Key Features of DSM-5 Diagnostic Criteria for Feeding Disorders and EDs
| AN |
| • Restriction of food eaten leading to lower than expected body weight |
| • Intense fear of weight gain or being fat |
| • Body image distortion |
| Types: restricting or binge eating/purging |
| BN |
| • Binge eating in which |
| o a larger amount of food is eaten within a 2-hour period compared with peers; and |
| o there is a perceived lack of control during the time of the binge |
| • Repeated use of unhealthy behaviors after a binge to prevent weight gain: (vomiting; abuse of laxatives, diuretics, or other medications; food restriction; or excessive exercise) |
| • Behaviors occur at least once a week for 3 months |
| • Self-worth is overly based on body shape and weight |
| • Behaviors occur distinctly apart from AN |
| Binge-eating disorder |
| • Recurrent episodes of binge eating in which |
| o a larger amount of food is eaten within a 2-hour period compared with peers; and |
| o there is a perceived lack of control during the time of the binge |
| Bingeing episodes are associated with at least 3 of the following: |
| o eating faster than normal; |
| o eating until overly full; |
| o eating large quantities of food when not hungry; |
| o eating alone because of embarrassment about the quantity of food eaten; and |
| o feeling badly emotionally after eating |
| • Upset about bingeing |
| • Bingeing behavior occurs at least once a week for 3 months |
| • Bingeing is not followed by the use of unhealthy behaviors to purge and does not occur during AN or BN |
| Avoidant/restrictive food intake disorder |
| • A feeding problem that results in at least one of the following: |
| o significant weight loss or failure to meet the expected weight or height gain in children; |
| o significant nutritional deficiency; |
| o dependence on nonfood nutrition, such as nasogastric feedings or oral nutritional supplements; or |
| o marked interference with psychosocial functioning |
| • The problem is not attributable to food availability or cultural ideas |
| • The problem is |
| o not attributable to AN, and there is no distortion in body image; and |
| o not attributable to another condition, medical or mental |
| Other specified feeding disorder or ED |
| Atypical AN: all criteria for anorexia, but weight is normal |
| BN (of low frequency and/or limited duration): all criteria except for frequency |
| Binge-eating disorder (of low frequency and/or limited duration): all criteria except for frequency |
| Purging disorder: recurrent purging in an effort to lose weight without bingeing |
| AN |
| • Restriction of food eaten leading to lower than expected body weight |
| • Intense fear of weight gain or being fat |
| • Body image distortion |
| Types: restricting or binge eating/purging |
| BN |
| • Binge eating in which |
| o a larger amount of food is eaten within a 2-hour period compared with peers; and |
| o there is a perceived lack of control during the time of the binge |
| • Repeated use of unhealthy behaviors after a binge to prevent weight gain: (vomiting; abuse of laxatives, diuretics, or other medications; food restriction; or excessive exercise) |
| • Behaviors occur at least once a week for 3 months |
| • Self-worth is overly based on body shape and weight |
| • Behaviors occur distinctly apart from AN |
| Binge-eating disorder |
| • Recurrent episodes of binge eating in which |
| o a larger amount of food is eaten within a 2-hour period compared with peers; and |
| o there is a perceived lack of control during the time of the binge |
| Bingeing episodes are associated with at least 3 of the following: |
| o eating faster than normal; |
| o eating until overly full; |
| o eating large quantities of food when not hungry; |
| o eating alone because of embarrassment about the quantity of food eaten; and |
| o feeling badly emotionally after eating |
| • Upset about bingeing |
| • Bingeing behavior occurs at least once a week for 3 months |
| • Bingeing is not followed by the use of unhealthy behaviors to purge and does not occur during AN or BN |
| Avoidant/restrictive food intake disorder |
| • A feeding problem that results in at least one of the following: |
| o significant weight loss or failure to meet the expected weight or height gain in children; |
| o significant nutritional deficiency; |
| o dependence on nonfood nutrition, such as nasogastric feedings or oral nutritional supplements; or |
| o marked interference with psychosocial functioning |
| • The problem is not attributable to food availability or cultural ideas |
| • The problem is |
| o not attributable to AN, and there is no distortion in body image; and |
| o not attributable to another condition, medical or mental |
| Other specified feeding disorder or ED |
| Atypical AN: all criteria for anorexia, but weight is normal |
| BN (of low frequency and/or limited duration): all criteria except for frequency |
| Binge-eating disorder (of low frequency and/or limited duration): all criteria except for frequency |
| Purging disorder: recurrent purging in an effort to lose weight without bingeing |
Source: DSM-5.27