Eating disorder examination: Factor structure and norms in a clinical female pediatric eating disorder sample

O’Brien, Amy; Watson, Hunna J.; Hoiles, Kimberley J.; Anderson, Rebecca; Hamilton, Matthew J.; Shu, Chloe; McCormack, Julie

doi:10.1002/eat.22478

Cited by 21 publications

(24 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The EDE global scores reported in the three BMI groups did not differ significantly from each other and were within the range of scores found in similar populations from the United States and Australia (Darcy et al, ; O'Brien et al, ). Differences between the BMI groups in relation to eating disorder severity were only found on vomiting and the EDE weight and shape concern subscales, that is, patients in the high BMI group reported more psychopathology than patients in the low BMI group, and patients in the low BMI group vomited less than patients in the medium BMI group.…”

Section: Discussionsupporting

confidence: 62%

Grasping the weight cut‐off for anorexia nervosa in children and adolescents

Andersen

Lindgreen

Rokkedal

et al. 2018

Intl J Eating Disorders

View full text Add to dashboard Cite

Objective The Diagnostic and Statistical Manual of Mental Disorders 5 suggests the 5th age‐adjusted body mass index (BMI) percentile as the numeric cut‐off for anorexia nervosa (AN) in children and adolescents. We aimed to investigate the degree to which the 5th age‐adjusted percentile as the numeric cut‐off for AN in youths reflects the clinical population of patients accepted for treatment. Method From a specialized eating disorder clinic, 305 patients with AN below 18 years of age were grouped according to age‐adjusted BMI percentiles [below the 5th (low), above the 10th (high), and between the 5th and the 10th (medium)]. The distribution of eating disorder diagnoses and severity measured by the Eating Disorder Examination was compared. Results Full‐syndrome anorexia nervosa (F.50.0) was found in 182 (59.5%) patients and atypical anorexia nervosa (F.50.1) in 123 patients (40.5%). The number of patients in the low, medium, and high BMI percentile groups was 189 (62.0%), 34 (11.1%), and 82 (26.9%), respectively. Patients in the low BMI group differed from patients in the medium BMI group by a lower frequency of vomiting. The high BMI group presented with more weight and shape concern than the lower BMI group. Age was not a confounder of these associations. Discussion We question the applicability of the 5th BMI percentile as a substantiated cut‐off for the weight criterion in anorexia nervosa in youths and argue that the cut‐off should not be ascribed great clinical importance as this may hinder early detection of illness and initiation of treatment.

show abstract

Section: Discussionsupporting

confidence: 62%

Grasping the weight cut‐off for anorexia nervosa in children and adolescents

Andersen

Lindgreen

Rokkedal

et al. 2018

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…The lack of fit for the original four‐factor EDE model is informative, but expected, given that the original four domains of the EDE (i.e., restraint, eating concern, shape concern, and weight concern) were clinically derived (Bryant‐Waugh et al, ; Fairburn & Cooper, ). With one exception (O'Brien et al, ), empirically derived factor analyses from a variety of sample populations have not been able to replicate the clinically derived four‐factor structure (Byrne et al, ; Grilo et al, ; Mannucci et al, ; Wade et al, ). Our findings and the lack of support for the four‐factor model (Berg et al, ) in adult and child populations from various racial and ethnic backgrounds caution use of the original four‐factor structure (Bryant‐Waugh et al, ; Fairburn & Cooper, ) for the comparison of means across black and white youth with sub‐diagnostic eating pathology.…”

Section: Discussionmentioning

confidence: 99%

“…Initially validated in adult patients with anorexia and bulimia nervosa (Cooper, Cooper, & Fairburn, ), the EDE has subsequently been examined among adult individuals across the eating disorder spectrum, in those with overweight and obesity, and in community samples (Byrne et al, ). The EDE has also been used in child and adolescent samples (Couturier, Lock, Forsberg, Vanderheyden, & Yen, ; O'Brien et al, ; Wade, Byrne, & Bryant‐Waugh, ), and a child version was developed in 1996 (Bryant‐Waugh, Cooper, Taylor, & Lask, ) and validated by several groups (Bryant‐Waugh et al, ; Frampton, Wisting, Overas, Midtsund, & Lask, ; Hilbert et al, ; Watkins, Frampton, Lask, & Bryant‐Waugh, ).…”

Section: Introductionmentioning

confidence: 99%

Measurement invariance of the Eating Disorder Examination in black and white children and adolescents

Burke

Tanofsky‐Kraff

Crosby

et al. 2017

Intl J Eating Disorders

View full text Add to dashboard Cite

Objective The Eating Disorder Examination (EDE) was originally developed and validated in primarily white female samples. Since data indicate that eating pathology impacts black youth, elucidating the psychometric appropriateness of the EDE for black youth is crucial. Method A convenience sample was assembled from seven pediatric obesity studies. The EDE was administered to all youth. Confirmatory factor analyses (CFA) were conducted to examine the original four-factor model fit and two alternative factor structures for black and white youth. With acceptable fit, multiple-group CFAs were conducted. For measurement invariant structures, the interactive effects of race with sex, BMIz, adiposity, and age were explored (all significance levels p<.05). Results For both black and white youth (N=820; 41% black; 37% male; 6–18y; BMIz -3.11–3.40), the original four-factor EDE structure and alternative eight-item one-factor structure had mixed fit via CFA. However, a seven-item, three-factor structure reflecting Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction had good fit and held at the level of strict invariance. Girls reported higher factor scores than boys. BMIz and adiposity were positively associated with each subscale. Age was associated with Dietary Restraint and Body Dissatisfaction. The interactional effects between sex, BMIz, and age with race were not significant; however, the interaction between adiposity and race was significant. At higher adiposity, white youth reported greater pathology than black youth. Conclusion An abbreviated seven-item, three-factor version of the EDE captures eating pathology equivalently across black and white youth. Full psychometric testing of the modified EDE factor structure in black youth is warranted.

show abstract

“…These two assessments are nearly identical in form and content, with minor modifications to improve clarity of difficult-to-grasp concepts in younger children (e.g., use of more basic language, addition of a card-sort task to facilitate assessment of overvaluation of weight and shape). The EDE and ChEDE have demonstrated good reliability and validity in children as young as seven years old (24-28), and have been used in clinical research with youth as young as six years old (e.g., 29).…”

Section: Methodsmentioning

confidence: 99%

Secretive eating among youth with overweight or obesity

et al. 2017

View full text Add to dashboard Cite

Purpose Secretive eating, characterized by eating privately to conceal being seen, may reflect eating- and/or body-related shame, be associated with depression, and correlate with binge eating, which predicts weight gain and eating disorder onset. Increasing understanding of secretive eating in youth may improve weight status and reduce eating disorder risk. This study evaluated the prevalence and correlates of secretive eating in youth with overweight or obesity. Methods Youth (N=577) presented to five research/clinical institutions. Using a cross-sectional design, secretive eating was evaluated in relation to eating-related and general psychopathology via linear and logistic regression analyses. Results Secretive eating was endorsed by 111 youth, who were, on average, older than youth who denied secretive eating (mean age=12.07±2.83 versus 10.97±2.31). Controlling for study site and age, youth who endorsed secretive eating had higher eating-related psychopathology and were more likely to endorse loss of control eating and purging than their counterparts who did not endorse secretive eating. Groups did not differ in excessive exercise or behavioral problems. Dietary restraint and purging were elevated among adolescents (≥13y) but not children (<13y) who endorsed secretive eating; depression was elevated among children, but not adolescents, who endorsed secretive eating. Conclusions Secretive eating may portend heightened risk for eating disorders, and correlates of secretive eating may differ across pediatric development. Screening for secretive eating may inform identification of problematic eating behaviors, and understanding factors motivating secretive eating may improve intervention tailoring.

show abstract

Eating disorder examination: Factor structure and norms in a clinical female pediatric eating disorder sample

Abstract: The findings support dimensions of restraint, eating concern, weight concern, and shape concern in a clinical pediatric sample. This supports the factorial validity of the EDE, and the norms may assist clinicians to evaluate symptoms in females under 18 years.

Cited by 21 publications

References 18 publications

Grasping the weight cut‐off for anorexia nervosa in children and adolescents

Grasping the weight cut‐off for anorexia nervosa in children and adolescents

Measurement invariance of the Eating Disorder Examination in black and white children and adolescents

Secretive eating among youth with overweight or obesity

Contact Info

Product

Resources

About