Correspondence between the Diabetes Eating Problems Survey–Revised and eating disorder diagnosis: Examining the current cut-off for clinically significant eating disorder symptoms

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-03-13 DOI:10.1111/dme.70022

Ashley A. Moskovich, Caitrin Murphy, Samantha Schram, Francesca Scheiber, Rhonda M. Merwin

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引用次数: 0

Abstract

Aims

Eating disorders (EDs) are associated with severe health complications and early death in individuals with type 1 diabetes, making the accurate detection of EDs crucial so that treatment can be initiated. The Diabetes Eating Problems Survey–Revised (DEPS-R) is commonly used to identify individuals with type 1 diabetes with a probable ED, with scores ≥20 recommended as a clinical cut-off. However, the correspondence between a score ≥20 and an ED diagnosis has yet to be examined. This study examines the accuracy, sensitivity, and specificity of the DEPS-R ≥20 for detecting EDs in a sample of adults with type 1 diabetes participating in a study of eating and weight concerns.

Methods

Adults with type 1 diabetes (N = 83) completed the DEPS-R and a structured diagnostic ED interview (Eating Disorder Examination [EDE]). Each participant's EDE and DEPS-R scores were dichotomized (EDE: 1 = ED diagnosis, 0 = otherwise; DEPS-R: 1 = DEPS-R ≥20, 0 = otherwise) and DEPS-R ≥20 accuracy, sensitivity, and specificity for identifying EDs were calculated. A logistic regression was used to determine whether there was a significant association between the dichotomized EDE and DEPS-R scores.

Results

A DEPS-R ≥20 accurately detected the presence or absence of an ED in 81.8% of the cases, with a sensitivity of 76.7% and a specificity of 88.2%. The logistic regression exhibited a significant association between the EDE and DEPS-R binary variables (coefficient estimate = 3.2, 95% CI [2.0, 4.6]).

Conclusions

While the majority of individuals with an ED were identified using DEPS-R ≥20, a subset failed to be detected. Clinicians should keep this in mind when using the DEPS-R and may consider additional screening methods.

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修订后的糖尿病饮食问题调查与饮食失调诊断之间的对应关系：检查临床显著饮食失调症状的当前临界值

目的：饮食失调（EDs）与1型糖尿病患者严重的健康并发症和早期死亡有关，因此准确检测EDs至关重要，从而可以开始治疗。糖尿病饮食问题调查修订版（dpps - r）通常用于识别可能患有ED的1型糖尿病患者，建议得分≥20分作为临床分界点。然而，评分≥20与ED诊断之间的相关性还有待研究。本研究对参加饮食和体重研究的成人1型糖尿病患者样本中dps - r≥20检测ed的准确性、敏感性和特异性进行了检验。方法：成人1型糖尿病患者（N = 83）完成了DEPS-R和结构化诊断性ED访谈（进食障碍检查[EDE]）。对每位受试者的EDE和DEPS-R评分进行二分类(EDE: 1 = ED诊断，0 =非ED诊断；计算dps - r: 1 = dps - r≥20,0 =其他)和dps - r≥20鉴别EDs的准确性、灵敏度和特异性。采用逻辑回归来确定二分类EDE与DEPS-R评分之间是否存在显著关联。结果：dps - r≥20准确检测ED存在与否的比例为81.8%，敏感性为76.7%，特异性为88.2%。逻辑回归显示EDE和dps - r二元变量之间存在显著相关性（系数估计= 3.2,95% CI[2.0, 4.6]）。结论：虽然大多数ED患者使用DEPS-R≥20被识别，但有一部分患者未能被检测到。临床医生在使用DEPS-R时应牢记这一点，并可能考虑其他筛查方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”