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Implications of DSM‐5 for the diagnosis of pediatric eating disorders
Author(s) -
Limburg Karina,
Shu Chloe Y.,
Watson Hunna J.,
Hoiles Kimberley J.,
Egan Sarah J.
Publication year - 2018
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22856
Subject(s) - inter rater reliability , eating disorders , dsm 5 , concordance , kappa , psychology , clinical psychology , categorization , psychiatry , icd 10 , cohen's kappa , nosology , medicine , developmental psychology , linguistics , rating scale , philosophy , epistemology , machine learning , computer science
Objective The aim of the study was to compare the DSM‐IV, DSM‐5, and ICD‐10 eating disorders (ED) nomenclatures to assess their value in the classification of pediatric eating disorders. We investigated the prevalence of the disorders in accordance with each system's diagnostic criteria, diagnostic concordance between the systems, and interrater reliability. Method Participants were 1062 children and adolescents assessed at intake to a specialist Eating Disorders Program (91.6% female, mean age 14.5 years, SD = 1.75). Measures were collected from routine intake assessments. Results DSM‐5 categorization led to a lower prevalence of unspecified EDs when compared with DSM‐IV. There was almost complete overlap for specified EDs. Kappa values indicated almost excellent agreement between the two coders on all three diagnostic systems, although there was higher interrater reliability for DSM‐5 and ICD‐10 when compared with DSM‐IV. Discussion DSM‐5 nomenclature is useful in classifying eating disorders in pediatric clinical samples.