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青少年完全型和部分型神经性贪食症及神经性厌食症患者中,进食障碍检查量表与进食障碍问卷的比较

Eating Disorders Examination versus Eating Disorders Examination-Questionnaire in adolescents with full and partial-syndrome bulimia nervosa and anorexia nervosa.

作者信息

Binford Roslyn B, Le Grange Daniel, Jellar Courtney C

机构信息

Eating Disorders Program, Department of Psychiatry, Section of Child and Adolescent Psychiatry, The University of Chicago, Chicago, Illinois 60637, USA.

出版信息

Int J Eat Disord. 2005 Jan;37(1):44-9. doi: 10.1002/eat.20062.

Abstract

OBJECTIVE

The current study compared the Eating Disorders Examination (EDE) and the Eating Disorders Examination-Questionnaire (EDE-Q) in adolescents with eating disorders.

METHOD

Adolescents (N = 70) with bulimia nervosa (BN; n = 21), partial-syndrome BN (PBN; n = 25), and anorexia nervosa (AN; n = 24) were assessed with the EDE and EDE-Q.

RESULTS

Moderate to high correlations were found on all four subscales within and between diagnostic groups. The discrepancy between the EDE and EDE-Q was significantly greater in BN relative to PBN and AN for the Eating Concern subscale. Objective binge episode (OBE) frequency in BN and subjective binge episode (SBE) frequency in BN and PBN were higher with the EDE compared with the EDE-Q. Self-induced vomiting was highly correlated between the two measures.

DISCUSSION

Adolescents with BN, PBN, and AN exhibited strong correspondence between the EDE interview and questionnaire formats. However, this consistency was not as pronounced for BN as it was for PBN and AN. The current study lends preliminary credibility to the use of the EDE-Q in adolescent eating disorder samples.

摘要

目的

本研究比较了饮食失调检查(EDE)和饮食失调检查问卷(EDE-Q)在患有饮食失调症的青少年中的应用情况。

方法

对70名患有神经性贪食症(BN;n = 21)、部分综合征神经性贪食症(PBN;n = 25)和神经性厌食症(AN;n = 24)的青少年进行了EDE和EDE-Q评估。

结果

在诊断组内和诊断组之间的所有四个分量表上均发现了中度到高度的相关性。在饮食关注分量表上,BN组相对于PBN组和AN组,EDE和EDE-Q之间的差异显著更大。与EDE-Q相比,EDE评估的BN组客观暴食发作(OBE)频率以及BN组和PBN组的主观暴食发作(SBE)频率更高。两种测量方法之间的自我催吐高度相关。

讨论

患有BN、PBN和AN的青少年在EDE访谈和问卷形式之间表现出很强的一致性。然而,这种一致性在BN组中不如在PBN组和AN组中那么明显。本研究为在青少年饮食失调样本中使用EDE-Q提供了初步的可信度。

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