Grilo C M, Masheb R M, Wilson G T
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Obes Res. 2001 Jul;9(7):418-22. doi: 10.1038/oby.2001.55.
To compare different methods for assessing the features of eating disorders in patients with binge eating disorder (BED).
A total of 47 participants with BED were administered the Eating Disorder Examination (EDE) Interview and completed the EDE-Questionnaire (EDE-Q) at baseline. A total of 37 participants prospectively self-monitored their eating behaviors daily for 4 weeks and then completed another EDE-Q.
At baseline, the EDE and the EDE-Q were significantly correlated on frequencies of objective bulimic episodes (binge eating), overeating episodes, and on the dietary restraint, eating concern, weight concern, and shape concern subscales. Mean differences in the EDE and EDE-Q frequencies of objective bulimic episodes and overeating were not significant but scores on the four subscales differed significantly, with the EDE-Q yielding higher scores. At the 4-week point, the EDE-Q retrospective 28-day assessment was significantly correlated with the prospective daily self-monitoring records for frequency of objective bulimic episodes and the mean difference between the methods was not significant. The EDE-Q and self-monitoring findings for subjective bulimic episodes and objective overeating differed significantly.
In patients with BED, the three assessment methods showed some areas of acceptable convergence.
比较评估暴饮暴食障碍（BED）患者饮食失调特征的不同方法。
共有47名BED患者接受饮食失调检查（EDE）访谈，并在基线时完成EDE问卷（EDE-Q）。共有37名参与者前瞻性地每天自我监测饮食行为，持续4周，然后完成另一项EDE-Q。
在基线时，EDE和EDE-Q在客观暴食发作（暴饮暴食）频率、暴饮暴食发作频率以及饮食限制、饮食关注、体重关注和体型关注子量表上显著相关。EDE和EDE-Q在客观暴食发作和暴饮暴食频率上的平均差异不显著，但四个子量表的得分差异显著，EDE-Q得分更高。在4周时，EDE-Q回顾性28天评估与客观暴食发作频率的前瞻性每日自我监测记录显著相关，两种方法之间的平均差异不显著。EDE-Q与主观暴食发作和客观暴饮暴食的自我监测结果差异显著。
在BED患者中，三种评估方法显示出一些可接受的一致性领域。
