Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity?
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...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2014/320803 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545492244889600 |
|---|---|
| author | Jennifer J. Thomas Katherine A. Koh Kamryn T. Eddy Andrea S. Hartmann Helen B. Murray Mark J. Gorman Stephanie Sogg Anne E. Becker |
| author_facet | Jennifer J. Thomas Katherine A. Koh Kamryn T. Eddy Andrea S. Hartmann Helen B. Murray Mark J. Gorman Stephanie Sogg Anne E. Becker |
| author_sort | Jennifer J. Thomas |
| collection | DOAJ |
| description | 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 (n=2) assigned DSM-IV and DSM-5 ED diagnoses to 100 participants via routine clinical interview. Research assessors (n=3) 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 (κ = 0.64, 84% agreement) and DSM-5 (κ = 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. |
| format | Article |
| id | doaj-art-30aaa8e0f1594d2480fff233c6fc6fe8 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-30aaa8e0f1594d2480fff233c6fc6fe82025-02-03T07:25:35ZengWileyJournal of Obesity2090-07082090-07162014-01-01201410.1155/2014/320803320803Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity?Jennifer J. Thomas0Katherine A. Koh1Kamryn T. Eddy2Andrea S. Hartmann3Helen B. Murray4Mark J. Gorman5Stephanie Sogg6Anne E. Becker7Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Psychiatry, Harvard Medical School, Boston, MA 02114, USAEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USAInstitute for Psychology, University of Osnabrück, 49074 Osnabrück, GermanyEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Psychiatry, Harvard Medical School, Boston, MA 02114, USADepartment of Psychiatry, Harvard Medical School, Boston, MA 02114, USAEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USABackground. 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 (n=2) assigned DSM-IV and DSM-5 ED diagnoses to 100 participants via routine clinical interview. Research assessors (n=3) 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 (κ = 0.64, 84% agreement) and DSM-5 (κ = 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.http://dx.doi.org/10.1155/2014/320803 |
| spellingShingle | Jennifer J. Thomas Katherine A. Koh Kamryn T. Eddy Andrea S. Hartmann Helen B. Murray Mark J. Gorman Stephanie Sogg Anne E. Becker Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity? Journal of Obesity |
| title | Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity? |
| title_full | Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity? |
| title_fullStr | Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity? |
| title_full_unstemmed | Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity? |
| title_short | Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity? |
| title_sort | do dsm 5 eating disorder criteria overpathologize normative eating patterns among individuals with obesity |
| url | http://dx.doi.org/10.1155/2014/320803 |
| work_keys_str_mv | AT jenniferjthomas dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity AT katherineakoh dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity AT kamrynteddy dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity AT andreashartmann dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity AT helenbmurray dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity AT markjgorman dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity AT stephaniesogg dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity AT anneebecker dodsm5eatingdisordercriteriaoverpathologizenormativeeatingpatternsamongindividualswithobesity |