{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:46:14Z","timestamp":1785930374579,"version":"3.56.0"},"reference-count":48,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T00:00:00Z","timestamp":1685059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013811","name":"Medizinische Fakult\u00e4t, Universit\u00e4t Leipzig","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013811","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Within the eleventh edition of the International Classification of Diseases (ICD\u201011), diagnostic criteria for feeding and eating disorders were revised and new diagnoses including avoidant\/restrictive food intake disorder (ARFID) are classifiable; however, nothing is known about how these changes affect the prevalence of feeding and eating disorders. This study compared the distribution and clinical characteristics of restrictive feeding and eating disorders between ICD\u201010 and ICD\u201011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The Eating Disorder Examination (EDE), its child version, and the EDE ARFID module were administered to <jats:italic>N<\/jats:italic>\u2009=\u200982 patients (0\u201317\u2009years) seeking treatment for restrictive feeding and eating disorders and their parents. Clinical characteristics were derived from medical records, questionnaires, and objective anthropometrics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The number of residual restrictive eating disorders (rrED) significantly decreased from ICD\u201010 to ICD\u201011 due to a crossover to full\u2010threshold disorders, especially anorexia nervosa (AN) or ARFID. Patients reclassified to ICD\u201011 ARFID were younger, had an earlier age of illness onset, more restrictive eating behaviors, and tended to have more somatic comorbidities compared to those reclassified to ICD\u201011 AN. Patients with rrED according to both ICD\u201010 and ICD\u201011 were younger, had an earlier age of illness onset, less shape concern, and more somatic comorbidities than patients who were reclassified from ICD\u201010 rrED to ICD\u201011 AN or ARFID.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study highlights the inclusive approach of ICD\u201011 criteria, paving the way for more targeted treatment, and ARFID's high clinical relevance. Future studies considering nonrestrictive feeding and eating disorders across the life span may allow further analyses on diagnostic crossover.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Changes in diagnostic criteria for restrictive eating disorders within the newly published ICD\u201011 led to an increase in full\u2010threshold disorders, while the number of rrED was significantly lowered compared to ICD\u201010 criteria. The results thus highlight the diagnostic utility of ICD\u201011 criteria and may help providing adequate treatment to children and adolescents with rrED.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23994","type":"journal-article","created":{"date-parts":[[2023,5,27]],"date-time":"2023-05-27T06:44:12Z","timestamp":1685169852000},"page":"1717-1729","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Distribution and clinical comparison of restrictive feeding and eating disorders using ICD\u201010 and ICD\u201011 criteria"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5937-1063","authenticated-orcid":false,"given":"Dominik","family":"D\u00fcplois","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases Leipzig University Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luise","family":"Brosig","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases Leipzig University Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Hiemisch","sequence":"additional","affiliation":[{"name":"LIFE Leipzig Research Center for Civilization Diseases Leipzig University  Leipzig Germany"},{"name":"Hospital for Children and Adolescents, Center for Pediatric Research Leipzig University Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wieland","family":"Kiess","sequence":"additional","affiliation":[{"name":"LIFE Leipzig Research Center for Civilization Diseases Leipzig University  Leipzig Germany"},{"name":"Hospital for Children and Adolescents, Center for Pediatric Research Leipzig University Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-1296","authenticated-orcid":false,"given":"Anja","family":"Hilbert","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases Leipzig University Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Schlensog\u2010Schuster","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics Leipzig University Medical Center  Leipzig Germany"},{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-2897","authenticated-orcid":false,"given":"Ricarda","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases Leipzig University Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","volume-title":"Gie\u00dfener Beschwerdebogen f\u00fcr Kinder und Jugendliche; Manual","author":"Barkmann C.","year":"2009"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1026\/0012-1924.54.2.99"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22988"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112961"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199605)19:4<391::AID-EAT6>3.0.CO;2-G"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2815"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-015-0072-0"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/03610911003650383"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1327-4"},{"key":"e_1_2_10_13_1","first-page":"45","article-title":"The LMS method for constructing normalized growth standards","volume":"44","author":"Cole T. 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