{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T17:05:37Z","timestamp":1790442337822,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,7,21]],"date-time":"2016-07-21T00:00:00Z","timestamp":1469059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the occurrence, course, and clinical picture of the DSM\u20105 residual categories \u2018Other Specified Feeding or Eating Disorder\u2019 (OSFED) and \u2018Unspecified Feeding or Eating Disorder\u2019 (UFED), to describe potential subtypes, and to evaluate whether the subdivision of the residual category appears meaningful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We screened women from the 1975\u201379 birth cohorts of Finnish twins (<jats:italic>N<\/jats:italic>\u2009=\u20092825) for lifetime eating disorders using questionnaires and the SCID interview. This analysis characterizes women who reported clinically significant eating disorder symptoms but did not fulfill diagnostic criteria for DSM\u20105 anorexia nervosa (AN), bulimia nervosa (BN), or binge eating disorder (BED).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010eight women (21% of those with an eating disorder) fell in the residual OSFED\/UFED category. A third of them (<jats:italic>N<\/jats:italic>\u2009=\u200914) fulfilled OSFED criteria, whereas two thirds (<jats:italic>N<\/jats:italic>\u2009=\u200924) fell in the UFED category. The lifetime prevalence of OSFED\/UFED was 1.5% (95% CI 1.1\u20132.0%), less than half of the prevalence of DSM\u2010IV eating disorder not otherwise specified (EDNOS). The mean age of onset of OSFED\/UFED was 18 years, median duration of symptoms was two years, and the 5\u2010year probability of recovery was 60%. Over a third of women with OSFED\/UFED suffered from comorbid psychiatric disorders. Both residual categories were clinically heterogeneous and included atypical forms of AN, BN, and BED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Applying the DSM\u20105 criteria in a community sample of young women more than halved the occurrence of residual eating disorder diagnoses, but resulted in two instead of one clinically heterogeneous residual categories. Nevertheless, residual eating disorders were associated with considerable clinical severity. \u00a9 2016 Wiley Periodicals, Inc. 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