Diagnosing eating disorders in adolescents: A comparison of the eating disorder examination and the development and well-being assessment

TY - JOUR

T1 - Diagnosing eating disorders in adolescents: A comparison of the eating disorder examination and the development and well-being assessment

AU - House, J

AU - Eisler, I

AU - Simic, M

AU - Micali, N

PY - 2008/9

Y1 - 2008/9

N2 - Objective: To compare file diagnostic properties of the Eating Disorder Examination (EDE) and the online version of the Development and Well-Being Assessment (DAWBA). moderate (K = 0.59), agreement between the DAWBA and EDE diagnoses was fair (K,= 0.21), and agreement between the clinical and EDE diagnoses was poor (K = 0.10). The EDE did not identify an eating disorder in 20 participants (35% of the sample) who were clinically assessed as cases. Method: Fifty-Seven adolescents (mean age 15.7 years) who attended consecutive assessments at a specialist eating disorders clinic completed the DAWBA, the EDE, and a standard clinical assessment with a multidisciplinary learn. Cohen's Kappas were used to make pairwise comparisons between the diagnoses generated by the three assessments. Results: Participants had anorexia nervosa (n = 30), eating disorders NOS (n = 21) or no eating disorder (n = 6) according to the clinical diagnosis. Agreement between the clinical an(] DAWBA diagnoses was Conclusion: Computerized measures using Multiple informants may he more suitable for assessing clinical samples of adolescents with anorexia nervosa or eating disorders NOS than individual interviews with young people. 0 2008 by Wiley Periodicals, Inc

AB - Objective: To compare file diagnostic properties of the Eating Disorder Examination (EDE) and the online version of the Development and Well-Being Assessment (DAWBA). moderate (K = 0.59), agreement between the DAWBA and EDE diagnoses was fair (K,= 0.21), and agreement between the clinical and EDE diagnoses was poor (K = 0.10). The EDE did not identify an eating disorder in 20 participants (35% of the sample) who were clinically assessed as cases. Method: Fifty-Seven adolescents (mean age 15.7 years) who attended consecutive assessments at a specialist eating disorders clinic completed the DAWBA, the EDE, and a standard clinical assessment with a multidisciplinary learn. Cohen's Kappas were used to make pairwise comparisons between the diagnoses generated by the three assessments. Results: Participants had anorexia nervosa (n = 30), eating disorders NOS (n = 21) or no eating disorder (n = 6) according to the clinical diagnosis. Agreement between the clinical an(] DAWBA diagnoses was Conclusion: Computerized measures using Multiple informants may he more suitable for assessing clinical samples of adolescents with anorexia nervosa or eating disorders NOS than individual interviews with young people. 0 2008 by Wiley Periodicals, Inc

U2 - 10.1002/eat.20528

DO - 10.1002/eat.20528

M3 - Article

VL - 41

SP - 535

EP - 541

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

IS - 6

ER -