Reliability of self-reported eating disorders: Optimizing population screening
Reliability of self-reported eating disorders: Optimizing population screening
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DOI：
10.1002/eat.20277
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发表时间：
2006-12-01
影响因子：
5.5
通讯作者：
Kaprio, Jaakko
中科院分区：
文献类型：
--
作者：
Keski-Rahkonen, Anna;Sihvola, Elina;Kaprio, Jaakko
目的：本研究的目的是评估简短的自我报告进食障碍筛查问题是否是一种有用的人群筛查方法。方法：我们从1975-1079年出生的芬兰双胞胎队列中筛选女性参与者(N=2881)，使用几个简短的筛查问题和三个进食障碍问卷(EDI)子量表。将这些方法与临床医生进行的半结构化诊断访谈(N=549)进行比较，计算它们对厌食症和暴食症的敏感度和特异度，并绘制受试者操作特征曲线以进一步比较这些项目。结果：对于当前和终生暴食症，通过解决排泄行为，在敏感度和特异度之间达到了最佳的折衷。对于目前和终生的厌食症，问题是“你有过厌食症吗”和“有人怀疑过你可能有饮食失调吗？”敏感度和特异度之间的优化权衡。结论：简单的筛查问题虽然不够理想，但至少与其他可用于社区筛查的工具一样好。(C)威利期刊公司2006年出版。
Objective: The objective of this study was to assess whether short self-report eating disorder screening questions are useful population screening methods.Method: We screened the female participants (N = 2881) from the 1975-1079 birth cohorts of Finnish twins for eating disorders, using several short screening questions and three Eating Disorder Inventory (EDI) subscales. Comparing these measures with clinician-conducted semi-structured diagnostic interviews (N = 549) of Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) anorexia and bulimia, we calculated their sensitivities and specificities and drew receiver operating characteristic curves to further compare these items.Results: For current and lifetime bulimia, best tradeoffs between sensitivity and specificity were reached by addressing purging behaviors. For current and lifetime anorexia, the questions "Have you ever had anorexia" and "Has anybody ever suspected that you might have an eating disorder?" optimized tradeoffs between sensitivity and specificity. These questions generally outperformed EDI subscales.Conclusion: Simple screening questions, although less than ideal, are at least as good as other available instruments for community screenings. (c) 2006 by Wiley Periodicals, Inc.