Cited by 30Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Investigating the DSM‐5 severity specifiers based on thinness for adults with anorexia nervosa

Reas, Deborah Lynn, Rø, Øyvind·2017·International Journal of Eating Disorders

Abstract

Objective: The DSM‐5 severity classification scheme for adults with anorexia nervosa (AN) is based upon current body mass index (BMI; kg/m 2). This study examined the utility of the DSM‐5 severity specifiers for adults with AN in relation to core cognitive and behavioral features of eating pathology and associated psychosocial impairment. Methods: A clinical sample of 146 adult AN patients (140 women, 6 men) were categorized using DSM‐5 current BMI severity specifiers and assessed with the Eating Disorder Examination‐Questionnaire (EDE‐Q) and Clinical Impairment Assessment (CIA). Results: A total of 34 (23.3%) patients were categorized as mild (>=17.0 BMI), 35 (24.0%) as moderate (16‐16.99 BMI), 32 (21.9%) as severe (15‐15.99 BMI), and 45 (30.8%) as extreme (<15 BMI). No significant group differences were found for age, CIA and EDE‐Q global or subscale scores, frequency of laxative use, self‐induced vomiting, binge eating, or excessive exercise. Discussion: This study found little empirical evidence to support the utility of DSM‐5 severity rating scheme to differentiate adults with AN in terms of core eating disorder pathology or associated psychosocial impairment.

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Crossref · 10.1002/eat.22729

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Authors
Reas, D. L., & Rø, Ø.
Affiliations
Oslo University Hospital (NO)
Corresponding author
Reas, Deborah Lynn
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2017-06-07
Volume
50
Issue
8
Pages
990-994
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
OpenAlex
W2623294790
Cited by
30
References
31
Citations by year
2026: 1 · 2025: 2 · 2024: 7 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 1
FWCI
4.74
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
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
anorexia nervosa, adult anorexia nervosa, body mass index, severity rating, psychosocial impairment, eating pathology, Eating Disorder Examination Questionnaire, laxative use, self-induced vomiting, binge eating, excessive exercise
MeSH terms
Adolescent, Adult, Anorexia Nervosa, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Thinness, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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