Grilo Carlos M, Masheb Robin M, Lozano-Blanco Christine, Barry Declan T
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Int J Eat Disord. 2004 Jan;35(1):80-5. doi: 10.1002/eat.10238.
This study examined the interrater and test-retest reliabilities of the Eating Disorder Examination (EDE) in patients with binge eating disorder (BED).
Interrater reliability and short-term (6-14 days) test-retest reliability of the EDE were examined in two study groups of 18 patients with BED.
Interrater reliability was excellent for objective bulimic episodes and days (correlations above .98) and very good for the EDE scales, albeit somewhat variable (correlations range from .65 to .96). Test-retest reliabilities were very good for objective bulimic episodes (.70) and days (.71) and were good (significant) for the EDE scales, albeit somewhat variable (correlations range from .50 to .88). Interrater reliability was excellent for subjective bulimic episodes and days but test-retest reliabilities were unacceptable.
These findings support the reliability of the EDE for patients with BED. The EDE has utility for assessing the number of large binge episodes (objective bulimic episodes), as well as the number of days during which large binge episodes occurred. The EDE also demonstrates very good interrater and test-retest reliabilities for assessing the associated features of eating disorders in patients with BED. The results for subjective bulimic episodes are consistent with previous studies, suggesting that these eating behaviors may not be reliable indicators of eating disorders.
本研究考察了暴食症（BED）患者中饮食失调检查（EDE）的评分者间信度和重测信度。
在两个各有18名BED患者的研究组中，考察了EDE的评分者间信度和短期（6 - 14天）重测信度。
对于客观暴食发作次数和天数，评分者间信度极佳（相关性高于0.98）；对于EDE量表，信度非常好，尽管有所变化（相关性范围为0.65至0.96）。对于客观暴食发作次数（0.70）和天数（0.71），重测信度非常好；对于EDE量表，重测信度良好（显著），尽管有所变化（相关性范围为0.50至0.88）。对于主观暴食发作次数和天数，评分者间信度极佳，但重测信度不可接受。
这些发现支持了EDE在BED患者中的信度。EDE可用于评估大量暴食发作的次数（客观暴食发作次数）以及发生大量暴食发作的天数。EDE在评估BED患者饮食失调的相关特征方面也显示出非常好的评分者间信度和重测信度。主观暴食发作次数的结果与先前研究一致，表明这些饮食行为可能不是饮食失调的可靠指标。
