Eating disorders, DSM–5 and clinical reality
The DSM–IV scheme for classifying eating disorders is a poor reflection of clinical reality. In adults it recognises two conditions, anorexia nervosa and bulimia nervosa, yet these states are merely two presentations among many. As a consequence, at least half the cases seen in clinical practice are...
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| Veröffentlicht in: | British journal of psychiatry 2011-01, Vol.198 (1), p.8-10 |
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| description | The DSM–IV scheme for classifying eating disorders is a poor reflection of clinical reality. In adults it recognises two conditions, anorexia nervosa and bulimia nervosa, yet these states are merely two presentations among many. As a consequence, at least half the cases seen in clinical practice are relegated to the residual diagnosis ‘eating disorder not otherwise specified’. The changes proposed for DSM–5 will only partially succeed in correcting this shortcoming. With DSM–6 in mind, it is clear that comprehensive transdiagnostic samples need to be studied with data collected on their current state, course and response to treatment. Only with such data will it be possible to derive an empirically based classificatory scheme that is both rooted in clinical reality and of value to clinicians. |
| doi_str_mv | 10.1192/bjp.bp.110.083881 |
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In adults it recognises two conditions, anorexia nervosa and bulimia nervosa, yet these states are merely two presentations among many. As a consequence, at least half the cases seen in clinical practice are relegated to the residual diagnosis ‘eating disorder not otherwise specified’. The changes proposed for DSM–5 will only partially succeed in correcting this shortcoming. With DSM–6 in mind, it is clear that comprehensive transdiagnostic samples need to be studied with data collected on their current state, course and response to treatment. Only with such data will it be possible to derive an empirically based classificatory scheme that is both rooted in clinical reality and of value to clinicians.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Amenorrhea</subject><subject>Anorexia</subject><subject>Anorexia nervosa</subject><subject>Bulimia</subject><subject>Bulimia nervosa</subject><subject>Clinical medicine</subject><subject>Clinical practice</subject><subject>Cognition & reasoning</subject><subject>Diagnosis</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - classification</subject><subject>Feeding and Eating Disorders - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Laxatives</subject><subject>Medical diagnosis</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Psychiatry</subject><subject>Reappraisal</subject><subject>Reflection</subject><subject>Young Adult</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>IKXGN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkc1u1DAQx60K1G4LD9ALisSBC9mOx_FHLkiolA-pqAfgbNmOs3iVTVI7i9Qb78Ab8iR1tEsplRBcxmPNb_5jz5-QUwpLSms8s-txacecwxIUU4oekAWtJJa0EvwRWQCALClyOCLHKa3zlVUoD8kRUpxrsCDLCzOFflU0IQ2x8TG9LN58-vjz-w9emL4pXBf64ExXRG-6MN08IY9b0yX_dH-ekC9vLz6fvy8vr959OH99WToBMJWMemU9t0pKZtCo2mFdU0Rw1iprJHOtpCiMqwX1lbQCPHozB161pgV2Ql7tdMet3fjG-X6KptNjDBsTb_Rggv6z0oevejV80wxoVQmaBV7sBeJwvfVp0puQnO860_thm7TiQooc_ofkKj8e8N8kIucVZzP5_AG5HraxzxvTyCgXiIrPk-mOcnFIKfr27n8U9GywzgZrO-Yc9M7g3PPs_mLuOn45mgG2FzUbG0Oz8r9n_132FmQVsco</recordid><startdate>201101</startdate><enddate>201101</enddate><creator>Fairburn, Christopher G.</creator><creator>Cooper, Zafra</creator><general>Cambridge University Press</general><general>Royal College Of Psychiatrists</general><scope>IKXGN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201101</creationdate><title>Eating disorders, DSM–5 and clinical reality</title><author>Fairburn, Christopher G. ; 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| subjects | Adolescent Adult Amenorrhea Anorexia Anorexia nervosa Bulimia Bulimia nervosa Clinical medicine Clinical practice Cognition & reasoning Diagnosis Diagnostic and Statistical Manual of Mental Disorders Eating disorders Feeding and Eating Disorders - classification Feeding and Eating Disorders - epidemiology Female Humans Laxatives Medical diagnosis Mental disorders Middle Aged Psychiatry Reappraisal Reflection Young Adult |
| title | Eating disorders, DSM–5 and clinical reality |
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