Diagnosing eating disorders in adolescents: A comparison of the eating disorder examination and the development and well-being assessment
Diagnosing eating disorders in adolescents: A comparison of the eating disorder examination and the development and well-being assessment
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DOI：
10.1002/eat.20528
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发表时间：
2008-09-01
影响因子：
5.5
通讯作者：
Micali, Nadia
中科院分区：
文献类型：
--
作者：
House, Jennifer;Eisler, Ivan;Micali, Nadia
目的：比较进食障碍检查（EDE）与在线发展与幸福评估（DAWBA）的档案诊断特性。中度（K = 0.59）， DAWBA与EDE诊断的一致性尚可（K = 0.21），临床诊断与EDE诊断的一致性较差（K = 0.10）。在临床评估为病例的20名参与者（占样本的35%）中，EDE没有发现饮食失调。方法：57名青少年（平均年龄15.7岁）在一家饮食失调专科诊所连续接受评估，完成了DAWBA、EDE和一项多学科学习的标准临床评估。Cohen’s Kappas被用来对三种评估产生的诊断进行两两比较。结果：临床诊断为神经性厌食症（n = 30）、进食障碍（n = 21）或无进食障碍（n = 6）。结论：采用多信息者的计算机测量方法可能比单独访谈更适合评估青少年神经性厌食症或饮食失调症的临床样本。Wiley期刊公司2008年出版。
Objective: To compare file diagnostic properties of the Eating Disorder Examination (EDE) and the online version of the Development and Well-Being Assessment (DAWBA). moderate (K = 0.59), agreement between the DAWBA and EDE diagnoses was fair (K,= 0.21), and agreement between the clinical and EDE diagnoses was poor (K = 0.10). The EDE did not identify an eating disorder in 20 participants (35% of the sample) who were clinically assessed as cases.Method: Fifty-Seven adolescents (mean age 15.7 years) who attended consecutive assessments at a specialist eating disorders clinic completed the DAWBA, the EDE, and a standard clinical assessment with a multidisciplinary learn. Cohen's Kappas were used to make pairwise comparisons between the diagnoses generated by the three assessments.Results: Participants had anorexia nervosa (n = 30), eating disorders NOS (n = 21) or no eating disorder (n = 6) according to the clinical diagnosis. Agreement between the clinical an(] DAWBA diagnoses wasConclusion: Computerized measures using Multiple informants may he more suitable for assessing clinical samples of adolescents with anorexia nervosa or eating disorders NOS than individual interviews with young people. 0 2008 by Wiley Periodicals, Inc.