Abstract
The eating disorder examination questionnaire (EDE-Q) Global score is a self-report measure of global eating disorder (ED) psychopathology. This study used ecological momentary assessment (EMA) to evaluate the ecological validity of EDE-Q Global scores among obese adults. Fifty obese adults completed the EDE-Q and 2 weeks of EMA ratings prior to initiating eating episodes and subsequently after eating episodes. EMA items assessed behavioral symptoms [i.e., loss of control (LOC) eating and overeating] and cognitive symptoms (i.e., weight/shape concerns, eating concerns, and restraint). EDE-Q Global was associated with increased EMA weight/shape concerns and fear of LOC at pre-eating recordings. EDE-Q Global was associated with increased EMA post-episode weight/shape concerns, eating concerns, LOC eating, and overeating. There was no association between EDE-Q Global and EMA restraint. Results generally supported the ecological validity of EDE-Q Global scores. Future studies of ED psychopathology in obese adults may benefit from considering EDE-Q Restraint separately.
Level of Evidence Level V, descriptive study.
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Acknowledgements
This work was supported by Grants P30DK50456 from the National Institute of Diabetes and Digestive and Kidney Diseases, and T32MH082761 from the National Institute of Mental Health.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Mason, T.B., Smith, K.E., Crosby, R.D. et al. Does the eating disorder examination questionnaire global subscale adequately predict eating disorder psychopathology in the daily life of obese adults?. Eat Weight Disord 23, 521–526 (2018). https://doi.org/10.1007/s40519-017-0410-0
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DOI: https://doi.org/10.1007/s40519-017-0410-0