Decaluwé Veerle, Braet Caroline
Department of Development, Personality and Social Psychology, Ghent University, H. Dunantlaan 2, 9000 Ghent, Belgium.
Behav Res Ther. 2004 Jul;42(7):799-811. doi: 10.1016/j.brat.2003.07.008.
The present study compared two methods for assessing binge eating and related eating disorder psychopathology in obese children and adolescents. A comparison was made between the child version of the Eating Disorder Examination (ChEDE) and the self-report version of the interview (ChEDE-Q). A total of 139 children and adolescents (aged 10-16 years) seeking inpatient treatment for obesity completed the ChEDE questionnaire and were administered the ChEDE interview afterwards. The ChEDE and ChEDE-Q were significantly correlated for the four subscales: restraint, eating concern, weight concern and shape concern. The ChEDE-Q generated consistently higher levels of eating disorder psychopathology. There was a significant discrepancy for the assessment of a more complex feature such as binge eating. Overall, the current study found lower levels of agreement between the EDE and EDE-Q than previously reported in adult samples. It appears that children and adolescents have difficulties in identifying binge-eating episodes when they receive no detailed instruction. It is concluded that a clinical interview is necessary to identify eating disorders in obese children and that a self-report questionnaire can only be used as a screening tool. Even then, thorough clarification of the definition of the eating disorder features is needed when using a self-report questionnaire.
本研究比较了评估肥胖儿童和青少年暴饮暴食及相关饮食失调心理病理学的两种方法。对饮食失调检查儿童版(ChEDE)和访谈的自我报告版(ChEDE-Q)进行了比较。共有139名寻求住院治疗肥胖症的儿童和青少年(年龄在10 - 16岁之间)完成了ChEDE问卷,随后接受了ChEDE访谈。ChEDE和ChEDE-Q在四个子量表上显著相关:克制、饮食关注、体重关注和体型关注。ChEDE-Q产生的饮食失调心理病理学水平始终较高。在评估诸如暴饮暴食等更复杂的特征时存在显著差异。总体而言,当前研究发现EDE和EDE-Q之间的一致性水平低于先前在成人样本中报告的水平。当没有详细指导时,儿童和青少年似乎难以识别暴饮暴食发作。得出的结论是,对于识别肥胖儿童的饮食失调,临床访谈是必要的,自我报告问卷只能用作筛查工具。即便如此,在使用自我报告问卷时,仍需要对饮食失调特征的定义进行彻底澄清。