Initial validation of a screening tool for disordered eating in adolescent athletes
Autor: | Samantha Kennedy, Heather Kleiman, Jeffrey Kovan, Donald Gusfa, Ryley Mancine, Emily N. Werner |
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Rok vydání: | 2020 |
Předmět: |
050103 clinical psychology
lcsh:RC435-571 Desa-6 Concurrent validity Screening tool Disordered eating 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine Intervention (counseling) lcsh:Psychiatry medicine 0501 psychology and cognitive sciences Nutrition and Dietetics biology Bulimia nervosa Athletes business.industry 05 social sciences Eating disorder 030229 sport sciences Anorexia nervosa medicine.disease biology.organism_classification Psychiatry and Mental health Eating disorders Eating Attitudes Test Risk assessment business Clinical psychology Research Article Sports |
Zdroj: | Journal of Eating Disorders Journal of Eating Disorders, Vol 9, Iss 1, Pp 1-11 (2021) |
ISSN: | 2050-2974 |
Popis: | Background Disordered eating (DE) is a growing problem among all athletes, particularly adolescents. To help prevent the progression of DE to a clinical eating disorder (ED), a brief screening tool could offer an efficient method for early identification of DE in athletes and facilitate treatment. The aim of this study is to validate a screening tool for DE that will identify male and female adolescent athletes of all sports and levels of competition who are at risk for DE. The Disordered Eating Screen for Athletes (DESA-6) consists of only 6 items and was designed for use in both male and female athlete populations. Methods Validation involved two phases: Phase I consisted of screening high school athletes using the Eating Attitudes Test (EAT-26) and the DESA-6; and Phase II included inviting all high school athletes categorized as “at risk” after screening, plus age- and self-reported gender- matched athletes categorized as not “at risk”, to complete the same surveys a second time along with clinical interview. Validity and regression analyses were used to compare the DESA-6 to the EAT-26 and EDE 17.0D. Results When comparing to clinical interview, the DESA-6 had a total sensitivity of 92% and specificity of 85.96%, respectively. Upon comparison of concurrent validity, Phase II DESA-6 had a strong significant positive correlation for both males and females when compared to Phase II EDE 17.0D. Conclusions A brief, easy to administer screening tool for recognizing DE that can be used by physicians, psychologists, athletic trainers, registered dietitians, and other sport/healthcare staff is of utmost importance for early intervention, which can lead to improved treatment outcomes. The DESA-6 is a promising tool for risk assessment of DE in athletes. |
Databáze: | OpenAIRE |
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