Secret patterns: Validation of a screening tool to detect bulimia

Karen M. Freund, Renee Boss, Elizabeth K. Handleman, Alma Dell Smith

Research output: Contribution to journalArticle

Abstract

We prospectively validated a two-item screening tool for bulimia. Subjects recruited from a women's health practice completed the previously developed two-item screening tool ('Do you ever eat in secret?' and 'Are you satisfied with your eating patterns?') at their initial office visit. This was validated against a telephone interview with a licensed psychologist. The prevalence of current bulimia was 16% in 75 subjects, determined by psychologists' assessment (sensitivity 75%, specificity 49%) and 4% by DSM-III-R criteria. The positive and negative predictive values of one screening question positive were 22% and 91%, respectively, when compared with the psychologists' assessments as the gold standard. This screening tool allows physicians to identify patients who warrant further valuation for bulimia.

Original languageEnglish (US)
Pages (from-to)1281-1284
Number of pages4
JournalJournal of Women's Health and Gender-Based Medicine
Volume8
Issue number10
StatePublished - Dec 1999
Externally publishedYes

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Bulimia
Psychology
Office Visits
Women's Health
Diagnostic and Statistical Manual of Mental Disorders
Eating
Interviews
Physicians
Sensitivity and Specificity

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Secret patterns : Validation of a screening tool to detect bulimia. / Freund, Karen M.; Boss, Renee; Handleman, Elizabeth K.; Dell Smith, Alma.

In: Journal of Women's Health and Gender-Based Medicine, Vol. 8, No. 10, 12.1999, p. 1281-1284.

Research output: Contribution to journalArticle

Freund, KM, Boss, R, Handleman, EK & Dell Smith, A 1999, 'Secret patterns: Validation of a screening tool to detect bulimia', Journal of Women's Health and Gender-Based Medicine, vol. 8, no. 10, pp. 1281-1284.
Freund, Karen M. ; Boss, Renee ; Handleman, Elizabeth K. ; Dell Smith, Alma. / Secret patterns : Validation of a screening tool to detect bulimia. In: Journal of Women's Health and Gender-Based Medicine. 1999 ; Vol. 8, No. 10. pp. 1281-1284.
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