Abstract：
The effectiveness of mental health care can be improved through coordinated and wide-scale outcome measurement. The International Consortium for Health Outcomes Measurement has produced collaborative sets of outcome measures for various mental health conditions, but no universal guideline exists for eating disorders. This Position Paper presents a set of outcomes and measures for eating disorders as determined by 24 international experts from professional and lived experience backgrounds. An adapted Delphi technique was used, and results were assessed through an open review survey. Final recommendations suggest outcomes should be tracked across four domains: eating disorder behaviours and cognitions, physical health, co-occurring mental health conditions, and quality of life and social functioning. Outcomes are collected using three to five patient-reported measures. For children aged between 6 years and 12 years, the measures include the Children\'s Eating Attitude Test (or, for those with avoidant restrictive food intake disorder, the Eating Disorder in Youth Questionnaire), the KIDSCREEN-10, and the Revised Children\'s Anxiety and Depression Screener-25. For adolescents aged between 13 years and 17 years, the measures include the Eating Disorder Examination Questionnaire (EDE-Q; or, for avoidant restrictive food intake disorder, the Nine-Item Avoidant Restrictive Food Intake Disorder Screener [NIAS]), the two-item Patient Health Questionnaire (PHQ-2), the nine-item Patient Health Questionnaire (PHQ-9), the two-item Generalised Anxiety Disorder (GAD-2), the seven-item Generalised Anxiety Disorder (GAD-7), and the KIDSCREEN-10. For adults older than 18 years, measures include the EDE-Q (or, for avoidant restrictive food intake disorder, the NIAS), the PHQ-2, the PHQ-9, the GAD-2, the GAD-7, the Clinical Impairment Assessment, and the 12-item WHO Disability Assessment Schedule 2.0. These questionnaires should be supplemented by information on patient characteristics and circumstances (ie, demographic, historical, and clinical factors). International adoption of these guidelines will allow comparison of research and clinical interventions to determine which settings and interventions work best, and for whom.
摘要：
可以通过协调和广泛的结果测量来提高精神保健的有效性。国际健康结果测量联合会为各种精神健康状况制定了一套合作的结果测量，但是没有关于饮食失调的普遍指南。这份立场文件介绍了由24名来自专业和生活经验背景的国际专家确定的一系列饮食失调的结果和措施。使用了一种适应的德尔菲技术，结果通过公开审查调查进行评估。最终建议建议应在四个领域跟踪结果：饮食失调行为和认知，身体健康,同时发生的精神健康状况，生活质量和社会功能。使用三到五个患者报告的措施收集结果。对于6岁至12岁的儿童，这些措施包括儿童饮食态度测试(或，对于那些避免限制性食物摄入障碍的人，青少年饮食失调问卷)，KIDSCREEN-10和修订后的儿童焦虑和抑郁筛选器-25。对于13岁至17岁的青少年，措施包括饮食失调检查问卷(EDE-Q；或者，对于避免限制性食物摄入障碍，九项避免限制性食物摄入障碍筛选器[NIAS])，两项患者健康问卷(PHQ-2)，九项患者健康问卷(PHQ-9)，两项广泛性焦虑症(GAD-2)，七项广泛性焦虑症(GAD-7)，还有KIDSCREEN-10.对于18岁以上的成年人，措施包括EDE-Q(或，对于避免限制性食物摄入障碍，NIAS)，PHQ-2，PHQ-9，GAD-2，GAD-7，临床损害评估，和12项世卫组织残疾评估表2.0。这些问卷应补充有关患者特征和情况的信息（即，人口统计学,历史,和临床因素)。在国际上采用这些指南将允许比较研究和临床干预措施，以确定哪些设置和干预措施效果最好。为谁。
