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一项评估儿童暴饮暴食筛查工具的试点研究:在儿科肥胖诊所开发儿童简短暴饮暴食问卷。

A Pilot Study Evaluating a Binge-Eating Screener in Children: Development of the Children's Brief Binge-Eating Questionnaire in a Pediatric Obesity Clinic.

作者信息

Franklin Elizabeth Victor, Simpson Vanessa, Berthet-Miron Michelle, Gupta Olga T, Barlow Sarah E

机构信息

1 Baylor College of Medicine, Houston, TX, USA.

2 Children's Medical Center of Dallas, Dallas, TX, USA.

出版信息

Clin Pediatr (Phila). 2019 Sep;58(10):1063-1071. doi: 10.1177/0009922819863664. Epub 2019 Jul 22.

Abstract

Children referred to pediatric obesity programs are at high risk of binge-eating disorder (BED) symptoms. Our goal was to develop and evaluate the Children's Brief Binge-Eating Questionnaire (CBBEQ) as a rapid screen of BED symptomatology. Seventy patients between the ages of 7 and 18 years (57% females) completed the CBBEQ and underwent the Eating Disorder Assessment for (EDA). Reliability and validity were assessed by examining results of the CBBEQ compared with the EDA, as well as measures of sleep, depression, and anxiety. Twenty-four of seventy (34%) children met full diagnostic interview criteria for BED and 12 (17%) met subclinical criteria. The CBBEQ demonstrated 100% specificity, 93% sensitivity, and a 100% negative predictive value for BED at a cutoff total score of 9. If confirmed in larger sample, this questionnaire could be a quick and accurate clinical tool for non-mental health providers to identify children at risk for BED.

摘要

被转诊至儿童肥胖项目的儿童存在出现暴饮暴食症(BED)症状的高风险。我们的目标是开发并评估儿童简短暴饮暴食问卷(CBBEQ),作为一种快速筛查BED症状的工具。70名年龄在7至18岁之间的患者(57%为女性)完成了CBBEQ,并接受了进食障碍评估(EDA)。通过将CBBEQ的结果与EDA以及睡眠、抑郁和焦虑测量结果进行比较,评估了其信度和效度。70名儿童中有24名(34%)符合BED的完整诊断访谈标准,12名(17%)符合亚临床标准。CBBEQ在总分截断值为9时,对BED的特异性为100%,敏感性为93%,阴性预测值为100%。如果在更大样本中得到证实,该问卷可能成为非心理健康提供者识别有BED风险儿童的快速且准确的临床工具。

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