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

    Access Status
    Fulltext not available
    Authors
    Limburg, K.
    Shu, C.
    Watson, H.
    Hoiles, K.
    Egan, Sarah
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Limburg, K. and Shu, C. and Watson, H. and Hoiles, K. and Egan, S. 2018. Implications of DSM-5 for the diagnosis of pediatric eating disorders. International Journal of Eating Disorders.
    Source Title
    International Journal of Eating Disorders
    DOI
    10.1002/eat.22856
    ISSN
    0276-3478
    School
    School of Psychology
    URI
    http://hdl.handle.net/20.500.11937/67075
    Collection
    • Curtin Research Publications
    Abstract

    © 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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