Do DSM-5 eating disorder criteria overpathologize normative eating patterns among individuals with obesity?

Autor(en): Thomas, J.J.
Koh, K.A.
Eddy, K.T.
Hartmann, A.S. 
Murray, H.B.
Gorman, M.J.
Sogg, S.
Becker, A.E.
Stichwörter: adult; article; binge eating disorder; bulimia; comparative study; convergent validity; DSM-5; DSM-IV; eating disorder; eating habit; female; help seeking behavior; human; interrater reliability; major clinical study; male; obesity; prevalence; Structured Clinical Interview for DSM Disorders; weight reduction; Binge-Eating Disorder; Bulimia Nervosa; complication; Diagnostic and Statistical Manual of Mental Disorders; Eating Disorders; evaluation study; feeding behavior; interview; middle aged; obesity; observer variation; psychologic test; reference value; reproducibility, Adult; Binge-Eating Disorder; Bulimia; Bulimia Nervosa; Diagnostic and Statistical Manual of Mental Disorders; Eating Disorders; Feeding Behavior; Female; Humans; Interview, Psychological; Interviews as Topic; Male; Middle Aged; Obesity; Observer Variation; Reference Values; Reproducibility of Results
Erscheinungsdatum: 2014
Herausgeber: Hindawi Publishing Corporation
Journal: Journal of Obesity
Volumen: 2014
Background. DSM-5 revisions have been criticized in the popular press for overpathologizing normative eating patterns - particularly among individuals with obesity. To evaluate the evidence for this and other DSM-5 critiques, we compared the point prevalence and interrater reliability of DSM-IV versus DSM-5 eating disorders (EDs) among adults seeking weight-loss treatment. Method. Clinicians (n=2) assigned DSM-IV and DSM-5 ED diagnoses to 100 participants via routine clinical interview. Research assessors (n=3) independently conferred ED diagnoses via Structured Clinical Interview for DSM-IV and a DSM-5 checklist. Results. Research assessors diagnosed a similar proportion of participants with EDs under DSM-IV (29%) versus DSM-5 (32%). DSM-5 research diagnoses included binge eating disorder (9%), bulimia nervosa (2%), subthreshold binge eating disorder (5%), subthreshold bulimia nervosa (2%), purging disorder (1%), night eating syndrome (6%), and other (7%). Interrater reliability between clinicians and research assessors was "substantial" for both DSM-IV ( = 0.64, 84% agreement) and DSM-5 ( = 0.63, 83% agreement). Conclusion. DSM-5 ED criteria can be reliably applied in an obesity treatment setting and appear to yield an overall ED point prevalence comparable to DSM-IV. © 2014 Jennifer J. Thomas et al.
ISSN: 20900708
DOI: 10.1155/2014/320803
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