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Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth.
Int J Eat Disord. 2007 Jul; 40(5):409-17.IJ

Abstract

OBJECTIVE

To examine the prevalence and utility of DSM-IV eating disorder (ED) criteria and anorexia (AN), bulimia (BN), and binge eating disorder (BED) among adolescents.

METHOD

An ethnically diverse population-based sample of 4,746 public middle and high school students completed anthropometric measures and Project EAT survey items.

RESULTS

Many youth endorsed body shape perception disturbance (41.5% female; 24.9% male), undue influence of body shape/weight on self-esteem (36.4% female; 23.9% male), and compensatory behavior (9.4% female; 13.5% male). Prevalence among females and males, respectively, was: AN = 0.04%, 0%; BN = 0.3%, 0.2%; BED = 1.9%, 0.3%. Analyses of individual criteria showed high sensitivity and negative predictive values for each disorder and corresponding criteria, low specificity for several AN (27.8%) and BN (32.0%) criteria, and low positive predictive values (0.06-40.2%).

CONCLUSION

Body disparagement and compensatory behaviors indicate eating disturbance, despite low prevalence of EDs. Diagnostic classification may be clinically useful, but is complicated for use in epidemiological populations.

Authors+Show Affiliations

diann_ackard@mindspring.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

17506079

Citation

Ackard, Diann M., et al. "Prevalence and Utility of DSM-IV Eating Disorder Diagnostic Criteria Among Youth." The International Journal of Eating Disorders, vol. 40, no. 5, 2007, pp. 409-17.
Ackard DM, Fulkerson JA, Neumark-Sztainer D. Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. Int J Eat Disord. 2007;40(5):409-17.
Ackard, D. M., Fulkerson, J. A., & Neumark-Sztainer, D. (2007). Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. The International Journal of Eating Disorders, 40(5), 409-17.
Ackard DM, Fulkerson JA, Neumark-Sztainer D. Prevalence and Utility of DSM-IV Eating Disorder Diagnostic Criteria Among Youth. Int J Eat Disord. 2007;40(5):409-17. PubMed PMID: 17506079.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. AU - Ackard,Diann M, AU - Fulkerson,Jayne A, AU - Neumark-Sztainer,Dianne, PY - 2007/5/17/pubmed PY - 2007/10/19/medline PY - 2007/5/17/entrez SP - 409 EP - 17 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 40 IS - 5 N2 - OBJECTIVE: To examine the prevalence and utility of DSM-IV eating disorder (ED) criteria and anorexia (AN), bulimia (BN), and binge eating disorder (BED) among adolescents. METHOD: An ethnically diverse population-based sample of 4,746 public middle and high school students completed anthropometric measures and Project EAT survey items. RESULTS: Many youth endorsed body shape perception disturbance (41.5% female; 24.9% male), undue influence of body shape/weight on self-esteem (36.4% female; 23.9% male), and compensatory behavior (9.4% female; 13.5% male). Prevalence among females and males, respectively, was: AN = 0.04%, 0%; BN = 0.3%, 0.2%; BED = 1.9%, 0.3%. Analyses of individual criteria showed high sensitivity and negative predictive values for each disorder and corresponding criteria, low specificity for several AN (27.8%) and BN (32.0%) criteria, and low positive predictive values (0.06-40.2%). CONCLUSION: Body disparagement and compensatory behaviors indicate eating disturbance, despite low prevalence of EDs. Diagnostic classification may be clinically useful, but is complicated for use in epidemiological populations. SN - 0276-3478 UR - https://www.unboundmedicine.com/medline/citation/17506079/Prevalence_and_utility_of_DSM_IV_eating_disorder_diagnostic_criteria_among_youth_ DB - PRIME DP - Unbound Medicine ER -