Abstract:
Eating disorders are severe and often chronic mental illnesses that are associated with high impairment and mortality rates. Recent estimates suggest that eating disorder prevalence rates are on the rise, indicating an increased need for accurate assessment and detection. The current review provides an overview of transdiagnostic eating disorder assessments, including interview, self-report, health and primary care screeners, and technology-based and objective assessments. We focused on assessments that are transdiagnostic in nature and exhibit high impact in the field. We provide recommendations for how these assessments should be used in research and clinical settings. We also discuss considerations that are crucial for assessment, including the use of a categorical versus dimensional diagnostic framework, assessment of eating disorders in related fields (i.e., anxiety and depression), and measurement-based care for eating disorders. Finally, we provide suggestions for future research, including the need for more research on short transdiagnostic screeners for use in health care settings, standardized assessments for ecological momentary assessment, development of state-based assessment of eating disorder symptoms, and consideration of assessment across multiple timescales.
摘要:
饮食失调是严重的,通常是慢性精神疾病,与高损伤和死亡率有关。最近的估计表明,饮食失调的患病率正在上升,表明对准确评估和检测的需求增加。本综述概述了饮食失调的诊断评估,包括面试,自我报告,健康和初级保健筛查人员,以及基于技术和客观的评估。我们专注于本质上是诊断性的评估,并在该领域表现出很高的影响力。我们为如何在研究和临床环境中使用这些评估提供了建议。我们还讨论了对评估至关重要的考虑因素,包括使用分类和维度诊断框架,对相关领域饮食失调的评估(即,焦虑和抑郁),和饮食失调的基于测量的护理。最后,我们为未来的研究提供建议,包括需要对用于医疗保健环境的短诊断筛查器进行更多研究,生态瞬时评估的标准化评估,饮食失调症状的状态评估的发展,并考虑跨多个时间尺度的评估。