A rapid screening tool for anorectic/bulimic risk in online settings: a pilot-study on the DiCA33 validation in Italian young female students.

IF 1 4区医学 Q4 PSYCHIATRY

Rivista di psichiatria Pub Date : 2022-07-01 DOI:10.1708/3855.38383

Alessandro Chinello, Raffaele Simone Scuotto, Simone Cadeo, Luigi Enrico Zappa, Paola Ricciardelli

{"title":"A rapid screening tool for anorectic/bulimic risk in online settings: a pilot-study on the DiCA33 validation in Italian young female students.","authors":"Alessandro Chinello, Raffaele Simone Scuotto, Simone Cadeo, Luigi Enrico Zappa, Paola Ricciardelli","doi":"10.1708/3855.38383","DOIUrl":null,"url":null,"abstract":"<p><p>The early identification of anorexia (AN) and bulimia nervosa (BN) in the general population represents a crucial strategy to avoid their chronicization and clinical worsening. This pilot-study aims to test the validity of a new screening tool (DiCA33) dedicated AN/BN risk in online settings, based on the Italian version of EAT-26, a self-report questionnaire for measuring AN/BN symptoms. First analyses excluded the effect of demographic factors on results and suggested a limited explanation power of the mere total scores of DiCA33 for risk detection. Alternatively, a selection of risked items from the DiCA33 checklists (as evidenced on EAT-26 scores), then combined in a subscale, showed a necessary sensitivity for screening purposes. The DiCA33-subscale constitutes a reliable and useful index for the early and quick detection of AN/BN risk in young Italian female population, composed mainly by students. Considering the non-diagnostic nature of this tool, subsequent rigorous and psychiatric evaluations are necessary for positive cases to confirm the risk. Further studies may validate the tool even recruiting patients with eating disorders to improve tool specificity.</p>","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 4","pages":"184-189"},"PeriodicalIF":1.0000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rivista di psichiatria","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1708/3855.38383","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

The early identification of anorexia (AN) and bulimia nervosa (BN) in the general population represents a crucial strategy to avoid their chronicization and clinical worsening. This pilot-study aims to test the validity of a new screening tool (DiCA33) dedicated AN/BN risk in online settings, based on the Italian version of EAT-26, a self-report questionnaire for measuring AN/BN symptoms. First analyses excluded the effect of demographic factors on results and suggested a limited explanation power of the mere total scores of DiCA33 for risk detection. Alternatively, a selection of risked items from the DiCA33 checklists (as evidenced on EAT-26 scores), then combined in a subscale, showed a necessary sensitivity for screening purposes. The DiCA33-subscale constitutes a reliable and useful index for the early and quick detection of AN/BN risk in young Italian female population, composed mainly by students. Considering the non-diagnostic nature of this tool, subsequent rigorous and psychiatric evaluations are necessary for positive cases to confirm the risk. Further studies may validate the tool even recruiting patients with eating disorders to improve tool specificity.

查看原文本刊更多论文

在线设置中厌食/暴食风险的快速筛选工具:意大利年轻女学生DiCA33验证的试点研究

在普通人群中早期识别厌食症(AN)和神经性贪食症(BN)是避免其慢性化和临床恶化的关键策略。这项试点研究旨在测试在线环境中专门用于AN/BN风险的新筛查工具(DiCA33)的有效性，该工具基于意大利语版EAT-26，这是一份用于测量AN/BN症状的自我报告问卷。首先，分析排除了人口因素对结果的影响，并表明DiCA33总分对风险检测的解释能力有限。或者，从DiCA33检查表中选择有风险的项目(如EAT-26分数所证明的)，然后结合在一个子量表中，显示出筛查目的的必要敏感性。dica33分量表是早期、快速检测以学生为主的意大利年轻女性AN/BN风险的可靠、有用的指标。考虑到该工具的非诊断性质，对于阳性病例，后续的严格和精神病学评估是必要的，以确认风险。进一步的研究可能会验证该工具，甚至可以招募饮食失调患者来提高工具的特异性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Rivista di psichiatria 医学-精神病学

CiteScore

5.00

自引率

3.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Gli interessi della rivista riguardano l’approfondimento delle interazioni tra mente e malattia, la validazione e la discussione dei nuovi strumenti e parametri di classificazione diagnostica, la verifica delle prospettive terapeutiche farmacologiche e non.