A screening tool for detecting eating disorder risk and diagnostic symptoms among college-age women.

A screening tool for detecting eating disorder risk and diagnostic symptoms among college-age women.
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DOI:
10.1080/07448481.2018.1483936
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发表时间:
2019-05
期刊:
Journal of American college health : J of ACH
影响因子:
--
通讯作者:
Taylor CB
Taylor CB
中科院分区:
其他
文献类型:
--
作者:
Graham AK;Trockel M;Weisman H;Fitzsimmons-Craft EE;Balantekin KN;Wilfley DE;Taylor CB

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由于饮食失调(ED)经常出现在大学期间,管理ED将理想地结合预防和治疗。为了实现这一目标,需要一种有效的工具来检测临床症状和风险水平。本研究评估了一个屏幕的性能,旨在确定个人的风险或ED。549名大学年龄的妇女。参与者完成了筛查和诊断访谈。使用简约阈值诊断艾德,筛选灵敏度范围为0.90(神经性厌食症)至0.55(净化障碍)。与诊断访谈相比,特异性范围为0.99(神经性厌食症)至0.78(阈下暴食症)。观察到中至高曲线下面积值。该屏幕具有高灵敏度检测高风险。该屏幕识别处于风险中的学生,并且对于识别大多数艾德诊断具有可接受的灵敏度和特异性。该工具对于建立艾德干预的阶梯式护理模式至关重要。
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. Five hundred forty-nine college-age women. Participants completed a screen and diagnostic interview. 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. 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.
DOI: 10.1002/eat.22680
发表时间: 2017-03-01
影响因子: 5.5
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