{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T05:41:46Z","timestamp":1782366106443,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T00:00:00Z","timestamp":1686614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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>The new ICD\u201011 eating disorders (ED) guidelines are similar to the DSM\u20105 criteria. One difference to the DSM\u20105 is the inclusion of subjective binges in the definition of bulimia nervosa (BN) and binge\u2010eating disorder (BED). The aim of this study was to identify differences between the ICD\u201011 guidelines and DSM\u20105 ED criteria, which could impact access to medical care and early treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data of 3863 ED inpatients who completed the Munich Eating and Feeding Disorder Questionnaire were analyzed using standardized diagnostic algorithms for DSM\u20105 and ICD\u201011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Agreement of diagnoses was high (Krippendorff's <jats:italic>\u03b1<\/jats:italic>\u2009=\u2009.88, 95% CI [.86, .89]) for anorexia nervosa (AN; 98.9%), BN (97.2%) and BED (100%), and lower for other feeding and eating disorders (OFED; 75.2%). Of the 721 patients with a DSM\u20105 OFED, 19.8% were diagnosed with AN, BN or BED by the ICD\u201011 diagnostic algorithm, reducing the number of OFED diagnoses. One\u2010hundred and twenty\u2010one patients received an ICD\u201011 diagnosis of BN or BED because of subjective binges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>For over 90% of patients, applying either DSM\u20105 or ICD\u201011 diagnostic criteria\/guidelines resulted in the same full\u2010threshold ED diagnosis. Sub\u2010threshold and feeding disorders exhibited a discrepancy of 25%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance Statement<\/jats:title><jats:p>For about 98% of inpatients, the ICD\u201011 and DSM\u20105 agree on the same specified eating disorder diagnosis. This is important when comparing diagnoses made by different diagnostic systems. Including subjective binges in the definition of bulimia nervosa and binge\u2010eating disorder contributes to improved ED diagnoses. Clarifying the wording of diagnostic criteria at several places could further increase this agreement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24010","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T07:19:40Z","timestamp":1686640780000},"page":"1826-1831","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparing <scp>ICD<\/scp>\u201011 and <scp>DSM<\/scp>\u20105 eating disorder diagnoses with the Munich eating and feeding disorder questionnaire (<scp>ED\u2010Quest<\/scp>)"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6252-3315","authenticated-orcid":false,"given":"Norbert","family":"Quadflieg","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, Ludwig\u2010Maximilians\u2010University (LMU), Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-3145","authenticated-orcid":false,"given":"Ulrich","family":"Voderholzer","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, Ludwig\u2010Maximilians\u2010University (LMU), Munich  Munich Germany"},{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"},{"name":"Department of Psychiatry and Psychotherapy University Hospital  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6639-8977","authenticated-orcid":false,"given":"Adrian","family":"Meule","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, Ludwig\u2010Maximilians\u2010University (LMU), Munich  Munich Germany"},{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8788-4878","authenticated-orcid":false,"given":"Manfred Maximilian","family":"Fichter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Hospital, Ludwig\u2010Maximilians\u2010University (LMU), Munich  Munich Germany"},{"name":"Schoen Clinic Roseneck  Prien am Chiemsee Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,13]]},"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","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1327-4"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09020247"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22279"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004060070022"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22501"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2348"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2014.931763"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/19312450709336664"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2019.04.017"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2012.12.016"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu10111751"},{"key":"e_1_2_10_14_1","volume-title":"New Oxford Textbook of Psychiatry","author":"Regier D. 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