CPG for Eating Disorders

Spanish version of the BITEThe adapted version validated in our setting was developed by T Rivas, et al., 2004 181(See Annex 2.6.).The Spanish version of BITE was administered to a sample of adolescents aged between12 and 21 years from different schools. Using cut-off points based on DSM-IV criteria for BN,high specificity and a much lower sensitivity than that found in clinical samples were obtained.Furthermore, the scores in the BN group were higher than in other eating disorders and in thegroup without eating disorders. Therefore, this instrument can be used for early detection ofindividuals who may present an eating disorder in the general population. It is also used toassess disease intensity and response to treatment.RecommendationsD 6.1. Target groups for screening should include young people with low body massindex (BMI) compared to age-based reference values, patients consulting withweight concerns without being overweight or people who are overweight,women with menstrual disorders or amenorrhoea, patients with gastrointestinalsymptoms, patients with signs of starvation or repeated vomiting, and childrenwith delayed or stunted growth, children, adolescents and young adults whoperform sports that entail a risk of developing an eating disorder (athletics,dance, synchronised swimming, etc.). (Adapted from recommendation 5.2.5.3of the NICE CPG).D 6.2. In AN, weight and BMI are not considered the only indicators of physical risk.(Adapted from recommendation 5.2.5.6 of the NICE CPG).D 6.3. Early identification and intervention of individuals presenting weight loss areimportant to prevent the development of severe emaciation. (Adapted fromrecommendation 6.6.1.2 of the NICE CPG).D 6.4. In the case of suspected AN, attention should be paid to overall clinicalassessment (repeated over time), including rate of weight loss, growth curve inchildren, objective physical signs and appropriate laboratory tests. (Adoptedfrom recommendation 5.2.5.7 of the NICE CPG).CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS68