BACKGROUND: This study compares the DSM-IV and @entity4987 diagnostic criteria for @entity1277 . DSM-IV resulted in a large number of @entity1 being diagnosed with @entity1277 Not Otherwise Specified (EDNOS). In @entity4987 the residual category is renamed Other Specified Feeding and @entity1277 (OSFED) and Unspecified @entity1277 (UFED) however the diagnostic criteria for the residual category in each of the diagnostic systems remains the same. This study aims to evaluate the changes in percentages of @entity1 in a residual DSM-IV category compared to a residual @entity4987 category by retrospectively applying @entity4987 criteria to the clinical records of a @entity1 population in a clinical setting. It also aims to compare the psychopathology between the EDNOS and OSFED/UFED groups. METHODS: 285 @entity1 were recruited from a specialised @entity1277 clinic in Australia over a 5-year period from 2009 until 2014. The clinical records of @entity1 with diagnoses of @entity1278 ( @entity1278 ), @entity1279 ( @entity1279 ) and EDNOS were retrospectively assessed using the @entity4987 criteria. All @entity1 who had attended the clinic and received an @entity1277 diagnosis during this period were included in the study. No @entity1 were diagnosed with @entity5550 during the study period. This is surprising given the prevalence of @entity5550 in the community. It is possible that individuals with @entity5550 were not referred to the clinic following the initial referral and assessment due to the lack of binge eating specific interventions available. The referral process may also have been skewed towards @entity1278 , @entity1279 and EDNOS due to a perception by referring parties that @entity5550 was a 'milder' condition that did not require specialist intervention. Information in the clinical records included structured clinical interviews, and self-rating scales of @entity1277 and other @entity146 and a longitudinal narrative of @entity1 performance and attitude during observed meals. RESULTS: We observed a 23.5% reduction in the diagnosis of OSFED/UFED with the implementation of @entity4987 compared to EDNOS with DSM-IV. The removal of Criterion D, @entity4999 , was the leading cause for transition from EDNOS to @entity1278 . CONCLUSIONS: @entity4987 has reduced the reliance on EDNOS. However this study was unable to examine the reliability of the new diagnostic criteria or the impact of @entity4987 on @entity5550 .

A retrospective study of the impact of @entity4987 on the diagnosis of XXXX in Victoria, Australia.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric symptoms'] @entity4987 :: ('1398', 'Species') :: ['DSM-5'] @entity1278 :: ('MESH:D000856', 'Disease') :: ['anorexia nervosa', 'AN'] @entity1277 :: ('MESH:D001068', 'Disease') :: ['Eating Disorder', 'eating disorders', 'Eating Disorders', 'eating disorder'] @entity1279 :: ('MESH:D052018', 'Disease') :: ['bulimia nervosa', 'BN'] @entity5550 :: ('MESH:D056912', 'Disease') :: ['binge eating disorder'] @entity4999 :: ('MESH:C537962', 'Disease') :: ['amenorrhoea']
@entity1277 :: (MESH:D001068,Disease) :: ['eating disorders']
