Screening for DSM-5 Other Specified Feeding or Eating Disorder in a Weight-Loss Treatment-Seeking Obese Sample

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2014
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Gorman, Mark J.
Sogg, Stephanie
Lamont, Evan M.
Eddy, Kamryn T.
Becker, Anne E.
Thomas, Jennifer J.
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The primary care companion for CNS disorders. Physicians Postgraduate Press. 2014, 16(5). ISSN 2155-7772. eISSN 2155-7780. Available under: doi: 10.4088/PCC.14m01665
Zusammenfassung

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.

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ISO 690HARTMANN, Andrea S., Mark J. GORMAN, Stephanie SOGG, Evan M. LAMONT, Kamryn T. EDDY, Anne E. BECKER, Jennifer J. THOMAS, 2014. Screening for DSM-5 Other Specified Feeding or Eating Disorder in a Weight-Loss Treatment-Seeking Obese Sample. In: The primary care companion for CNS disorders. Physicians Postgraduate Press. 2014, 16(5). ISSN 2155-7772. eISSN 2155-7780. Available under: doi: 10.4088/PCC.14m01665
BibTex
@article{Hartmann2014Scree-55652,
  year={2014},
  doi={10.4088/PCC.14m01665},
  title={Screening for DSM-5 Other Specified Feeding or Eating Disorder in a Weight-Loss Treatment-Seeking Obese Sample},
  number={5},
  volume={16},
  issn={2155-7772},
  journal={The primary care companion for CNS disorders},
  author={Hartmann, Andrea S. and Gorman, Mark J. and Sogg, Stephanie and Lamont, Evan M. and Eddy, Kamryn T. and Becker, Anne E. and Thomas, Jennifer J.}
}
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