Eating Disorder Examination-Questionnaire with and without instruction to assess binge eating in patients with binge eating disorder

The Eating Disorder Examination Questionnaire (EDE-Q) is a gold standard questionnaire to identify eating disorder symptoms but has not yet been validated in Danish. The scale consists of four theoretical constructs of disordered eating: Restraint eating, Eating concerns, Shape concerns and Weight concerns. However, the four-factor structure has been difficult to replicate across cultures. This study aimed to examine the factor structure and psychometric properties of the EDE-Q in Danish. The study consisted of four samples (aged 15–70): Patients with anorexia, bulimia and unspecified eating disorders (n = 101), patients with symptoms of binge-eating disorder (n = 300), recreational athletes (n = 404), and elite athletes (n = 526). Depending on the analysis performed, participants had to complete the EDE-Q, the SCOFF questionnaire for eating disorders or the Binge Eating Disorders Questionnaire. In accordance with international research, we found no evidence for a four-factor structure in the EDE-Q among patients or among athletes. But our results showed significant, positive associations between EDE-Q and SCOFF, BED-Q and MDI in all samples. We conclude that the internal structure of EDE-Q is low, while construct validity is high, making EDE-Q useful as an instrument to identify individuals with eating disorder symptoms, including recreational, and elite athletes.

Download Full-text

Factor Structure of the Eating Disorder Examination Interview in Patients With Binge-eating Disorder

Obesity ◽

10.1038/oby.2009.321 ◽

2010 ◽

Vol 18 (5) ◽

pp. 977-981 ◽

Cited By ~ 52

Author(s):

Carlos M. Grilo ◽

Ross D. Crosby ◽

Carol B. Peterson ◽

Robin M. Masheb ◽

Marney A. White ◽

...

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Factor Structure ◽

Binge Eating Disorder ◽

Eating Disorder Examination

Download Full-text

Reliability of the Eating Disorder Examination in patients with binge eating disorder

International Journal of Eating Disorders ◽

10.1002/eat.10238 ◽

2003 ◽

Vol 35 (1) ◽

pp. 80-85 ◽

Cited By ~ 158

Author(s):

Carlos M. Grilo ◽

Robin M. Masheb ◽

Christine Lozano-Blanco ◽

Declan T. Barry

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Eating Disorder Examination

Download Full-text

Less Binge Eating and Loss of Control over Eating Are Associated with Greater Levels of Mindfulness: Identifying Patterns in Postmenopausal Women with Obesity

Behavioral Sciences ◽

10.3390/bs9040036 ◽

2019 ◽

Vol 9 (4) ◽

pp. 36

Author(s):

Veronica Smith ◽

Radhika Seimon ◽

Rebecca Harris ◽

Amanda Sainsbury ◽

Felipe da Luz

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Postmenopausal Women ◽

Health Concern ◽

Loss Of Control ◽

Five Facet Mindfulness Questionnaire ◽

Eating Disorder Examination Questionnaire ◽

Eating Disorder Examination ◽

Eating Frequency ◽

Potential Strategy

Obesity is a public health concern resulting in widespread personal, social, and economic burden. Many individuals with obesity report feeling unable to stop eating or to control their food intake (i.e., a loss of control over eating) despite their best efforts. Experiencing loss of control over eating predicts further eating pathology and is a key feature of binge eating. Mindfulness (i.e., awareness and acceptance of current thoughts, feelings, sensations, and surrounding events) has emerged as a potential strategy to treat such eating disorder behaviors, but it is not known whether there is merit in investigating this strategy to address binge eating in postmenopausal women with obesity. Thus, this study aimed to examine the relationships between binge eating and mindfulness in postmenopausal women with obesity seeking weight loss treatment. Participants (n = 101) were assessed with the Eating Disorder Examination Questionnaire, the Loss of Control over Eating Scale, the Five-Facet Mindfulness Questionnaire, and the Langer Mindfulness Scale. Participants´ overall scores on both mindfulness scales were significantly and negatively correlated with binge eating frequency or the severity of loss of control over eating. Moreover, participants who reported fewer binge eating episodes were significantly more mindful than those who reported greater frequencies of binge eating episodes within the past 28 days. These findings suggest a merit in investigating the use of mindfulness-based therapies to treat binge eating in postmenopausal women with obesity.

Download Full-text

Examining Self-Weighing Behaviors and Associated Features and Treatment Outcomes in Patients with Binge-Eating Disorder and Obesity with and without Food Addiction

Nutrients ◽

10.3390/nu13010029 ◽

2020 ◽

Vol 13 (1) ◽

pp. 29

Author(s):

Ashley A. Wiedemann ◽

Valentina Ivezaj ◽

Ralitza Gueorguieva ◽

Marc N. Potenza ◽

Carlos M. Grilo

Keyword(s):

Weight Loss ◽

Eating Disorder ◽

Weight Gain ◽

Binge Eating ◽

Treatment Outcomes ◽

Binge Eating Disorder ◽

Food Addiction ◽

Behavioral Weight Loss ◽

Eating Disorder Examination ◽

Before And After

Food addiction (FA) has been linked to clinical features in binge-eating disorder (BED) and obesity. A feature of behavioral weight loss (BWL) treatment involves frequent weighing. However, little is known regarding how frequency of self-weighing and related perceptions are associated with BWL outcomes among individuals with BED and obesity stratified by FA status. Participants (n = 186) were assessed with the Eating Disorder Examination before and after BWL treatment. Mixed effects models examined FA (presence/absence) before and after (post-treatment and 6- and 12-month follow-up) treatment and associations with frequency of weighing and related perceptions (reactions to weighing, sensitivity to weight gain and shape/weight acceptance). Participants with FA reported more negative reactions to weighing and less acceptance of shape/weight throughout treatment and follow-ups, and both variables were associated with greater disordered eating at follow-ups among participants with FA. Sensitivity to weight gain decreased over time independent of FA status. Frequency of weighing was associated with a greater likelihood of achieving 5% weight loss only among those without FA. Reactions to weighing and sensitivity to weight gain are associated with FA and poorer treatment outcomes in individuals with BED and obesity. Targeting these features may improve BWL outcomes among individuals with BED, obesity and FA.

Download Full-text

Instruments and Diagnostic Criteria for Binge Eating Assessment in Adults: A Systematic Review

Revista da Associação Brasileira de Nutrição - RASBRAN ◽

10.47320/rasbran.2021.1343 ◽

2021 ◽

Vol 12 (1) ◽

pp. 242-259

Author(s):

Mariana Escobar ◽

Oellen Stuani Franzosi ◽

Nathália Coelho ◽

Silvia Chwartzmann Halpern ◽

Juliana Nichterwitz Scherer ◽

...

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Evaluation Instrument ◽

Eating Disorder Examination Questionnaire ◽

Eating Disorder Examination ◽

Diagnostic And Statistical Manual ◽

Subjective Perceptions ◽

Prisma Statement ◽

Binge Eating Scale ◽

Diagnostic Criterion

Objective: The aim of this study was to systematically review the methodologies used for BE evaluation/identification diagnosis in clinical trials (CT) with adults. Methods: The search was performed on PUBMED until July 2018. The PRISMA statement was used to improve the reporting of results.Results: 93 CTs were included among the 225 studies retrieved. The main BE evaluation/identification methods used in studies were: Binge Eating Scale; Diagnostic and Statistical Manual of Mental Disorders; Eating Disorder Diagnostic Scale; Eating Disorder Examination; Eating Disorder Examination Questionnaire; Eating Disorder Inventory; Loss of Control Over Eating Scale and Three-Factor Eating Questionnaire. Overlaps between methods were observed in studies, 61 used both DSM and an evaluation instrument, 06 only DSM and 26 only standardized questionnaires to assess BE disorder. Conclusions: The DSM-5 diagnostic criterion for binge eating disorder is considered excellent and widely used, however, when the objective of the study is to identify emotional, nutritional and qualitative issues, a questionnaire or interview about subjective perceptions can be used in a complementary way.

Download Full-text