Screening for DSM-5 Other Specified Feeding or Eating Disorder in a Weight-Loss Treatment-Seeking Obese Sample

Autor(en): Hartmann, Andrea S. 
Gorman, Mark J.
Sogg, Stephanie
Lamont, Evan M.
Eddy, Kamryn T.
Becker, Anne E.
Thomas, Jennifer Joanne
Affiliationen: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann)
Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont)
and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts. Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann)
Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont)
and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts. Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann)
Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont)
and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts. Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann)
Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont)
and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts. Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann)
Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont)
and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts. Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann)
Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont)
and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts. Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann)
Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont)
and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
Erscheinungsdatum: 2014
Journal: Primary Care Companion of CNS Disorders
Volumen: 16
Ausgabe: 5
Startseite: -
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.
ISSN: 2155-7772
DOI: 10.4088/PCC.14m01665
Externe URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4321015

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