title: The eating disorder assessment for DSM-5 (EDA-5): Development and validation of a structured interview for feeding and eating disorders.
abstract: OBJECTIVE
  Existing measures for DSM-IV eating disorder diagnoses have notable limitations, and there are important differences between DSM-IV and DSM-5 feeding and eating disorders. This study developed and validated a new semistructured interview, the Eating Disorders Assessment for DSM-5 (EDA-5).
  
  
  METHODS
  Two studies evaluated the utility of the EDA-5. Study 1 compared the diagnostic validity of the EDA-5 with the Eating Disorder Examination (EDE) and evaluated the test-retest reliability of the new measure. Study 2 compared the diagnostic validity of an EDA-5 electronic application ("App") with clinician interview and self-reported assessments.
  
  
  RESULTS
  In Study 1, the kappa for EDE and EDA-5 eating disorder diagnoses was 0.74 across all diagnoses (n = 64), with a range of κ = 0.65 for other specified feeding or eating disorder/unspecified feeding or eating disorder to κ = 0.90 for binge eating disorder. The EDA-5 test-retest kappa coefficient was 0.87 across diagnoses. For Study 2, clinical interview versus App conditions revealed a kappa of 0.83 for all eating disorder diagnoses (n = 71). Across individual diagnostic categories, kappas ranged from 0.56 for other specified feeding or eating disorder/unspecified feeding or eating disorder to 0.94 for BN.
  
  
  CONCLUSIONS
  High rates of agreement were found between diagnoses by EDA-5 and the EDE, and EDA-5 and clinical interviews. Because this study supports the validity of the EDA-5 to generate DSM-5 eating disorders and the reliability of these diagnoses, the EDA-5 may be an option for the assessment of anorexia nervosa, bulimia nervosa, and binge eating disorder. Additional research is needed to evaluate the utility of the EDA-5 in assessing DSM-5 feeding disorders.
authors: Division of Clinical Therapeutics, New York State Psychiatric Institute, New York City, New York.|Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York City, New York.
authors: Robyn
authors: R
authors: Sysko
authors: Division of Clinical Therapeutics, New York State Psychiatric Institute, New York City, New York.|Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York City, New York.
authors: Deborah R
authors: DR
authors: Glasofer
authors: Eating and Weight Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York City, New York.
authors: Tom
authors: T
authors: Hildebrandt
authors: Eating and Weight Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York City, New York.
authors: Patrycja
authors: P
authors: Klimek
authors: Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.|Neuropsychiatric Research Institute, Fargo, North Dakota.
authors: James E
authors: JE
authors: Mitchell
authors: Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota.
authors: Kelly C
authors: KC
authors: Berg
authors: Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota.
authors: Carol B
authors: CB
authors: Peterson
authors: Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.|Neuropsychiatric Research Institute, Fargo, North Dakota.
authors: Stephen A
authors: SA
authors: Wonderlich
authors: Division of Clinical Therapeutics, New York State Psychiatric Institute, New York City, New York.|Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York City, New York.
authors: B Timothy
authors: BT
authors: Walsh
mesh_terms: D000293:Adolescent; D000328:Adult; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012647:Self-Assessment; D055815:Young Adult
keywords: DSM-5; EDA-5; assessment; validation
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