Journal article
Self-report versus clinical interview: Discordance among measures of binge eating in a weight-loss seeking sample
Eating and weight disorders, v 26(4), pp 1259-1263
01 May 2021
PMID: 32920776
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose Obese, behavioral weight-loss (BWL) seeking individuals may be prone to over-reporting binge-eating (BE). However, many studies rely on self-reported measures of BE in this population, which may be inaccurate. As such, this is the first-ever study to examine the concordance rates among one self-reported and one clinician- administered measure of BE in a BWL-seeking sample with overweight/obesity. Methods At baseline of a BWL trial, participants(N = 94) completed two measures of BE: The Eating Disorders Examination Questionnaire (EDE-Q) and the interview-based Eating Disorder Examination (EDE, Overeating section). Results Cohen's kappa detected poor agreement between measures (kappa < 0). A paired samplest-test detected large, significant differences in OBE frequency across the EDE-Q and EDE,p < 0.001. The self-reported EDE-Q detected a significantly greater frequency of OBEs compared to the EDE (MEDE-Q = 0.73, SD = 1.29 vs.M-EDE = 0.06, SD = 0.34). The EDE-Q detected that approximately 50% of participants have experienced OBEs, while the EDE detected that only 5% of participants have experienced OBEs. The frequency of OBEs detected by the EDE-Q was statistically greater than the frequency of OBEs detected by the EDE,p < 0.001. Discussion Results suggest poor agreement between one self-reported measure and the "gold-standard," clinician-administered measure of BE in a BWL-seeking sample with overweight/obesity. The EDE-Q exhibited high sensitivity but low-to-moderate specificity of OBEs, with the number of false positives (41) outweighing that of true positives (4). Studies measuring BE in this population should consider relying solely on assessor-administered measures, as this sample may require clinical guidance or clarification on the definition and features of BE.
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Details
- Title
- Self-report versus clinical interview: Discordance among measures of binge eating in a weight-loss seeking sample
- Creators
- Valerie S. Everett - Drexel UniversityRebecca J. Crochiere - Drexel UniversityDiane H. Dallal - Drexel UniversityGerald J. Martin - La Salle UniversityStephanie M. Manasse - Drexel UniversityEvan M. Forman - Drexel University
- Publication Details
- Eating and weight disorders, v 26(4), pp 1259-1263
- Publisher
- Springer Nature
- Number of pages
- 5
- Grant note
- R21DK080430 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000568629100001
- Scopus ID
- 2-s2.0-85090845904
- Other Identifier
- 991019167565304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry