Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)

Abstract Objective The Eating Disorder Assessment for DSM-5 (EDA-5) is an electronic, semi-structured interview developed to assess feeding and eating disorders following DSM-5 criteria. The original English version has strong psychometric properties, and previous research has shown high rates of ag...

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Main Authors: Camilla Lindvall Dahlgren, B. Timothy Walsh, Karianne Vrabel, Cecilie Siegwarth, Øyvind Rø
Format: Article
Language:English
Published: BMC 2020-07-01
Series:Journal of Eating Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40337-020-00310-7
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author Camilla Lindvall Dahlgren
B. Timothy Walsh
Karianne Vrabel
Cecilie Siegwarth
Øyvind Rø
author_facet Camilla Lindvall Dahlgren
B. Timothy Walsh
Karianne Vrabel
Cecilie Siegwarth
Øyvind Rø
author_sort Camilla Lindvall Dahlgren
collection DOAJ
description Abstract Objective The Eating Disorder Assessment for DSM-5 (EDA-5) is an electronic, semi-structured interview developed to assess feeding and eating disorders following DSM-5 criteria. The original English version has strong psychometric properties, and previous research has shown high rates of agreement between diagnoses generated by the Eating Disorder Examination (EDE) interview and the EDA-5. The current study aimed to validate the Norwegian version of the EDA-5, and is the first international validation of this diagnostic tool. Method A total of 91 (87 females and 4 males) adult in- and out-patients were recruited from two of the largest eating disorder clinics in Norway. Diagnoses assigned using the EDA-5 were compared to diagnoses from the EDE interview (v. 17.0D). Results Results showed that diagnoses assigned using EDE and EDA-5 were identical for 75 (82.4%) of the 91 cases. Among individual diagnostic categories, kappas ranged from moderate (.49) to perfect (1.00) agreement. The majority of discrepant cases occurred between full- and sub-threshold AN and BN. The EDA-5 was significantly quicker to administer compared to the EDE (22 vs. 54 min). Conclusions The Norwegian EDA-5 can quickly and efficiently generate DSM-5 diagnoses without compromising diagnostic accuracy. It is a promising alternative to existing diagnostic tools, and may help streamline the identification of feeding and eating disorders in clinical settings and in research.
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spelling doaj.art-8e175bb29f6e42adaa3f4b8f3094a5802023-02-02T13:41:51ZengBMCJournal of Eating Disorders2050-29742020-07-01811710.1186/s40337-020-00310-7Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)Camilla Lindvall Dahlgren0B. Timothy Walsh1Karianne Vrabel2Cecilie Siegwarth3Øyvind Rø4Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University HospitalDepartment of Psychiatry, College of Physicians & Surgeons, Columbia University, New York State Psychiatric InstituteResearch Institute of Modum BadRegional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University HospitalRegional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University HospitalAbstract Objective The Eating Disorder Assessment for DSM-5 (EDA-5) is an electronic, semi-structured interview developed to assess feeding and eating disorders following DSM-5 criteria. The original English version has strong psychometric properties, and previous research has shown high rates of agreement between diagnoses generated by the Eating Disorder Examination (EDE) interview and the EDA-5. The current study aimed to validate the Norwegian version of the EDA-5, and is the first international validation of this diagnostic tool. Method A total of 91 (87 females and 4 males) adult in- and out-patients were recruited from two of the largest eating disorder clinics in Norway. Diagnoses assigned using the EDA-5 were compared to diagnoses from the EDE interview (v. 17.0D). Results Results showed that diagnoses assigned using EDE and EDA-5 were identical for 75 (82.4%) of the 91 cases. Among individual diagnostic categories, kappas ranged from moderate (.49) to perfect (1.00) agreement. The majority of discrepant cases occurred between full- and sub-threshold AN and BN. The EDA-5 was significantly quicker to administer compared to the EDE (22 vs. 54 min). Conclusions The Norwegian EDA-5 can quickly and efficiently generate DSM-5 diagnoses without compromising diagnostic accuracy. It is a promising alternative to existing diagnostic tools, and may help streamline the identification of feeding and eating disorders in clinical settings and in research.http://link.springer.com/article/10.1186/s40337-020-00310-7Eating disordersFeeding disordersAssessmentDSM-5EDA-5EDE 17.0D
spellingShingle Camilla Lindvall Dahlgren
B. Timothy Walsh
Karianne Vrabel
Cecilie Siegwarth
Øyvind Rø
Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)
Journal of Eating Disorders
Eating disorders
Feeding disorders
Assessment
DSM-5
EDA-5
EDE 17.0D
title Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)
title_full Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)
title_fullStr Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)
title_full_unstemmed Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)
title_short Eating disorder diagnostics in the digital era: validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5)
title_sort eating disorder diagnostics in the digital era validation of the norwegian version of the eating disorder assessment for dsm 5 eda 5
topic Eating disorders
Feeding disorders
Assessment
DSM-5
EDA-5
EDE 17.0D
url http://link.springer.com/article/10.1186/s40337-020-00310-7
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