首页> 外文期刊>Nordic journal of psychiatry. >Eating Disorder Inventory-3, validation in Swedish patients with eating disorders, psychiatric outpatients and a normal control sample
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Eating Disorder Inventory-3, validation in Swedish patients with eating disorders, psychiatric outpatients and a normal control sample

机译:饮食失调清单3,在瑞典饮食失调患者,精神科门诊患者和正常对照样本中的验证

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Background: The Eating Disorder Inventory-3 (EDI-3) is designed to assess eating disorder psychopathology and the associated psychological symptoms. The instrument has been revised and has not yet been validated for Swedish conditions in its current form. Aims: The aim of this study was to investigate the validity and reliability of this inventory and present national norms for Swedish females. Methods: Data from patients with eating disorders (n = 292), psychiatric outpatients (n = 140) and normal controls (n = 648), all females, were used to study the internal consistency, the discriminative ability, and the sensitivity and specificity of the inventory using preliminary cut-offs for each subscale and diagnosis separately. Swedish norms were compared with those from Denmark, USA, Canada, Europe and Australian samples. Results: The reliability was acceptable for all subscales except Asceticism among normal controls. Analysis of variance showed that the EDI-3 discriminates significantly between eating disorders and normal controls. Anorexia nervosa was significantly discriminated from bulimia nervosa and eating disorder not otherwise specified on the Eating Disorder Risk Scales. Swedish patients scored significantly lower than patients from other countries on the majority of the subscales. Drive for Thinness is the second best predictor for an eating disorder. The best predictor for anorexia nervosa was Interoceptive Deficits and Bulimia for the other diagnoses. Conclusions/clinical implications: The EDI-3 is valid for use with Swedish patients as a clinical assessment tool for the treatment planning and evaluation of patients with eating-related problems. However, it still exist some uncertainty regarding its use as a screening tool.
机译:背景:饮食失调量表3(EDI-3)用于评估饮食失调症的心理病理学和相关的心理症状。该工具已经过修订,目前尚未通过瑞典条件的验证。目的:本研究的目的是调查该清单的有效性和可靠性,并提出瑞典女性的国家规范。方法:采用饮食失调患者(292例),精神科门诊患者(140例)和正常对照者(648例)的数据,所有女性均用于研究内部一致性,判别能力以及敏感性和特异性。使用每个子量表的初步临界值和独立诊断来确定库存量。将瑞典的规范与丹麦,美国,加拿大,欧洲和澳大利亚的样本进行了比较。结果:除正常人中的禁欲主义外,所有分量表的信度均可接受。方差分析表明,EDI-3在进食障碍和正常对照组之间有明显区别。神经性厌食症与神经性贪食症和饮食失调在饮食失调风险量表中未作特别区分。在大多数量表中,瑞典患者的得分明显低于其他国家的患者。瘦身驾驶是饮食失调的第二佳预测指标。神经性厌食症的最佳预测指标是其他疾病的感知缺陷和贪食症。结论/临床意义:EDI-3可有效地用作瑞典患者,作为临床评估工具,用于治疗计划和评估与饮食相关问题的患者。但是,将其用作筛查工具仍存在一些不确定性。

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