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本文引用的文献

1
Interrater reliability of the Eating Disorder Examination among postbariatric patients.肥胖症患者的饮食失调检查的评定者间信度。
Surg Obes Relat Dis. 2020 Dec;16(12):1988-1993. doi: 10.1016/j.soard.2020.07.032. Epub 2020 Aug 11.
2
Eating Disorder Examination - Questionnaire short forms: A comparison.进食障碍检查 - 问卷短表：比较。
Int J Eat Disord. 2020 Jun;53(6):937-944. doi: 10.1002/eat.23275. Epub 2020 Apr 13.
3
Mental disorders and weight change in a prospective study of bariatric surgery patients: 7 years of follow-up.精神障碍与减重手术患者体重变化的前瞻性研究：7 年随访。
Surg Obes Relat Dis. 2019 May;15(5):739-748. doi: 10.1016/j.soard.2019.01.008. Epub 2019 Feb 1.
4
Eating pathology and associations with long-term changes in weight and quality of life in the longitudinal assessment of bariatric surgery study.饮食病理学与减肥手术纵向评估研究中长期体重变化和生活质量的关系。
Int J Eat Disord. 2018 Dec;51(12):1322-1330. doi: 10.1002/eat.22979. Epub 2018 Dec 6.
5
Evaluating an abbreviated three-factor version of the Eating Disorder Examination Questionnaire in three samples.在三个样本中评估饮食失调检查问卷的简化三因素版本。
Eat Behav. 2019 Jan;32:18-22. doi: 10.1016/j.eatbeh.2018.11.003. Epub 2018 Nov 14.
6
User's guide to correlation coefficients.相关系数用户指南。
Turk J Emerg Med. 2018 Aug 7;18(3):91-93. doi: 10.1016/j.tjem.2018.08.001. eCollection 2018 Sep.
7
Loss-of-control eating after bariatric/sleeve gastrectomy surgery: Similar to binge-eating disorder despite differences in quantities.减重/袖状胃切除术后的失控性进食：尽管在进食量上存在差异，但与暴食障碍相似。
Gen Hosp Psychiatry. 2018 Sep-Oct;54:25-30. doi: 10.1016/j.genhosppsych.2018.07.002. Epub 2018 Jul 17.
8
Correlation Coefficients: Appropriate Use and Interpretation.相关系数：合理使用与解释。
Anesth Analg. 2018 May;126(5):1763-1768. doi: 10.1213/ANE.0000000000002864.
9
Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study.七年体重轨迹与减肥手术纵向评估（LABS）研究中的健康结果。
JAMA Surg. 2018 May 1;153(5):427-434. doi: 10.1001/jamasurg.2017.5025.
10
Replication of a Modified Factor Structure for the Eating Disorder Examination-Questionnaire: Extension to Clinical Eating Disorder and Non-clinical Samples in Portugal.《饮食障碍检查问卷修正因子结构的复制：葡萄牙临床饮食障碍和非临床样本的扩展》
Eur Eat Disord Rev. 2018 Jan;26(1):75-80. doi: 10.1002/erv.2569. Epub 2017 Nov 20.

在肥胖症手术纵向评估研究中，饮食失调检查的评定者间信度和内部一致性。

Interrater reliability and internal consistency of the eating disorder examination in the longitudinal assessment of bariatric surgery study.

机构信息

Yale University School of Medicine, New Haven, Connecticut.

Duquesne University School of Nursing, Pittsburgh, Pennsylvania.

出版信息

Surg Obes Relat Dis. 2022 Aug;18(8):1015-1022. doi: 10.1016/j.soard.2022.04.015. Epub 2022 Apr 22.

DOI:10.1016/j.soard.2022.04.015
PMID:35691868
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9357064/
Abstract

BACKGROUND

Psychometric studies of eating disorder measures within bariatric surgery populations are limited.

OBJECTIVES

To examine the interrater reliability and internal consistency of the Eating Disorder Examination (EDE) among patients before and after bariatric surgery.

SETTING

Three clinical centers of the Longitudinal Assessment of Bariatric Surgery Research Consortium.

METHODS

The EDE-Bariatric Surgery Version was administered and audio-recorded by trained interviewers before and at annual assessments after bariatric surgery. Approximately 20% of interviews were randomly selected for rating by a second interviewer. Reliability of the original and brief EDE subscales was examined.

RESULTS

Interrater reliability of the EDE subscales ranged from .86-.97 for the original subscales and .83-.95 for brief subscales before surgery, and .90-.98 for the original subscales and .92-.97 for brief subscales after bariatric surgery. Interrater agreement (based on kappa) was almost perfect for overeating and binge-eating behaviors and substantial for loss-of-control eating before surgery. Similar interrater agreements (based on kappa) were observed after surgery for subjective overeating and binge-eating episodes. Internal consistency of the subscale and global scores was variable, ranging from .41-.97.

CONCLUSION

Findings provide support of the interrater reliability of the EDE, albeit with variable internal consistency, before and after bariatric surgery. Despite support for trained raters to reliably assess EDE constructs, variability in internal consistency suggests that further psychometric testing and rigorous scale development of disordered eating may be needed for the bariatric surgery population.

摘要

背景

在减重手术人群中，对饮食失调测量的心理测量研究有限。

目的

在接受减重手术前后，检查饮食失调检查（EDE）在患者中的评分者间信度和内部一致性。

设置

纵向评估减重手术研究联盟的三个临床中心。

方法

在接受减重手术之前和每年评估时，由经过培训的访谈者使用 EDE-减重手术版本进行访谈并录音。大约 20%的访谈随机选择由第二位访谈者进行评分。检查了原始和简短 EDE 分量表的可靠性。

结果

在接受减重手术之前，EDE 分量表的评分者间信度范围为原始分量表的.86-.97 和简短分量表的.83-.95，而接受减重手术之后则为原始分量表的.90-.98 和简短分量表的.92-.97。在接受减重手术之前，暴食和暴食行为的评分者间一致性（基于 Kappa）几乎为完美，而失控性进食的一致性则为实质性。在接受减重手术之后，相似的评分者间一致性（基于 Kappa）也适用于主观暴食和暴食发作。分量表和总分的内部一致性各不相同，范围从.41-.97。

结论

研究结果为 EDE 在接受减重手术前后的评分者间信度提供了支持，尽管内部一致性存在差异。尽管有训练有素的评分者可以可靠地评估 EDE 结构，但内部一致性的变异性表明，对于减重手术人群，可能需要进一步进行心理测量测试和严格的障碍性进食量表开发。