School of Psychology, Fairleigh Dickinson University, Teaneck, New Jersey, USA.
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Int J Eat Disord. 2023 Sep;56(9):1730-1742. doi: 10.1002/eat.23999. Epub 2023 May 29.
To examine the psychometric properties of the Parent Eating Disorder Examination Questionnaire (PEDE-Q), developed to improve eating disorder (ED) assessment among youth by including parents as informants.
A multi-site, transdiagnostic sample of 355 adolescents with EDs completed the Eating Disorder Examination Questionnaire (EDE-Q) and their parents completed the PEDE-Q.
The internal consistencies of the PEDE-Q subscales were on par with established EDE-Q ranges (.73 to .90), both when examined using the original four-factor EDE-Q subscales and the seven-item, three-factor subscales of the brief EDE-Q. Statistically significant medium- to large-sized correlations and poor to moderate levels of agreement were found between the corresponding EDE-Q and PEDE-Q subscales. Receiver-operator characteristic (ROC) curves showed that the PEDE-Q had a statistically significant area under the curve (AUC) to maximize sensitivity and specificity in diagnosing full-syndrome AN, whereas the EDE-Q did not. Based on chi-square analyses, the PEDE-Q identified a statistically significantly greater number of AN cases than the EDE-Q. The EDE-Q yielded a BN diagnosis more frequently than the PEDE-Q, although this difference was not statistically significant.
Results suggest that the PEDE-Q has good psychometric properties and provides incremental information that can aid in the assessment and diagnosis of adolescents with EDs, particularly those with AN.
There exist complex challenges to identifying clinically significant eating disorders among youth. The PEDE-Q is a questionnaire measure that improves eating disorder assessment among children and adolescents by asking parents to report on the symptoms and behaviors they have observed in their child and that youth may not fully disclose. The PEDE-Q can aid in the diagnosis of adolescents with eating disorders, particularly those with anorexia nervosa.
研究父母饮食障碍问卷（Parent Eating Disorder Examination Questionnaire，PEDE-Q）的心理测量特性，该问卷旨在通过纳入父母作为信息提供者来改善青少年饮食障碍（eating disorder，ED）的评估。
一个多中心、跨诊断的 ED 青少年样本（355 人）完成了饮食障碍问卷（Eating Disorder Examination Questionnaire，EDE-Q），其父母完成了 PEDE-Q。
PEDE-Q 子量表的内部一致性与 EDE-Q 建立的范围相当（0.73 至 0.90），无论是使用原始的四因子 EDE-Q 子量表还是简短 EDE-Q 的七因子三因子子量表进行检查。在相应的 EDE-Q 和 PEDE-Q 子量表之间发现了具有统计学意义的中到大的相关性和较差到中等的一致性。接受者操作特征（receiver-operator characteristic，ROC）曲线显示，PEDE-Q 在最大化 AN 全综合征的敏感性和特异性方面具有统计学意义的曲线下面积（area under the curve，AUC），而 EDE-Q 则没有。基于卡方分析，PEDE-Q 比 EDE-Q 更能识别出统计学上显著的 AN 病例。EDE-Q 比 PEDE-Q 更频繁地诊断出 BN，尽管这一差异没有统计学意义。
结果表明，PEDE-Q 具有良好的心理测量特性，并提供了额外的信息，有助于对 ED 青少年的评估和诊断，特别是那些患有 AN 的青少年。
在青少年中识别具有临床意义的饮食障碍存在复杂的挑战。PEDE-Q 是一种问卷测量方法，通过要求父母报告他们观察到的孩子的症状和行为，以及青少年可能没有完全披露的行为，来改善儿童和青少年的饮食障碍评估。PEDE-Q 可以帮助诊断患有饮食障碍的青少年，特别是那些患有神经性厌食症的青少年。
