Presented at the European Society for Child and Adolescent Psychiatry, 13th International Congress, Florence, Italy, 25–29 August, 2007.
Article first published online: 23 APR 2008
Copyright © 2008 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 41, Issue 6, pages 535–541, September 2008
How to Cite
House, J., Eisler, I., Simic, M. and Micali, N. (2008), Diagnosing eating disorders in adolescents: A comparison of the eating disorder examination and the development and well-being assessment. Int. J. Eat. Disord., 41: 535–541. doi: 10.1002/eat.20528
Presented at Eating Disorders Research Society, 13th Annual Meeting, Pittsburgh, USA, 25–27 October, 2007.
- Issue published online: 8 AUG 2008
- Article first published online: 23 APR 2008
- Manuscript Accepted: 13 FEB 2008
- eating disorder examination;
- development and well-being assessment
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 (κ = 0.59), agreement between the DAWBA and EDE diagnoses was fair (κ = 0.21), and agreement between the clinical and EDE diagnoses was poor (κ = 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. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008