Andrea K Graham1, Mickey Trockel2, Hannah Weisman3, Ellen E Fitzsimmons-Craft4, Katherine N Balantekin5, Denise E Wilfley4, C Barr Taylor2,6. 1. a Department of Medical Social Sciences , Feinberg School of Medicine, Northwestern University , Chicago , Illnois , USA. 2. b Department of Psychiatry , Stanford University School of Medicine , Palo Alto , California , USA. 3. c Department of Psychology , University of California , Santa Barbara, Santa Barbara , California , USA. 4. d Department of Psychiatry , Washington University School of Medicine , St. Louis , Missouri , USA. 5. e Department of Exercise and Nutrition Sciences , University at Buffalo , Buffalo , New York , USA. 6. f Center for m2Health, Palo Alto University , Palo Alto , California , USA.
Abstract
Objective: As eating disorders (EDs) often emerge during college, managing EDs would ideally integrate prevention and treatment. To achieve this goal, an efficient tool is needed that detects clinical symptoms and level of risk. This study evaluated the performance of a screen designed to identify individuals at risk for or with an ED. Participants: Five hundred forty-nine college-age women. Methods: Participants completed a screen and diagnostic interview. Results: Using parsimonious thresholds for ED diagnoses, screen sensitivity ranged from 0.90 (anorexia nervosa) to 0.55 (purging disorder). Specificity ranged from 0.99 (anorexia nervosa) to 0.78 (subthreshold binge eating disorder) compared to diagnostic interview. Moderate to high area under the curve values were observed. The screen had high sensitivity for detecting high risk. Conclusions: The screen identifies students at risk and has acceptable sensitivity and specificity for identifying most ED diagnoses. This tool is critical for establishing stepped care models for ED intervention.
Objective: As eating disorders (EDs) often emerge during college, managing EDs would ideally integrate prevention and treatment. To achieve this goal, an efficient tool is needed that detects clinical symptoms and level of risk. This study evaluated the performance of a screen designed to identify individuals at risk for or with an ED. Participants: Five hundred forty-nine college-age women. Methods:Participants completed a screen and diagnostic interview. Results: Using parsimonious thresholds for ED diagnoses, screen sensitivity ranged from 0.90 (anorexia nervosa) to 0.55 (purging disorder). Specificity ranged from 0.99 (anorexia nervosa) to 0.78 (subthreshold binge eating disorder) compared to diagnostic interview. Moderate to high area under the curve values were observed. The screen had high sensitivity for detecting high risk. Conclusions: The screen identifies students at risk and has acceptable sensitivity and specificity for identifying most ED diagnoses. This tool is critical for establishing stepped care models for ED intervention.
Authors: Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Dawn M Eichen; Andrea K Graham; Grace E Monterubio; Shiri Sadeh-Sharvit; Neha J Goel; Rachael E Flatt; Kristina Saffran; Anna M Karam; Marie-Laure Firebaugh; Mickey Trockel; C Barr Taylor; Denise E Wilfley Journal: Int J Eat Disord Date: 2019-07-03 Impact factor: 4.861
Authors: Ellen E Fitzsimmons-Craft; Marie-Laure Firebaugh; Andrea K Graham; Dawn M Eichen; Grace E Monterubio; Katherine N Balantekin; Anna M Karam; Annie Seal; Burkhardt Funk; C Barr Taylor; Denise E Wilfley Journal: Psychol Serv Date: 2018-11-08
Authors: Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Andrea K Graham; Lauren Smolar; Dan Park; Claire Mysko; Burkhardt Funk; C Barr Taylor; Denise E Wilfley Journal: Int J Eat Disord Date: 2019-02-13 Impact factor: 4.861
Authors: Grace E Monterubio; Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Shiri Sadeh-Sharvit; Neha J Goel; Olivia Laing; Marie-Laure Firebaugh; Rachael E Flatt; Patricia Cavazos-Rehg; C Barr Taylor; Denise E Wilfley Journal: Int J Eat Disord Date: 2020-09-11 Impact factor: 4.861
Authors: Ellen E Fitzsimmons-Craft; Anna M Karam; Grace E Monterubio; C Barr Taylor; Denise E Wilfley Journal: Curr Psychiatry Rep Date: 2019-09-14 Impact factor: 5.285
Authors: Ellen E Fitzsimmons-Craft; Dawn M Eichen; Grace E Monterubio; Marie-Laure Firebaugh; Neha J Goel; C Barr Taylor; Denise E Wilfley Journal: Eat Disord Date: 2019-05-20 Impact factor: 3.222
Authors: Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Andrea K Graham; Bianca DePietro; Olivia Laing; Marie-Laure Firebaugh; Lauren Smolar; Dan Park; Claire Mysko; Burkhardt Funk; C Barr Taylor; Denise E Wilfley Journal: Int J Eat Disord Date: 2020-06-16 Impact factor: 4.861