Screening for eating disorders: false negatives and eating disorders not otherwise specified
Eur. j. psychiatry
; 20(1): 13-20, ene.-mar. 2006. tab, graf
Artigo
em En
| IBECS
| ID: ibc-054225
Biblioteca responsável:
ES1.1
Localização: ES1.1 - BNCS
RESUMEN
No disponible
ABSTRACT
Objective:
To study the problem of false negatives in the screening for eating disorders. Subjects andMethods:
We administered the Eating Attitudes Test (EAT40) and the Eating Disorder Inventory (EDI) to 186 Italian female students (age 17.68 ± 0.9; BMI 20.84 ± 2.69). Then we submitted not only high-scorers but also all the subjects to a semi-structured diagnostic interview (Eating Disorder Examination - EDE 12.0D). The diagnosis of eating disorders not otherwise specified (EDNOS) was applied to cases which met all the DSM-IV criteria for AN and/or BN with one exception.Results:
17 girls (9.1 percents) fulfilled diagnostic criteria for eating disorders 1 bulimia nervosa full-syndrome and 16 EDNOS. Of the 17 girls 11 were EAT low-scorers (< 30) and 8 were EDI low-scorers (< 50); 5 subjects scored below the cutoff on both instruments. We calculated sensitivity (35.3 percents), specificity (88.8 percents), positive predictive value (PPV, 24.0 percents) and negative predictive value (NPV, 93.2 percents) of the EAT40; the respective values for the EDI were 52.9 percents (sensitivity), 85.2 percents (specificity), 26.4 percents (PPV) and 94.7 percents (NPV). Discussion andConclusion:
Our data show that the introduction of the EDNOS diagnoses increases the PPV of the two questionnaires but lowers their sensitivity. We conclude that using a two stage screening approach leads to a very high rate of false negatives with a significant underestimation of the prevalence of eating disorders, particularly of EDNOS (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Escalas de Graduação Psiquiátrica
/
Transtornos da Alimentação e da Ingestão de Alimentos
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Adolescente
/
Feminino
/
Humanos
País/Região como assunto:
Europa
Idioma:
Inglês
Revista:
Eur. j. psychiatry
Ano de publicação:
2006
Tipo de documento:
Artigo
Instituição/País de afiliação:
University of Rome La Sapienza/Italy
/
University of Rome Tor Vergata/Italy
/
University of Toronto/Canada