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Keywords:

  • assessment;
  • adolescent;
  • eating disorder examination;
  • development and well-being assessment

Abstract

Objective:

To compare the diagnostic properties of the Eating Disorder Examination (EDE) and the online version of the Development and Well-Being Assessment (DAWBA).

Method:

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.

Results:

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.

Conclusion:

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