Department of Psychology, University of Kansas.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine.
Psychol Assess. 2020 Oct;32(10):943-955. doi: 10.1037/pas0000820. Epub 2020 Jul 27.
Proper assessment and diagnosis of eating disorders (EDs) are critical to determine to whom prevention and treatment efforts should be targeted, the extent to which treatment is working, and when an individual has recovered. Although existing ED diagnostic interviews have numerous strengths, they also have certain limitations, including poor internal consistency, low discriminant validity, and poor factor-structure replicability. The purpose of the current study was to address problems of past ED diagnostic interviews through the creation of a new clinician-rated interview-the Eating Pathology Symptoms Inventory-Clinician-Rated Version (EPSI-CRV). The EPSI-CRV was designed to measure dimensional constructs assessed in the self-report version of the EPSI and generate current Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013) diagnoses. Participants were community-recruited adults with a DSM-5 ED (N = 257). Participants completed self-report and interview-based measures of eating, mood, and anxiety disorders and self-report measures of psychiatric impairment. The EPSI-CRV demonstrated evidence for interrater reliability, convergent and discriminant validity, and a good-fitting factor structure. EPSI-CRV dimensions showed concurrent validity for distinguishing among ED diagnoses. Baseline EPSI-CRV dimensions significantly predicted psychiatric impairment at baseline but not at 1-year follow-up. Although some scales had lower internal consistency than ideal, internal consistency values were similar to those of other established diagnostic measures. The EPSI-CRV appears to represent a promising new interview that can be used across a variety of clinical and research settings. Interested readers can access the EPSI-CRV and relevant training materials here: https://kuscholarworks.ku.edu/handle/1808/29616. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
适当的饮食障碍（ED）评估和诊断对于确定预防和治疗的目标人群、治疗的效果以及个体何时康复至关重要。尽管现有的 ED 诊断访谈具有许多优点，但它们也存在一定的局限性，包括内部一致性差、判别效度低和因子结构可重复性差。本研究的目的是通过创建一种新的临床医生评定访谈——饮食病理症状清单-临床医生评定版本（EPSI-CRV）来解决过去 ED 诊断访谈存在的问题。EPSI-CRV 旨在测量 EPSI 自评版本评估的维度结构，并生成当前的《精神障碍诊断与统计手册》（第五版；DSM-5；美国精神病学协会，2013）诊断。参与者为社区招募的有 DSM-5 ED 的成年人（N=257）。参与者完成了饮食、情绪和焦虑障碍的自评和访谈评估以及精神障碍的自评评估。EPSI-CRV 显示了评定者间信度、收敛和判别效度以及良好的因子结构的证据。EPSI-CRV 维度具有区分 ED 诊断的同时效度。基线 EPSI-CRV 维度显著预测基线时的精神障碍，但不能预测 1 年随访时的精神障碍。尽管一些量表的内部一致性不如理想，但内部一致性值与其他已建立的诊断测量值相似。EPSI-CRV 似乎代表了一种很有前途的新访谈，可以在各种临床和研究环境中使用。有兴趣的读者可以在这里访问 EPSI-CRV 和相关培训材料：https://kuscholarworks.ku.edu/handle/1808/29616。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
