Format

Send to

Choose Destination
BMC Psychiatry. 2017 Jul 19;17(1):262. doi: 10.1186/s12888-017-1434-8.

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.

Author information

1
Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Cagliari, Italy. fedepinna@inwind.it.
2
Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Cagliari, Italy.
3
Department of Pharmacology, Dalhousie University, Halifax, NS, Canada.
4
Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy.
5
Department of Psychiatry, University of Naples SUN, Naples, Italy.
6
Rita Levi Montalcini Department of Neuroscience, Anxiety and Mood Disorders Unit, University of Turin, Turin, Italy.
7
Psychiatric Institute, Department of Clinical and Experimental Medicine, University of Sassari, Sassari, Italy.
8
Department of Biomedical and Neuro Motor Sciences, University of Bologna, Bologna, Italy.
9
Department of Diagnostic-Clinical Medicine and Public Health, University of Modena & Reggio Emilia, Modena, Italy.
10
Unit of Diabetology, ASL-Cagliari, Quartu Sant'Elena, Italy.
11
Endocrinology and Diabetes Unit, AOU-Cagliari, Monserrato, Italy.
12
Department of Medical Sciences, University of Cagliari, Monserrato, 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 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.

KEYWORDS:

Diabetes; Disturbed eating behavior; Eating disorder; Insulin manipulation

PMID:
28724422
PMCID:
PMC5518128
DOI:
10.1186/s12888-017-1434-8
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center