Evaluation of the DSM-5 severity ratings for anorexia nervosa in a clinical sample
Abstract
We examined the validity and utility of the DSM-5 severity ratings for anorexia nervosa (AN) in a clinical (treatment-seeking) sample (N = 273; 95.6% women). Participants classified with mild, moderate, severe, and extreme severity of AN based on their measured body mass index, differed significantly from each other in eating disorder features, putative maintenance factors, and illness-specific functional impairment (medium effect sizes). However, they were statistically indistinguishable in psychiatric-disorder comorbidity and distress, demographics, and age-of-AN onset. The implications of our findings, providing limited support for the DSM-5 severity ratings for AN, and directions for future research are outlined.
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Research has provided limited support for the DSM-5 low BMI specifier ratings across both European and US samples.
“To date, research has provided limited support for the DSM-5 low BMI specifier ratings across both European [81–84] and US [85, 86] samples.”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [81]
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- Authors
- Dakanalis, A., Alix Timko, C., Colmegna, F., Riva, G., & Clerici, M.
- Affiliations
- University of Pavia (IT)
- Azienda Ospedaliera San Gerardo (IT)
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Dakanalis, Antonios
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 262
- Pages
- 124-128
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2788114974
- Cited by
- 35
- References
- 59
- Citations by year
- 2025: 1 · 2024: 10 · 2023: 8 · 2022: 2 · 2021: 1 · 2020: 7 · 2019: 3 · 2018: 3
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- Funders
- Ministero dell’Istruzione, dell’Università e della Ricerca
- Hilda and Preston Davis Foundation
- Children's Hospital of Philadelphia
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- anorexia nervosa, severity classification, body mass index, hygiene factors, functional disability, psychiatric comorbidity, treatment-seeking patients
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Female, Humans, Male, Severity of Illness Index, Body Mass Index, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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