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Journal article
Can a Short Screening Tool Discriminate Between Overeating and Binge Eating in Treatment-Seeking Individuals with Obesity?
Obesity (Silver Spring, Md.), v 29(4), pp 706-712
Apr 2021
PMID: 33759384
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Existing screening tools are inadequate in differentiating binge eating from normative overeating in treatment-seeking individuals with overweight or obesity, as these individuals tend to overendorse loss-of-control (LOC; the hallmark characteristic of binge eating) on self-report measures. In order for treatment centers to efficiently and accurately identify individuals who would benefit from specialized treatment, it is critical to develop effective brief screening tools. This study examined the sensitivity and specificity of a self-report screener designed to be used by an outpatient treatment center on a large scale.
Participants were treatment-seeking individuals (N = 364) with overweight or obesity who were administered the screener and who completed a subsequent interview assessing for LOC and binge eating.
Discriminant analyses revealed that the screener achieved 77.6% sensitivity and 77.0% specificity in predicting clinician-assessed LOC and 75.2% sensitivity and 74.1% specificity in predicting "full-threshold" binge eating (i.e., ≥12 objectively large binge-eating episodes within the past 3 months). Post hoc analyses indicated that male participants were more likely to be misclassified with the screener.
The self-report screener demonstrated satisfactory predictive ability, which is notable given the challenges of discriminating between LOC and normative overeating. However, room for improvement remains. In particular, the inclusion of additional screener items that more fully capture the binge-eating experience in males is warranted.
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Details
- Title
- Can a Short Screening Tool Discriminate Between Overeating and Binge Eating in Treatment-Seeking Individuals with Obesity?
- Creators
- Stephanie M Manasse - Drexel UniversityMegan L Michael - Drexel UniversityMandy Lin - Drexel UniversityLindsay Gillikin - Drexel UniversityFengqing Zhang - Drexel UniversityEvan M Forman - Drexel UniversityAdrienne Juarascio - Drexel University
- Publication Details
- Obesity (Silver Spring, Md.), v 29(4), pp 706-712
- Publisher
- Wiley
- Grant note
- R01 DK119658 / NIDDK NIH HHS R34 MH116021 / NIMH NIH HHS K23 DK124514 / NIDDK NIH HHS R01 DK117072 / NIDDK NIH HHS R34 MH118353 / NIMH NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000631760900012
- Scopus ID
- 2-s2.0-85102850745
- Other Identifier
- 991019168325304721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics