Detection of bulimia in a primary care setting.

Autor:	Freund, Karen, Graham, Susan, Lesky, Linda, Moskowitz, Mark, Freund, K M, Graham, S M, Lesky, L G, Moskowitz, M A
Předmět:	BULIMIA diagnosis BULIMIA AGE distribution CHI-squared test COMPARATIVE studies ALCOHOL drinking FOOD habits RESEARCH methodology MEDICAL cooperation MULTIVARIATE analysis PHYSICIAN-patient relations PRIMARY health care PSYCHOLOGICAL tests RESEARCH RESEARCH evaluation RESEARCH funding LOGISTIC regression analysis SOCIOECONOMIC factors EVALUATION research PREDICTIVE tests PSYCHOLOGY
Zdroj:	JGIM: Journal of General Internal Medicine; May1993, Vol. 8 Issue 5, p236-242, 7p
Abstrakt:	Objective: To develop a screening tool for the identification of bulimia in ambulatory practice.Design: Administration of a 112-item questionnaire about eating and weight-control practices to women with known bulimia and to healthy control patients. Questions were compared with DSM-III-R criteria of bulimia as a "gold standard."Setting: Self-help group for eating disorders and hospital-based primary care practice.Subjects: Thirty of 42 women with known bulimia met DSM-III-R criteria for current bulimia, and 124 of 130 control patients met the criterion of no history of an eating disorder.Main Results: Thirteen individual questions discriminated between bulimic subjects and control subjects with a sensitivity and specificity of > 75%. When these questions were entered into a stepwise logistic model, two questions were independently significant. A "no" response to the question "Are you satisfied with your eating patterns?" or a "yes" response to "Do you ever eat in secret?" had a sensitivity of 1.00 and a specificity of 0.90 for bulimia. The positive predictive value, based on a 5% prevalence, was 0.36.Conclusions: A set of two questions may be as effective as a more extensive questionnaire in identifying women with eating disorders, and could be easily incorporated into the routine medical history obtained from all women. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Full text from SpringerLink