Department of Psychology, University of Kansas, Fraser Hall, 1415 Jayhawk Boulevard, Lawrence, KS, 66045, USA.
Children's Mercy Kansas City, Kansas City, MO, USA.
Curr Psychiatry Rep. 2017 Sep 11;19(10):76. doi: 10.1007/s11920-017-0826-2.
Eating disorders are serious mental-health concerns that will affect over 30 million individuals in the USA at some point in their lives. Eating disorders occur across the lifespan, in a variety of ethnicities and races, in both men and women, and across the socioeconomic spectrum. Given the prevalence and severity of eating disorders, it is important that clinicians and researchers have access to appropriate assessment tools to aid in the early identification and treatment referral, differential diagnosis, treatment planning, and progress monitoring, and to ensure valid research findings. In this review, we describe novel and innovative assessment tools that were developed within the past 5 years for utilization in research and/or clinical practice with individuals with eating disorders.
We identified six multidimensional assessments for eating disorders, all of which can be administered online (with some also offering paper-and-pencil versions). Strengths of the measures included good internal consistency, test-retest reliability, and convergent validity. However, in part, due to problematic scale construction methods, certain scales had poor discriminant validity and most were developed and validated in mostly female samples. There are promising new eating disorder measures from which to choose; however, many measures continue to be limited by poor discriminant validity and need additional validation prior to incorporation into routine research and clinical practice.
饮食失调是严重的心理健康问题，在美国，一生中会有超过 3000 万人受到影响。饮食失调可发生于整个生命周期，涉及各种族裔和种族、男女，以及社会经济各个阶层。鉴于饮食失调的普遍性和严重性，临床医生和研究人员必须能够使用适当的评估工具，以帮助早期识别和治疗转介、鉴别诊断、治疗计划和进展监测，并确保研究结果有效。在这篇综述中，我们描述了过去 5 年内在研究和/或临床实践中针对饮食失调患者开发的新颖和创新的评估工具。
我们确定了六种多维饮食失调评估工具，均可以在线（部分也提供纸笔版）进行评估。这些评估工具的优点包括良好的内部一致性、重测信度和聚合效度。然而，部分由于量表编制方法存在问题，某些量表的区分效度较差，且大多数都是在主要为女性的样本中开发和验证的。有一些有前途的新的饮食失调评估工具可供选择；然而，许多评估工具仍然存在区分效度较差的问题，需要在纳入常规研究和临床实践之前进行进一步验证。
