Proper assessment and diagnosis of eating disorders (EDs) are critical to determine to whom prevention and treatment efforts should be targeted, the extent to which treatment is working, and when an individual has recovered. Although existing ED diagnostic interviews have numerous strengths, they also have certain limitations, including poor internal consistency, low discriminant validity, and poor factor-structure replicability. The purpose of the current study was to address problems of past ED diagnostic interviews through the creation of a new clinician-rated interview-the Eating Pathology Symptoms Inventory-Clinician-Rated Version (EPSI-CRV). The EPSI-CRV was designed to measure dimensional constructs assessed in the self-report version of the EPSI and generate current Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013) diagnoses. Participants were community-recruited adults with a DSM-5 ED (N = 257). Participants completed self-report and interview-based measures of eating, mood, and anxiety disorders and self-report measures of psychiatric impairment. The EPSI-CRV demonstrated evidence for interrater reliability, convergent and discriminant validity, and a good-fitting factor structure. EPSI-CRV dimensions showed concurrent validity for distinguishing among ED diagnoses. Baseline EPSI-CRV dimensions significantly predicted psychiatric impairment at baseline but not at 1-year follow-up. Although some scales had lower internal consistency than ideal, internal consistency values were similar to those of other established diagnostic measures. The EPSI-CRV appears to represent a promising new interview that can be used across a variety of clinical and research settings. Interested readers can access the EPSI-CRV and relevant training materials here: https://kuscholarworks.ku.edu/handle/1808/29616. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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饮食病理学症状清单-临床医师评定版本 (EPSI-CRV) 的开发和初步验证。

饮食失调 (ED) 的正确评估和诊断对于确定应针对谁进行预防和治疗、治疗的有效程度以及个体何时康复至关重要。尽管现有的 ED 诊断访谈有很多优势，但它们也存在一定的局限性，包括内部一致性差、判别效度低和因子结构可复制性差。本研究的目的是通过创建一个新的临床医生评估访谈 - 饮食病理学症状量表 - 临床医生评估版本 (EPSI-CRV) 来解决过去 ED 诊断访谈的问题。EPSI-CRV 旨在测量在 EPSI 的自我报告版本中评估的维度结构，并生成当前的精神障碍诊断和统计手册（第 5 版；DSM-5；美国精神病学协会，2013）诊断。参与者是社区招募的具有 DSM-5 ED 的成年人（N = 257）。参与者完成了饮食、情绪和焦虑障碍的自我报告和基于访谈的测量，以及精神障碍的自我报告测量。EPSI-CRV 证明了评估者间信度、收敛效度和区分效度以及良好拟合的因子结构。EPSI-CRV 维度显示了区分 ED 诊断的同时有效性。基线 EPSI-CRV 维度显着预测基线时的精神障碍，但在 1 年的随访中没有。尽管一些量表的内部一致性低于理想量表，但内部一致性值与其他已建立的诊断测量值相似。EPSI-CRV 似乎代表了一种有前途的新访谈，可用于各种临床和研究环境。有兴趣的读者可以在这里访问 EPSI-CRV 和相关培训材料：https://kuscholarworks.ku.edu/handle/1808/29616。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。