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
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
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