Prim Care Companion CNS Disord 2014;16(5):doi:10.4088/PCC.14m01665
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Article Abstract
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.