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Assessment of loss‐of‐control eating in healthy youth by interview and questionnaire.
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- Author(s): Altman, Deborah R.; Tanofsky‐Kraff, Marian; Shank, Lisa M.; Swanson, Taylor N.; Ramirez, Eliana; Moore, Nia A.; Rubin, Sarah G.; Byrne, Meghan E.; LeMay‐Russell, Sarah; Schvey, Natasha A.; Kelly, Nichole R.; Parker, Megan N.; Gubbi, Sriram; Brady, Sheila M.; Yanovski, Susan Z.; Yanovski, Jack A.
- Source:
International Journal of Eating Disorders. May2020, Vol. 53 Issue 5, p510-519. 10p. 2 Charts. - Source:
- Additional Information
- Subject Terms: ANXIETY diagnosis; DIAGNOSIS of mental depression; DIAGNOSIS of eating disorders; CONTROL (Psychology); ADIPOSE tissues; AFFECT (Psychology); BODY weight; EATING disorders; FOOD habits; INTERVIEWING; QUESTIONNAIRES; DATA analysis; PREDICTIVE tests; RECEIVER operating characteristic curves; PSYCHOLOGICAL factors
- Abstract: Objective: The aim of this study is to evaluate two questionnaires, an updated youth version of the questionnaire on eating and weight patterns (Questionnaire on Eating and Weight Patterns‐5 Children/Adolescent [QEWP‐C‐5]) and the Loss‐of‐Control (LOC) Eating Disorder Questionnaire (LOC‐ED‐Q), against the Eating Disorder Examination (EDE) interview to assess the presence of LOC‐eating among youth. Method: Two‐hundred and eighteen youths (12.8 ± 2.7 years) completed the QEWP‐C‐5, LOC‐ED‐Q, and EDE, depressive and anxiety questionnaires, and adiposity assessment. Sensitivity, specificity, positive‐predictive value, negative‐predictive value, and diagnostic accuracy were calculated; Cochran's Q and McNemar's tests were used to compare measures. Receiver operating characteristic area under the curve (AUC) analyses were performed. Mood and adiposity based on LOC‐eating presence and absence based on each measure were examined. Results: The QEWP‐C‐5 and LOC‐ED‐Q demonstrated poor sensitivity (33%; 30%) and high specificity (95%; 96%) compared with the EDE. The AUCs suggested neither the QEWP‐C‐5 (0.64) nor the LOC‐ED‐Q (0.62) demonstrated acceptable diagnostic accuracy. Comparing distributions of LOC‐eating presence between assessments, the QEWP‐C‐5 and EDE did not differ significantly (p =.10), while the LOC‐ED‐Q and EDE had significantly different distributions (p =.03). LOC‐eating presence was associated with higher depressive and anxiety symptoms across all measures (ps <.02). Greater adiposity (ps <.02) was associated with LOC‐eating presence on the EDE and LOC‐ED‐Q, and higher BMI z‐score (p =.02) on the LOC‐ED‐Q. Discussion Neither the QEWP‐C‐5 nor the LOC‐ED‐Q was sensitive for identifying LOC‐eating presence as determined by the EDE, although both were associated with greater mood symptoms. Research is needed to improve self‐report questionnaires to better screen for LOC‐eating presence among pediatric populations. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of International Journal of Eating Disorders is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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