Eating Disorder Examination Questionnaire (EDE-Q): Norms for Black Women.
Eating Disorder Examination Questionnaire (EDE-Q): Norms for Black women.
Filed under: Eating Disorders
Eat Behav. 2012 Dec; 13(4): 429-32
Kelly NR, Cotter EW, Mazzeo SE
The current study provides Eating Disorder Examination Questionnaire (EDE-Q) norms for Black undergraduate women (N=395). EDE-Q subscale scores, clinical cutoffs, and disordered eating behavior were compared with previously published norms for primarily White undergraduate and community samples. The current sample endorsed mean EDE-Q scores similar to those of White females recruited from the community. Regarding clinical cutoffs, Black women in the current sample were most similar to White college women. Despite similar EDE-Q scores, the current sample endorsed significantly less binge eating and compensatory behaviors than White undergraduate or community women. Outcomes suggest that increased eating- and weight-related concerns among Black undergraduate women might not be associated with disordered eating behavior. Similarly, results suggest that the validity of EDE-Q cutoffs is lower in samples of Black women compared with samples of White women. Additional research is needed to enhance understanding of eating disorder risk factors for Black college women.
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Evaluating the roles of anxiety and dimensions of perfectionism in dieting and binge eating using weekly diary methodology.
Filed under: Eating Disorders
Eat Behav. 2012 Dec; 13(4): 418-22
Fitzsimmons-Craft EE, Bardone-Cone AM, Brownstone LM, Harney MB
This study examined the relations between weekly reports of anxiety, dimensions of trait perfectionism, and dieting and binge eating over the course of 11weeks. Participants were 406 college women who completed a battery of questionnaires at Time 1 that assessed trait-like characteristics (e.g., self-oriented and socially prescribed perfectionism). For 11weeks following that, participants filled out a short questionnaire packet that assessed their weekly anxiety, dieting, and binge eating. Using multilevel modeling, results indicated that on average, both within- and between-person levels of anxiety predicted increased binge eating, while only between-person levels of anxiety predicted increased dieting. Higher levels of self-oriented perfectionism also predicted increased dieting and binge eating, while higher levels of socially prescribed perfectionism predicted increased binge eating only (not increased dieting). The relation between weekly anxiety and disordered eating was not moderated by either dimension of perfectionism. Results provide support for the notion that dieting is generally affected by trait-like characteristics, while binge eating is generally affected by both trait- and state-like characteristics; these findings have significant clinical implications.
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State and trait food craving in people with bulimic eating disorders.
Filed under: Eating Disorders
Eat Behav. 2012 Dec; 13(4): 414-7
Van den Eynde F, Koskina A, Syrad H, Guillaume S, Broadbent H, Campbell IC, Schmidt U
In two studies, we examined trait and state food craving levels in people with a bulimic disorder (BD) (bulimia nervosa and related disorders) and healthy controls (HC) using multidimensional self-report assessments. In study 1, trait food craving was assessed in 70 people with a BD and 69 HC using the Food Craving Questionnaire – Trait. Participants also completed the Eating Disorder Examination – Questionnaire (EDE-Q). In study 2, 45 people with a BD and 29 HC completed the Food Craving Questionnaire – State and the EDE-Q following exposure to visual and real high-caloric food cues. The results showed that both trait and state food cravings were significantly higher in people with a BD, compared to HC. Trait food craving was associated with eating disorder symptomatology in both the HC and BD groups. State food craving was associated with eating disorder psychopathology, but only in the BD group. This research underscores the importance of food craving in the study and conceptualization of BD.
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Spanish-language Eating Disorder Examination interview: Factor structure in Latino/as.
Filed under: Eating Disorders
Eat Behav. 2012 Dec; 13(4): 410-3
Grilo CM, Crosby RD, White MA
Latino/as face health care disparities in eating/weight disorders but are under-represented in treatment research and this is especially the case for Spanish-speaking-only persons. The development of psychometrically-sound assessment methods for Latino/as is needed to facilitate eating/weight research. The current study aimed to evaluate the factor structure of the Spanish-language version of the Eating Disorder Examination (S-EDE) interview, one of the primary assessment methods in studies of eating/weight despite limited data regarding psychometric aspects of this measure. Participants were 156 Spanish-speaking-only Latino/as (mean BMI 33.2; 84.6% classified as overweight) who were reliably administered the S-EDE interview by trained bi-lingual doctoral research-clinicians. Confirmatory factor analysis revealed an inadequate fit for the original EDE structure but revealed a good fit for an alternative structure suggested by recent research. CFA supported an 8-item 3-factor structure; the three factors were interpreted as dietary restraint, shape/weight overvaluation, and body dissatisfaction. These factor analytic findings of the Spanish EDE interview are comparable to recent findings reported for English-speaking obese patient groups and have implications for clinical assessment and research with Latino/as.
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