饮食失调检查问卷在暴饮暴食症患者中的可靠性。

Reliability of the Eating Disorder Examination-Questionnaire in patients with binge eating disorder.

作者信息

Reas Deborah L, Grilo Carlos M, Masheb Robin M

机构信息

Yale Psychiatric Research, Department of Psychiatry, Yale University School of Medicine, P.O. Box 208098, New Haven, CT 06520, USA.

出版信息

Behav Res Ther. 2006 Jan;44(1):43-51. doi: 10.1016/j.brat.2005.01.004.

DOI:10.1016/j.brat.2005.01.004

PMID:16301013

Abstract

This study examined the test-retest reliability of the Eating Disorder Examination-Questionnaire (EDE-Q) in patients with binge eating disorder (BED). Short-term (mean days = 4.8; SD = 3.6) test-retest reliability of the EDE was examined in a sample of 86 patients with BED. Test-retest reliability was excellent for objective bulimic episodes (correlation = .84), but poor to unacceptable for subjective bulimic episodes and objective overeating episodes (correlations = .51 and .39, respectively). Test-retest reliabilities were good for the EDE-Q scales (correlations = .66 to .77), albeit somewhat variable for the individual EDE-Q items (.54 to .78). These findings support the reliability of the EDE-Q for patients with BED. The EDE-Q has utility for assessing the number of binge eating episodes (objective bulimic episodes) and associated features of eating disorders in patients with BED. The results for subjective bulimic episodes are consistent with previous studies in suggesting that these eating behaviors may not be reliable indicators of eating disorders for patients with BED.

摘要

本研究考察了饮食失调检查问卷（EDE-Q）在暴饮暴食症（BED）患者中的重测信度。在86名BED患者样本中检验了EDE的短期（平均天数 = 4.8；标准差 = 3.6）重测信度。客观贪食发作的重测信度极佳（相关系数 = 0.84），但主观贪食发作和客观暴饮暴食发作的重测信度较差至不可接受（相关系数分别为0.51和0.39）。EDE-Q量表的重测信度良好（相关系数 = 0.66至0.77），尽管各个EDE-Q项目的重测信度有所不同（0.54至0.78）。这些发现支持了EDE-Q在BED患者中的信度。EDE-Q可用于评估BED患者的暴饮暴食发作次数（客观贪食发作）及饮食失调的相关特征。主观贪食发作的结果与先前研究一致，表明这些饮食行为可能并非BED患者饮食失调的可靠指标。