Validation of the EDDS-5 self-report survey against the SCID-5 diagnostic interview in US veterans

IF 2.4 3区医学 Q2 PSYCHIATRY Eating behaviors Pub Date : 2024-01-01 DOI:10.1016/j.eatbeh.2024.101846

Shira Maguen , Adam Batten , Sarah E. Siegel , Joy Huggins , Jennifer L. Snow , Lindsay M. Fenn , Alexandra M. Dick , Christiane Zenteno , Anna C. West , Robin M. Masheb

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Abstract

The aim of our study was to validate the Eating Disorder Diagnostic Scale (EDDS-5) updated for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) with a diverse veteran population against a clinician-administered interview based on the Structured Clinical Interview for DSM-5 (SCID-5). Our sample included 343 veterans, 18–75 years, recruited April 2019 to December 2022 who completed the EDDS-5 as well as other eating disorder and mental health measures. A subsample of these veterans received clinical interviews (n = 166), which were used to validate the EDDS-5. We found that despite multiple proposed modifications, the EDDS-5 performed poorly at correctly identifying diverse veterans who were diagnosed as having eating disorders through clinician-administered interviews. The sensitivity was very low, indicating that using the EDDS-5 did not identify many true positives and may also over diagnose those without true eating disorders. The EDDS-5 may not be the best for screening or diagnostic purposes among diverse samples like veterans.

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对照 SCID-5 诊断访谈验证美国退伍军人 EDDS-5 自我报告调查

我们研究的目的是根据基于 DSM-5 结构化临床访谈（SCID-5）的临床医生管理访谈，在不同退伍军人群体中验证根据《精神疾病诊断与统计手册》第五版（DSM-5）更新的进食障碍诊断量表（EDDS-5）。我们的样本包括 2019 年 4 月至 2022 年 12 月招募的 343 名 18-75 岁退伍军人，他们完成了 EDDS-5 以及其他饮食失调和心理健康测量。这些退伍军人中的一个子样本接受了临床访谈（n = 166），用于验证 EDDS-5。我们发现，尽管提出了多项修改建议，但 EDDS-5 在正确识别通过临床医生主持的访谈被诊断为饮食失调的不同退伍军人方面表现不佳。灵敏度非常低，这表明使用 EDDS-5 无法识别出很多真正的阳性患者，也可能会过度诊断出那些没有真正饮食失调的患者。EDDS-5 可能不是对退伍军人等不同样本进行筛查或诊断的最佳工具。

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来源期刊

Eating behaviors Multiple-

CiteScore

4.20

自引率

3.60%

发文量

审稿时长

60 days

期刊介绍： Eating Behaviors is an international peer-reviewed scientific journal publishing human research on the etiology, prevention, and treatment of obesity, binge eating, and eating disorders in adults and children. Studies related to the promotion of healthy eating patterns to treat or prevent medical conditions (e.g., hypertension, diabetes mellitus, cancer) are also acceptable. Two types of manuscripts are encouraged: (1) Descriptive studies establishing functional relationships between eating behaviors and social, cognitive, environmental, attitudinal, emotional or biochemical factors; (2) Clinical outcome research evaluating the efficacy of prevention or treatment protocols.