College Women Eating Disorder Diagnostic Profile andDSM-5

Abstract

A consistent diagnostic profile describing college women with eating disorders has been well established in the college health and mental health literature. This diagnostic framework traditionally has been associated with the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision Eating Disorders Not Otherwise Specified category. In this article, the authors discuss implications of the recently revised Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition eating disorder diagnostic categories for the existing college women eating disorder profile.

Beyond self-reflection: introducing the concept of rumination in personal informatics

“…College women in particular are at an increased risk of developing eating disorders and eating disorder-related behaviors [93][94][95][96][97]. In fact, it is estimated that 8 to 17% of collegeaged students have an eating disorder, and 20% of college students believe they have had an eating disorder in their lifetime [97][98][99].…”

Attention-deficit/hyperactivity disorder–specific stimulant misuse, mood, anxiety, and stress in college-age women at high risk for or with eating disorders

“…Our sample included women who were at high risk for an eating disorder as well as individuals with subclinical eating disorders, which is important given that the majority of college women with eating disturbances do not meet criteria for full-syndrome clinical eating disorders. 18 Results also revealed a significant difference in ADHD-specific stimulant misuse between women at high risk for and with a clinical or subclinical eating disorder, suggesting that ADHD-specific stimulant misuse may be more likely with increasing levels of eating disorder pathology. Taken together, results suggest that signifying targeted screening and intervention efforts for ADHD-specific stimulant misuse and eating disorder pathology may be warranted.…”

“…Given the high rate of eating problems among college women and that the majority of college women with eating and body image concerns do not necessarily meet full DSM-5 criteria, 18 examining a more inclusive sample of clinical, subclinical, and high-risk groups will better capture the association between stimulant use and eating disorder psychopathology in the college population. Additionally, despite significant correlations between stimulant misuse and depression, stress, and anxiety among college students, 19 the extent to which these relations hold in a sample at high risk for or with a clinical or subclinical eating disorder is unclear.…”

The Role of Mindfulness, Self‐Compassion, and Emotion Regulation in Eating Disorder Symptoms Among College Students

“…Dichotomous thinking is a form of cognitive rigidity that increases the appeal of “forbidden” food (Mann & Ward, ), enhances obsessiveness about food, and produces feelings of guilt if such food is consumed (Dewberry & Ussher, ). Rumination is a cognitive feature that includes recurring thoughts or worries about issues such as food, eating, body image, and self‐esteem and may reinforce disordered eating behaviors (Schwitzer & Choate, ). Mindfulness cultivates a productive mindset that counteracts dichotomous thinking, rumination, and experiential avoidance (Cowdrey & Park, ) because it is characterized by nonjudgmental observation of experiences.…”

“…Regardless of the impacted population, eating disorders are severe psychiatric disorders and take the lives of more than 5% of individuals for every decade they continue to be ill (“Disordered Eating in Midlife and Beyond,” ). Moreover, many college students may experience clinically deleterious distress yet not meet the full diagnostic criteria for a specific eating disorder (Schwitzer & Choate, ).…”