A brief session‐by‐session measure of eating disorder psychopathology for children and adolescents: Development and psychometric properties of the Eating Disorder‐15 for Youth (<scp>ED‐15‐Y</scp>)

Accurso, Erin C.; Waller, Glenn

doi:10.1002/eat.23449

Cited by 10 publications

(11 citation statements)

References 47 publications

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“…Additional limitations include the lack of specific consideration for certain factors that could influence ratings (eg, food insecurity); lack of items assessing muscularityoriented behaviors and attitudes (of particular relevance for boys) and ARFID diagnostic criteria; and potentially variable psychometric performance of the measure across various subgroups of youth. Notably, numerous other measures/modalities are available for assessing ED symptomatology (eg, other interviews, [220][221][222][223] self-report questionnaires, 221,224,225 ecological momentary assessment protocols [226][227][228] ). As such, it is vital to consider the benefits and limitations of the various options in the context of one's clinical or research aims, as well as in relation to the sociodemographic characteristics and identities of the person or persons who will be assessed.…”

Section: Discussionmentioning

confidence: 99%

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Parker¹,

Lavender²,

Schvey³

et al. 2023

AHMT

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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).

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Section: Discussionmentioning

confidence: 99%

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Parker¹,

Lavender²,

Schvey³

et al. 2023

AHMT

View full text Add to dashboard Cite

show abstract

“…The ED‐15‐Y is a brief measure of ED psychopathology over the past week for youth ≥8 years (Accurso & Waller, 2021). The measure was adapted from the adult ED‐15 (Tatham et al, 2015) by simplifying language for each item, including 10 attitudinal items (measured on a 1–5 scale) and five behavioral items (frequency of dieting, binge eating, vomiting, laxative use, driven exercise).…”

Section: Methodsmentioning

confidence: 99%

“…The attitudinal items were also rated on modified five‐point scale (1–5) rather than the original seven‐point scale (0–6). It has demonstrated excellent reliability, validity, and sensitivity to change over time in youth with EDs (Accurso & Waller, 2021). At assessment, youth ≥8 years completed the ED‐15‐Y.…”

Section: Methodsmentioning

confidence: 99%

“…Developed more recently, the ED‐15‐Y (Accurso & Waller, 2021), based on the ED‐15 (Tatham et al, 2015), allows weekly outcome monitoring while using appropriate language for children and adolescents (3rd grade level). ED psychopathology assessment is limited by the paucity of developmentally appropriate measures for youth, especially brief measures, as well as the lack of parallel measures for caregiver informants.…”

Section: Introductionmentioning

confidence: 99%

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Concordance between youth and caregiver report of eating disorder psychopathology: Development and psychometric properties of the Eating Disorder‐15 for Parents/Caregivers (ED‐15‐P)

Accurso

Waller

2021

Intl J Eating Disorders

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Objective Outcome measurement in youth with eating disorders relies heavily on self‐report, which is problematic in a population that may deny or minimize symptoms. Caregiver‐report measures are lacking. This study examined the psychometric and clinical properties of a newly‐developed measure designed to assess short‐term change in eating disorder symptomatology as observed by caregivers—the Eating Disorder‐15 for Parents/Caregivers (ED‐15‐P). Method At initial presentation to an outpatient eating disorders assessment, 206 families (primary caregiver and their child up to 18 years old) completed psychological measures. Results The ED‐15‐P demonstrated excellent reliability, preliminary evidence of discriminant and concurrent validity, and good sensitivity to change early in treatment (first 8 weeks). Agreement between primary caregivers and children on eating disorder psychopathology was moderate, while agreement between pairs of caregivers was relatively strong. Level of agreement varied across behaviors and informants, with poorer caregiver‐child agreement on dieting and driven exercise. Discussion Agreement was stronger within caregiver pairs than caregiver‐child pairs, indicating that caregivers and their children have related but unique perspectives on eating disorder symptoms, highlighting the importance of multi‐informant assessment. The ED‐15‐P complements a parallel youth report measure to more comprehensively assess eating disorder psychopathology, with high utility for measuring change over time.

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“…The Eating Disorder Examination-Questionnaire (EDE-Q; Fairburn & Beglin, 2008) is the leading questionnaire for assessing ED psychopathology (Berg et al, 2011) with good reliability and validity in adolescents (Accurso & Waller, 2020). Higher global scores at admission indicated more severe psychopathology (range: [0,6]).…”

Section: Ed Psychopathologymentioning

confidence: 99%

Hospital‐based higher calorie refeeding and mealtime distress in adolescents and young adults with anorexia nervosa or atypical anorexia nervosa

Accurso

Cheng

Machen

et al. 2023

Intl J Eating Disorders

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Objective The StRONG study demonstrated that higher calorie refeeding (HCR) restored medical stability faster in patients hospitalized with anorexia nervosa (AN) and atypical AN (AAN), with no increased safety events compared with standard‐of‐care lower calorie refeeding (LCR). However, some clinicians have expressed concern about potential unintended consequences of HCR (e.g., greater mealtime distress). The purpose of this study was to examine patient treatment preference and compare mealtime distress, food refusal, and affective states between treatments. Method Participants (N = 111) in this multisite randomized clinical trial were ages 12–24 years, with AN or AAN, admitted to hospital with medical instability who received assigned study treatment (HCR or LCR). Treatment preference was assessed prior to randomization in the full sample. In a subset of participants (n = 45), linear mixed effect models were used to analyze momentary ratings of mealtime distress (pre, during, and post‐meals) and daily affective state during the hospitalization. Results About half (55%) of participants reported a preference for LCR. Treatment assignment was not associated with food refusal, mealtime distress, or affective states in the subsample. Food refusal increased significantly over the course of refeeding (p = .018). Individuals with greater depression experienced more negative affect (p = .033), with worsening negative affect over time for individuals with higher eating disorder psychopathology (p = .023). Discussion Despite understandable concerns about potential unintended consequences of HCR, we found no evidence that treatment acceptability for HCR differed from LCR for adolescents and young adults with AN and AAN. Public Significance The efficacy and safety of higher calorie refeeding in hospitalized patients with anorexia nervosa has been demonstrated. However, it is not known whether higher calorie refeeding (HCR) increases meal‐time distress. This study demonstrated that HCR was not associated with increased mealtime distress, food refusal, or affective states, as compared with lower calorie refeeding. These data support HCR treatment acceptability for adolescents/young adults with anorexia nervosa and atypical anorexia nervosa.

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A brief session‐by‐session measure of eating disorder psychopathology for children and adolescents: Development and psychometric properties of the Eating Disorder‐15 for Youth (ED‐15‐Y)

Cited by 10 publications

References 47 publications

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Concordance between youth and caregiver report of eating disorder psychopathology: Development and psychometric properties of the Eating Disorder‐15 for Parents/Caregivers (ED‐15‐P)

Hospital‐based higher calorie refeeding and mealtime distress in adolescents and young adults with anorexia nervosa or atypical anorexia nervosa

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