Abstract
ObjectiveThe Eating Disorder Assessment for DSM-5 (EDA-5) is an electronic, semi-structured interview developed to assess feeding and eating disorders following DSM-5 criteria. The original English version has strong psychometric properties, and previous research has shown high rates of agreement between diagnoses generated by the Eating Disorder Examination (EDE) interview and the EDA-5. The current study aimed to validate the Norwegian version of the EDA-5, and is the first international validation of this diagnostic tool.MethodA total of 91 (87 females and 4 males) adult in- and out-patients were recruited from two of the largest eating disorder clinics in Norway. Diagnoses assigned using the EDA-5 were compared to diagnoses from the EDE interview (v. 17.0D).ResultsResults showed that diagnoses assigned using EDE and EDA-5 were identical for 75 (82.4%) of the 91 cases. Among individual diagnostic categories, kappas ranged from moderate (.49) to perfect (1.00) agreement. The majority of discrepant cases occurred between full- and sub-threshold AN and BN. The EDA-5 was significantly quicker to administer compared to the EDE (22 vs. 54 min).ConclusionsThe Norwegian EDA-5 can quickly and efficiently generate DSM-5 diagnoses without compromising diagnostic accuracy. It is a promising alternative to existing diagnostic tools, and may help streamline the identification of feeding and eating disorders in clinical settings and in research.
Highlights
The principle of early diagnosis and early intervention to optimize disease outcomes is widely accepted in mental (2020) 8:30 health
Results showed that diagnoses assigned using Eating Disorder Examination (EDE) and Eating Disorder Assessment for DSM-5 (EDA-5) were identical for 75 (82.4%) of the 91 cases
Plain English Summary This study compared the agreement between two diagnostic interviews for feeding and eating disorders; the traditional Eating Disorder Examination (EDE) and the newly developed Eating Disorder Assessment for Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 (EDA-5)
Summary
The principle of early diagnosis and early intervention to optimize disease outcomes is widely accepted in mental (2020) 8:30 health. For individuals with eating disorders, the first years of illness appears to offer a critical window for recovery, beyond which outcomes are poorer [1]. Three disorders that were described in the section on Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence in DSM-IV were combined with the eating disorders in a section renamed Feeding and Eating Disorders in DSM5. These disorders were pica, rumination disorder, and feeding disorder of infancy or early childhood; the last was expanded and renamed avoidant/restrictive food intake disorder (ARFID)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
