TY - JOUR
T1 - Assessing the specific psychopathology of binge eating disorder patients
T2 - Interview or self-report?
AU - Wilfley, Denise E.
AU - Schwartz, Marlene B.
AU - Spurrell, Emily B.
AU - Fairburn, Christopher G.
N1 - Funding Information:
Acknowledgements-Thips roject was supportedb y NIMH grant R29MH51384t o Fairburn is supportedb y a WellcomeP rincipalR esearchF ellowship( 046386).
PY - 1997/12
Y1 - 1997/12
N2 - Research addressing the assessment of binge eating and associated eating disorder psychopathology has steadily increased in recent years. Few studies have examined the relationship between the various assessment methods. This study compared an investigator-based interview, the Eating Disorder Examination (EDE), with a self-report version of that interview, the EDE-Q. Fifty-two individuals (six men and 46 women) with binge eating disorder (BED) completed both instruments. Modest-to-good agreement and significant correlations (P < 0.0001) were found between the two methods on all four subscales assessing specific eating disorder psychopathology (i.e., Restraint, Eating Concern, Weight Concern, and Shape Concern subscales). However, higher levels of disturbance were consistently reported on the EDE-Q than the EDE interview. The two methods were not significantly or reliably related to one another when assessing binge eating. This may be due in part to the difficulty inherent in identifying binges in subjects with BED. Examination of individual item scores suggest that it might be possible to improve the performance of the EDE-Q by clarifying the definitions of certain complex features, although this should not be at the expense of compromising the practical utility of its self-report format.
AB - Research addressing the assessment of binge eating and associated eating disorder psychopathology has steadily increased in recent years. Few studies have examined the relationship between the various assessment methods. This study compared an investigator-based interview, the Eating Disorder Examination (EDE), with a self-report version of that interview, the EDE-Q. Fifty-two individuals (six men and 46 women) with binge eating disorder (BED) completed both instruments. Modest-to-good agreement and significant correlations (P < 0.0001) were found between the two methods on all four subscales assessing specific eating disorder psychopathology (i.e., Restraint, Eating Concern, Weight Concern, and Shape Concern subscales). However, higher levels of disturbance were consistently reported on the EDE-Q than the EDE interview. The two methods were not significantly or reliably related to one another when assessing binge eating. This may be due in part to the difficulty inherent in identifying binges in subjects with BED. Examination of individual item scores suggest that it might be possible to improve the performance of the EDE-Q by clarifying the definitions of certain complex features, although this should not be at the expense of compromising the practical utility of its self-report format.
KW - Assessment
KW - Binge eating
KW - Binge eating disorder
KW - Eating disorders examination
UR - http://www.scopus.com/inward/record.url?scp=0031453764&partnerID=8YFLogxK
U2 - 10.1016/S0005-7967(97)80010-1
DO - 10.1016/S0005-7967(97)80010-1
M3 - Article
C2 - 9465449
AN - SCOPUS:0031453764
SN - 0005-7967
VL - 35
SP - 1151
EP - 1159
JO - Behaviour Research and Therapy
JF - Behaviour Research and Therapy
IS - 12
ER -