Andrea S Hartmann1, Mark J Gorman1, Stephanie Sogg1, Evan M Lamont1, Kamryn T Eddy1, Anne E Becker1, Jennifer J Thomas1. 1. 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.
Abstract
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.
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.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Katharina Olbrich; Barbara Mühlhans; Kelly C Allison; Eckhart G Hahn; Simin Pour Schahin; Martina de Zwaan Journal: Eur Eat Disord Rev Date: 2009-03
Authors: Jennifer J Thomas; Katherine A Koh; Kamryn T Eddy; Andrea S Hartmann; Helen B Murray; Mark J Gorman; Stephanie Sogg; Anne E Becker Journal: J Obes Date: 2014-06-26
Authors: Eve T House; Natalie B Lister; Anna L Seidler; Haozhen Li; Wee Yee Ong; Caitlin M McMaster; Susan J Paxton; Hiba Jebeile Journal: Int J Eat Disord Date: 2022-07-09 Impact factor: 5.791