Effect of ChatGPT use on eating disorders and body image

Table 7 Possible misleading situations in diagnosing eating disorders in DSM-V using Chat Generative Pre-trained Transformer

Eating disorder type	Situations with potential for confusion according to criteria in DSM-V
AN	Whether or not there is significant weight loss can make it challenging to diagnose AN and atypical AN
BN	Vomiting or laxative use may occur with anorexia, which can make the diagnosis of BN difficult
	The frequency and duration of vomiting are essential in BN; otherwise, it is classified as OSFED. In this case, there is a high probability of confusion
AN-BN	Purging behaviors are seen in both anorexia and bulimia nervosa, which may lead to confusion of the diagnosis of purging disorder with AN or BN
BED	Binge eating disorder is classified as OSFED when less than once a week and/or for less than 3 months
	It is said that bipolar disorder and binge eating disorder occur together, which may cause binge eating symptoms to be ignored and treatment to be started late in people with bipolar disorder

AN: Anorexia Nervosa; BN: Bulimia Nervosa; BED: Binge eating disorder; OSFED: Other specified feeding and eating disorders.