Screening for DSM-5 Other Specified Feeding or Eating Disorder in a Weight-Loss Treatment-Seeking Obese Sample.
Screening for DSM-5 Other Specified Feeding or Eating Disorder in a Weight-Loss Treatment-Seeking Obese Sample.
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DOI：
10.4088/pcc.14m01665
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发表时间：
2014-01-01
影响因子：
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通讯作者：
Thomas, Jennifer J
中科院分区：
文献类型：
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作者：
Hartmann, Andrea S;Gorman, Mark J;Thomas, Jennifer J
目的：评估特定的自我报告问卷在检测DSM-5饮食失调中的有效性，通过结构化临床访谈在寻求减肥治疗的肥胖样本中识别出饮食失调，以提高一般临床环境中的饮食失调识别。方法：在3个月期间招募了个人（2011年11月2日至2012年1月10日），最初向美国东北部的一家医院体重管理中心提出，该中心为超重或肥胖的门诊患者提供评估和治疗。参与者（N = 100）完成了DSM-IV进食障碍模块的结构化临床访谈，DSM-5喂养和进食障碍访谈，以及一系列自我报告问卷。结果：自我报告和访谈在识别神经性贪食症方面基本一致（DSM-4和DSM-5：tau-b = 0.71，P < .001）和暴食症（DSM-4和DSM-5：tau-b = 0.60，P < .001），中度为阈下暴食症（tau-b = 0.44，P < .001），其他阈下条件较差（夜食综合征：tau-b =-0.04，P = 0.72，r = 0.06 [DSM-5]）。目前的自我报告评估可能会在寻求治疗的肥胖样本中识别出完整的DSM-5饮食失调综合征，但不太可能检测到DSM-5其他特定的喂养或进食障碍。我们提出了可能增强临床实用性的具体内容变更，作为未来评估的建议。
OBJECTIVE: To evaluate the effectiveness of specific self-report questionnaires in detecting DSM-5 eating disorders identified via structured clinical interview in a weight-loss treatment-seeking obese sample, to improve eating disorder recognition in general clinical settings.METHOD: Individuals were recruited over a 3-month period (November 2, 2011, to January 10, 2012) when initially presenting to a hospital-based weight-management center in the northeastern United States, which offers evaluation and treatment for outpatients who are overweight or obese. Participants (N = 100) completed the Structured Clinical Interview for DSM-IV eating disorder module, a DSM-5 feeding and eating disorders interview, and a battery of self-report questionnaires.RESULTS: Self-reports and interviews agreed substantially in the identification of bulimia nervosa (DSM-IV and DSM-5: tau-b = 0.71, P < .001) and binge-eating disorder (DSM-IV and DSM-5: tau-b = 0.60, P < .001), modestly for subthreshold binge-eating disorder (tau-b = 0.44, P < .001), and poorly for other subthreshold conditions (night-eating syndrome: tau-b = -0.04, P = .72, r = 0.06 [DSM-5]).DISCUSSION: Current self-report assessments are likely to identify full syndrome DSM-5 eating disorders in treatment-seeking obese samples, but unlikely to detect DSM-5 other specified feeding or eating disorders. We propose specific content changes that might enhance clinical utility as suggestions for future evaluation.