Lydecker Janet A, White Marney A, Grilo Carlos M
Department of Psychiatry, Yale School of Medicine.
Psychol Assess. 2016 Oct;28(10):1319-1324. doi: 10.1037/pas0000246. Epub 2015 Nov 16.
The Eating Disorder Examination (EDE) is a well-established assessment instrument, but requires substantial training and administration time. The Eating Disorder Examination Questionnaire (EDE-Q) is the corresponding self-report survey, which does not have these demands. Research has shown concordance between these 2 assessment methods, but samples have lacked racial diversity. The current study examined the concordance of the EDE-Q and EDE in a sample of Black patients with binge-eating disorder (BED) and a matched sample of White patients. Participants were 238 (Black n = 119, White n = 119) treatment-seeking adults with DSM-IV-TR-defined BED. Participants completed the EDE-Q, and trained doctoral-level clinicians assessed participants for BED and eating-disorder psychopathology using the Structured Clinical Interview for DSM-IV Disorders and the Eating Disorder Examination (EDE) interview. The EDE-Q and EDE yielded significantly correlated frequencies of binge eating and eating-disorder psychopathology subscales. The EDE-Q yielded significantly lower frequencies of binge eating and higher scores on 3 of 4 subscales (not dietary restraint). Similar patterns of concordance between the EDE-Q and EDE were found for an alternative brief version of the instruments. Patterns of convergence and divergence between the EDE-Q and EDE observed in Black patients with BED are generally consistent with findings derived from the matched White sample: overall, scores are correlated but higher on the self-report compared with interview assessment methods. Clinicians assessing patients with BED should be aware of this overall pattern, and be aware that this pattern is similar in Black patients with BED with the notable exception of dietary restraint. (PsycINFO Database Record
饮食失调检查（EDE）是一种成熟的评估工具，但需要大量的培训和施测时间。饮食失调检查问卷（EDE-Q）是相应的自我报告调查，不存在这些要求。研究表明这两种评估方法具有一致性，但样本缺乏种族多样性。当前研究在患有暴饮暴食症（BED）的黑人患者样本以及匹配的白人患者样本中检验了EDE-Q与EDE的一致性。参与者为238名寻求治疗的成年人，根据《精神疾病诊断与统计手册第四版修订版》（DSM-IV-TR）诊断为患有BED。参与者完成了EDE-Q，经过培训的博士水平临床医生使用《精神疾病诊断与统计手册第四版》结构化临床访谈和饮食失调检查（EDE）访谈对参与者的BED和饮食失调精神病理学进行评估。EDE-Q与EDE在暴饮暴食频率和饮食失调精神病理学分量表上产生了显著相关。EDE-Q得出的暴饮暴食频率显著更低，并且在4个分量表中的3个（不包括饮食限制）上得分更高。对于该工具的另一个简短版本，也发现了EDE-Q与EDE之间类似的一致性模式。在患有BED的黑人患者中观察到的EDE-Q与EDE之间的趋同和差异模式通常与来自匹配的白人样本的结果一致：总体而言，分数具有相关性，但与访谈评估方法相比，自我报告的分数更高。评估患有BED的患者的临床医生应了解这种总体模式，并意识到这种模式在患有BED的黑人患者中也很相似，但饮食限制方面是个明显的例外。（PsycINFO数据库记录）
