department of Psychiatry, The University of Melbourne, Melbourne and Centre for Excellence in Research Methods, Eastern Hill Academic Centre, Department of Medicine, The University of Melbourne, Melbourne; J. Richard Newton, MBChB, MRCPsych, Department of Psychiatry, The University of Melbourne, Melbourne, Mental Health Clinical Service Unit, Austin Health, Melbourne and Department of Psychological Medicine, Monash University, Melbourne; Peter Bosanac, MD, FRANZCP, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne; Susan L. Rossell, PhD, Department of Psychiatry, The University of Melbourne, Melbourne and Psychological and Statistical Sciences, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne; Julian B. Nesci, DPsych(Clin), St Vincent's Mental Health, Melbourne and Mental Health Clinical Service Unit, Austin Health, Melbourne, Australia; David J. Castle, MD, MRCPsych, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne, Australia.
Peter
P
Bosanac
Serafino G. Mancuso, PhD, St Vincent's Mental Health, Melbourne, Department of Psychiatry, The University of Melbourne, Melbourne and Centre for Excellence in Research Methods, Eastern Hill Academic Centre, Department of Medicine, The University of Melbourne, Melbourne; J. Richard Newton, MBChB, MRCPsych, Department of Psychiatry, The University of Melbourne, Melbourne, Mental Health Clinical Service Unit, Austin Health, Melbourne and Department of Psychological Medicine, Monash University, Melbourne; Peter Bosanac, MD, FRANZCP, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne; Susan L. Rossell, PhD, Department of Psychiatry, The University of Melbourne, Melbourne and Psychological and Statistical Sciences, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne; Julian B. Nesci, DPsych(Clin), St Vincent's Mental Health, Melbourne and Mental Health Clinical Service Unit, Austin Health, Melbourne, Australia; David J. Castle, MD, MRCPsych, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne, Australia.
Susan L
SL
Rossell
Serafino G. Mancuso, PhD, St Vincent's Mental Health, Melbourne, Department of Psychiatry, The University of Melbourne, Melbourne and Centre for Excellence in Research Methods, Eastern Hill Academic Centre, Department of Medicine, The University of Melbourne, Melbourne; J. Richard Newton, MBChB, MRCPsych, Department of Psychiatry, The University of Melbourne, Melbourne, Mental Health Clinical Service Unit, Austin Health, Melbourne and Department of Psychological Medicine, Monash University, Melbourne; Peter Bosanac, MD, FRANZCP, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne; Susan L. Rossell, PhD, Department of Psychiatry, The University of Melbourne, Melbourne and Psychological and Statistical Sciences, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne; Julian B. Nesci, DPsych(Clin), St Vincent's Mental Health, Melbourne and Mental Health Clinical Service Unit, Austin Health, Melbourne, Australia; David J. Castle, MD, MRCPsych, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne, Australia.
Julian B
JB
Nesci
Serafino G. Mancuso, PhD, St Vincent's Mental Health, Melbourne, Department of Psychiatry, The University of Melbourne, Melbourne and Centre for Excellence in Research Methods, Eastern Hill Academic Centre, Department of Medicine, The University of Melbourne, Melbourne; J. Richard Newton, MBChB, MRCPsych, Department of Psychiatry, The University of Melbourne, Melbourne, Mental Health Clinical Service Unit, Austin Health, Melbourne and Department of Psychological Medicine, Monash University, Melbourne; Peter Bosanac, MD, FRANZCP, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne; Susan L. Rossell, PhD, Department of Psychiatry, The University of Melbourne, Melbourne and Psychological and Statistical Sciences, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne; Julian B. Nesci, DPsych(Clin), St Vincent's Mental Health, Melbourne and Mental Health Clinical Service Unit, Austin Health, Melbourne, Australia; David J. Castle, MD, MRCPsych, St Vincent's Mental Health, Melbourne and Department of Psychiatry, The University of Melbourne, Melbourne, Australia.
David J
DJ
Castle
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004812:Epidemiologic Methods; D001068:Feeding and Eating Disorders / Q000145:classification* / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D014739:Victoria / Q000453:epidemiology; D055815:Young Adult