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The Eating Disorders Examination Questionnaire (EDE-Q) is a 28-question, self-report, Likert scale assessment tool for determining the possible presence of an eating disorder in the participant that takes between 10 and 15 minutes. The EDE has two versions with the EDE-Q functioning for all participants and a modified EDE-A for adolescents (age 14+). Created by Christopher G Fairburn and Sarah Beglin in 1994, the EDE-Q is the written version of the EDE, an in-person interview created by Fairburn and Cooper in 1993[1]

Versions

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Eating Disorders Examination (EDE)

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The Eating Disorders Examination is the in-person interview first developed to determine the possible presence of an eating disorder in patients. By itself, the EDE is considered the "gold standard” in the assessment of eating disorder pathology.[2] As an instigator-based, in person, interview, the EDE takes between 45 minutes and an hour and a quarter to administer and gives 5 scores: a global score and 4 subscores (restriant, eating concern, shape concern, and weight concern).[3] The EDE contains mostly yes/no questions and Likert scale items to address the severity and frequency of eating behaviors.[3]

Eating Disorders Examination Questionnaire (EDE-Q)

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The EDE-Q is an adaptation EDE created to assess eating behaviors and attitudes towards eating and body image in participants. The EDE-Q contains a total of 31 questions, but only the first 28 relate to eating behaviors and attitudes while the last three ask for the participants weight, height, and if applicable, menstrual cycle.[1] 22 of the 28 questions are Likert scale questions with answer choices zero through six increasing in strength of reaction or number of occurrences.[1] The other 4 questions ask for specific numbers in how many times each event occurred.[1] The EDE-Q as a whole asks the participant to think specifically on the month prior to administering the examination.

Eating Disorders Examination Questionnaire Short (EDE-QS)

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The EDE-QS is a modified version of the EDE-Q designed to keep the validity and reliability of the EDE-Q, but in a shorter 12 question assessment.[4]

Psychometric properties

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The EDE-Q has been found to have strong psychometric properties in terms of internal consistency and test-retest reliability for the global score and the individual sub scale scores.[5][6] Strong convergent validity between the EDE-Q and EDE has also been demonstrated in both clinical and general population samples.[7][8][9]

Reliability

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The EDE-Q has high internal consistency because it has long scales with a large number of items.[6]

Test-retest reliability also is good over a two week period, although the EDE-Q's length makes it tedious to complete frequently.[5]

Evaluating scores from the General Behavior Inventory against the EBA rubric for norms and reliability
Criterion Rating Explanation with references
Norms Adequate Multiple convenience samples and research studies, including both clinical and nonclinical samples[10][11][12]
Internal consistency Strong Cronbach's alphas 0.90 for global score and between 0.70 and 0.83 for internal subscales[13]
Inter-rater reliability Not applicable Designed originally as a self-report scale; parent and youth report correlate about the same as cross-informant scores correlate in general[14]
Test-retest reliability (stability) Adequate Results indicated excellent 2-week test-retest reliability for the four subscales of the EDE-Q: Restraint, Weight Concern, Shape Concern, and Eating Concern[5]

Validity

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Evaluation of validity and utility for the General Behavior Inventory (table from Youngstrom et al., unpublished, extended from Hunsley & Mash, 2008; *indicates new construct or category)
Criterion validity Acceptable Covers both DSM diagnostic symptoms and a range of associated features[15][16]
Concurrent Good Agreement between EDE-Q and EDE scores found good concurrent validity, suggesting the shorter version produces the same result as the longer, in-person verion (EDE)[15]
Clinical utility Good Free (public domain), commonly used as a measure for outcome in treatment for disordered eating.[15]

Development and History

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Created by Christopher G Fairburn and Sarah Beglin in 1994, the EDE-Q was developed to create a shorter and easier to administer version of the in-person interview (EDE) used to measure severity and possible presence of disordered eating. The theoretical background of the questionnaire is to assess whether the participant has a healthy relationship with body image and eating habits. The EDE-Q is used when an in-person interview is either undesirable or unpractical.[17] The EDE-Q is available in many languages including English, Spanish,[18] and Greek.[19]

Limitations

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The EDE-Q is under copyright, but is freely available for non-commercial research use and does not require permission for use.[17] Being a self-report questionnaire, the EDE-Q is not known to have any adverse effects on patients beyond the potential of causing minor distress.[15]

See also

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References

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  1. ^ a b c d C. G., Fairburn. "Eating Disorder Examination Questionnaire" (PDF).
  2. ^ Berg KC, Peterson CB, Frazier P, Crow SJ. Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: A systematic review of the literature. International Journal of Eating Disorders 2012;45:428–438. pmid:21744375
  3. ^ a b Fairburn CG, Cooper Z, The Eating Disorder Examination (12th Ed.). In: Fairburn C. G., and Wilson G., editors. Binge Eating: Nature, Assessment and Treatment. New York: Guildford Press; 1993.
  4. ^ Gideon, Nicole; Hawkes, Nick; Mond, Jonathan; Saunders, Rob; Tchanturia, Kate; Serpell, Lucy (3 May 2016). "Development and Psychometric Validation of the EDE-QS, a 12 Item Short Form of the Eating Disorder Examination Questionnaire (EDE-Q)". PLOS ONE. 11 (5): e0152744. doi:10.1371/journal.pone.0152744. ISSN 1932-6203. PMC 4854480. PMID 27138364.
  5. ^ a b c Luce, K. H.; Crowther, J. H. (April 1999). "The reliability of the Eating Disorder Examination-Self-Report Questionnaire Version (EDE-Q)". The International Journal of Eating Disorders. 25 (3): 349–351. doi:10.1002/(SICI)1098-108X(199904)25:3<349::AID-EAT15>3.0.CO;2-M. ISSN 0276-3478. PMID 10192002.
  6. ^ a b Peterson, Carol B.; Crosby, Ross D.; Wonderlich, Stephen A.; Joiner, Thomas; Crow, Scott J.; Mitchell, James E.; Bardone-Cone, Anna M.; Klein, Marjorie; le Grange, Daniel (May 2007). "Psychometric properties of the eating disorder examination-questionnaire: factor structure and internal consistency". The International Journal of Eating Disorders. 40 (4): 386–389. doi:10.1002/eat.20373. ISSN 0276-3478. PMID 17304585.
  7. ^ Cooper, Z.; Cooper, P. J.; Fairburn, C. G. (June 1989). "The validity of the eating disorder examination and its subscales". The British Journal of Psychiatry: The Journal of Mental Science. 154 (6): 807–812. doi:10.1192/bjp.154.6.807. ISSN 0007-1250. PMID 2597887. S2CID 23887241.
  8. ^ Berg, Kelly C.; Peterson, Carol B.; Frazier, Patricia; Crow, Scott J. (April 2012). "Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature". The International Journal of Eating Disorders. 45 (3): 428–438. doi:10.1002/eat.20931. ISSN 1098-108X. PMC 3668855. PMID 21744375.
  9. ^ Mond, J. M.; Hay, P. J.; Rodgers, B.; Owen, C.; Beumont, P. J. V. (May 2004). "Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples". Behaviour Research and Therapy. 42 (5): 551–567. doi:10.1016/S0005-7967(03)00161-X. ISSN 0005-7967. PMID 15033501.
  10. ^ Darcy, Alison M.; Hardy, Kristina K.; Lock, James; Hill, Katherine Bell; Peebles, Rebecka (2013). "The Eating Disorder Examination Questionnaire (EDE-Q) among university men and women at different levels of athleticism". Eating Behaviors. 14 (3): 378–381. doi:10.1016/j.eatbeh.2013.04.002. PMID 23910784.
  11. ^ Quick, Virginia M.; Byrd-Bredbenner, Carol (1 March 2013). "Eating Disorders Examination Questionnaire (EDE-Q): norms for US college students". Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 18 (1): 29–35. doi:10.1007/s40519-013-0015-1. ISSN 1124-4909. PMID 23757248. S2CID 34903364.
  12. ^ Dahlgren, Camilla Lindvall; Stedal, Kristin; Rø, Øyvind (19 May 2017). "Eating Disorder Examination Questionnaire (EDE-Q) and Clinical Impairment Assessment (CIA): clinical norms and functional impairment in male and female adults with eating disorders". Nordic Journal of Psychiatry. 71 (4): 256–261. doi:10.1080/08039488.2016.1271452. hdl:10852/60712. ISSN 0803-9488. PMID 28084126. S2CID 36183571.
  13. ^ Peterson, Carol B.; Crosby, Ross D.; Wonderlich, Stephen A.; Joiner, Thomas; Crow, Scott J.; Mitchell, James E.; Bardone-Cone, Anna M.; Klein, Marjorie; le Grange, Daniel (1 May 2007). "Psychometric properties of the eating disorder examination-questionnaire: Factor structure and internal consistency". International Journal of Eating Disorders. 40 (4): 386–389. doi:10.1002/eat.20373. ISSN 1098-108X. PMID 17304585.
  14. ^ Achenbach, TM; McConaughy, SH; Howell, CT (March 1987). "Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity". Psychological Bulletin. 101 (2): 213–32. doi:10.1037/0033-2909.101.2.213. PMID 3562706.
  15. ^ a b c d Mond, J.M; Hay, P.J; Rodgers, B; Owen, C; Beumont, P.J.V (2004). "Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples". Behaviour Research and Therapy. 42 (5): 551–567. doi:10.1016/s0005-7967(03)00161-x. PMID 15033501.
  16. ^ Cite error: The named reference :0 was invoked but never defined (see the help page).
  17. ^ a b "Measures". www.credo-oxford.com. Retrieved 28 November 2017.
  18. ^ Elder, Katherine A.; Grilo, Carlos M. (June 2007). "The Spanish language version of the Eating Disorder Examination Questionnaire: comparison with the Spanish language version of the eating disorder examination and test-retest reliability". Behaviour Research and Therapy. 45 (6): 1369–1377. doi:10.1016/j.brat.2006.08.012. ISSN 0005-7967. PMID 17014823.
  19. ^ Pliatskidou, S.; Samakouri, M.; Kalamara, E.; Goulemtzakis, C.; Koutrouvi, K.; Papageorgiou, E.; Livadites, M. (October 2012). "[Reliability of the Greek version of the eating disorder examination questionnaire (EDE-Q) in a sample of adolescent students]". Psychiatrike = Psychiatriki. 23 (4): 295–303. ISSN 1105-2333. PMID 23399751.

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GBI form

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Practice parameters

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For youth

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For adults

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