Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy

Abstract Background The purpose of the study was to evaluate in a sample of insulin-treated diabetic patients, with type 1 or type 2 diabetes, the psychometric characteristics of the Italian version of the DEPS-R scale, a diabetes-specific self-report questionnaire used to analyze disordered eating...

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Main Authors: Federica Pinna, Enrica Diana, Lucia Sanna, Valeria Deiana, Mirko Manchia, Eraldo Nicotra, Andrea Fiorillo, Umberto Albert, Alessandra Nivoli, Umberto Volpe, Anna Rita Atti, Silvia Ferrari, Federica Medda, Maria Gloria Atzeni, Daniela Manca, Elisa Mascia, Fernando Farci, Mariangela Ghiani, Rossella Cau, Marta Tuveri, Efisio Cossu, Elena Loy, Alessandra Mereu, Stefano Mariotti, Bernardo Carpiniello
Format: Article
Language:English
Published: BMC 2017-07-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-017-1434-8
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language English
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author Federica Pinna
Enrica Diana
Lucia Sanna
Valeria Deiana
Mirko Manchia
Eraldo Nicotra
Andrea Fiorillo
Umberto Albert
Alessandra Nivoli
Umberto Volpe
Anna Rita Atti
Silvia Ferrari
Federica Medda
Maria Gloria Atzeni
Daniela Manca
Elisa Mascia
Fernando Farci
Mariangela Ghiani
Rossella Cau
Marta Tuveri
Efisio Cossu
Elena Loy
Alessandra Mereu
Stefano Mariotti
Bernardo Carpiniello
spellingShingle Federica Pinna
Enrica Diana
Lucia Sanna
Valeria Deiana
Mirko Manchia
Eraldo Nicotra
Andrea Fiorillo
Umberto Albert
Alessandra Nivoli
Umberto Volpe
Anna Rita Atti
Silvia Ferrari
Federica Medda
Maria Gloria Atzeni
Daniela Manca
Elisa Mascia
Fernando Farci
Mariangela Ghiani
Rossella Cau
Marta Tuveri
Efisio Cossu
Elena Loy
Alessandra Mereu
Stefano Mariotti
Bernardo Carpiniello
Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy
BMC Psychiatry
Eating disorder
Diabetes
Disturbed eating behavior
Insulin manipulation
author_facet Federica Pinna
Enrica Diana
Lucia Sanna
Valeria Deiana
Mirko Manchia
Eraldo Nicotra
Andrea Fiorillo
Umberto Albert
Alessandra Nivoli
Umberto Volpe
Anna Rita Atti
Silvia Ferrari
Federica Medda
Maria Gloria Atzeni
Daniela Manca
Elisa Mascia
Fernando Farci
Mariangela Ghiani
Rossella Cau
Marta Tuveri
Efisio Cossu
Elena Loy
Alessandra Mereu
Stefano Mariotti
Bernardo Carpiniello
author_sort Federica Pinna
title Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy
title_short Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy
title_full Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy
title_fullStr Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy
title_full_unstemmed Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy
title_sort assessment of eating disorders with the diabetes eating problems survey – revised (deps-r) in a representative sample of insulin-treated diabetic patients: a validation study in italy
publisher BMC
series BMC Psychiatry
issn 1471-244X
publishDate 2017-07-01
description Abstract Background The purpose of the study was to evaluate in a sample of insulin-treated diabetic patients, with type 1 or type 2 diabetes, the psychometric characteristics of the Italian version of the DEPS-R scale, a diabetes-specific self-report questionnaire used to analyze disordered eating behaviors. Methods The study was performed on 211 consecutive insulin-treated diabetic patients attending two specialist centers. Lifetime prevalence of eating disorders (EDs) according to DSM-IV and DSM-5 criteria were assessed by means of the Module H of the Structured Clinical Interview for DSM IV Axis I Disorder and the Module H modified, according to DSM-5 criteria. The following questionnaires were administered: DEPS-R and the Eating Disorder Inventory – 3 (EDI-3). Test/retest reproducibility was assessed on a subgroup of 70 patients. The factorial structure, internal consistency, test-retest reliability and concurrent validity of DEPS-R were assessed. Results Overall, 21.8% of the sample met criteria for at least one DSM-5 diagnosis of ED. A “clinical risk” of ED was observed in 13.3% of the sample. Females displayed higher scores at DEPS-R, a higher percentage of at least one diagnosis of ED and a higher clinical risk for ED. A high level of reproducibility and homogeneity of the scale were revealed. A significant correlation was detected between DEPS-R and the 3 ED risk scales of EDI-3. Conclusions The data confirmed the overall reliability and validity of the scale. In view of the significance and implications of EDs in diabetic patients, it should be conducted a more extensive investigation of the phenomenon by means of evaluation instruments of demonstrated validity and reliability.
topic Eating disorder
Diabetes
Disturbed eating behavior
Insulin manipulation
url http://link.springer.com/article/10.1186/s12888-017-1434-8
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spelling doaj-aa1bcaff3b524eafbf1c6b680996bad22020-11-24T22:06:51ZengBMCBMC Psychiatry1471-244X2017-07-0117111110.1186/s12888-017-1434-8Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in ItalyFederica Pinna0Enrica Diana1Lucia Sanna2Valeria Deiana3Mirko Manchia4Eraldo Nicotra5Andrea Fiorillo6Umberto Albert7Alessandra Nivoli8Umberto Volpe9Anna Rita Atti10Silvia Ferrari11Federica Medda12Maria Gloria Atzeni13Daniela Manca14Elisa Mascia15Fernando Farci16Mariangela Ghiani17Rossella Cau18Marta Tuveri19Efisio Cossu20Elena Loy21Alessandra Mereu22Stefano Mariotti23Bernardo Carpiniello24Department of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Pedagogy, Psychology, Philosophy, University of CagliariDepartment of Psychiatry, University of Naples SUNRita Levi Montalcini Department of Neuroscience, Anxiety and Mood Disorders Unit, University of TurinPsychiatric Institute, Department of Clinical and Experimental Medicine, University of SassariDepartment of Psychiatry, University of Naples SUNDepartment of Biomedical and Neuro Motor Sciences, University of BolognaDepartment of Diagnostic-Clinical Medicine and Public Health, University of Modena & Reggio EmiliaDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariUnit of Diabetology, ASL-CagliariUnit of Diabetology, ASL-CagliariUnit of Diabetology, ASL-CagliariEndocrinology and Diabetes Unit, AOU-CagliariEndocrinology and Diabetes Unit, AOU-CagliariEndocrinology and Diabetes Unit, AOU-CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariEndocrinology and Diabetes Unit, AOU-CagliariDepartment of Public Health, Clinical and Molecular Medicine, University of CagliariAbstract Background The purpose of the study was to evaluate in a sample of insulin-treated diabetic patients, with type 1 or type 2 diabetes, the psychometric characteristics of the Italian version of the DEPS-R scale, a diabetes-specific self-report questionnaire used to analyze disordered eating behaviors. Methods The study was performed on 211 consecutive insulin-treated diabetic patients attending two specialist centers. Lifetime prevalence of eating disorders (EDs) according to DSM-IV and DSM-5 criteria were assessed by means of the Module H of the Structured Clinical Interview for DSM IV Axis I Disorder and the Module H modified, according to DSM-5 criteria. The following questionnaires were administered: DEPS-R and the Eating Disorder Inventory – 3 (EDI-3). Test/retest reproducibility was assessed on a subgroup of 70 patients. The factorial structure, internal consistency, test-retest reliability and concurrent validity of DEPS-R were assessed. Results Overall, 21.8% of the sample met criteria for at least one DSM-5 diagnosis of ED. A “clinical risk” of ED was observed in 13.3% of the sample. Females displayed higher scores at DEPS-R, a higher percentage of at least one diagnosis of ED and a higher clinical risk for ED. A high level of reproducibility and homogeneity of the scale were revealed. A significant correlation was detected between DEPS-R and the 3 ED risk scales of EDI-3. Conclusions The data confirmed the overall reliability and validity of the scale. In view of the significance and implications of EDs in diabetic patients, it should be conducted a more extensive investigation of the phenomenon by means of evaluation instruments of demonstrated validity and reliability.http://link.springer.com/article/10.1186/s12888-017-1434-8Eating disorderDiabetesDisturbed eating behaviorInsulin manipulation