Shira Maguen1, Claire Hebenstreit2, Yongmei Li3, Julie V Dinh3, Rosemary Donalson3, Sarah Dalton2, Emma Rubin3, Robin Masheb4. 1. San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA 94121, United States; University of California, San Francisco, 505 Parnassus Ave, San Francisco, CA 94143, United States. Electronic address: Shira.Maguen@va.gov. 2. San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA 94121, United States; University of California, San Francisco, 505 Parnassus Ave, San Francisco, CA 94143, United States. 3. San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA 94121, United States. 4. Department of Psychiatry, Yale School of Medicine, United States; VA Connecticut Healthcare System, United States.
Abstract
OBJECTIVE: To develop a primary care eating disorder screen with greater accuracy and greater potential for generalizability, compared to existing screens. DESIGN: Cross-sectional survey to assess discriminative accuracy of a new screen, Screen for Disordered Eating (SDE), compared to Eating Disorders Screen for Primary Care (EDS-PC) and SCOFF screener, using prevalence rates of Binge Eating Disorder (BED), Bulimia Nervosa (BN), Anorexia Nervosa (AN), and Any Eating Disorder (AED), as measured by the Eating Disorder Examination Questionnaire (EDE-Q). RESULTS: The SDE correctly classified 87.2% (CI: 74.3%-95.2%) of BED cases, all cases of BN and AN, and 90.5% (CI: 80.4%-96.4%) of AED cases. Sensitivity estimates were higher than the SCOFF, which correctly identified 69.6% (CI: 54.2%-82.3%) of BED, 77.8% (CI: 40.0%-97.2%) of BN, 37.5% (CI: 8.52%-75.5%) of AN, and 66.1% (CI: 53%-77.7%) of AED. While the EDS-PC had slightly higher sensitivity than the SDE, the SDE had better specificity. The SDE outperformed the SCOFF in classifying true cases, the EDS-PC in classifying true non-cases, and the EDS-PC in distinguishing cases from non-cases. CONCLUSIONS: The SDE is the first screen, inclusive of BED, valid for detecting eating disorders in primary care. Findings have broad implications to address eating disorder screening in primary care settings. Published by Elsevier Inc.
OBJECTIVE: To develop a primary care eating disorder screen with greater accuracy and greater potential for generalizability, compared to existing screens. DESIGN: Cross-sectional survey to assess discriminative accuracy of a new screen, Screen for Disordered Eating (SDE), compared to Eating Disorders Screen for Primary Care (EDS-PC) and SCOFF screener, using prevalence rates of Binge Eating Disorder (BED), Bulimia Nervosa (BN), Anorexia Nervosa (AN), and Any Eating Disorder (AED), as measured by the Eating Disorder Examination Questionnaire (EDE-Q). RESULTS: The SDE correctly classified 87.2% (CI: 74.3%-95.2%) of BED cases, all cases of BN and AN, and 90.5% (CI: 80.4%-96.4%) of AED cases. Sensitivity estimates were higher than the SCOFF, which correctly identified 69.6% (CI: 54.2%-82.3%) of BED, 77.8% (CI: 40.0%-97.2%) of BN, 37.5% (CI: 8.52%-75.5%) of AN, and 66.1% (CI: 53%-77.7%) of AED. While the EDS-PC had slightly higher sensitivity than the SDE, the SDE had better specificity. The SDE outperformed the SCOFF in classifying true cases, the EDS-PC in classifying true non-cases, and the EDS-PC in distinguishing cases from non-cases. CONCLUSIONS: The SDE is the first screen, inclusive of BED, valid for detecting eating disorders in primary care. Findings have broad implications to address eating disorder screening in primary care settings. Published by Elsevier Inc.
Authors: Liana Abascal; Alyssa Vela; Steve Sugden; Samuel Kohlenberg; April Hirschberg; Allison Young; Karen Lane; Gia Merlo Journal: Am J Lifestyle Med Date: 2022-06-03
Authors: Kyle T Ganson; Deborah Mitchison; Rachel F Rodgers; Mitchell L Cunningham; Stuart B Murray; Jason M Nagata Journal: Eat Weight Disord Date: 2021-05-22 Impact factor: 4.652