Can the Diabetes Eating Problem Survey‐Revised ( DEPS ‐R) reliably identify eating disorder diagnosis in women with type 1 diabetes?
Authors' conclusion
This is the first study to investigate the ability of the DEPS-R to identify DSM-5 eating disorder diagnosis established via a diagnostic interview using a ROC-analysis. DEPS-R cutoff ≥20 correctly identified most cases with eating disorders but showed moderate specificity, considered acceptable as an initial screening tool for disordered eating. In clinical care, specific DEPS-R items may be emphasized to explore the presence of disordered eating behaviours and eating disorders.
Study context
- Population
- Women aged 14–35 years with T1D and body image concerns
- Participants
- 293 women
- Comparison
- Diabetes Eating Problems Survey-Revised (DEPS-R) vs Eating Disorder Diagnostic Interview as reference
- Outcome
- Ability of DEPS-R to identify DSM-5 eating disorders, incl. sensitivity and specificity of cutoff ≥20
- Follow-up
- Baseline
Methodological detailsbaseline data from a multinational randomised controlled trial, ROC analysis
- Baseline data from a multinational randomised controlled trial
- ROC analysis
Performance
As reported in the abstract
Identification of DSM-5 eating disorders
| Test or model | AUC | Sensitivity (cutoff ≥20) | Specificity (cutoff ≥20) |
|---|---|---|---|
| DEPS-R | 0.82 (95% CI 0.79-0.94) | 87.5% (95% CI 83.6%-91.3%) | 60.4% (95% CI 54.8%-66.0%) |
DEPS-R
AUC0.82 (95% CI 0.79-0.94)
Sensitivity (cutoff ≥20)87.5% (95% CI 83.6%-91.3%)
Specificity (cutoff ≥20)60.4% (95% CI 54.8%-66.0%)
Further findings
DEPS-R items correlated with presence of any eating disorder (univariate logistic regression)
- Items significantly correlated
- 12
- Item 9 OR
- 3.64
- Item 8 OR
- 2.85
- Item 13 OR
- 2.36
- Item 14 OR
- 2.23
- Item 15 OR
- 1.99
- Item 5 OR
- 1.99
Original publication
Can the Diabetes Eating Problem Survey‐Revised ( DEPS ‐R) reliably identify eating disorder diagnosis in women with type 1 diabetes? Diabet Med. Published 8 January 2026. doi:10.
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