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

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2014
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Thomas, Jennifer J.
Koh, Katherine A.
Eddy, Kamryn T.
Murray, Helen B.
Gorman, Mark J.
Sogg, Stephanie
Becker, Anne E.
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Journal of obesity ; 2014 (2014). - 320803. - Hindawi Publishing Corporation. - ISSN 2090-0708. - eISSN 2090-0716
Abstract
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 () assigned DSM-IV and DSM-5 ED diagnoses to 100 participants via routine clinical interview. Research assessors () 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.
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150 Psychology
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ISO 690THOMAS, Jennifer J., Katherine A. KOH, Kamryn T. EDDY, Andrea S. HARTMANN, Helen B. MURRAY, Mark J. GORMAN, Stephanie SOGG, Anne E. BECKER, 2014. Do DSM-5 eating disorder criteria overpathologize normative eating patterns among individuals with obesity?. In: Journal of obesity. Hindawi Publishing Corporation. 2014, 320803. ISSN 2090-0708. eISSN 2090-0716. Available under: doi: 10.1155/2014/320803
BibTex
@article{Thomas2014eatin-55653,
  year={2014},
  doi={10.1155/2014/320803},
  title={Do DSM-5 eating disorder criteria overpathologize normative eating patterns among individuals with obesity?},
  volume={2014},
  issn={2090-0708},
  journal={Journal of obesity},
  author={Thomas, Jennifer J. and Koh, Katherine A. and Eddy, Kamryn T. and Hartmann, Andrea S. and Murray, Helen B. and Gorman, Mark J. and Sogg, Stephanie and Becker, Anne E.},
  note={Article Number: 320803}
}
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