Assessment of eating disorders - Comparison of interview and questionnaire data from a long-term follow-up study of bulimia nervosa
Assessment of eating disorders - Comparison of interview and questionnaire data from a long-term follow-up study of bulimia nervosa
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DOI：
10.1016/s0022-3999(02)00491-9
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发表时间：
2002-11-01
影响因子：
4.7
通讯作者：
Mitchell, JE
中科院分区：
文献类型：
--
作者：
Keel, PK;Crow, S;Mitchell, JE
目的：对参加神经性贪食症长期随访研究的妇女进行访谈和问卷评估，探讨访谈和问卷评估的诊断一致性。方法：162名妇女完成随访评估，包括问卷调查和面对面评估。或者电话采访。结果：与先前的研究一致，问卷调查的饮食失调率高于访谈评估的饮食失调率；然而，完全神经性贪食症的发生率是相似的。总的诊断一致性对于饮食失调是足够的（kappa=.64），但是对于贪食症是差的。Nervosa (kappa=.49)，问卷调查和电话访谈（kappa的范围：.67-.71）比问卷调查和面对面访谈（kappa的范围：.35-58）的一致性更大。结论：研究结果支持这样一种可能性，即在问卷评估中，饮食病理发生率的增加可能部分是由于当参与者感到更加匿名时，他们变得更加坦率。问卷评估可能不次于访谈评估；它们可能揭示饮食失调的不同方面。(C) 2002爱思唯尔科学有限公司版权所有。
Objective: This paper examines diagnostic agreement between interview and questionnaire assessments of women participating in a long-term follow-up study of bulimia nervosa. Methods: Women (N= 162) completed follow-up evaluations comprising questionnaires and either face-to-face. or telephone interviews. Results: Consistent with previous research, rates of eating disorders were higher when assessed by questionnaire than when assessed by interview; however, rates of full bulimia nervosa were similar. Overall diagnostic agreement was adequate for eating disorders (kappa=.64) but poor for bulimia. nervosa (kappa=.49), with greater agreement between questionnaires and telephone interviews (kappa's range: .67-.71) than between questionnaires and face-to-face interviews (kappa's range: .35-58). Conclusion: Findings support the possibility that increased rates of eating pathology on questionnaire assessments may be due, in part, to increased candor when participants feel more anonymous. Questionnaire assessments may not be inferior to interview assessments; they may reveal different aspects of disordered eating. (C) 2002 Elsevier Science Inc. All rights reserved.