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Fast screening of eating disorders among patients with bipolar disorder: Validation of the French version of BEDS questionnaire
Affiliation:1. Department of Psychiatry, Centre Hospitalier G Marchant, Toulouse, France;2. Inserm UMR 1027, Université Paul Sabatier, Toulouse 3, France;3. Nutrition Unit, Cardiovascular and Metabolic Disease Department, CHU de Toulouse, France;1. Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan;2. Department of Cardiology, Chubu Rosai Hospital, Nagoya, Japan;3. Department of Cardiology, Aichi-Medical University, Nagoya, Japan;1. Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy;2. Diabetology and Metabolic Diseases Unit, I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy;3. Department of Sciences for Health, Ospedale San Paolo, Università degli Studi di Milano, Milan, Italy;4. Institute for Clinical Chemistry and Laboratory Medicine, University of Regensburg, Regensburg, Germany;5. Service of Laboratory Medicine 1 – Clinical Pathology, Department of Health Services of Diagnosis and Treatment – Laboratory Medicine, I.R.C.C.S. Policlinico San Donato, San Donato Milanese, Milan, Italy;1. Nutrition Research Center, Department of Community Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran;2. Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;3. Student Research Committee, Department of Community Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran;4. Neuroscience Research Center, Department of Physiology, School of Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran;1. Hochschule Zittau/Görlitz, Institute of Process Technology, Process Automation and Measuring Technology, Theodor-Körner-Allee 16, D-02763 Zittau, Germany;2. Helmholtz-Zentrum Dresden-Rossendorf, Institute of Fluid Dynamics, P.O. Box 510119, D-01314 Dresden, Germany;1. Centre AntiPoison de Paris, fédération de toxicologie de l’AP–HP, hôpital Lariboisière - Fernand Widal, 200, rue du Faubourg-Saint-Denis, 75010 Paris, France;2. Inserm UMRS 1144, faculté de pharmacie, Paris, France;3. UFR de médecine, université de Paris, Paris, France;4. Réanimation médicale et toxicologique, fédération de toxicologie de l’AP–HP, hôpital Lariboisière - Fernand Widal, Paris, France
Abstract:IntroductionThe prevalence and morbidity of eating disorders (ED) is high in patients with bipolar disorder (BD). Simple tools are necessary to easily and rapidly screen for ED in bipolar patients.ObjectiveThe aim of this study was to validate the French version of Bipolar Eating Disorder Scale (BEDS-F).MethodED and BD diagnoses were established with a structured-interview in 80 patients according to the DSM-IV criteria. The BEDS was translated into French using appropriate methods. Patients were administered the following scales: BEDS-F, SCOFF, Bulimic Investigatory Test Edinburgh (BITE) and Eating Disorder Inventory-two (EDI-2).ResultsBEDS-F score were significantly higher in bipolar patients with ED. The BEDS-F showed high feasibility (no omission response), excellent discriminating abilities (ROC AUC = 0.97) with a sensibility of 98% and specificity of 85% for BEDS  11, high internal consistency (Cronbach's alpha coefficient = 0.86) and test-retest reliability (ICC = 0.99). No floor/ceiling effect was observed. The BEDS-F sensitivity was equivalent to that of the BITE and EDI-2 subscale B. The BEDS-F specificity was slightly lower than that of the EDI-2 subscale B, but equivalent to that of BITE.ConclusionThe BEDS-F is a valid scale for fast ED screening in patients with bipolar disorder, and easier to administer than other currently used scales.
Keywords:Bipolar disorder  Eating disorders  Bipolar Eating Disorders Scale (BEDS)  Anorexia nervosa  Bulimia nervosa  Maladie bipolaire  Trouble des conduites alimentaires  Bipolar Eating Disorder scale (BEDS)  Anorexie mentale  Boulimie nerveuse
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