A comparison of the Eating Disorder Examination and a general psychiatric schedule (original) (raw)
Related papers
The validity of the eating disorder examination and its subscales
The British Journal of Psychiatry, 1989
The EDE is a semistructured interview which has been developed as a measure of the specific psychopathology of anorexia nervosa and bulimia nervosa. To establish its discriminant validity it was administered to 100 patients with anorexia nervosa or bulimia nervosa and to 42 controls. The two groups differed significantly on all items. Five subscales were derived on rational grounds and evaluated on the two populations. The α coefficients for each subscale indicated a satisfactory degree of internal consistency. The EDE provides clinicians and research workers with a detailed and comprehensive profile of the psychopathological features of patients with eating disorders.
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2009
RESULTS: There were moderate to high correlations between the attitudinal scales. Eating was rated as more pathological on the EDE-Q than the EDE, except dietary restraint. As in research among adults, agreement between the two measures was low regarding binge eating episodes, but better for vomiting episodes. When compared with the EDE, the EDE-Q attitudinal scales were more valid for BN than for EDNOS-BN patients, and more valid for the clinic sample. CONCLUSION: The online version of the EDE-Q has partial validity for use with adolescents. The EDE-Q might be reporting a more accurate description of current status, as it avoids possible filtering and approval aspects.
The rating of anorexia and bulimia (RAB) interview: development and preliminary validation
European Eating Disorders Review, 1999
Most interviews of eating disorders have been developed on homogeneous, Englishspeaking samples at particular academic institutions for research purposes, and tend to put scienti®c rigour before clinical utility. The present study deals with the development and preliminary validation of the Rating of Anorexia and Bulimia (RAB), a 56 item interview covering a wide range of eating disorder symptoms, related psychopathology and background variables, which can be used to generate operational DSM-IV diagnoses. Eating disorder variables on the RAB can be compiled into four subscales: Body-shape and Weight Preoccupation, Binge-Eating, Anorexic Eating Behaviour and Compensatory Behaviour. The instrument was investigated among 409 patients participating in the Swedish multi-centre study of eating disorders. Measures of internal consistency, diagnostic discrimination and correlations with the EDI-2 suggest that the RAB is a promising measure that reliably measures important aspects of eating disorder psychopathology.
Standardized test meals in the assessment of bulimia nervosa
Advances in Behaviour Research and Therapy, 1985
This study contrasted the amount of food eaten in the absence of vomiting by normal weight bulimia nervosa patients and matched normal controls. Another purpose was to compare food consumption in test meals with eating records at home and with questionnaires of psychological distress and eating disturbance. Subjects were instructed to eat as much food as they comfortably could without vomiting afterwards in three standardized test meals: complete dinner eaten in alaboratory situation andspaghetti and candy eaten at home. Bulimia nervosasubjects ate a very small amount offood in each test meal when compared with the consumption of food by control subjects. Bulimia nervosa subjects also reported greater anxiety and urge to vomit after eating. A content analysis of tape recorded thoughts showed that bulimia nervosasubjects weremorepreoccupied with eating and emitted more negative food related thoughts. In addition, bulimia nervosa patients who ate little or nothing in test meals had a more swere pattern of binge-eating and vomiting at home and for the entire sample, the amount eaten in test meals, when vomiting was prevented, was negatively correlated with scores on questionnaires of eating and psychological disturbance. The results support the hypothesis that women with bulimia nervosa are unable to eat normal amounts of 'frightening' foods when they do not plan to vomit. This behavioral test of eating behavior appears to be useful for the assessment of bulimia nervosa.
Behaviour Research and Therapy, 2010
We sought to further explore the validity of the distinction between objective bulimic episodes (OBEs) and subjective bulimic episodes (SBEs) in the study of bulimic-type eating disorders. Drawing on data obtained at the second, interview phase of a large-scale epidemiological study, we identified mutually exclusive subgroups of women with bulimic-type eating disorders who engaged in regular OBEs but not SBEs (n ¼ 37) or regular SBEs but not OBEs (n ¼ 52). These subgroups were compared on a wide range of outcomes, including socio-demographic characteristics, current levels of eating disorder psychopathology, general psychological distress and impairment in role functioning, current and lifetime impairment in quality of life specifically associated with an eating problem, (self)-recognition of an eating problem, health service utilization and use of psychotropic medication. The only difference between groups was that participants who reported regular OBEs were heavier than those who reported regular SBEs. The findings converge with those of previous research in suggesting that bulimic-type eating disorders characterized by regular SBEs, but not OBEs, do not differ in any clinically meaningful way from those characterized by regular OBEs, but not SBEs. Inclusion of bulimic-type eating disorders characterized by regular SBEs as a provisional category requiring further research in DSM-V appears warranted.
2014
In the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the diagnostic threshold for binging and compensation in bulimia nervosa (BN) decreased from twice to once weekly for 3 months. This study investigates the validity of this change by examining whether BN patients and those whose diagnoses "shift" to BN with DSM-5 are similar in their psychological functioning. EDNOS patients whose symptoms met DSM-5 BN criteria (n = 25) were compared to DSM-IV BN patients (n = 146) on clinically relevant variables. No differences were found on: BMI; weight-based self-evaluation; perfectionism; depression and anxiety symptoms; or readiness for change. Differences were found on one Eating Disorder Inventory subscale (i.e., bulimia), with the BN group reporting higher scores, consistent with group definitions. These findings support the modified criteria, suggesting that psychopathology both directly and indirectly related to eating disorders is comparable between those with once weekly versus more frequent bulimic episodes.