OBJECTIVE: Develop a brief, patient-reported screening tool designed to identify individuals with probable binge-eating disorder (BED) for further evaluation or referral to specialists. METHODS: Items were developed on the basis of the DSM-5 diagnostic criteria, existing tools, and input from 3 clinical experts (January 2014). Items were then refined in cognitive debriefing interviews with participants self-reporting BED characteristics (March 2014) and piloted in a multisite, cross-sectional, prospective, noninterventional study consisting of a semistructured diagnostic interview (to diagnose BED) and administration of the pilot Binge-Eating Disorder Screener (BEDS), Binge Eating Scale (BES), and RAND 36-Item Short-Form Health Survey (RAND-36) (June 2014-July 2014). The sensitivity and specificity of classification algorithms (formed from the pilot BEDS item-level responses) in predicting BED diagnosis were evaluated. The final algorithm was selected to minimize false negatives and false positives, while utilizing the fewest number of BEDS items. RESULTS: Starting with the initial BEDS item pool (20 items), the 13-item pilot BEDS resulted from the cognitive debriefing interviews (n = 13). Of the 97 participants in the noninterventional study, 16 were diagnosed with BED (10/62 female, 16%; 6/35 male, 17%). Seven BEDS items (BEDS-7) yielded 100% sensitivity and 38.7% specificity. Participants correctly identified (true positives) had poorer BES scores and RAND-36 scores than participants identified as true negatives. CONCLUSIONS: Implementation of the brief, patient-reported BEDS-7 in real-world clinical practice is expected to promote better understanding of BED characteristics and help physicians identify patients who may have BED.
OBJECTIVE: Develop a brief, patient-reported screening tool designed to identify individuals with probable binge-eating disorder (BED) for further evaluation or referral to specialists. METHODS: Items were developed on the basis of the DSM-5 diagnostic criteria, existing tools, and input from 3 clinical experts (January 2014). Items were then refined in cognitive debriefing interviews with participants self-reporting BED characteristics (March 2014) and piloted in a multisite, cross-sectional, prospective, noninterventional study consisting of a semistructured diagnostic interview (to diagnose BED) and administration of the pilot Binge-Eating Disorder Screener (BEDS), Binge Eating Scale (BES), and RAND 36-Item Short-Form Health Survey (RAND-36) (June 2014-July 2014). The sensitivity and specificity of classification algorithms (formed from the pilot BEDS item-level responses) in predicting BED diagnosis were evaluated. The final algorithm was selected to minimize false negatives and false positives, while utilizing the fewest number of BEDS items. RESULTS: Starting with the initial BEDS item pool (20 items), the 13-item pilot BEDS resulted from the cognitive debriefing interviews (n = 13). Of the 97 participants in the noninterventional study, 16 were diagnosed with BED (10/62 female, 16%; 6/35 male, 17%). Seven BEDS items (BEDS-7) yielded 100% sensitivity and 38.7% specificity. Participants correctly identified (true positives) had poorer BES scores and RAND-36 scores than participants identified as true negatives. CONCLUSIONS: Implementation of the brief, patient-reported BEDS-7 in real-world clinical practice is expected to promote better understanding of BED characteristics and help physicians identify patients who may have BED.
Authors: Sara E Trace; Laura M Thornton; Tammy L Root; Suzanne E Mazzeo; Paul Lichtenstein; Nancy L Pedersen; Cynthia M Bulik Journal: Int J Eat Disord Date: 2011-08-31 Impact factor: 4.861
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Authors: Molly R Davies; Gursharan Kalsi; Chérie Armour; Ian R Jones; Andrew M McIntosh; Daniel J Smith; James T R Walters; John R Bradley; Nathalie Kingston; Sofie Ashford; Ioana Beange; Anamaria Brailean; Anthony J Cleare; Jonathan R I Coleman; Charles J Curtis; Susannah C B Curzons; Katrina A S Davis; Le Roy C Dowey; Victor A Gault; Kimberley A Goldsmith; Megan Hammond Bennett; Yoriko Hirose; Matthew Hotopf; Christopher Hübel; Carola Kanz; Jennifer Leng; Donald M Lyall; Bethany D Mason; Monika McAtarsney-Kovacs; Dina Monssen; Alexei Moulton; Nigel Ovington; Elisavet Palaiologou; Carmine M Pariante; Shivani Parikh; Alicia J Peel; Ruth K Price; Katharine A Rimes; Henry C Rogers; Jennifer Sambrook; Megan Skelton; Anna Spaul; Eddy L A Suarez; Bronte L Sykes; Keith G Thomas; Allan H Young; Evangelos Vassos; David Veale; Katie M White; Janet Wingrove; Thalia C Eley; Gerome Breen Journal: Behav Res Ther Date: 2019-10-24