Diagnosing eating disorders in adolescents: A comparison of the eating disorder examination and the development and well‐being assessment

House, Jennifer; Eisler, Ivan; Simic, Mima; Micali, Nadia

doi:10.1002/eat.20528

Cited by 33 publications

(31 citation statements)

References 16 publications

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“…Given the limitations of self-report, alternative perspectives provided by a second informant may be useful in identifying potentially vulnerable individuals who may not identify themselves as symptomatic, or for conceptualising an adolescent’s behaviour in different contexts. Indeed, there has been some support for the use of computerised diagnostic assessments such as the DAWBA that takes into consideration multiple informants’ reports to calculate the probability of a child/adolescent having an ED [34, 35]. However, a Swiss study of child and adolescent outpatients comparing the ICD-10 diagnoses provided by clinicians to those reached through expert review of DAWBA data revealed that although agreement between the DAWBA expert and clinician ratings was observed, this was largely driven by negative ratings of EDs [36].…”

Section: Discussionmentioning

confidence: 99%

Identifying disordered eating behaviours in adolescents: how do parent and adolescent reports differ by sex and age?

Bartholdy

Allen

Hodsoll

et al. 2017

Eur Child Adolesc Psychiatry

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This study investigated the prevalence of disordered eating cognitions and behaviours across mid-adolescence in a large European sample, and explored the extent to which prevalence ratings were affected by informant (parent/adolescent), or the sex or age of the adolescent. The Development and Well-Being Assessment was completed by parent–adolescent dyads at age 14 (n = 2225) and again at age 16 (n = 1607) to explore the prevalence of 7 eating disorder symptoms (binge eating, purging, fear of weight gain, distress over shape/weight, avoidance of fattening foods, food restriction, and exercise for weight loss). Informant agreement was assessed using kappa coefficients. Generalised estimating equations were performed to explore the impact of age, sex and informant on symptom prevalence. Slight to fair agreement was observed between parent and adolescent reports (kappa estimates between 0.045 and 0.318); however, this was largely driven by agreement on the absence of behaviours. Disordered eating behaviours were more consistently endorsed amongst girls compared to boys (odds ratios: 2.96–5.90) and by adolescents compared to their parents (odds ratios: 2.71–9.05). Our data are consistent with previous findings in epidemiological studies. The findings suggest that sex-related differences in the prevalence of disordered eating behaviour are established by mid-adolescence. The greater prevalence rates obtained from adolescent compared to parent reports may be due to the secretive nature of the behaviours and/or lack of awareness by parents. If adolescent reports are overlooked, the disordered behaviour may have a greater opportunity to become more entrenched.

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Section: Discussionmentioning

confidence: 99%

Identifying disordered eating behaviours in adolescents: how do parent and adolescent reports differ by sex and age?

Bartholdy

Allen

Hodsoll

et al. 2017

Eur Child Adolesc Psychiatry

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“…One possibility is that the EDE and CIA are less sensitive to the symptoms and impairment associated with restrictive EDs. There is some evidence that the EDE is insufficiently sensitive and fails to detect all cases of AN and EDNOS [35], especially for adolescent samples [39]. Previous work also suggests that EDE global scores are somewhat lower in AN than BN patient groups (M AN = 2.65, M BN = 3.07) [31].…”

Section: Discussionmentioning

confidence: 99%

Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified

et al. 2013

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BackgroundThis study aimed to assess differences in Quality of Life (QoL) across eating disorder (ED) diagnoses, and to examine the relationship of QoL to specific clinical features.Results199 patients with a diagnosed ED completed the Clinical Impairment Assessment (CIA) [Cognitive Behavior Therapy and Eating Disorders, 315–318, 2008] and the Eating Disorders Examination (EDE) [Int J Eat Disord 6:1–8]. Differences between diagnostic groups were examined, as were differences between restrictive and binge-purge subtypes.CIA scores and EDE scores were positively correlated and higher in groups with binge-purge behaviours. CIA scores were not correlated with BMI, illness duration or frequency of bingeing/purging behaviours, except in the binge-purge AN group, where CIA scores negatively correlated with BMI.ConclusionsPatients with EDs have poor QoL and impairment increases with illness severity. Patients with binge/purge diagnoses are particularly impaired. It remains unclear which clinical features best predict the degree of impairment experienced by patients with EDs.

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“…In addition we defined two categories of OSFED-other: 1 and 2, the former being assigned to youth who did not meet criteria for all other disorders but reported ED behaviors ≥monthly; the latter to those who reported any ED behaviors at < monthly frequency (with shape and weight concern at 14 years). Given evidence that young people often deny AN symptoms (such as fear of fatness and restrictive eating), and that the use of parental report can overcome this 16 , parental report of AN symptoms on a validated instrument–Development and Wellbeing Assessment (DAWBA) 17 –at Wave 14+ and 16+ (see 18 for details) was used in addition to self-report to define AN.…”

Section: Methodsmentioning

confidence: 99%

Adolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adulthood

Micali¹,

Solmi²,

Horton³

et al. 2015

Journal of the American Academy of Child & Adolescent Psych

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219

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Objective To investigate whether anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorders (OSFED), including purging disorder (PD), subthreshold BN, and BED at ages 14 and 16, are prospectively associated with later depression, anxiety disorders, alcohol and substance use, and self-harm. Method Eating disorders were ascertained at 14 and 16 years of age in 6,140 youth at age 14 (58% of those eligible) and 5,069 at age 16 (52% of those eligible) as part of the prospective Avon Longitudinal Study of Parents and Children (ALSPAC). Outcomes (depression, anxiety disorders, binge drinking, drug use, deliberate self-harm, weight status) were measured using interviews and questionnaires about 2 years following predictors. Generalized estimating equation models adjusting for gender, socio-demographic variables, and prior outcome were used to examine prospective associations between eating disorders and each outcome. Results All eating disorders were predictive of later anxiety disorders. AN, BN, BED, PD, and OSFED were prospectively associated with depression (respectively AN: odds ratio [OR]=1.39 [95% CIs: 1.00-1.94]; BN: OR=3.39[1.25-9.20]; BED: OR=2.00 [1.06-3.75]; PD: OR=2.56 [1.38-4.74]). All eating disorders but AN predicted drug use and deliberate self-harm (BN: OR=5.72[2.22-14.72], PD: OR=4.88[2.78-8.57], subthreshold BN: OR=3.97[1.44-10.98], subthreshold BED: OR=2.32[1.43-3.75]). Whilst BED and BN predicted obesity (respectively OR=3.58 [1.06-12.14] and OR=6.42 [1.69-24.30]), AN was prospectively associated with underweight. Conclusions Adolescent eating disorders, including subthreshold presentations, predict negative outcomes, including mental health disorders, substance use, deliberate self-harm, and weight outcomes. This study highlights the high public health and clinical burden of eating disorders among adolescents.

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Diagnosing eating disorders in adolescents: A comparison of the eating disorder examination and the development and well‐being assessment

Cited by 33 publications

References 16 publications

Identifying disordered eating behaviours in adolescents: how do parent and adolescent reports differ by sex and age?

Identifying disordered eating behaviours in adolescents: how do parent and adolescent reports differ by sex and age?

Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified

Adolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adulthood

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