Can a Short Screening Tool Discriminate Between Overeating and Binge Eating in Treatment-Seeking Individuals with Obesity?
Can a Short Screening Tool Discriminate Between Overeating and Binge Eating in Treatment-Seeking Individuals with Obesity?
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DOI：
10.1002/oby.23128
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Juarascio A
中科院分区：
文献类型：
--
作者：
Manasse SM;Michael ML;Lin M;Gillikin L;Zhang F;Forman EM;Juarascio A
现有的筛查工具不足以区分超重或肥胖寻求治疗的个体中的暴饮暴食与规范性暴饮暴食，因为这些个体倾向于在自我报告措施中报告失控（暴饮暴食的标志性特征）。为了使治疗中心能够有效和准确地识别谁将受益于专业治疗的个人，这是至关重要的，以开发有效的简短筛选工具。本研究探讨了一个自我报告筛选设计用于门诊治疗中心的大规模的敏感性和特异性。参与者是超重或肥胖的寻求治疗的个体（N = 364），他们接受了筛查，并完成了随后的访谈，评估了肥胖和暴食。判别分析显示，筛选器在预测临床医生评估的暴食症方面实现了77.6%的灵敏度和77.0%的特异性，在预测“全阈值”暴食症（即，在过去3个月内≥12次客观的大暴食发作）。事后分析表明，男性参与者更有可能被错误分类与筛选。自我报告筛选者表现出令人满意的预测能力，这是值得注意的，因为区分过度饮食和正常饮食的挑战。然而，仍有改进的余地。特别是，纳入额外的筛选项目，更充分地捕捉暴饮暴食的经验，在男性是必要的。
Existing screening tools are inadequate in differentiating binge eating from normative overeating in treatment-seeking individuals with overweight or obesity, as these individuals tend to overendorse loss-of-control (LOC; the hallmark characteristic of binge eating) on self-report measures. In order for treatment centers to efficiently and accurately identify individuals who would benefit from specialized treatment, it is critical to develop effective brief screening tools. This study examined the sensitivity and specificity of a self-report screener designed to be used by an outpatient treatment center on a large scale. Participants were treatment-seeking individuals (N = 364) with overweight or obesity who were administered the screener and who completed a subsequent interview assessing for LOC and binge eating. Discriminant analyses revealed that the screener achieved 77.6% sensitivity and 77.0% specificity in predicting clinician-assessed LOC and 75.2% sensitivity and 74.1% specificity in predicting “full-threshold” binge eating (i.e., ≥12 objectively large binge-eating episodes within the past 3 months). Post hoc analyses indicated that male participants were more likely to be misclassified with the screener. The self-report screener demonstrated satisfactory predictive ability, which is notable given the challenges of discriminating between LOC and normative overeating. However, room for improvement remains. In particular, the inclusion of additional screener items that more fully capture the binge-eating experience in males is warranted.
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DOI：
10.1007/s40519-020-01002-6
发表时间：
2020-09-12
影响因子：
2.9
作者：
Everett, Valerie S.;Crochiere, Rebecca J.;Forman, Evan M.
通讯作者：
Forman, Evan M.
影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
5.5
作者：
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通讯作者：
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影响因子：
5.5
作者：
Vannucci, Anna;Theim, Kelly R.;Taylor, C. Barr
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Taylor, C. Barr