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

Autor(en): Thomas, Jennifer Joanne
Koh, Katherine A.
Eddy, Kamryn T.
Hartmann, Andrea S. 
Murray, Helen B.
Gorman, Mark J.
Sogg, Stephanie
Becker, Anne E.
Affiliationen: Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA
Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA. Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA. Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA
Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA. Institute for Psychology, University of Osnabrück, 49074 Osnabrück, Germany. Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA. Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA
Massachusetts General Hospital Weight Center, Boston, MA 02114, USA. Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA
Massachusetts General Hospital Weight Center, Boston, MA 02114, USA. Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA
Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA
Department of Global Health & Social Medicine, Harvard Medical School, Boston, MA 02115, USA.
Stichwörter: Diagnostic and Statistical Manual of Mental Disorders; Reproducibility of Results; Humans; Middle Aged; Bulimia/complications/diagnosis; Feeding and Eating Disorders/complications/diagnosis; Feeding Behavior; Male; Reference Values; Binge-Eating Disorder/complications/diagnosis; Bulimia Nervosa/complications/diagnosis; Obesity/complications; Adult; Female; Interviews as Topic; Interview, Psychological; Observer Variation
Erscheinungsdatum: 2014
Journal: Journal of Obesity
Volumen: 2014
Ausgabe: 320803
Zusammenfassung: 
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 (κ = 0.64, 84% agreement) and DSM-5 (κ = 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.
ISSN: 2090-0708
DOI: 10.1155/2014/320803
Externe URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4098982

Show full item record

Google ScholarTM

Check

Altmetric