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The impact of revised DSM-5 criteria on the relative distribution and inter-rater reliability of eating disorder diagnoses in a residential treatment setting

The impact of revised DSM-5 criteria on the relative distribution and inter-rater reliability of eating disorder diagnoses in a residential treatment setting

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THOMAS, Jennifer J., Kamryn T. EDDY, Helen B. MURRAY, Marilou D. P. TROMP, Andrea S. HARTMANN, Melissa T. STONE, Philip G. LEVENDUSKY, Anne E. BECKER, 2015. The impact of revised DSM-5 criteria on the relative distribution and inter-rater reliability of eating disorder diagnoses in a residential treatment setting. In: Psychiatry Research. Elsevier. 229(1-2), pp. 517-523. ISSN 0165-1781. eISSN 1872-7123. Available under: doi: 10.1016/j.psychres.2015.06.017

@article{Thomas2015-09-30impac-55306, title={The impact of revised DSM-5 criteria on the relative distribution and inter-rater reliability of eating disorder diagnoses in a residential treatment setting}, year={2015}, doi={10.1016/j.psychres.2015.06.017}, number={1-2}, volume={229}, issn={0165-1781}, journal={Psychiatry Research}, pages={517--523}, author={Thomas, Jennifer J. and Eddy, Kamryn T. and Murray, Helen B. and Tromp, Marilou D. P. and Hartmann, Andrea S. and Stone, Melissa T. and Levendusky, Philip G. and Becker, Anne E.} }

<rdf:RDF xmlns:dcterms="http://purl.org/dc/terms/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#" xmlns:bibo="http://purl.org/ontology/bibo/" xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#" xmlns:foaf="http://xmlns.com/foaf/0.1/" xmlns:void="http://rdfs.org/ns/void#" xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > <rdf:Description rdf:about="https://kops.uni-konstanz.de/rdf/resource/123456789/55306"> <dc:creator>Stone, Melissa T.</dc:creator> <dc:creator>Becker, Anne E.</dc:creator> <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/rdf/resource/123456789/43"/> <dcterms:rights rdf:resource="https://rightsstatements.org/page/InC/1.0/"/> <dc:creator>Eddy, Kamryn T.</dc:creator> <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/rdf/resource/123456789/43"/> <dc:rights>terms-of-use</dc:rights> <dc:contributor>Tromp, Marilou D. P.</dc:contributor> <foaf:homepage rdf:resource="http://localhost:8080/jspui"/> <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/> <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-10-20T10:53:39Z</dcterms:available> <dc:creator>Murray, Helen B.</dc:creator> <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/55306"/> <dcterms:title>The impact of revised DSM-5 criteria on the relative distribution and inter-rater reliability of eating disorder diagnoses in a residential treatment setting</dcterms:title> <dc:creator>Thomas, Jennifer J.</dc:creator> <dcterms:issued>2015-09-30</dcterms:issued> <dc:language>eng</dc:language> <dc:contributor>Murray, Helen B.</dc:contributor> <dc:creator>Hartmann, Andrea S.</dc:creator> <dc:contributor>Levendusky, Philip G.</dc:contributor> <dc:contributor>Thomas, Jennifer J.</dc:contributor> <dc:creator>Tromp, Marilou D. P.</dc:creator> <dc:contributor>Stone, Melissa T.</dc:contributor> <dc:contributor>Becker, Anne E.</dc:contributor> <dcterms:abstract xml:lang="eng">This study evaluated the relative distribution and inter-rater reliability of revised DSM-5 criteria for eating disorders in a residential treatment program. Consecutive adolescent and young adult females (N=150) admitted to a residential eating disorder treatment facility were assigned both DSM-IV and DSM-5 diagnoses by a clinician (n=14) via routine clinical interview and a research assessor (n=4) via structured interview. We compared the frequency of diagnostic assignments under each taxonomy and by type of assessor. We evaluated concordance between clinician and researcher assignment through inter-rater reliability kappa and percent agreement. Significantly fewer patients received either clinician or researcher diagnoses of a residual eating disorder under DSM-5 (clinician-12.0%; researcher-31.3%) versus DSM-IV (clinician-28.7%; researcher-59.3%), with the majority of reassigned DSM-IV residual cases reclassified as DSM-5 anorexia nervosa. Researcher and clinician diagnoses showed moderate inter-rater reliability under DSM-IV (κ=.48) and DSM-5 (κ=.57), though agreement for specific DSM-5 other specified feeding or eating disorder (OSFED) presentations was poor (κ=.05). DSM-5 revisions were associated with significantly less frequent residual eating disorder diagnoses, but not with reduced inter-rater reliability. Findings support specific dimensions of clinical utility for revised DSM-5 criteria for eating disorders.</dcterms:abstract> <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-10-20T10:53:39Z</dc:date> <dc:contributor>Eddy, Kamryn T.</dc:contributor> <dc:creator>Levendusky, Philip G.</dc:creator> <dc:contributor>Hartmann, Andrea S.</dc:contributor> </rdf:Description> </rdf:RDF>

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