A comparison of the binge eating scale, questionnaire for eating and weight patterns-revised, and eating disorder examination questionnaire with instructions with the eating disorder examination in the assessment of binge eating disorder and its symptoms

Authors

  • Angela A. Celio,

    1. Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California at San Diego, San Diego, California
    2. Center for Eating and Weight Disorders, San Diego, California
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  • Denise E. Wilfley,

    Corresponding author
    1. Center for Eating and Weight Disorders, San Diego, California
    2. Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri
    • Department of Psychiatry, Washington University School of Medicine, 660 South Euclid, Campus Box 8134, St. Louis, MO 63110
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  • Scott J. Crow,

    1. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota
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  • James Mitchell,

    1. Department of Neuroscience, University of North Dakota School of Medicine and Health Sciences, North Dakota
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  • B. Timothy Walsh

    1. New York State Psychiatric Institute, Columbia-Presbyterian Medical Center, New York, New York
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Abstract

Objective

The current study assesses concordance between self-administered measures and a diagnostic standard for assessment of binge frequency and diagnosis of binge eating disorder (BED) in a sample of binge eaters.

Method

The Questionnaire for Eating and Weight Patterns-Revised (QEWP-R), Binge Eating Scale (BES), two items from the Eating Disorder Examination Questionnaire with Instructions (EDE-Q-I), and the Eating Disorder Examination (EDE) were administered. Participants were 157 adults volunteering for a clinical study, of whom 129 (79%) were diagnosed with BED using the EDE as the diagnostic standard.

Results

In the identification of BED, the QEWP-R yielded a sensitivity value of .74 and a specificity value of .35. The BES yielded a sensitivity value of .85 and a specificity value of .20. Frequency of binge eating days and episodes on the EDE-Q-I correlated highly with the EDE (.65 and .48, respectively; p < .001).

Discussion

The accuracy of diagnosis and symptomatology among self-administered questionnaires is variable. The BES and the QEWP-R performed satisfactorily as initial screens for the diagnosis of BED, but were less accurate in identifying non-BED individuals and the frequency of binge eating. The EDE-Q-I most accurately assessed the frequency of binge eating. © 2004 by Wiley Periodicals, Inc. Int J Eat Disord 36: 434–444, 2004.

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