Screening for DSM-5 other specified feeding or eating disorder in a weight-loss treatment–seeking obese sample
Autor(en): | Hartmann, A.S. Gorman, M.J. Sogg, S. Lamont, E.M. Eddy, K.T. Becker, A.E. Thomas, J.J. |
Stichwörter: | adult; area under the curve; Article; binge eating disorder; bulimia; clinical effectiveness; disease severity; DSM-5; eating disorder; female; food intake; health care survey; human; major clinical study; male; middle aged; obesity; prevalence; psychologist; questionnaire; sensitivity and specificity; Structured Clinical Interview for DSM Disorders; weight loss program | Erscheinungsdatum: | 2014 | Herausgeber: | Physicians Postgraduate Press Inc. | Journal: | Primary Care Companion to the Journal of Clinical Psychiatry | Volumen: | 16 | Ausgabe: | 5 | Zusammenfassung: | Objective: To evaluate the effectiveness of specific self-report questionnaires in detecting DSM-5 eating disorders identified via structured clinical interview in a weight-loss treatment–seeking obese sample, to improve eating disorder recognition in general clinical settings. Method: Individuals were recruited over a 3-month period (November 2, 2011, to January 10, 2012) when initially presenting to a hospital-based weight-management center in the northeastern United States, which offers evaluation and treatment for outpatients who are overweight or obese. Participants (N = 100) completed the Structured Clinical Interview for DSM-IV eating disorder module, a DSM-5 feeding and eating disorders interview, and a battery of self-report questionnaires. Results: Self-reports and interviews agreed substantially in the identification of bulimia nervosa (DSM-IV and DSM-5: tau-b = 0.71, P<.001) and binge-eating disorder (DSM-IV and DSM-5: tau-b = 0.60, P<.001), modestly for subthreshold binge-eating disorder (tau-b = 0.44, P<.001), and poorly for other subthreshold conditions (night-eating syndrome: tau-b = –0.04, P = .72, r = 0.06 [DSM-5]). Discussion: Current self-report assessments are likely to identify full syndrome DSM-5 eating disorders in treatment-seeking obese samples, but unlikely to detect DSM-5 other specified feeding or eating disorders. We propose specific content changes that might enhance clinical utility as suggestions for future evaluation. © 2014, Physicians Postgraduate Press, Inc. |
ISSN: | 15235998 | DOI: | 10.4088/PCC.14m01665 | Externe URL: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939464131&doi=10.4088%2fPCC.14m01665&partnerID=40&md5=c1c09284b14477ee0cdc4bbfd05e643f |
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geprüft am 17.05.2024