Assessment of patients with anorexia nervosa: Interview versus self-report
Article first published online: 24 FEB 2005
Copyright © 2005 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 37, Issue 2, pages 92–99, March 2005
How to Cite
Wolk, S. L., Loeb, K. L. and Walsh, B. T. (2005), Assessment of patients with anorexia nervosa: Interview versus self-report. Int. J. Eat. Disord., 37: 92–99. doi: 10.1002/eat.20076
- Issue published online: 24 FEB 2005
- Article first published online: 24 FEB 2005
- Manuscript Accepted: 26 APR 2004
- anorexia nervosa;
The current study compared the agreement between the Eating Disorders Examination (EDE) and the Eating Disorders Examination-Questionnaire (EDE-Q) in the diagnosis and assessment of eating disorder pathology in a sample of women with anorexia nervosa.
First, a physician administered a clinical interview to each patient. Then, before hospital admission, all subjects were given the EDE-Q and the EDE interview.
Results indicate that agreement between the EDE and the EDE-Q on the individual items informing the overall diagnosis of anorexia nervosa ranges from low to moderate. Agreement for the overall diagnosis of anorexia nervosa and for the binge/purge subtype was more impressive. Although correlations between subscale scores as well as eating disorder behaviors were strong, higher levels of disturbance were consistently reported on the EDE-Q than on the EDE interview.
The pattern of findings suggests that the EDE-Q may be used in place of the interviewer-based measure when assessing overall diagnosis and subtype, as well as specific, well-defined features (vomiting/laxative use). However, there was a low level of agreement with respect to less-defined features, like binge eating, for which significantly higher frequencies were generated by the self-report questionnaire. © 2005 by Wiley Periodicals, Inc.