Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents.

IF 1.7 Q2 PEDIATRICS
Adolescent Health Medicine and Therapeutics Pub Date : 2023-02-23 eCollection Date: 2023-01-01 DOI:10.2147/AHMT.S220102
Megan N Parker, Jason M Lavender, Natasha A Schvey, Marian Tanofsky-Kraff
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引用次数: 0

Abstract

Approximately 35 years after its initial publication, the Eating Disorder Examination (EDE) remains one of the most widely used semi-structured interviews for assessing eating disorder diagnoses and symptomatology. Although the interview provides certain advantages over other common measurement approaches (ie, questionnaires), there are particular considerations regarding the EDE that warrant attention, including in its use with adolescents. The aims of this paper are therefore to: 1) provide a brief overview of the interview itself, as well as a description of its origin and underlying conceptual framework; 2) describe relevant factors for administering the interview with adolescents; 3) review potential limitations regarding use of the EDE with adolescents; 4) address considerations for using the EDE with pertinent subpopulations of adolescents who may experience distinct eating disorder symptoms and/or risk factors; and 5) discuss the integration of self-report questionnaires with the EDE. Advantages of using the EDE include the ability for interviewers to clarify complex concepts and mitigate inattentive responding, enhanced orientation to the interview timeframe to improve recall, increased diagnostic accuracy compared to questionnaires, and accounting for potentially salient external factors (eg, food/eating rules imposed by a parent/guardian). Limitations include more extensive training requirements, greater assessment burden, variable psychometric performance across subgroups, lack of items evaluating muscularity-oriented symptoms and avoidant/restrictive food intake disorder diagnostic criteria, and lack of explicit consideration for salient risk factors other than weight and shape concerns (eg, food insecurity).

对青少年使用饮食失调检查访谈的实际考虑因素。
饮食失调检查(EDE)在首次出版后的大约 35 年里,仍然是评估饮食失调诊断和症状最广泛使用的半结构化访谈之一。尽管与其他常见的测量方法(即问卷调查)相比,面谈具有一定的优势,但有关 EDE 的一些特别注意事项仍值得关注,包括在青少年中的使用。因此,本文旨在1)简要概述访谈本身,并描述其起源和基本概念框架;2)描述对青少年实施访谈的相关因素;3)回顾对青少年使用 EDE 可能存在的局限性;4)讨论对可能经历不同进食障碍症状和/或危险因素的相关青少年亚群使用 EDE 的注意事项;5)讨论自我报告问卷与 EDE 的整合。使用 EDE 的优点包括:访谈者能够澄清复杂的概念并减少注意力不集中的反应;加强对访谈时间框架的定位以改善回忆;与问卷相比,诊断准确性更高;可考虑潜在的突出外部因素(如父母/监护人施加的食物/饮食规则)。其局限性包括:需要更广泛的培训、评估负担更重、不同亚组的心理测量表现不一、缺乏评估肌肉型症状和回避型/限制型食物摄入障碍诊断标准的项目,以及缺乏对体重和体型问题以外的突出风险因素(如食物不安全)的明确考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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