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Table 1 Differences between DSM-IV-TR and DSM-5 diagnostic criteria for anorexia nervosa

From: A retrospective study of the impact of DSM-5 on the diagnosis of eating disorders in Victoria, Australia

DSM-IV-TR Diagnostic Criteria DSM-5 Diagnostic Criteria
A. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less than 85% of that expected; or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected). A. Persistent restriction of energy intake leading to significantly low body weight (in context of what is minimally expected for age, sex, developmental trajectory, and physical health)
B. Intense fear of gaining weight or becoming fat, even though underweight. B. Either an intense fear of gaining weight or of becoming fat, or persistent behaviour that interferes with weight gain (even though significantly low weight).
C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight. C. Disturbance in the way one’s body weight or shape is experienced, undue influence of body shape and weight on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.
D. In postmenarcheal females, amenorrhea, i.e., the absence of at least three consecutive menstrual cycles. (A woman is considered to have amenorrhea if her periods occur only following hormone, e.g., oestrogen administration.)  
  1. DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders, fourth edition, Text Revision, DSM-5 Diagnostic and Statistical Manual of Mental Disorder, fifth edition