{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T10:25:42Z","timestamp":1789813542298,"version":"4.0.1"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100005197","name":"Hilda and Preston Davis Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005197","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic><jats:italic>DSM-5<\/jats:italic>revisions have been criticized in the popular press for overpathologizing normative eating patterns\u2014particularly among individuals with obesity. To evaluate the evidence for this and other<jats:italic>DSM-5<\/jats:italic>critiques, we compared the point prevalence and interrater reliability of<jats:italic>DSM-IV<\/jats:italic>versus<jats:italic>DSM-5<\/jats:italic>eating disorders (EDs) among adults seeking weight-loss treatment.<jats:italic>Method.<\/jats:italic>Clinicians (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>2<\/mml:mn><\/mml:math>) assigned<jats:italic>DSM-IV<\/jats:italic>and<jats:italic>DSM-5<\/jats:italic>ED diagnoses to 100 participants via routine clinical interview. Research assessors (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>3<\/mml:mn><\/mml:math>) independently conferred ED diagnoses via Structured Clinical Interview for<jats:italic>DSM-IV<\/jats:italic>and a<jats:italic>DSM-5<\/jats:italic>checklist.<jats:italic>Results<\/jats:italic>. Research assessors diagnosed a similar proportion of participants with EDs under<jats:italic>DSM-IV<\/jats:italic>(29%) versus<jats:italic>DSM-5<\/jats:italic>(32%).<jats:italic>DSM-5<\/jats:italic>research diagnoses included binge eating disorder (9%), bulimia nervosa (2%), subthreshold binge eating disorder (5%), subthreshold bulimia nervosa (2%), purging disorder (1%), night eating syndrome (6%), and other (7%). Interrater reliability between clinicians and research assessors was \u201csubstantial\u201d for both<jats:italic>DSM-IV<\/jats:italic>(<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mrow><mml:mi>\u03ba<\/mml:mi><\/mml:mrow><\/mml:math>= 0.64, 84% agreement) and<jats:italic>DSM-5<\/jats:italic>(<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mrow><mml:mi>\u03ba<\/mml:mi><\/mml:mrow><\/mml:math>= 0.63, 83% agreement).<jats:italic>Conclusion<\/jats:italic>.<jats:italic>DSM-5<\/jats:italic>ED criteria can be reliably applied in an obesity treatment setting and appear to yield an overall ED point prevalence comparable to<jats:italic>DSM-IV<\/jats:italic>.<\/jats:p>","DOI":"10.1155\/2014\/320803","type":"journal-article","created":{"date-parts":[[2014,6,26]],"date-time":"2014-06-26T17:02:54Z","timestamp":1403802174000},"page":"1-8","source":"Crossref","is-referenced-by-count":19,"title":["Do<i>DSM-5<\/i>Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity?"],"prefix":"10.1155","volume":"2014","author":[{"given":"Jennifer J.","family":"Thomas","sequence":"first","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A.","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamryn T.","family":"Eddy","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea S.","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Institute for Psychology, University of Osnabr\u00fcck, 49074 Osnabr\u00fcck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen B.","family":"Murray","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Gorman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA"},{"name":"Massachusetts General Hospital Weight Center, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9848-0097","authenticated-orcid":true,"given":"Stephanie","family":"Sogg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA"},{"name":"Massachusetts General Hospital Weight Center, Boston, MA 02114, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne E.","family":"Becker","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA"},{"name":"Department of Global Health & Social Medicine, Harvard Medical School, Boston, MA 02115, 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