Reliability and validity of the child version of the eating disorder examination: A preliminary investigation

Watkins, Beth; Frampton, Ian; Lask, Bryan; Bryant‐Waugh, Rachel

doi:10.1002/eat.20165

Cited by 91 publications

(87 citation statements)

References 23 publications

(29 reference statements)

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“…In addition, the ChEDE assesses presence and frequency of different forms of overeating and compensatory behaviour. Several studies have demonstrated the reliability and validity of the ChEDE [10,20,40,47]. In the present study, Oxford criteria [15] were used to generate eating disorder diagnoses.…”

Section: Methods J Participantsmentioning

confidence: 99%

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Vlierberghe

Braet

Goossens

et al. 2008

Eur Child Adolesc Psychiatry

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Background: This study aimed firstly to investigate whether youngsters referred for overweight treatment differ from non-referred overweight youngsters on the prevalence of psychiatric disorders and psychological symptoms. Secondly, the potentially moderating role of age, gender, socio-economic status and degree of overweight in the association of referral status and mental disorder in overweight youth was explored. Methods: Participants were 155 overweight youngsters enrolled in an obesity treatment programme (mean age = 13.76; mean BMI = 33.99) and 73 non-referred overweight youngsters (mean age = 13.74; mean BMI = 27.35). The Structured Clinical Interview for DSM-IV-Childhood version and the Child version of the Eating Disorder Examination were administered and participants filled out the Children’s Depression Inventory, the Spence Children’s Anxiety Scale and the Youth Self Report. Parents were asked to complete the Child Behavior Checklist. Results: In the referred group 37.50% and in the non-referred group 23.29% of the participants met criteria for at least one mental disorder. In both groups, anxiety disorders were most prominent. Overall, a higher prevalence of mental disorders was found in the referred group. Referred youth displayed significantly more ‘full blown’ eating disorders and binge eating than non-referred youngsters and exhibited a significantly greater severity of self- and parent-reported internalizing symptoms. Referral was also associated with a significantly higher degree of overweight and significantly lower SES. After controlling for these pre-existing differences in degree of overweight and SES, only the greater severity of parent-reported internalizing symptoms in referred youth remained significant. Older age was generally predictive for the presence of mental disorders and in the non-referred group SES was positively associated with psychiatric disorder. Conclusions: A substantial proportion of overweight youngsters suffer from mental disorders. Referral status and age are associated with the presence of psychopathology. However, differences between referred and non-referred youngsters are not as pronounced as expected on the basis of earlier research in the field

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Section: Methods J Participantsmentioning

confidence: 99%

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Vlierberghe

Braet

Goossens

et al. 2008

Eur Child Adolesc Psychiatry

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show abstract

“…The EDE has shown excellent reliability and validity, 22,24 and studies indicate that the child interview also demonstrates good reliability and validity. 23,[25][26] Interviewers were trained in the administration of both the adult and child versions of the interview -which capture the same sets of symptoms -and were able to use the more simple language in the child version to ensure comprehension by children and younger adolescents.…”

Section: Intake (Pre-treatment)mentioning

confidence: 99%

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Eddy

Grange

Crosby

et al. 2010

Journal of the American Academy of Child & Adolescent Psych

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Objective-The purpose of this study was to empirically derive eating disorder phenotypes in a clinical sample of children and adolescents using latent profile analysis (LPA) and compare these latent profile (LP) groups to the DSM-IV-TR eating disorder categories.Method-Eating disorder symptom data collected from 401 youth (ages 7-19; mean 15.14 ± 2.35y) seeking eating disorder treatment were included in LPA; general linear models were used to compare LP groups to DSM-IV-TR eating disorder categories on pre-treatment and outcome indices.Results-Three LP groups were identified: LP1 (n=144), characterized binge eating and purging ("Binge/purge"); LP2 (n=126), characterized by excessive exercise and extreme eating disorder cognitions ("Exercise-extreme cognitions"); and LP3 (n=131), characterized by minimal eating disorder behaviors and cognitions ("Minimal behaviors/cognitions"). Identified LPs imperfectly resembled DSM-IV-TR eating disorders. LP1 resembled bulimia nervosa; LP2 and LP3 broadly resembled anorexia nervosa with a relaxed weight criterion, differentiated by excessive exercise and severity of eating disorder cognitions. LP groups were more differentiated than the DSM-IV-TR categories across pre-treatment eating disorder and general psychopathology indices, as well as weight change at follow-up. Neither LP nor DSM-IV-TR categories predicted change in binge/purge behaviors. Validation analyses suggest these empirically-derived groups improve upon the current DSM-IV-TR categories.Conclusions-In children and adolescents, revisions for DSM-V should consider recognition of patients with minimal cognitive eating disorder symptoms.

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“…The EDE has shown excellent reliability and validity (Cooper, Cooper, & Fairburn, 1989;Fairburn & Cooper, 1993), and studies indicate that the child interview also demonstrates good reliability and validity (Bryant-Waugh et al, 1996;Tanofsky-Kraff et al, 2004;Watkins, Frampton, Lask, & Bryant-Waugh, 2005).…”

Section: Diagnostic Interviewsmentioning

confidence: 99%

Eating disorder pathology among overweight treatment-seeking youth: Clinical correlates and cross-sectional risk modeling

Eddy

Tanofsky‐Kraff

Thompson‐Brenner

et al. 2007

Behaviour Research and Therapy

110

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Preliminary research suggests that pediatric overweight is associated with increased eating disorder pathology, however, little is known about which overweight youth are most vulnerable to eating disorder pathology. We therefore investigated 122 overweight treatment-seeking youth to describe eating disorder pathology and mental health correlates, and to identify psychopathological constructs that may place overweight youth at increased risk for eating disorder pathology. Youth participated in a comprehensive assessment of eating disorders, mood and anxiety disorders, general psychopathology, and risk variables involving semi-structured clinical interviews and self-and parent-report questionnaires prior to the initiation of weight-loss treatment. Ten youth met criteria for an eating disorder, and over one-third endorsed recent binge eating. Eating disorder pathology was associated with depressive and anxious symptoms (p'so0.001). Structural equation modeling indicated increased negative affect, teasing experience, and thin-ideal internalization, and decreased perfectionism were associated with increased eating disorder pathology. Findings corroborate earlier work indicating that eating disorder pathology is elevated and clinically significant in overweight treatment-seeking youth, bolstering the need for mental health assessment of such individuals. Cross-sectional modeling proposed key variables that relate to eating disorder pathology in overweight treatment-seeking youth, which following prospective replication, may inform the development of effective interventions for overweight and eating disorders. r

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Reliability and validity of the child version of the eating disorder examination: A preliminary investigation

Abstract: The ChEDE differentiates children with AN from children with other forms of clinical eating disturbance and control children.

Cited by 91 publications

References 23 publications

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Eating disorder pathology among overweight treatment-seeking youth: Clinical correlates and cross-sectional risk modeling

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