Research Article

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

Table 6

Interrater reliability between structured interview and routine clinical interview for DSM-IV and DSM-5 eating disorder diagnoses in an outpatient weight-loss seeking sample.

Kappa% AgreementInterpretation (Landis and Koch [21])

DSM-IV
 BN0.6699%Substantial
 BED0.4692%Moderate
 EDNOS0.5586%Moderate
DSM-5
 BN0.6699%Substantial
 BED0.4291%Moderate
OSFED
 Sub-BED0.4896%Moderate
 PD−0.0197%Poor
 NES 0.1491%Poor
 Other0.5994%Moderate

BN = bulimia nervosa, BED = binge eating disorder, EDNOS = eating disorder not otherwise specified, OSFED = other specified feeding or eating disorder, Sub-BED = subthreshold binge eating disorder, PD = purging disorder, NES = night eating syndrome.