Children into DSM don't go: A comparison of classification systems for eating disorders in childhood and early adolescence

Classification of childhood onset eating disorders: A latent class analysis

“…Both patient groups reported food avoidance and significant weight loss, but only one group, Cluster 1, representing 66–75%, of the population reported weight and shape concerns and drive for thinness, in each country. The features of this group are most consistent with the classic features of AN (Atkins & Silber, ; Nicholls, Chater, & Lask, ; Ramacciotti et al, ). The second group, Cluster 2, comprising the other 25–34% of the samples, also presented with deliberate food avoidance and weight loss, but fewer weight or shape concerns, little or no interest in compensatory behaviors, and was more likely to report somatic complaints (Nicholls et al, ; Ramacciotti et al, ).…”

Classification of childhood onset eating disorders: A latent class analysis

“…Both patient groups reported food avoidance and significant weight loss, but only one group, Cluster 1, representing 66–75%, of the population reported weight and shape concerns and drive for thinness, in each country. The features of this group are most consistent with the classic features of AN (Atkins & Silber, ; Nicholls, Chater, & Lask, ; Ramacciotti et al, ). The second group, Cluster 2, comprising the other 25–34% of the samples, also presented with deliberate food avoidance and weight loss, but fewer weight or shape concerns, little or no interest in compensatory behaviors, and was more likely to report somatic complaints (Nicholls et al, ; Ramacciotti et al, ).…”

Implications of DSM‐5 for the diagnosis of pediatric eating disorders

“…Given similarities between the eating disorder diagnostic criteria between the DSM manuals, we hypothesize substantial interrater reliability when using the DSM‐5 and lower interrater reliability when using the ICD‐10. This finding is expected based on previous research that has found substantial and fair inter‐rater reliability when using the DSM‐IV and ICD‐10, respectively (Nicholls et al, ).…”

Exploring avoidant/restrictive food intake disorder in eating disordered patients: A descriptive study

“…Although we did not witness a statistical difference in male to female ratio between groups, the male to female rates in the ARFID group were similar to sex ratios reported in other patient subsets of EOEDs , . These studies have also demonstrated that younger children with restrictive EDs often lack the ED cognitions and body image distortions associated with classical descriptions of the disorder, thus increasing the likelihood that they would (using current classification criteria) be diagnosed with ARFID …”

Classification of childhood onset eating disorders: A latent class analysis

“…Both patient groups reported food avoidance and significant weight loss, but only one group, Cluster 1, representing 66–75%, of the population reported weight and shape concerns and drive for thinness, in each country. The features of this group are most consistent with the classic features of AN (Atkins & Silber, ; Nicholls, Chater, & Lask, ; Ramacciotti et al, ). The second group, Cluster 2, comprising the other 25–34% of the samples, also presented with deliberate food avoidance and weight loss, but fewer weight or shape concerns, little or no interest in compensatory behaviors, and was more likely to report somatic complaints (Nicholls et al, ; Ramacciotti et al, ).…”

Implications of DSM‐5 for the diagnosis of pediatric eating disorders

“…Given similarities between the eating disorder diagnostic criteria between the DSM manuals, we hypothesize substantial interrater reliability when using the DSM‐5 and lower interrater reliability when using the ICD‐10. This finding is expected based on previous research that has found substantial and fair inter‐rater reliability when using the DSM‐IV and ICD‐10, respectively (Nicholls et al, ).…”

Exploring avoidant/restrictive food intake disorder in eating disordered patients: A descriptive study

“…Although we did not witness a statistical difference in male to female ratio between groups, the male to female rates in the ARFID group were similar to sex ratios reported in other patient subsets of EOEDs , . These studies have also demonstrated that younger children with restrictive EDs often lack the ED cognitions and body image distortions associated with classical descriptions of the disorder, thus increasing the likelihood that they would (using current classification criteria) be diagnosed with ARFID …”

Classification of childhood onset eating disorders: A latent class analysis

“…Both patient groups reported food avoidance and significant weight loss, but only one group, Cluster 1, representing 66–75%, of the population reported weight and shape concerns and drive for thinness, in each country. The features of this group are most consistent with the classic features of AN (Atkins & Silber, ; Nicholls, Chater, & Lask, ; Ramacciotti et al, ). The second group, Cluster 2, comprising the other 25–34% of the samples, also presented with deliberate food avoidance and weight loss, but fewer weight or shape concerns, little or no interest in compensatory behaviors, and was more likely to report somatic complaints (Nicholls et al, ; Ramacciotti et al, ).…”

Implications of DSM‐5 for the diagnosis of pediatric eating disorders

“…Given similarities between the eating disorder diagnostic criteria between the DSM manuals, we hypothesize substantial interrater reliability when using the DSM‐5 and lower interrater reliability when using the ICD‐10. This finding is expected based on previous research that has found substantial and fair inter‐rater reliability when using the DSM‐IV and ICD‐10, respectively (Nicholls et al, ).…”

Exploring avoidant/restrictive food intake disorder in eating disordered patients: A descriptive study

“…Although we did not witness a statistical difference in male to female ratio between groups, the male to female rates in the ARFID group were similar to sex ratios reported in other patient subsets of EOEDs , . These studies have also demonstrated that younger children with restrictive EDs often lack the ED cognitions and body image distortions associated with classical descriptions of the disorder, thus increasing the likelihood that they would (using current classification criteria) be diagnosed with ARFID …”