Eating disorders in adolescents: how does the DSM-5 change the diagnosis?

Fisher, Martin; González, Marisol Peña; Malizio, Joan

doi:10.1515/ijamh-2014-0059

Cited by 46 publications

(33 citation statements)

References 8 publications

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“…There were a number of additional significant differences between the two groups, which are consistent with previous literature describing differences in ARFID compared to AN and other EDs (Fisher et al, ; Forman et al, ; Nicely et al, ; Norris et al, ; Strandjord et al, ). The difference in mean ages between the two clusters was significant, with Cluster 2 (congruent with ARFID diagnosis) younger than Cluster 1 (congruent with AN diagnosis).…”

Section: Discussionsupporting

confidence: 88%

“…The difference in mean ages between the two clusters was significant, with Cluster 2 (congruent with ARFID diagnosis) younger than Cluster 1 (congruent with AN diagnosis). Also in line with previous research contrasting ARFID and AN, Cluster 2 (ARFID) had a longer duration of illness prior to their initial diagnosis compared to Cluster 1 (AN) (Fisher et al, 2015;Forman et al, 2014). The patients whose symptoms were congruent with AN were more likely to have lost weight in the previous six months and they had a larger mean weight loss.…”

Section: Discussionsupporting

confidence: 86%

“…Despite reports of cases in children as young as 5 year old (Madden, Morris, Zurynski, Kohn, & Elliot, 2009), surprisingly little is known about the presentation of childhood onset EDs (ChED). In the Fifth Edition of the Diagnostic and Statistical Manual (DSM-5) (American Psychiatric Association, 2013), the criteria for AN and bulimia nervosa (BN) were modified and four diagnoses (avoidant/restrictive food intake disorder (ARFID), binge-eating disorder, pica, and rumination disorder) were added, in part to make diagnosis more applicable and appropriate for premenarchal children (Atkins & Silber, 1993;Eddy et al, 2010;Fisher, Gonzalez, & Malizio, 2015;Fosson, Knibbs, Bryant-Waugh, & Lask, 1987;Peebles, Wilson, & Lock, 2006;Rosen, 2003). AN and ARFID are the most common restrictive Feeding and Eating Disorders (FEDs) in children sharing symptoms such as severe food restriction and weight loss (or failure to gain weight as expected) (Fisher et al, 2014;Forman et al, 2014;Nicely, Lane-Loney, Masciulli, Hollenbeak, & Ornstein, 2014;Norris et al, 2014;Ornstein et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Classification of childhood onset eating disorders: A latent class analysis

Pinhas

Nicholls

Crosby

et al. 2017

Intl J Eating Disorders

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This study tested the hypothesis that latent class analysis (LCA) would successfully classify eating disorder (ED) symptoms in children into categories that mapped onto DSM-5 diagnoses and that these categories would be consistent across countries. Childhood onset ED cases were ascertained through prospective active surveillance by the Australian Paediatric Surveillance Unit, the Canadian Paediatric Surveillance Program, and the British Paediatric Surveillance Unit for 36, 24, and 14 months, respectively. Pediatricians and child psychiatrists reported symptoms of any child aged ≤ 12 years with a newly diagnosed restrictive ED. Descriptive analyses and LCA were performed separately for all three countries and compared. Four hundred and thirty-six children were included in the analysis (Australia n = 70; Canada n = 160; United Kingdom n = 206). In each country, LCA revealed two distinct clusters, both of which presented with food avoidance. Cluster 1 (75%, 71%, 66% of the Australian, Canadian, and United Kingdom populations, respectively) presented with symptoms of greater weight preoccupation, fear of being fat, body image distortion, and over exercising, while Cluster 2 did not (all p < .05). Cluster 1 was older, had greater mean weight loss and was more likely to have been admitted to an inpatient unit and have unstable vital signs (all p < .01). Cluster 2 was more likely to present with a comorbid psychiatric disorder (p < .01). Clusters 1 and 2 closely resembled the DSM-5 criteria for anorexia nervosa and avoidant/restrictive food intake disorder, respectively. Symptomatology and distribution were remarkably similar among countries, which lends support to two separate and distinct restrictive ED diagnoses.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Classification of childhood onset eating disorders: A latent class analysis

Pinhas

Nicholls

Crosby

et al. 2017

Intl J Eating Disorders

View full text Add to dashboard Cite

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“…The results support our hypothesis that DSM-5 classification would result in a lower categorization of UFED in children and adolescents compared with DSM-IV EDNOS. As predicted, most cases that were previously classified as EDNOS were reclassified as atypical AN (OSFED) and AN, with only a small percentage remaining in UFED, which is similar to other research with adolescents and adults (Caudle et al, 2015;Ernst et al, 2017;Fairburn & Cooper, 2011;Fisher et al, 2015;Flament et al, 2015;Keel et al, 2011;Machado et al, 2013;Vo et al, 2017). These results suggest that some of the limitations of the DSM-IV have been overcome by the DSM-5.…”

Section: Discussionsupporting

confidence: 87%

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

Limburg

Shu

Watson

et al. 2018

Intl J Eating Disorders

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“…DSM diagnosis criteria of the American Psychiatric Association were revised in 2013, and “Eating Disorders” and “Feeding and Eating Disorders in Infancy or Early Childhood” in DSM-IV were integrated into a new diagnosis category “Eating Behavior Disorders and Eating Disorders.” This can be attributed to the fact that there was no need at the time to separate infancy or early childhood from other ages, as it was widely recognized that EDs, previously believed to emerge mainly in infancy or early childhood, actually emerged at later ages. However, the prevalence rates of EDs are reported to be higher in DSM-5 than in DSM-IV-TR [ 24 , 25 ] because DSM-5 has increased the number of symptom names and offers more flexible diagnostic criteria [ 26 – 30 ]. Furthermore, one study [ 31 ] reports that ARFID prevails among younger students than AN or BN.…”

Section: Introductionmentioning

confidence: 99%

A Questionnaire Survey of the Type of Support Required by Yogo Teachers to Effectively Manage Students Suspected of Having an Eating Disorder

Seike

Hanazawa

Ohtani

et al. 2016

BioPsychoSocial Med

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BackgroundMany studies have focused on the decreasing age of onset of eating disorders (EDs). Because school-age children with EDs are likely to suffer worse physical effects than adults, early detection and appropriate support are important. The cooperation of Yogo teachers is essential in helping these students to find appropriate care. To assist Yogo teachers, it is helpful to clarify the encounter rates (the proportion of Yogo teachers who have encountered ED students) and kinds of requested support (which Yogo teachers felt necessary to support ED students). There are no studies that have surveyed the prevalence rates of ED children by ED type as defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), nor were we able to find any quantitative study surveying the kinds of support Yogo teachers feel helpful to support ED students.MethodsA questionnaire survey was administered to 655 Yogo teachers working at elementary/junior high/senior high/special needs schools in Chiba Prefecture. The questionnaire asked if the respondents had encountered students with each of the ED types described in DSM-5 (anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), avoidant/restrictive food intake disorder (ARFID), and other types of EDs (Others)), and the kinds of support they felt necessary to support these students. The encounter rates and the kinds of requested were obtained and compared, taking their confidence intervals into consideration.ResultsThe encounter rates for AN, BN, BED, ARFID, and Others were 48.4, 14.0, 8.4, 10.7, and 4.6 %, respectively. When classified by school type, AN, BN, BED, and ARFID had their highest encounter rates in senior high schools. Special needs schools had the highest rate for Others. The support most required for all ED types was “a list of medical/consultation institutions.”ConclusionsOur results have clarified how to support Yogo teachers in the early detection and support of ED students. We found that the encounter rate of AN was the highest, and that it is effective to offer “a list of medical/consultation institutions” to junior and senior high schools where the encounter rates for AN are high.

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Eating disorders in adolescents: how does the DSM-5 change the diagnosis?

Cited by 46 publications

References 8 publications

Classification of childhood onset eating disorders: A latent class analysis

Classification of childhood onset eating disorders: A latent class analysis

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

A Questionnaire Survey of the Type of Support Required by Yogo Teachers to Effectively Manage Students Suspected of Having an Eating Disorder

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