Adapting the eating disorder examination for use during pregnancy: Preliminary results from a community sample of women with overweight and obesity

Adapting the eating disorder examination for use during pregnancy: Preliminary results from a community sample of women with overweight and obesity
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DOI:
10.1002/eat.22646
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发表时间:
2017-05-01
影响因子:
5.5
通讯作者:
Levine, Michele D.
Levine, Michele D.
中科院分区:
医学2区
文献类型:
--
作者:
Emery, Rebecca L.;Grace, Jennifer L.;Levine, Michele D.

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目的饮食失调检查(EDE)是一种结构化临床访谈,广泛用于评估饮食失调。尽管EDE已用于孕妇,但尚未开发标准的妊娠版本。因此,本研究的目的是记录适应怀孕版本的EDE(EDE-PV),并描述这种适应版本的内部reliability.MethodThree主要修改了EDE-PV的发展。首先,在怀孕期间和怀孕前评估饮食失调,以解释围产期的变化。其次,项目进行了调整,并改变了规则的评级,以区分饮食态度和行为,被认为是规范的怀孕期间饮食失调。第三,省略了几个items. ResultsEDE-PV管理到129名超重和肥胖的妇女谁是12至20周的妊娠。女性年龄为27.25岁(SD= 5.48),56%为非洲裔美国人。妇女认可的EDE-PV低水平的饮食失调,和内部的可靠性是类似于以前的reports.ConclusionThese研究结果提供支持使用的EDE-PV评估饮食失调的孕妇超重和肥胖。(c)2016 Wiley Periodicals,Inc. (Int J Eat Disord 2017; 50:597-601)
ObjectiveThe Eating Disorder Examination (EDE) is a structured clinical interview that is widely used for assessing disordered eating. Although the EDE has been used in pregnant women, no standard pregnancy version has been developed. Accordingly, the present study aimed to document adaptations made to a pregnancy version of the EDE (EDE-PV) and to describe the internal reliability of this adapted version.MethodThree major modifications were made in the development of the EDE-PV. First, disordered eating was assessed during and prior to pregnancy to account for changes across the perinatal period. Second, items were adapted and rules governing ratings were altered to distinguish eating attitudes and behaviors that are considered normative during pregnancy from disordered eating. Third, several items were omitted.ResultsThe EDE-PV was administered to 129 women with overweight and obesity who were between 12 and 20 weeks gestation. Women were 27.25 (SD= 5.48) years of age and 56% were African American. Women endorsed low levels of disordered eating on the EDE-PV, and the internal reliability was similar to previous reports.ConclusionThese findings provide support for use of the EDE-PV to assess disordered eating among pregnant women with overweight and obesity. (c) 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2017; 50:597-601)