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《饮食失调问卷-在线版》(EDQ-O)是否是用于《精神疾病诊断与统计手册》第四版修订版(DSM-IV-TR)饮食失调分类的有效诊断工具?

Is the Eating Disorder Questionnaire-Online (EDQ-O) a valid diagnostic instrument for the DSM-IV-TR classification of eating disorders?

作者信息

ter Huurne Elke D, de Haan Hein A, ten Napel-Schutz Marieke C, Postel Marloes G, Menting Juliane, van der Palen Job, Vroling Maartje S, DeJong Cor A J

机构信息

Tactus Addiction Treatment, Enschede, the Netherlands; Nijmegen Institute for Scientist-Practitioners in Addiction, Nijmegen, the Netherlands.

Tactus Addiction Treatment, Enschede, the Netherlands; Nijmegen Institute for Scientist-Practitioners in Addiction, Nijmegen, the Netherlands.

出版信息

Compr Psychiatry. 2015 Feb;57:167-76. doi: 10.1016/j.comppsych.2014.10.019. Epub 2014 Oct 30.

DOI:10.1016/j.comppsych.2014.10.019
PMID:25464837
Abstract

BACKGROUND

The Eating Disorder Questionnaire-Online (EDQ-O) is an online self-report questionnaire, which was developed specifically to provide a DSM-IV-TR classification of anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder (BED), and eating disorder not otherwise specified (EDNOS), without using a face-to-face clinical interview.

OBJECTIVE

The purpose of the present study was to examine the psychometric quality of the EDQ-O.

METHODS

The validity of the EDQ-O was determined by examining the agreement with the diagnoses obtained from the Longitudinal, Expert, and All DATA (LEAD) standard. Participants included 134 new patients of a specialist center for eating disorders located in the Netherlands.

RESULTS

Assessment of the validity of the EDQ-O yielded acceptable to good AUC (area under the receiver operating characteristic curve) values with a range from 0.72 to 0.83. Most other diagnostic efficiency statistics were also good except for a low sensitivity for AN (0.44), a low positive predictive value for BN (0.50), and a relatively low sensitivity for BED (0.66).

CONCLUSION

The results of the present study suggest that the EDQ-O performs acceptably as a diagnostic instrument for all DSM-IV-TR eating disorder classifications. However, suggestions are made to further improve the validity of the EDQ-O.

摘要

背景

饮食失调问卷在线版(EDQ - O)是一种在线自我报告问卷,专门用于在不进行面对面临床访谈的情况下,对神经性厌食症(AN)、神经性贪食症(BN)、暴饮暴食症(BED)以及未另行规定的饮食失调(EDNOS)进行《精神疾病诊断与统计手册》第四版修订版(DSM - IV - TR)分类。

目的

本研究旨在检验EDQ - O的心理测量质量。

方法

通过检查与从纵向、专家和所有数据(LEAD)标准获得的诊断结果的一致性来确定EDQ - O的有效性。参与者包括荷兰一家饮食失调专科中心的134名新患者。

结果

对EDQ - O有效性的评估得出了可接受至良好的受试者工作特征曲线下面积(AUC)值,范围为0.72至0.83。除了AN的低敏感性(0.44)、BN的低阳性预测值(0.50)以及BED的相对低敏感性(0.66)外,大多数其他诊断效率统计数据也良好。

结论

本研究结果表明,EDQ - O作为所有DSM - IV - TR饮食失调分类的诊断工具表现尚可。然而,也提出了进一步提高EDQ - O有效性的建议。

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