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CPG for Eating Disorders

CPG for Eating Disorders

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Algorithm NotesAlgorithm 1. Detection of potential cases of eating disorders1) Visits of healthy children/adolescents and visits prior to participating in sports, <strong>for</strong> example,would be a good opportunity to carry out integrated prevention (primary) and screening ofdifferent disorders, including eating disorders.2) Screening instruments are useful <strong>for</strong> a quick, first assessment aimed at ruling out theexistence of suspicious symptoms in the first phase of the two-phase screening process, inwhich individuals who obtain high scores are re-assessed to determine if they fulfil <strong>for</strong>maldiagnostic criteria.3) Screening instruments are inefficient at establishing the diagnosis of an eating disorder.4) In order to identify potential cases of eating disorders, several different screening selfreportedquestionnaires have been designed that enable systematic assessment of eatingbehaviour.5) It is recommended to use questionnaires that have been adapted and validated in the pulationto detect cases (screening) of eating disorders. The following instruments are recommended(Good clinical practice). Recommendation 6.5.:– <strong>Eating</strong> disorders in general: SCOFF (<strong>for</strong> individuals aged 11 years and over).– AN: EAT-40, EAT-26 and ChEAT (the latter <strong>for</strong> individuals aged between 8 and 12years).– BN: BULIT, BULIT-R y BITE (the three <strong>for</strong> individuals aged 12-13 years and over).Algorithm 1 abbreviationsPC = Primary CareBITE = Bulimic Investigatory Test, EdinburghBULIT = Bulimia TestBULIT-R = revised version of the BULITChEAT = Children’s version of the EAT-26EAT-40 = <strong>Eating</strong> Attitudes TestEAT-26 = Abbreviated version of the EAT-40SCOFF = Sick, Control, One, Fat, Food questionnaireEDs = <strong>Eating</strong> <strong>Disorders</strong>CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS197

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