eCite Digital Repository

Classification of bulimic-type eating disorders: from DSM-IV to DSM-5

Citation

Mond, JM, Classification of bulimic-type eating disorders: from DSM-IV to DSM-5, Journal of eating disorders, 1 pp. 1-10. ISSN 2050-2974 (2013) [Refereed Article]


Preview
PDF
372Kb
  

Copyright Statement

2013 Mond; licensee BioMed Central Ltd. Licensed under Creative Commons Attribution 2.0 Generic (CC BY 2.0) https://creativecommons.org/licenses/by/2.0/

DOI: doi:10.1186/2050-2974-1-33

Abstract

Proposed changes to the classification of bulimic-type eating disorders in the lead up to the publication of DSM-5 are reviewed. Several of the proposed changes, including according formal diagnostic status to binge eating disorder (BED), removing the separation of bulimia nervosa (BN) into purging and non-purging subtypes, and reducing the binge frequency threshold from twice per week to once per week for both BN and (BED), have considerable empirical evidence to support them and will likely have the effect of facilitating clinical practice, improving access to care, improving public and professional awareness and understanding of these disorders and stimulating the additional research needed to address at least some problematic issues. However, the omission of any reference to variants of BN characterized by subjective, but not objective, binge eating episodes, and to the undue influence of weight or shape on self-evaluation or similar cognitive criterion in relation to the diagnosis of BED, is regrettable, given their potential to inform clinical and research practice and given that there is considerable evidence to support specific reference to these distinctions. Other aspects of the proposed criteria, such as retention of behavioral indicators of impaired control associated with binge eating and the presence of marked distress regarding binge eating among the diagnostic for BED, appear anomalous in that there is little or no evidence to support their validity or clinical utility. It is hoped that these issues will be addressed in final phase of the DSM-5 development process.

Item Details

Item Type:Refereed Article
Keywords:Bulimic-type eating disorders, Bulimia nervosa, Binge eating disorder
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Mental Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Mond, JM (Dr Jon Mond)
ID Code:117822
Year Published:2013
Deposited By:Centre for Rural Health
Deposited On:2017-06-28
Last Modified:2017-11-07
Downloads:9 View Download Statistics

Repository Staff Only: item control page