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Prevalence and severity of DSM‐5 eating disorders in a community cohort of adolescents

Smink, Frédérique R.E., van Hoeken, Daphne, Oldehinkel, Albertine J., Hoek, Hans W.·2014·International Journal of Eating Disorders

DOI 10.1002/eat.22316

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Abstract

Objective: The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) includes a considerably revised eating disorder section. The aim of this study was to establish the prevalence and severity of eating disorders based on the new DSM‐5 criteria in a community cohort of adolescents. Method: This study is part of TRAILS (TRacking Adolescents' Individual Lives Survey), a Dutch cohort study on mental health and social development from preadolescence into young adulthood. At baseline, the participants (n = 2,230) were about 11 years old. Body mass index was measured at all four assessment waves. At age 19, the Composite International Diagnostic Interview was administered to 1,584 of the participants. A two‐stage screening approach was used to estimate the prevalence of DSM‐5 eating disorders. Adolescents at high risk for eating disorders (n = 312) were selected for an additional interview administered by eating disorder experts. Results: Of the high‐risk group n = 296 (95%) could be interviewed. Among the women, the lifetime prevalence of DSM‐5 anorexia nervosa was 1.7%, of bulimia nervosa 0.8% and of binge eating disorder 2.3%. Eating disorders were relatively rare among the men. The severity of most cases was mild to moderate and detection and treatment rates depended on the level of severity. Discussion: The most common DSM‐5 eating disorder diagnoses in adolescents in the community are anorexia nervosa and binge eating disorder. Severity ratings for eating disorders seem valid in terms of both the distribution in the community and the correlation with detection and treatment by health care services. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:610–619)

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“EDs are frequently seen during adolescence and have a high mortality rate, with suicide reported to be the most common cause of death (Smink et al. 2014; Tseng et al. 2023).”
Additional file 1 of A comparison of eating disorder symptomatology, psychological distress and psychosocial function between early, typical and later onset anorexia nervosa
Jenkins, Z., Chait, L. M., Cistullo, L. L., & Castle, D. J. (2020) · Figshare · doi:10.6084/m9.figshare.13186158
Additional file 1 of Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factors: a population-based study
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Additional file 1 of Comparison of eating disorders symptoms and body image between individual and team sport adolescent athletes during the COVID-19 pandemic
Firoozjah, M. H., Shahrbanian, S., Homayouni, A., & Hower, H. M. (2022) · Figshare · doi:10.6084/m9.figshare.20484913

Authors: Smink, F. R. E., van Hoeken, D., Oldehinkel, A. J., & Hoek, H. W.
Affiliations: Parnassia Groep (NL)
Parnassia Psychiatric Institute The Hague the Netherlands
University Medical Center Groningen (NL)
Corresponding author: Smink, Frédérique R.E.
ORCID: Oldehinkel, Albertine J.
Hoek, Hans W.
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2014-06-05
Volume: 47
Issue: 6
Pages: 610-619
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.22316
OpenAlex: W2109585990
Cited by: 415
References: 44
Citations by year: 2026: 14 · 2025: 16 · 2024: 25 · 2023: 27 · 2022: 39 · 2021: 37 · 2020: 51 · 2019: 46 · 2018: 46 · 2017: 39 · 2016: 44 · 2015: 27 · 2014: 3
FWCI: 44.45
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders: Nederlandse Organisatie voor Wetenschappelijk Onderzoek
European Science Foundation
University of Groningen
Erasmus Medisch Centrum
Radboud University Nijmegen
Utrecht University
Accare Center for Child and Adolescent Psychiatry
BBMRI-NL
Dutch Ministry of Justice
Parnassia Psychiatric Institute The Hague
ZonMW
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: eating disorders, DSM-5, adolescents, anorexia nervosa, bulimia nervosa, binge eating disorder, prevalence, severity, lifetime prevalence, TRAILS cohort, sex differences
MeSH terms: Adolescent, Feeding and Eating Disorders, Child, Female, Humans, Male, Mental Health, Netherlands, Severity of Illness Index, Cohort Studies, Body Mass Index, Prevalence, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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Prevalence and severity of DSM‐5 eating disorders in a community cohort of adolescents

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