title: Screening for DSM-5 Other Specified Feeding or Eating Disorder in a Weight-Loss Treatment-Seeking Obese Sample.
abstract: OBJECTIVE
  To evaluate the effectiveness of specific self-report questionnaires in detecting DSM-5 eating disorders identified via structured clinical interview in a weight-loss treatment-seeking obese sample, to improve eating disorder recognition in general clinical settings.
  
  
  METHODS
  Individuals were recruited over a 3-month period (November 2, 2011, to January 10, 2012) when initially presenting to a hospital-based weight-management center in the northeastern United States, which offers evaluation and treatment for outpatients who are overweight or obese. Participants (N = 100) completed the Structured Clinical Interview for DSM-IV eating disorder module, a DSM-5 feeding and eating disorders interview, and a battery of self-report questionnaires.
  
  
  RESULTS
  Self-reports and interviews agreed substantially in the identification of bulimia nervosa (DSM-IV and DSM-5: tau-b = 0.71, P < .001) and binge-eating disorder (DSM-IV and DSM-5: tau-b = 0.60, P < .001), modestly for subthreshold binge-eating disorder (tau-b = 0.44, P < .001), and poorly for other subthreshold conditions (night-eating syndrome: tau-b = -0.04, P = .72, r = 0.06 [DSM-5]).
  
  
  CONCLUSIONS
  Current self-report assessments are likely to identify full syndrome DSM-5 eating disorders in treatment-seeking obese samples, but unlikely to detect DSM-5 other specified feeding or eating disorders. We propose specific content changes that might enhance clinical utility as suggestions for future evaluation.
authors: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann); Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont); and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
authors: Andrea S
authors: AS
authors: Hartmann
authors: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann); Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont); and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
authors: Mark J
authors: MJ
authors: Gorman
authors: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann); Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont); and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
authors: Stephanie
authors: S
authors: Sogg
authors: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann); Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont); and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
authors: Evan M
authors: EM
authors: Lamont
authors: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann); Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont); and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
authors: Kamryn T
authors: KT
authors: Eddy
authors: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann); Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont); and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
authors: Anne E
authors: AE
authors: Becker
authors: Institute of Psychology, Universität Osnabrück, Osnabrück, Germany (Dr Hartmann); Massachusetts General Hospital, Boston (Drs Gorman, Sogg, Eddy, Becker, and Thomas and Mr Lamont); and Department of Psychiatry (Drs Gorman, Sogg, Eddy, and Thomas) and Department of Global Health and Social Medicine (Dr Becker), Harvard Medical School, Boston, Massachusetts.
authors: Jennifer J
authors: JJ
authors: Thomas