View in EDS HTML Full Text PDF Full Text

Comparing ICD‐11 and DSM‐5 eating disorder diagnoses with the Munich eating and feeding disorder questionnaire (ED‐Quest).

Saved in:
Bibliographic Details
Title: Comparing ICD‐11 and DSM‐5 eating disorder diagnoses with the Munich eating and feeding disorder questionnaire (ED‐Quest).
Authors: Quadflieg, Norbert, Voderholzer, Ulrich, Meule, Adrian, Fichter, Manfred Maximilian
Source: International Journal of Eating Disorders. Sep2023, Vol. 56 Issue 9, p1826-1831. 6p. 2 Charts.
Subjects: Diagnosis of eating disorders, Treatment of eating disorders, Nosology, Health services accessibility, Confidence intervals, Gastroesophageal reflux, Questionnaires, Classification of mental disorders, Anorexia nervosa, Early medical intervention, Early diagnosis, Algorithms
Abstract: Objective: The new ICD‐11 eating disorders (ED) guidelines are similar to the DSM‐5 criteria. One difference to the DSM‐5 is the inclusion of subjective binges in the definition of bulimia nervosa (BN) and binge‐eating disorder (BED). The aim of this study was to identify differences between the ICD‐11 guidelines and DSM‐5 ED criteria, which could impact access to medical care and early treatment. Method: Data of 3863 ED inpatients who completed the Munich Eating and Feeding Disorder Questionnaire were analyzed using standardized diagnostic algorithms for DSM‐5 and ICD‐11. Results: Agreement of diagnoses was high (Krippendorff's α =.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‐5 OFED, 19.8% were diagnosed with AN, BN or BED by the ICD‐11 diagnostic algorithm, reducing the number of OFED diagnoses. One‐hundred and twenty‐one patients received an ICD‐11 diagnosis of BN or BED because of subjective binges. Discussion: For over 90% of patients, applying either DSM‐5 or ICD‐11 diagnostic criteria/guidelines resulted in the same full‐threshold ED diagnosis. Sub‐threshold and feeding disorders exhibited a discrepancy of 25%. Public Significance Statement: For about 98% of inpatients, the ICD‐11 and DSM‐5 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‐eating disorder contributes to improved ED diagnoses. Clarifying the wording of diagnostic criteria at several places could further increase this agreement. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 171961612
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Comparing ICD‐11 and DSM‐5 eating disorder diagnoses with the Munich eating and feeding disorder questionnaire (ED‐Quest).
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Quadflieg%2C+Norbert%22">Quadflieg, Norbert</searchLink><br /><searchLink fieldCode="AR" term="%22Voderholzer%2C+Ulrich%22">Voderholzer, Ulrich</searchLink><br /><searchLink fieldCode="AR" term="%22Meule%2C+Adrian%22">Meule, Adrian</searchLink><br /><searchLink fieldCode="AR" term="%22Fichter%2C+Manfred+Maximilian%22">Fichter, Manfred Maximilian</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Sep2023, Vol. 56 Issue 9, p1826-1831. 6p. 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+eating+disorders%22">Diagnosis of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+eating+disorders%22">Treatment of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Nosology%22">Nosology</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Gastroesophageal+reflux%22">Gastroesophageal reflux</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Early+diagnosis%22">Early diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Algorithms%22">Algorithms</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: The new ICD‐11 eating disorders (ED) guidelines are similar to the DSM‐5 criteria. One difference to the DSM‐5 is the inclusion of subjective binges in the definition of bulimia nervosa (BN) and binge‐eating disorder (BED). The aim of this study was to identify differences between the ICD‐11 guidelines and DSM‐5 ED criteria, which could impact access to medical care and early treatment. Method: Data of 3863 ED inpatients who completed the Munich Eating and Feeding Disorder Questionnaire were analyzed using standardized diagnostic algorithms for DSM‐5 and ICD‐11. Results: Agreement of diagnoses was high (Krippendorff's α =.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‐5 OFED, 19.8% were diagnosed with AN, BN or BED by the ICD‐11 diagnostic algorithm, reducing the number of OFED diagnoses. One‐hundred and twenty‐one patients received an ICD‐11 diagnosis of BN or BED because of subjective binges. Discussion: For over 90% of patients, applying either DSM‐5 or ICD‐11 diagnostic criteria/guidelines resulted in the same full‐threshold ED diagnosis. Sub‐threshold and feeding disorders exhibited a discrepancy of 25%. Public Significance Statement: For about 98% of inpatients, the ICD‐11 and DSM‐5 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‐eating disorder contributes to improved ED diagnoses. Clarifying the wording of diagnostic criteria at several places could further increase this agreement. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=171961612
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24010
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 1826
    Subjects:
      – SubjectFull: Diagnosis of eating disorders
        Type: general
      – SubjectFull: Treatment of eating disorders
        Type: general
      – SubjectFull: Nosology
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Gastroesophageal reflux
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Classification of mental disorders
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Early diagnosis
        Type: general
      – SubjectFull: Algorithms
        Type: general
    Titles:
      – TitleFull: Comparing ICD‐11 and DSM‐5 eating disorder diagnoses with the Munich eating and feeding disorder questionnaire (ED‐Quest).
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Quadflieg, Norbert
      – PersonEntity:
          Name:
            NameFull: Voderholzer, Ulrich
      – PersonEntity:
          Name:
            NameFull: Meule, Adrian
      – PersonEntity:
          Name:
            NameFull: Fichter, Manfred Maximilian
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 02763478
          Numbering:
            – Type: volume
              Value: 56
            – Type: issue
              Value: 9
          Titles:
            – TitleFull: International Journal of Eating Disorders
              Type: main
ResultId 1