Diagnostic Integrity of DSM Categorized Eating Disorders: Exploration of Alternative Methods of Classification and the Implications for Genetic Research.

Abstract

Research is only beginning to shape our understanding of eating disorders as metabolic-psychiatric illnesses. How eating disorders (EDs) are classified is essential to future research for understanding the etiology of these severe illnesses and both developing and tailoring effective treatments. The gold standard for classification for research and diagnostic purposes has primarily been and continues to be the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). With the reconceptualization of EDs comes new challenges of considering how EDs are classified to reflect clinical reality, prognosis and lived experience. In this article, we explore the DSM-5 method of categorical classification and how it may not accurately represent the fluidity in which EDs present themselves. We discuss alternative methods of conceptualizing EDs, and their relevance and implications for genetic research.