Reliability of the eating disorder in patients with binge eating examination disorder

Reliability of the eating disorder in patients with binge eating examination disorder
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DOI:
10.1002/eat.10238
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发表时间:
2004-01-01
影响因子:
5.5
通讯作者:
Barry, DT
Barry, DT
中科院分区:
医学2区
文献类型:
--
作者:
Grilo, CM;Masheb, RM;Barry, DT

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目的:本研究检查了暴食症(BED)患者饮食失调检查(EDE)的测试者间和重测可靠性。方法:在由 18 名 BED 患者组成的两个研究组中检查 EDE 的评估者间信度和短期(6-14 天)重测信度。结果:对于客观暴食症发作和天数,评估者间的可靠性非常出色(相关性高于 0.98),对于 EDE 量表也非常好,尽管存在一定差异(相关性范围为 0.65 至 0.96)。客观贪食症发作次数 (0.70) 和天数 (0.71) 的重测可靠性非常好,EDE 量表的重测可靠性也很好(显着),尽管存在一定差异(相关性范围为 0.50 至 0.88)。对于主观暴食症发作和天数,评分者间的可靠性非常好,但重测可靠性不可接受。结论:这些发现支持 EDE 对于 BED 患者的可靠性。 EDE 可用于评估大规模暴饮暴食事件(客观性暴食症事件)的数量以及大规模暴食事件发生的天数。 EDE 还表现出非常好的评估者间和重测可靠性,用于评估 BED 患者饮食失调的相关特征。主观贪食症发作的结果与之前的研究一致,表明这些饮食行为可能不是饮食失调的可靠指标。 (C) 2003 年,Wiley periodicals, Inc.
Objective: This study examined the interrater and test-retest reliabilities of the Eating Disorder Examination (EDE) in patients with binge eating disorder (BED). Method: Interrater reliability and short-term (6-14 days) test-retest reliability of the EDE were examined in two study groups of 18 patients with BED. Results: Interrater reliability was excellent for objective bulimic episodes and days (correlations above .98) and very good for the EDE scales, albeit somewhat variable (correlations range from .65 to .96). Test-retest reliabilities were very good for objective bulimic episodes (.70) and days (.71) and were good (significant) for the EDE scales, albeit somewhat variable (correlations range from .50 to .88). Interrater reliability was excellent for subjective bulimic episodes and days but test-retest reliabilities were unacceptable. Conclusions: These findings support the reliability of the EDE for patients with BED. The EDE has utility for assessing the number of large binge episodes (objective bulimic episodes), as well as the number of days during which large binge episodes occurred. The EDE also demonstrates very good interrater and test-retest reliabilities for assessing the associated features of eating disorders in patients with BED. The results for subjective bulimic episodes are consistent with previous studies, suggesting that these eating behaviors may not be reliable indicators of eating disorders. (C) 2003 by Wiley Periodicals, Inc.