Volume_4_Issue_3_Digest

TPC D igest 45 Maureen C. Kenny, NCC, is a Professor at Florida International University. Mérode Ward-Lichterman is a graduate student at Florida International University. Mona H. Abdelmonem is an alumna of Florida International University. Correspondence can be addressed to Maureen C. Kenny, 11200 SW 8th Street, ZEB 247A, Miami, Florida 33199, kennym@fiu.edu. T he publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5 ) brought changes to the diagnostic system, structure and specific criteria of many eating and feeding disorders. A major change is the placement of all eating and feeding disorders in their own chapter, “Feeding and Eating Disorders,” which now allows for the diagnosis of all of these disorders at any age. This chapter marks a change from the DSM-IV-TR , which separated disorders that were usually first diagnosed in infancy, childhood and adolescence from those that emerged later in life. The diagnostic criteria for pica and rumination disorder, which primarily occur in children with developmental disabilities, remain relatively unchanged in the DSM-5 . The only revision is their placement in the newly formed chapter for eating and feeding disorders. The diagnostic criteria for anorexia nervosa and bulimia nervosa underwent minor modifications. Anorexia nervosa no longer requires amenorrhea, thus making the diagnosis more gender-inclusive. Bulimia nervosa experienced one modification, which was the reduction of the minimum required frequency of bingeing and compensatory behavior, a change that will likely make this diagnosis applicable to a wider range of individuals. In addition, the DSM-5 no longer includes eating disorder not otherwise specified , and has replaced this diagnosis with two new options. Two new eating and feeding disorders in the DSM-5 include avoidant/restrictive food intake disorder and binge-eating disorder. The former, while new, closely resembles feeding disorder of infancy or early childhood, which The Expansion and Clarification of Feeding and Eating Disorders in the DSM-5 – DIGEST Maureen C. Kenny Mérode Ward-Lichterman Mona H. Abdelmonem