Lusich Rylee, Harris Lauren, Butler Rachel, Smith April, Levinson Cheri
Department of Psychological Sciences, Auburn University, Auburn, Alabama, USA.
Department of Psychology, Transylvania University, Lexington, Kentucky, USA.
Eat Disord. 2025 Jun 23:1-17. doi: 10.1080/10640266.2025.2518374.
Other Specified Feeding and Eating Disorder (OSFED) has the highest prevalence of any eating disorder (ED), yet limited resources are available to help clinicians and researchers reliably differentiate between the different OSFED diagnoses. A tool capable of clarifying differences between OSFED subtypes and other EDs is needed to ensure that individuals receive accurate and specific diagnoses across clinical and research settings. To this end, the present report describes the development of a diagnostic flowchart developed for use in a research laboratory to allow research assistants without specialized training in EDs to make accurate and reliable diagnoses. We also provide guidelines for use of the flowchart alongside existing ED assessments and discuss evidence demonstrating its utility in improving interrater reliability among diagnostic raters, even those with minimal training. We envision this flowchart as an adaptable tool which will continue to be modified as the ED field works towards consensus definitions of OSFED diagnoses.
其他特定的喂养及进食障碍（OSFED）在所有进食障碍（ED）中患病率最高，但可用于帮助临床医生和研究人员可靠区分不同OSFED诊断的资源有限。需要一种能够阐明OSFED亚型与其他进食障碍之间差异的工具，以确保个体在临床和研究环境中获得准确和具体的诊断。为此，本报告描述了为研究实验室开发的诊断流程图的制定，该流程图用于让没有进食障碍专业培训的研究助理进行准确可靠的诊断。我们还提供了在现有进食障碍评估中使用该流程图的指南，并讨论了证明其在提高诊断评分者之间的评分者间信度（即使是那些训练最少的评分者）方面效用的证据。我们设想这个流程图是一个可适应的工具，随着进食障碍领域朝着OSFED诊断的共识定义努力，它将继续得到修改。
