The Eating Disorders Section of the Development and Well-Being Assessment (DAWBA): development and validation

• Autor(a) principal: Moya,Tatiana
• Data de Publicação: 2005
• Outros Autores: Fleitlich-Bilyk,Bacy, Goodman,Robert, Nogueira,Fabiana Chamelet, Focchi,Patrícia Souza, Nicoletti,Manoela, Pinzon,Vanessa, Cordás,Táki Athanássios, Lotufo Neto,Francisco
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462005000100008
• topic: Eating disorders/diagnosis; Eating disorders/epidemiology; Food habits; Anorexia nervosa; Bulimia; Diagnostic and statistical manual of mental disorders; Interview, psychological; Mental disorders; Children; Adolescent

OBJECTIVE: Development and validation of the Eating Disorders Section of the Development and Well-Being Assessment (DAWBA). It is a package of questionnaires, interviews and evaluation techniques, designed to generate DSM-IV and ICD-10 based diagnoses of anorexia, bulimia nervosa and the respective partial syndromes in epidemiological studies, in subjects who are 7 to 17 years old. The parents are interviewed in all cases, as are young people aged 11 or more. METHODS: 174 girls, divided into three groups, were assessed with the Eating Disorders Section of the Development and Well-Being Assessment: 48 with eating disorders, 55 clinical controls (with depression, obsessive-compulsive disorder or gastrointestinal disease) and 71 community controls. The sensitivity, specificity and predictive values of the assessment were investigated by comparing the Development and Well-Being Assessment diagnoses with independent psychiatric diagnoses. The test-retest reliability was investigated by reapplying the measure on 55 subjects after 2 or 3 weeks. RESULTS: For the detection of any DSM-IV and ICD-10 eating disorder, the final Development and Well-Being Assessment diagnosis had a sensitivity of 100%, specificity of 94%, positive predictive value of 88%, and a negative predictive value of 100%; there was 95% agreement between the initial and repeat diagnoses (a kappa of 0.81). CONCLUSION: The Eating Disorders Section of the Development and Well-Being Assessment has suitable psychometric properties for use in clinical and epidemiological studies.