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Prevalence and severity of DSM‐5 eating disorders in a community cohort of adolescents
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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“Up to now, most of the research in LOC relies on female participants, even though males are more often affected with BED and LOC than in other EDs [11].”
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Metadata
- 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.
- 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
- 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
- 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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