EDNOS and the DSM-5

Reprinted from Eating Disorders Review
May/June 2012 Volume 23, Number 3
©2012 Gürze Books

Researchers at Cornell Medical College have reported that the proposed DSM-5 criteria for eating disorders not otherwise specified (EDNOS) could lead to a significant decrease in this diagnosis among adolescents. As reported at the 2012 Academy for Eating Disorders International Conference in Austin, TX, early in May, the researchers conducted a retrospective chart review of 62 adolescents admitted to a specialized inpatient unit for treatment of eating disorders to compare diagnoses with DSM-IV and proposed DSM-5 criteria. Teens with anorexia nervosa (AN) and bulimia nervosa who met DSM-IV criteria had the same diagnosis using proposed DSM-5 criteria. This was not the case for the 15 adolescents who met DSM-IV criteria for EDNOS. Five of these teens who had previously met the criteria for EDNOS and had failed to meet the amenorrhea criterion now met full diagnostic criteria for AN using proposed DSM-5 guidelines. Of the remaining 5 adolescents, 4 met criteria for Avoidant/Restrictive Food Intake Disorder and 1 met the criteria for Rumination Disorder using the proposed DSM-5 criteria.

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