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

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J House, I Eisler, M Simic, N Micali

Original languageEnglish
Pages (from-to)535 - 541
Number of pages7
JournalInternational Journal of Eating Disorders
Issue number6
PublishedSep 2008

King's Authors


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

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