Screening for binge eating disorders using the Patient Health Questionnaire in a community sample
Article first published online: 7 MAY 2009
Copyright © 2009 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 4, pages 337–343, May 2010
How to Cite
Striegel-Moore, R. H., Perrin, N., DeBar, L., Wilson, G. T., Rosselli, F. and Kraemer, H. C. (2010), Screening for binge eating disorders using the Patient Health Questionnaire in a community sample. Int. J. Eat. Disord., 43: 337–343. doi: 10.1002/eat.20694
- Issue published online: 1 APR 2010
- Article first published online: 7 MAY 2009
- Manuscript Accepted: 5 MAR 2009
- National Institutes of Health. Grant Number: MH066966
- National Institute of Mental Health (NIMH)
- National Institute of Diabetes, Digestive, and Kidney Diseases (NIDDK)
- Kaiser Foundation Research Institute
- Patient Health Questionnaire;
- bulimia nervosa;
- binge eating disorder;
- recurrent binge eating;
To examine the operating characteristics of the Patient Health Questionnaire eating disorder module (PHQ-ED) for identifying bulimia nervosa/binge eating disorder (BN/BED) or recurrent binge eating (RBE) in a community sample and to compare true positive (TP) versus false positive (FP) cases on clinical validators.
Two hundred and fifty-nine screen-positive individuals and a random sample of 89 screen negative cases completed a diagnostic interview. Sensitivity, specificity, and positive predictive value (PPV) were calculated. TP and FP cases were compared using t-tests and Chi-square tests.
The PHQ-ED had high sensitivity (100%) and specificity (92%) for detecting BN/BED or RBE, but PPV was low (10 or 19%). TP and FP cases did not differ significantly on frequency of subjective bulimic episodes, objective overeating, restraint, on BMI, and on self-rated health.
The PHQ-ED is recommended for use in large populations only in conjunction with follow-up questions to rule out cases without objective bulimic episodes. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010