Other brief questionnaires have been developed to assess eating disorders, such as the SEED, SCOFF, Eating Disturbance Scale (EDS-5 [59]) or the Eating Disorder ExaminationScreen (EDE-S [60]). We aimed for a measure with high reliability and construct validity, including strong positive correlations between the EDE-QS and the original EDE-Q, other measures of eating disorder pathology, and measures of comorbid psychopathology, and strong negative correlations with measures of quality of life. Confirmatory factor analysis and measurement invariance of the Eating Disorder Examination Questionnaire (EDE-Q) in a non-clinical sample of non-Hispanic White and Hispanic women. Hilbert A, de Zwaan M, Braehler E. How frequent are eating disturbances in the population? Another example is the Youth EDE-Q, which was adapted from the EDE-Q for adults with age appropriate language and added pictures and vignettes to describe loss of control eating (Goldschmidt, Doyle, & Wilfley, 2007). Several versions of the measure are in use. Reconsidering the use of cut-off scores for Eating Disorder Examination Questionnaire. For any other measures which have been derived from the EDE-Q (e.g. S2 Appendix. Medical charts were reviewed to obtain information. Peterson CB, Crosby RD, Wonderlich SA, Joiner T, Crow SJ, Mitchell JE, Le Grange D. Psychometric properties of the eating disorder examination-questionnaire: Factor structure and internal consistency. Installed by Google Analytics, _gid cookie stores information on how visitors use a website, while also creating an analytics report of the website's performance. (2011). This was applied across all factors as it was considered essential that all items of the short form use the same response scale. FOIA These results are consistent with previously published research indicating that only 66.172.4% of adolescents with ED had clinically significant EDE-Q scores on the global scale or subscales (Mantilla & Birgegard, 2016). Both consisted of six items. Finally, the EDE-Q is a self-report measure and individuals may not understand the language of ED symptoms when answering the questions. Inclusion in an NLM database does not imply endorsement of, or agreement with, For commercial use of the EDE-Q contact: credo@medsci.ox.ac.uk. Preventive Medicine. Where this applied, deletion of one of the dependent items was considered. However, validation of its use for this purpose would require data from both the short form and from a diagnostic measure such as the EDE interview [9, 18]. These categories were given values from 02 and summed up for each EDE-Q item. It is focused on the last 28 days. Eating Disorder Examination Questionnaire (EDE-Q-13): expanding on the short form . Binge Eating: Nature, Assessment and Treatment. The use of the Eating Disorder Examination with Children: A pilot study. International Journal of Eating Disorders, 40, 460 467. doi:10.1002/eat.20387, Watkins, B., Frampton, I., Lask, B., & Bryant-Waugh, R. (2005). NEDC acknowledges the traditional owners and custodians of the land on which we work as the first people of this country. Change or indeed the absence of change in symptoms may provide useful material for therapeutic discussions and could help the clinician shape the intervention, which researchers view as the key element for the observed benefits of progress monitoring [5, 58]. Probable eating disorder diagnoses in this group were assigned using DSM 5 criteria, based on their EDE-Q responses in combination with their BMI (see S1 Appendix for diagnostic criteria). The EDE-Q global score was found to be highly accurate in discriminating individuals with an eating disorder from those without, and moderately accurate in discriminating individuals with binge eating disorder from those with obesity (Aardoom, Dingemans, Slof Opt Landt, & Furth, 2012). Their consent was assumed if they commenced the online study. Internal consistency as measured by Cronbachs alpha was 0.77 for physical health, 0.73 for social relationships 0.78 for environment and 0.88 for psychological health. Spearmans Rho co-efficient was used for correlational analyses between the EDE-QS and the other questionnaires to establish convergent validity as the data were non-normally distributed. International Journal of Eating Disorders, 35, 11519, Anna Freud Centre, 4-8 Rodney Street, London N1 9JH Eating Disorders Service, North East London NHS Foundation Trust, Essex, United Kingdom. First, individuals with AN often do not recognize the seriousness of the disorder (APA, 2013). Smith KE, Mason TB, Murray SB, Griffiths S, Leonard RC, Wetterneck CT, Lavender JM. Factor 2 and 3 resembled the original Shape Concern and Dietary Restrain subscale, respectively. (2019) published norms for UK adult community males and females, which can be found here: http://eprints.whiterose.ac.uk/141195/1/Manuscript_PAS_2018_2281.pdf. symptoms being present at least once per week [27]. Altering the response categories to a four-point rating scale, based on Rasch analysis, improved the functioning of the scale although a tendency of respondents to endorse the extreme points of the scale remained. Eating disorders pose a serious challenge to mental health services due to their often chronic trajectory [1] and far-reaching psycho-social and medical consequences [2, 3]. The measure is available free of charge and is being translated into different languages. Email: corc@annafreud.org. Assessment of eating disorders: interview or self-report questionnaire? Washington, D.C.: American Psychiatric Association. (2005). International Journal of Eating Disorders, 19: 391-397. doi:10.1002/(SICI)1098-108X(199605)19:4<391::AID-EAT6>3.0.CO;2-G. The Eating Disorder Examination: a semi-structured interview for the assessment of the specific psychopathology of eating disorders. It can also be used in studies which assess the effect of an eating disorder treatment. There were negative correlations with the WHOQOL-BREF domains, other than the environment domain for people with a current eating disorder (see Table 3). ),Assessment of eating disorders(pp. Privacy policyCookie statement. The same link was advertised on the website of Beat (Beating Eating Disorders), a charity supporting current and former sufferers of eating disorders. In this study, there were differences in EDE-Q subscale and global scores between AN subtypes, with patients with AN-BP scoring higher on the subscales and global scale compared to patients with AN-R. Importantly, correlations between the EDE-QS and other measures of ED pathology were strikingly similar to those between the EDE-Q and each of these other measures and this was the case for both, no ED and current ED subgroups. Goldschmidt AB, Doyle AC, Wilfley DE. However, this was to be expected as the majority of people without eating disorders were recruited from a university population. The SEED has been found to have acceptable construct and discriminative validity [43]. The new measure showed high internal consistency (Cronbachs = .913) and temporal stability (ICC = .93; p < .001). It consists of questions about key characteristics of anorexia and bulimia nervosa, which indicate self-induced vomiting, loss of control over eating, significant weight loss, perceived fatness and overvaluation of food. 8600 Rockville Pike Ready to register for Wellbeing Measurement for Schools? We dont use marketing cookies that display personalised ads for third party advertisers. The anthropometric devices were inspected and calibrated per the treatment facilitys protocol. To obtain subscale scores, the ratings for the relevant items are added together and the sum divided by the total number of items forming the subscale. Rasch analysis was chosen as it can be used to assess the appropriateness of a questionnaires rating scale, identify redundant or misfitting items for deletion and identify those items for retention that are sensitive to variance across the range of eating disorder severity. An email appeal providing a link to an online survey was sent out to all students of a London university. The majority of patients were Caucasian (90.9%; n = 80) and restricting subtype (72.7; n = 64). Reliability of the eating disorder examination-questionnaire in patients with binge eating disorder. Please answer all the questions. The majority of males were diagnosed with unspecified eating disorder (73.7%, n = 28). Cognitive Behaviour Therapy and Eating Disorders. Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: A systematic review of the literature. Behaviour Research and Therapy, 39(5), 625632, Fairburn, C. G., & Beglin, S. J. The SCOFFs questions can be answered with a yes or no response. To reduce missing responses and increase simplicity of coding of the frequency items, a Likert-scale response format was adopted. The polytomous Rasch rating scale model was applied because the EDE-Qs response scale is ordinal with seven response options. This cookie, set by Cloudflare, is used to support Cloudflare Bot Management. Convergent validity correlations for EDE-QS and EDE-Q. The current, 28-item version (6.0) of the EDE-Q was completed by 489 individuals aged 1872 with various eating disorders recruited from three UK specialist eating disorder services. With a small sample size, it is premature to conclude whether the EDE-Q adequately measures ED behaviors and cognitions in this clinical subpopulation. Many thanks go to Professor Chris Fairburn, the developer of the EDE-Q, who kindly supported this study. It showed very good convergent validity with the long version both, for people with and without an eating disorder. The GAD-7 had good validity compared to independent mental health diagnoses, functional status measures, disability days and health care use [46] as well as good validity and reliability in the general population [47]. Thus, the questionnaire can be used to derive the same subscales as the interview. In the first study a combination of PCA, Rasch modelling and expert ratings, was applied to identify the most relevant items for inclusion in a shortened version. The statistical significance (alpha) level was set at p 0.05, and all tests were two-tailed. Bedfordshire and Luton Eating Disorders Service, East London NHS Foundation Trust, Dunstable, United Kingdom, Affiliations: Behaviour Research and Therapy, 44 (1), 53-62, Mond, M., Myers, T. C., Crosby, R. D., Hay, P. J., Rodgers, J. F., Morgan, et al. A 12-item short form, the Eating Disorder Examination Questionnaire Short (EDE-QS) was derived. Whether several items that propose to measure the same general construct produce a similar score. These cookies will be stored in your browser only with your consent. The use of the Eating Disorder Examination with Children: A pilot study. Their total scores were used to obtain an overall rating of importance for assessing clinical change. To shorten the scale, response options 1 and 2, options 3 and 4, and options 5 and 6 respectively were combined. Fairburn CG & Beglin SJ. Procedures were approved by the local institutional review board. All female adolescents in the present study were diagnosed with AN and admitted to a specialized ED inpatient treatment facility, but only 61.478.4% of the sample reported clinically significant scores on the EDE-Q global scale and/or subscales. To the knowledge of these researchers, despite increased research and clinical use of the EDE-Q in adolescent populations, normative data in a clinical sample in the United States (U.S.) has not been published. Fisher M, Schneider M, Burns J, Symons H, Mandel FS. Secondly, there is considerable disagreement regarding the psychometric properties of this measure. Strong convergent validity between the EDE-Q and EDE has also been demonstrated in both clinical and general population samples [9, 12, 18]. It is widely used and is the only outcome tool for the assessment and monitoring of eating disorders recommended by the National Institute for Mental Health in England [13]. The majority was female (90.2%) and age ranged from 18 to 72 years (M = 31.5, SD = 11.5). It is therefore crucial to carry out appropriate psychological assessments and monitor progress throughout therapy so that care and treatment can be optimised. Response probability curve with original 7-point response options (Factor 5). Eating Disorder Examination Questionnaire (EDE-Q 6.0) Instructions: The following questions are concerned with the past four weeks (28 days) only. Cronbachs alpha coefficient showed that internal consistency for the EDE-QS was high ( = 0.913; N = 559). There are, however, a number of problems with the EDE-Q. Essential and functional cookies make our website more usable, enabling functions like page navigation, security, accessibility and network management. There was less than 5% of missing data for each scaled item, which were completely missing at random (Littles MCAR test (741) = 754.79; p = .35). 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