{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:02:21Z","timestamp":1783018941443,"version":"3.54.6"},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,8,31]],"date-time":"2017-08-31T00:00:00Z","timestamp":1504137600000},"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":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the impact of the DSM\u20105 on the diagnoses and severity indicators of eating disorders, we conducted a comparative study on the classification of eating disorders including subtypes of anorexia nervosa (AN) between the DSM\u2010IV and DSM\u20105 criteria. In addition, we studied the association of the DSM\u20105 severity criteria and clinical variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were 304 outpatients, aged 16\u201345 years, with eating disorders, diagnosed using semi\u2010structured clinical interviews and the eating disorder examination questionnaire (EDE\u2010Q). The severity of AN, bulimia nervosa (BN), and binge\u2010eating disorder (BED) was rated from mild to extreme using the DSM\u20105 severity criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The DSM\u20105 remarkably reduced the number of diagnoses in the residual category from 37.5% to 9.2% and effectively differentiated the diagnostic groups in eating disorder psychopathology. Unexpectedly, however, the scores of all the EDE\u2010Q subscales significantly decreased as severity ratings increased in the DSM\u20105 AN. Furthermore, while the AN binge\u2010eating\/purging group reported significantly lower severity ratings than the AN restricting group, the former displayed more severe eating disorder psychopathology than the latter. In the BN and BED groups, the level of eating concern increased as severity ratings increased, but the severity groups did not differ on other eating pathology variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The DSM\u20105 effectively reduced the reliance on residual categories and differentiated the diagnostic groups in eating disorder psychopathology. However, our findings show limited support for the DSM\u20105 severity specifiers for eating disorders. It is necessary to test additional clinical or functional variables for severity specifiers across eating disorders.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22777","type":"journal-article","created":{"date-parts":[[2017,8,31]],"date-time":"2017-08-31T11:56:43Z","timestamp":1504180603000},"page":"1247-1254","source":"Crossref","is-referenced-by-count":32,"title":["The impact of DSM\u20105 on the diagnosis and severity indicator of eating disorders in a treatment\u2010seeking sample"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3075-3033","authenticated-orcid":false,"given":"Yoshikatsu","family":"Nakai","sequence":"first","affiliation":[{"name":"Kyoto Institute of Health Sciences Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuko","family":"Nin","sequence":"additional","affiliation":[{"name":"School of Health Sciences Faculty of Medicine, Kyoto University Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun'ichi","family":"Noma","sequence":"additional","affiliation":[{"name":"Department of Psychiatry School of Medicine, Kyoto University Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2184-0597","authenticated-orcid":false,"given":"Satoshi","family":"Teramukai","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Kyoto Prefectural University of Medicine Graduate School of Medical Science Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Fujikawa","sequence":"additional","affiliation":[{"name":"The Center for Quality Assurance in Research and Development, Kyoto Prefectural University of Medicine Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"Wonderlich","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience University of North Dakota, School of Medicine and Health Sciences Fargo North Dakota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,31]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2174"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-015-0072-0"},{"key":"e_1_2_6_6_1","volume-title":"Statistical power analysis for the social and behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-016-0324-2"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2518"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20905"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10016"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.07060951"},{"key":"e_1_2_6_12_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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