Topic > The Eating Disorders Examination Questionnaire - 784

Brief description of the instrument The Eating Disorders Examination Questionnaire (EDE-Q; Fairburn & Belgin, 1994) is a self-report measure composed of 36 items of the main cognitive and behavioral characteristics of the eating disorders. It can be used in the diagnosis of anorexia, bulimia nervosa, and eating disorders not otherwise specified, as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (Allen, Byrne, Lampard, Watson, & Fursland, 2011). It can also be used to measure the change in symptoms over the course of treatment. It is a parallel form of the Eating Disorders Examination (EDE; Fairburn & Cooper, 1993), a widely used semi-structured interview on the psychopathology of eating disorders, which provides a more efficient and economical alternative to the interview. The questions concern cognitive and behavioral aspects. symptoms within 28 days. Cognitive characteristics are grouped into four distinct subscales: Eating Concern, Shape Concern, and Weight Concern. Behavioral characteristics are measured separately and cover behaviors such as frequency of binge eating episodes, inappropriate use of laxatives, inappropriate use of diuretics, self-induced vomiting, and excessive exercise. Usefulness of the instrument The EDE-Q is an efficient and economical instrument in the diagnosis of eating disorders in adults and adolescents. Scoring. The four cognitive subscales (Restriction, Eating Concern, Weight Concern, and Global EDE-Q) are rated on a 7-point scale, with higher scores indicating more psychopathology (Oyvind, Reas, & Lask, 2010). Questions that address behavioral symptoms are scored individually. and provide an indication of the presence and frequency of certain behaviors rather than a resulting number to be compared to a clinical cutoff score. Clinical limitations. Clinical care… halfway through the article… due to the questions asked, participants may underestimate behavioral characteristics (Binford et al., 2005). The EDE-Q provides a parallel version of the EDE interview, which addresses these limitations (Fairburn & Belgin, 1994). Studies have found that the EDE-Q correlates well with other eating disorder measures such as daily eating logs, interviews, and ___ (baseline). The EDE-Q is a well-validated, reliable and cost-effective alternative to similar instruments. Parameters and Limitations of the EDE-QThe limitations of the EDE-Q focus primarily on the lack of research for its use in males and adolescents, compared to norms available for young adult females. However, these limitations are being addressed in more recent research, which is providing normative data across a broader range of clinical and non-clinical populations (Mond et al., 2006; Lavendar et al.., 2010).