Test-retest reliability of the proposed DSM-5 eating disorder diagnostic criteria

Robyn Sysko, Christina A. Roberto, Rachel D. Barnes, Carlos M. Grilo, Evelyn Attia, B. Timothy Walsh

Research output: Contribution to journalArticle

21 Scopus citations


The proposed DSM-5 classification scheme for eating disorders includes both major and minor changes to the existing DSM-IV diagnostic criteria. It is not known what effect these modifications will have on the ability to make reliable diagnoses. Two studies were conducted to evaluate the short-term test-retest reliability of the proposed DSM-5 eating disorder diagnoses: anorexia nervosa, bulimia nervosa, binge eating disorder, and feeding and eating conditions not elsewhere classified. Participants completed two independent telephone interviews with research assessors (. n=. 70 Study 1; . n=. 55 Study 2). Fair to substantial agreements (. κ=. 0.80 and 0.54) were observed across eating disorder diagnoses in Study 1 and Study 2, respectively. Acceptable rates of agreement were identified for the individual eating disorder diagnoses, including DSM-5 anorexia nervosa (. κ's of 0.81 to 0.97), bulimia nervosa (. κ=. 0.84), binge eating disorder (. κ's of 0.75 and 0.61), and feeding and eating disorders not elsewhere classified (. κ's of 0.70 and 0.46). Further, improved short-term test-retest reliability was noted when using the DSM-5, in comparison to DSM-IV, criteria for binge eating disorder. Thus, these studies found that trained interviewers can reliably diagnose eating disorders using the proposed DSM-5 criteria; however, additional data from general practice settings and community samples are needed.

Original languageEnglish (US)
Pages (from-to)302-308
Number of pages7
JournalPsychiatry Research
Issue number2-3
StatePublished - Apr 30 2012
Externally publishedYes


  • Anorexia nervosa
  • Binge eating disorder
  • Bulimia nervosa
  • Diagnostic reliability
  • Feeding and eating disorders not elsewhere classified

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