Implications of DSM-5 for the diagnosis of pediatric eating disorders

© 2018 Wiley Periodicals, Inc. 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�...

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Main Authors: Limburg, K., Shu, C., Watson, H., Hoiles, K., Egan, Sarah
Format: Journal Article
Published: John Wiley & Sons, Inc. 2018
Online Access:http://hdl.handle.net/20.500.11937/67075
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author Limburg, K.
Shu, C.
Watson, H.
Hoiles, K.
Egan, Sarah
author_facet Limburg, K.
Shu, C.
Watson, H.
Hoiles, K.
Egan, Sarah
author_sort Limburg, K.
building Curtin Institutional Repository
collection Online Access
description © 2018 Wiley Periodicals, Inc. 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.
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spelling curtin-20.500.11937-670752018-05-18T08:07:19Z Implications of DSM-5 for the diagnosis of pediatric eating disorders Limburg, K. Shu, C. Watson, H. Hoiles, K. Egan, Sarah © 2018 Wiley Periodicals, Inc. 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. 2018 Journal Article http://hdl.handle.net/20.500.11937/67075 10.1002/eat.22856 John Wiley & Sons, Inc. restricted
spellingShingle Limburg, K.
Shu, C.
Watson, H.
Hoiles, K.
Egan, Sarah
Implications of DSM-5 for the diagnosis of pediatric eating disorders
title Implications of DSM-5 for the diagnosis of pediatric eating disorders
title_full Implications of DSM-5 for the diagnosis of pediatric eating disorders
title_fullStr Implications of DSM-5 for the diagnosis of pediatric eating disorders
title_full_unstemmed Implications of DSM-5 for the diagnosis of pediatric eating disorders
title_short Implications of DSM-5 for the diagnosis of pediatric eating disorders
title_sort implications of dsm-5 for the diagnosis of pediatric eating disorders
url http://hdl.handle.net/20.500.11937/67075