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    • Ferkauf Graduate School of Psychology: Doctoral Dissertations
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    Assessment of eating disorders in patients with anorexia nervosa: Interview versus self -report

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    Date
    2002
    Author
    Wolk, Sara Lynn
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    Abstract
    This study was designed to compare an investigator-based interview, the Eating Disorders Examination (EDE), with a self-report version of that interview, the EDE-Q. Sixty women with anorexia nervosa (AN) completed both instruments. The results of the two measures were then compared. There were significant absolute differences between the EDE and the EDE-Q for the Eating Concern subscale, the Weight Concern subscale, and the Shape Concern subscale, with EDE-Q scores being greater than the EDE scores. The Restraint subscale was also higher on the EDE-Q than on the EDE, but not to a statistically significant degree. Despite these differences, in the majority of cases, the EDE and EDE-Q subscales were within 1 point of each other. For the eating disorder behaviors, the EDE-Q had higher values than the EDE for binge eating, vomiting, and excessive exercise, but only binge eating was significantly greater.;Results indicate that agreement between the EDE and EDE-Q on the individual items informing the overall diagnosis of anorexia nervosa ranges from low to moderate. Agreement for the overall diagnosis of anorexia and for the binge/purge subtype was more impressive. Although correlations between subscale scores as well as eating disorder behaviors were strong, higher levels of disturbance were consistently reported on the EDE-Q than the EDE interview. These differences were statistically significant with regard to the Shape Concern subscale, the Eating Concern subscale, and the Weight Concern subscale, as well as binge eating.;The pattern of findings suggests that the self-report questionnaire, the EDE-Q, may be used in place of the interviewer-based measure when assessing overall diagnosis and subtype, as well as specific, well-defined features. For example, there was good agreement between the EDE and EDE-Q with respect to the assessment of self-induced vomiting and laxative use and the severity of dietary restraint. In contrast, there was a low level of agreement with respect to less-defined features, like binge eating, where significantly higher frequencies were generated by the self-report questionnaire.
    Permanent Link(s)
    https://ezproxy.yu.edu/login?url=http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:3055233
    https://hdl.handle.net/20.500.12202/585
    Citation
    Source: Dissertation Abstracts International, Volume: 63-05, Section: B, page: 2613.;Advisors: Charles Swencionis.
    *This is constructed from limited available data and may be imprecise.
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    • Ferkauf Graduate School of Psychology: Doctoral Dissertations [1231]

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