Borges Maria Beatriz Ferrari, Morgan Christina M, Claudino Angélica M, da Silveira Dartiu Xavier
Program of Orientation and Attention of Eating Disorders, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Braz J Psychiatry. 2005 Dec;27(4):319-22. doi: 10.1590/s1516-44462005000400012. Epub 2005 Dec 12.
The present paper describes the validation of the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R) designed for the diagnosis of binge eating disorder (BED) and sub-clinical binge eating.
89 overweight women seeking treatment for binge eating and/or obesity were assessed with the Portuguese version of the Questionnaire of Eating and Weight Patterns and were, subsequently, interviewed with the eating disorders module of the Structured Clinical Interview for DSM-IV (SCID-I/P). Rates of binge eating disorder and sub-clinical cases of binge eating obtained with the Questionnaire on Eating and Weight Patterns-Revised were then compared to those obtained with the Structured Clinical Interview for DSM-IV.
In the identification of binge eating, irrespective of the presence of all criteria for binge eating disorder the QEWP-R Questionnaire on Eating and Weight Patterns-Revised yielded a sensitivity value of 0.88, a specificity value of 0.63 and a positive predictive value of 0.825. Rates for the identification of the full syndrome of binge eating disorder were: sensitivity value of 0.548, a specificity value of 0.8 and a positive predictive value of 0.793.
The Questionnaire on Eating and Weight Patterns-Revised can be useful in a first-step screening procedure to identify probable cases of binge eating. It can be useful as a screening tool and as a first step of clinical assessment of patients seeking treatment for binge eating and/or obesity.
本文描述了为诊断暴饮暴食症(BED)和亚临床暴饮暴食而设计的《饮食与体重模式问卷修订版》(QEWP-R)的验证情况。
对89名因暴饮暴食和/或肥胖而寻求治疗的超重女性进行了葡萄牙语版《饮食与体重模式问卷》的评估,随后使用《精神疾病诊断与统计手册》第四版结构化临床访谈(SCID-I/P)的饮食失调模块进行访谈。然后将通过《饮食与体重模式问卷修订版》获得的暴饮暴食症和亚临床暴饮暴食病例率与通过《精神疾病诊断与统计手册》第四版结构化临床访谈获得的病例率进行比较。
在识别暴饮暴食方面,无论是否存在暴饮暴食症的所有标准,《饮食与体重模式问卷修订版》的敏感性值为0.88,特异性值为0.63,阳性预测值为0.825。识别完整的暴饮暴食症综合征的比率为:敏感性值为0.548,特异性值为0.8,阳性预测值为0.793。
《饮食与体重模式问卷修订版》在初步筛查程序中可用于识别可能的暴饮暴食病例。它可作为一种筛查工具,并作为对因暴饮暴食和/或肥胖而寻求治疗的患者进行临床评估的第一步。