Do DSM-5 Eating Disorder Criteria Overpathologize Normative Eating Patterns among Individuals with Obesity?

Table 5

Eating disorder diagnoses conferred by structured interview for DSM-5 field trial versus routine clinical interview in an outpatient weight-loss seeking sample.

DSM-5 clinician diagnosis	DSM-5 research diagnosis
	BN	BED	OSFED					No eating disorder	Total
			Sub-BN	Sub-BED	PD	NES	Other
BN	1	0	0	0	0	0	0	0	1
BED	0	4	0	1	0	2	1	0	8
OSFED
Sub-BED	0	0	1	2	0	0	0	0	3
PD	1	0	0	0	0	0	1	0	2
NES	0	1	1	0	1	1	0	1	5
Other	0	1	0	1	0	0	5	2	9
No eating disorder	0	3	0	1	0	3	0	65	72
Total	2	9	2	5	1	6	7	68	100

κ = 0.63, 83% agreement; BN = bulimia nervosa, BED = binge eating disorder, OSFED = other specified feeding or eating disorder, Sub-BN = subthreshold bulimia nervosa, Sub-BED = subthreshold binge eating disorder, PD = purging disorder, and NES = night eating syndrome.