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Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.

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DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet].

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Table 19DSM-IV to DSM-5 Anorexia Nervosa Comparison

DSM-IVDSM-5
Disorder Class: Eating DisordersDisorder Class: Feeding and Eating Disorders
A. Refusal to maintain bodyweight at or above minimally normal weight for height/age (less than 85th percentile).A. Restriction of energy intake relative to requirements, leading to a significant low body weight in the context of the age, sex, developmental trajectory, and physical health (less than minimally normal/expected1).
B. Intense fear of gaining weight or becoming obese, even though underweight.B. Intense fear of gaining weight or becoming fat or persistent behavior that interferes with weight gain.
C. Disturbed by one’s body weight or shape, self-worth influenced by body weight or shape, or persistent lack of recognition of seriousness of low bodyweight.SAME
D. In menstruating females, absence of at least 3 consecutive non-synthetically induced menstrual cycles.DROPPED
Specify type:Specified whether:
Restricting type: During the current episode, has not regularly engaged in binge-eating or purging.2Restricting type: During the last 3 months…SAME.
Binge-eating/purging type: During the current episode, has regularly engaged in binge-eating or purging.2Binge-eating/purging type: During the last 3 months…SAME.
Partial remission: After full criteria met, low bodyweight has not been met for sustained period, BUT at least one of the following two criteria still met:
  • Intense fear of gaining weight/becoming obese or behavior that interferes with weight gain
  • OR
  • Disturbed by weight and shape.
Full remission: After full criteria met, none of the criteria met for sustained period of time.
1

Severity is based on body mass index (BMI) derived from World Health Organization categories for thinness in adults; corresponding percentiles should be used for children and adolescents: Mild: BMI greater than or equal to 17 kg/m2, Moderate: BMI 16–16.99 kg/m2, Severe: BMI 15–15.99 kg/m2, Extreme: BMI less than 15 kg/m2.

2

Purging is self-induced vomiting or misuse of laxatives, diuretics, or enemas.

From: 3, DSM-5 Child Mental Disorder Classification

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