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作为回顾性访谈的饮食失调检查

The Eating Disorder Examination as a retrospective interview.

作者信息

Ravaldi C, Vannacci A, Truglia E, Zucchi T, Mannucci E, Rotella C M, Faravelli C, Ricca V

机构信息

Psychiatry Unit, Department of Neurological and Psychiatric Sciences , Florence University School of Medicine, Florence, Italy.

出版信息

Eat Weight Disord. 2004 Sep;9(3):228-31. doi: 10.1007/BF03325072.

Abstract

UNLABELLED

The purpose of this study was to determine the validity of the Eating Disorder Examination 12.0D (EDE) when administered retrospectively.

METHODS

Twenty-five female patients suffering from an eating disorder [(10 with anorexia nervosa (AN), 10 with bulimia nervosa (BN), 5 with eating disorders not otherwise specified (EDNOS)] were investigated using the EDE at the time of the first referral to our outpatient ward (T1). Afterwards (mean 1.4 +/- 0.6 years later) each patient was administered again the EDE by the same assessor (T2). At this time the interviewer asked the patients to answer the questions referring to the symptoms and behaviours at the time of the first interview.

RESULTS

Test-retest correlation factors were 0.7 or greater for all subscales of the EDE (p < 0.0001) and 0.5 or greater for every single item of the EDE (p < 0.001), except for EDE 1.5 (snack after dinner) and EDE 9A.6 (maximum time free from objective bulimic episodes in the last two months).

DISCUSSION

Our results provide evidence that the EDE 12.0D is a reliable interview even when administered retrospectively, suggesting the use of this instrument for the retrospective assessment of eating disorders.

摘要

未标注

本研究的目的是确定回顾性应用饮食失调检查量表12.0D(EDE)时的有效性。

方法

25名患有饮食失调症的女性患者(10名神经性厌食症患者(AN),10名神经性贪食症患者(BN),5名未另行规定的饮食失调症患者(EDNOS))在首次转诊至我们的门诊病房时(T1)接受了EDE检查。之后(平均1.4±0.6年后),由同一名评估人员再次对每位患者进行EDE检查(T2)。此时,访谈者要求患者回答与首次访谈时的症状和行为相关的问题。

结果

EDE所有子量表的重测相关系数均为0.7或更高(p<0.0001),EDE每个单项的重测相关系数均为0.5或更高(p<0.001),除了EDE 1.5(晚餐后吃零食)和EDE 9A.6(过去两个月无客观暴食发作的最长时间)。

讨论

我们的结果表明,即使回顾性应用,EDE 12.0D也是一种可靠的访谈工具,这表明该工具可用于饮食失调症的回顾性评估。

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