Friday, May 31, 2013

DSM Changes

The DSM 5 is set to come out in May 2013. Changes have been made to most of the disorders, including eating disorders. Below I have provided some sites where you can find more information about the DSM 5 changes. (note, it's set to come out in May however the date has been pushed back before so it may be pushed back again.)

For those who don't feel like reading a bunch of sites, the APA has admitted to the shortcomings of the DSM 4 criteria for ED's.The DSM-IV scheme for classifying eating disorders is a poor reflection of clinical reality. In adults it recognises two conditions, anorexia nervosa and bulimia nervosa, yet these states are merely two presentations among many. As a consequence, at least half the cases seen in clinical practice are relegated to the residual diagnosis 'eating disorder not otherwise specified'. The changes proposed for DSM-5 will only partially succeed in correcting this shortcoming. With DSM-6 in mind, it is clear that comprehensive transdiagnostic samples need to be studied with data collected on their current state, course and response to treatment. Only with such data will it be possible to derive an empirically based classificatory scheme that is both rooted in clinical reality and of value to clinicians.

Currently, the default diagnosis, EDNOS, is the primary diagnosis which is an admitted problem of the current DSM.

Some of the changes include

adding binge eating disorder

changing criteria of anorexia by removing loss of menstrual cycle in females as part of the criteria. Also there will be changes to the weight requirement.

changes in criteria of bulimia by removing the number of episodes per week as part of the criteria.

These are just three of the more significant changes.

http://www.dsm5.org/Pages/Default.aspx

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3014461/

http://www.eatingdisorderscleveland.org/blog/bid/31155/The-DSM-V-and-Eating-Disorders

http://www.apa.org/monitor/2009/04/eating-disorder.aspx

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