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. 2024 Jan:52:101846.
doi: 10.1016/j.eatbeh.2024.101846. Epub 2024 Jan 23.

Validation of the EDDS-5 self-report survey against the SCID-5 diagnostic interview in US veterans

Shira Maguen  1 , Adam Batten  2 , Sarah E Siegel  2 , Joy Huggins  2 , Jennifer L Snow  3 , Lindsay M Fenn  3 , Alexandra M Dick  4 , Christiane Zenteno  4 , Anna C West  4 , Robin M Masheb  5
Affiliations

Validation of the EDDS-5 self-report survey against the SCID-5 diagnostic interview in US veterans

Shira Maguen et al. Eat Behav. 2024 Jan.

Abstract

The aim of our study was to validate the Eating Disorder Diagnostic Scale (EDDS-5) updated for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) with a diverse veteran population against a clinician-administered interview based on the Structured Clinical Interview for DSM-5 (SCID-5). Our sample included 343 veterans, 18-75 years, recruited April 2019 to December 2022 who completed the EDDS-5 as well as other eating disorder and mental health measures. A subsample of these veterans received clinical interviews (n = 166), which were used to validate the EDDS-5. We found that despite multiple proposed modifications, the EDDS-5 performed poorly at correctly identifying diverse veterans who were diagnosed as having eating disorders through clinician-administered interviews. The sensitivity was very low, indicating that using the EDDS-5 did not identify many true positives and may also over diagnose those without true eating disorders. The EDDS-5 may not be the best for screening or diagnostic purposes among diverse samples like veterans.

Keywords: Clinical interview; Diagnostic; Diversity; Eating disorders; Veteran.

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Conflict of interest statement

Declaration of competing interest The authors do not have any conflicts of interest to report.

Figures

Fig. 1.
Fig. 1.
Participant flow chart for survey and validation phases. Note: SFVA = San Francisco VA; VACT = VA Connecticut; HLED = high likelihood of eating disorders.
See this image and copyright information in PMC

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