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Table 5 DESA-6 Diagnostic Accuracy Measures of the DESA-6 to the EDE-17

From: Initial validation of a screening tool for disordered eating in adolescent athletes

Phase II

Total Sample (n = 82)

Males (n = 23)

Females (n = 59)

Result (95% CI)

Result (95% CI)

Result (95% CI)

DESA-6 vs. EDE-17

Sensitivity

92% (74.0%, 99.0%)

100% (29.24, 100%)

90.9% (70.8, 98.9%)

Specificity

85.96% (74.2, 93.3%)

85.0% (62.1, 96.8%)

86.5% (71.2, 95.5%)

Positive Likelihood Ratio

6.56 (3.65, 14.9)

6.7 (2.35, 18.92)

6.7 (2.95, 15.36)

Negative Likelihood Ratio

0.09 (0.02, 0.35)

0 (0, 0)b

0.11 (0.03,0.40)

Disease Prevalencea (EDE-17)

a30.5% (20.8%, 41.6%)

a13.0% (2.78, 33.59%)

a37.3% (25.04%, 50.%)

Positive Predictive Value

74.2% (60.0%, 84.7%)

50.0% (26.05, 73.95%)

80.0% (63.66, 90.13%)

Negative Predictive Value

96.1% (86.6%, 98.9%)

100% (N/a)b

94.1% (80.9, 98.4%)

Accuracy

87.8% (78.7%, 94.0%)

87.0% (66.4, 97.2%)

88.1% (77.1, 95.1%)

Phase I

Total Sample (n = 308)

Males (n = 148)

Females (n = 160)

Result (95% CI)

Result (95% CI)

Result (95% CI)

DESA-6 vs. EAT-26

Sensitivity

62.50% (50.30, 73.64%)

41.67% (22.11, 63.36%)

72.92% (58.15, 84.72%)

Specificity

87.71% (82.83, 91.61%)

92.74% (86.67, 96.63%)

82.14% (73.78, 88.74%)

Positive Likelihood Ratio

5.09 (3.46, 7.47)

5.74 (2.61, 12.62)

4.08 (2.65, 6.30)

Negative Likelihood Ratio

0.43 (0.32, 0.58)

0.63 (0.45, 0.89)

0.33 (0.21, 0.53)

Disease Prevalence (EDE-17)

23.38% (18.76, 28.51%)

16.22% (10.67, 23.16%)

30.00% (23.02, 37.74%)

Positive Predictive Value

60.81% (51.36, 69.52%)

52.63% (33.58, 70.95%)

63.64% (53.16, 72.96%)

Negative Predictive Value

88.46% (85.00, 91.20%)

89.15% (85.37, 92.04%)

87.62% (81.53, 91.90%)

Accuracy

81.82% (77.05, 85.96%)

84.46% (77.60, 89.89%)

79.38% (72.27, 85.36%)

  1. Overview of the DESA-6’s ability to screen for DE in an athlete population. Scores of ≥ 3 were used as a positive DESA-6 Score. Scores of ≥ 12 were used as a positive EAT-26 Score. For the EDE-17, a positive DE score is defined as a positive score on the “Restraint OR Eating Concern” subscales and a positive score on the “Weight Concern OR Shape Concern” subscale. a Prevalence is not representative of population due to recruitment constrictions.b Could not be calculated due to no false negative results