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

The International Journal of Eating Disorders
Jennifer HouseNadia Micali

Abstract

To compare the diagnostic properties of the Eating Disorder Examination (EDE) and the online version of the Development and Well-Being Assessment (DAWBA). Fifty-Seven adolescents (mean age 15.7 years) who attended consecutive assessments at a specialist eating disorders clinic completed the DAWBA, the EDE, and a standard clinical assessment with a multidisciplinary team. Cohen's Kappas were used to make pairwise comparisons between the diagnoses generated by the three assessments. Participants had anorexia nervosa (n = 30), eating disorders NOS (n = 21) or no eating disorder (n = 6) according to the clinical diagnosis. Agreement between the clinical and DAWBA diagnoses was moderate (kappa = 0.59), agreement between the DAWBA and EDE diagnoses was fair (kappa = 0.21), and agreement between the clinical and EDE diagnoses was poor (kappa = 0.10). The EDE did not identify an eating disorder in 20 participants (35% of the sample) who were clinically assessed as cases. Computerized measures using multiple informants may be more suitable for assessing clinical samples of adolescents with anorexia nervosa or eating disorders NOS than individual interviews with young people.

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Citations

Apr 6, 2013·Eating Behaviors·Kelly C AllisonAlbert J Stunkard
Jul 8, 2011·Psychological Medicine·N MicaliD Mataix-Cols
Oct 6, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Dasha E NichollsRussell M Viner
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Jul 27, 2015·Journal of the American Academy of Child and Adolescent Psychiatry·Nadia MicaliAlison E Field
Nov 11, 2011·The International Journal of Eating Disorders·Katharine L LoebLauren Alfano
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Jan 14, 2012·European Eating Disorders Review : the Journal of the Eating Disorders Association·Anna OldershawUlrike Schmidt
Jan 18, 2014·The International Journal of Eating Disorders·Sonja A SwansonNadia Micali
Sep 28, 2015·European Child & Adolescent Psychiatry·Nadia Micali, Johannes Hebebrand
Nov 13, 2010·Neuroscience and Biobehavioral Reviews·A OldershawU Schmidt
Oct 26, 2018·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Katherine SchaumbergNadia Micali
May 1, 2011·Child and Adolescent Mental Health·Nadia Micali, Jennifer House
Jan 5, 2017·European Child & Adolescent Psychiatry·Savani BartholdyUlrike Schmidt
Jan 11, 2017·European Journal of Epidemiology·Marjolein N KooijmanVincent W V Jaddoe
Jan 30, 2020·European Eating Disorders Review : the Journal of the Eating Disorders Association·Katherine SchaumbergNadia Micali

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