Other Specified Eating Disorder (OSFED)

OSFED stands for 'other specified feeding or eating disorder'. People with OSFED have symptoms that are similar to one or more eating disorders, but may not meet all the criteria for these conditions. 'Other' eating disorders include anorexia nervosa, bulimia nervosa and binge eating disorder. Diagnostic Criteria
This category applies to presentations in which symptoms characteristic of a feeding and eating disorder that cause clinically significant distress or impairment in social, occupation¬ al, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the feeding and eating disorders diagnostic class. The other specified feeding or eating disorder category is used in situations in which the clinician chooses to communicate the specific reason that the presentation does not meet the criteria for any specific feeding and eating disorder. This is done by recording “other specified feeding or eating disorder” followed by the specific reason (e.g., “bulimia nervosa of low frequency”).

Examples of presentations that can be specified using the “other specified” designation include the following:

1 . Atypical anorexia nervosa: All of the criteria for anorexia nervosa are met, except that despite significant weight loss, the individual’s weight is within or above the normal range.

  1. Bulimia nervosa (of low frequency and/or limited duration): All of the criteria for bulimia nervosa are met, except that the binge eating and inappropriate compensatory behaviors occur, on average, less than once a week and/or for less than 3 months.
  2. Binge-eating disorder (of low frequency and/or limited duration): All of the criteria for binge-eating disorder are met, except that the binge eating occurs, on average, less than once a week and/or for less than 3 months.
  3. Purging disorder: Recurrent purging behavior to influence weight or shape (e.g., selfinduced vomiting; misuse of laxatives, diuretics, or other medications) in the absence of binge eating.

Night eating syndrome: Recurrent episodes of night eating, as manifested by eating after awakening from sleep or by excessive food consumption after the evening meal. There is awareness and recall of the eating. The night eating is not better explained by external influences such as changes in the individual’s sleep-wake cycle or by local so¬ cial norms. The night eating causes significant distress and/or impairment in function¬ ing. The disordered pattern of eating is not better explained by binge-eating disorder or another mental disorder, including substance use, and is not attributable to another medical disorder or to an effect of medication.

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Pub: 24 Mar 2024 03:05 UTC

Edit: 02 Jun 2024 16:44 UTC

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