A comparison of different methods for assessing the features of eating disorders in patients with binge eating disorder

A comparison of different methods for assessing the features of eating disorders in patients with binge eating disorder
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DOI:
10.1037//0022-006x.69.2.317
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发表时间:
2001-04-01
影响因子:
5.9
通讯作者:
Wilson, GT
Wilson, GT
中科院分区:
心理学1区
文献类型:
--
作者:
Grilo, CM;Masheb, RM;Wilson, GT

文献摘要

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作者比较了 3 种评估暴食症 (BED) 患者饮食失调特征的方法。参与者接受了饮食失调检查(EDE)访谈,并在基线时完成了 EDE 问卷(EDE-Q)。参与者前瞻性地每天自我监测自己的饮食行为,持续 4 周,然后完成另一次 EDE-Q。 EDE 和 EDE-Q 与客观贪食症发作(暴饮暴食)的频率以及饮食限制、饮食关注、体重关注和体形关注分量表显着相关。客观暴食症发作的 EDE 和 EDE-Q 频率的平均差异并不显着,但 4 个分量表的得分差异显着,其中 EDE-Q 得分较高。 4 周时,EDE-Q 回顾性 28 天评估与客观暴食症发作频率的前瞻性每日自我监测记录显着相关,并且方法之间的平均差异不显着。主观贪食症发作和客观暴饮暴食的 EDE-Q 和自我监测结果存在显着差异。因此,在暴食症患者中,这 3 种评估方法显示出一些可接受的趋同性,尤其是对于客观的暴食症发作。
The authors compared 3 methods for assessing the features of eating disorders in patients with binge eating disorder (BED). Participants were administered the Eating Disorder Examination (EDE) interview and completed the EDE Questionnaire (EDE-Q) at baseline. Participants prospectively self-monitored their eating behaviors daily for 4 weeks and then completed another EDE-Q. The EDE and the EDE-Q were significantly correlated on frequencies of objective bulimic episodes (binge eating) and on the Dietary Restraint, Eating Concern, Weight Concern, and Shape Concern subscales. Mean differences in the EDE and EDE-Q frequencies of objective bulimic episodes were not significant, but scores on the 4 subscales differed significantly, with the EDE-Q yielding higher scores. At 4 weeks, the EDE-Q retrospective 28-day assessment was significantly correlated with the prospective daily self-monitoring records for frequency of objective bulimic episodes, and the mean difference between methods was not significant. The EDE-Q and self-monitoring findings for subjective bulimic episodes and objective overeating differed significantly. Thus, in patients with BED, the 3 assessment methods showed some acceptable convergence, most notably for objective bulimic episodes.