Eating Disorder Examination Adapted for Children--German Version

Hilbert, Anja; Bürger, Arne; Hartmann, Andrea S.; Spenner, Kristina; Czaja, Julia; Warschburger, Petra

doi:10.1037/t70840-000

Cited by 7 publications

(13 citation statements)

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“…The ChEDE full length form (Bryant‐Waugh et al, ; Hilbert, ) was administered in‐person and conducted by trained interviewers. In total, 22 items assess the level of eating disorder psychopathology during the last 28 days, including restraint, eating concern, weight concern, and shape concern.…”

Section: Methodsmentioning

confidence: 99%

“…Sample characteristics are depicted in Table 1. In addition, a nonsymptomatic control group was recruited that was stratified to the avoidant/restrictive eating group based on age, sex, and BMI-SDS. Inclusion in the control group required child age between 8 and 13 years while restrictive eating behaviors were absent as determined via a mean score ≤2 of the EDY-Q (Van Dyck & Hilbert, 2016), which was validated via telephone screening using the items described above. Of the n = 37 eligible children, n = 14 children were stratified to the avoidant/restrictive eating group and were thus included in the control group.…”

Section: Participantsmentioning

confidence: 99%

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Interview‐based assessment of avoidant/restrictive food intake disorder (ARFID): A pilot study evaluating an ARFID module for the Eating Disorder Examination

Schmidt

Kirsten

Hiemisch

et al. 2019

Intl J Eating Disorders

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Objective Although avoidant/restrictive food intake disorder (ARFID) has been included as a new diagnostic entity of childhood feeding and eating disorders, there is a lack of measures to reliably and validly assess ARFID. In addition, virtually nothing is known about clinical characteristics of ARFID in nonclinical samples. Method The present study presents the development and validation of an ARFID module for the child and parent version of the Eating Disorder Examination (EDE) in a nonclinical sample of N = 39 children between 8 and 13 years with underweight and/or restrictive eating behaviors. For evaluating the ARFID module's reliability, the convergence of diagnoses between two independent raters and between the child and parent module was determined. The module's validity was evaluated based on the full‐length child version of the EDE, a 24 h food record, parent‐reported psychosocial functioning and self‐reported quality of life, and objective anthropometric measures. Results In total, n = 7 children received an ARFID diagnosis. The ARFID module showed high interrater reliability, especially for the parent version, and high convergence between child and parent report. Evidence for the module's convergent, divergent, and discriminant validity was provided. Specifically, children with versus without ARFID reported significantly less macro‐ and micronutrient intake and were more likely to be underweight. Discussion This pilot study indicates the child and parent version of the EDE ARFID module to be promising for diagnosing ARFID in a structured way but still necessitates a validation in a larger clinical and community‐based sample.

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Section: Methodsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Interview‐based assessment of avoidant/restrictive food intake disorder (ARFID): A pilot study evaluating an ARFID module for the Eating Disorder Examination

Schmidt

Kirsten

Hiemisch

et al. 2019

Intl J Eating Disorders

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“…The SOCQ-ED can be applied to patients with AN, BN, and eating disorders not otherwise specified (EDNOS). Support has been found for the psychometric properties of this instrument, including Cronbach's α = 0.75 and a 6-week test-retest reliability of r tt = 0.42-0.78, and correlations with the Eating Disorder Examination Questionnaire (EDE-Q; Fairburn & Beglin, 1994;Hilbert & Tuschen-Caffier, 2006;Fairburn, 2008) are low to moderate (r = −0.21 to −0.33) (von Brachel et al 2012).…”

Section: Outcome Measuresmentioning

confidence: 90%

“…There were no significant group differences at baseline on the three remaining EDE-Q subscales 'Weight concern', 'Shape concern' and 'Restraint' or the 12 other items of the SOCQ-ED. Baseline symptom severity as measured by the EDE-Q is comparable to German eating disorder norms, where mean values are in the range 2.90-4.07 for 'restraint', 2.60-3.39 for 'eating concern', 3.19-3.73 for 'weight concern' and 3.73-4.19 for 'shape concern' (Hilbert & Tuschen-Caffier, 2006). Table 3 displays means and standard deviations of the pre-and post-scores on the SOCQ-ED, P-CED, SES, RSES, and EDE-Q in the two groups along with the results of the two-way ANOVA with the factors time and group.…”

Section: Baseline Demographic and Clinical Characteristicsmentioning

confidence: 99%

“…EDE-Q (Fairburn & Beglin, 1994;Fairburn, 2008) Eating disorder symptomatology was assessed using the German version of the EDE-Q (Hilbert & Tuschen-Caffier, 2006). The EDE-Q consists of 22 items that yield scores on four subscales ('Restraint', 'Eating Concern', 'Weight Concern', and 'Shape Concern') along with a global score.…”

Section: Self-efficacy Scale (Ses; Schwarzer and Jerusalem 1999)mentioning

confidence: 99%

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An internet-based program to enhance motivation to change in females with symptoms of an eating disorder: a randomized controlled trial

et al. 2013

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Distribution and clinical comparison of restrictive feeding and eating disorders using ICD‐10 and ICD‐11 criteria

Düplois,

Brosig,

Hiemisch

et al. 2023

Intl J Eating Disorders

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ObjectiveWithin the eleventh edition of the International Classification of Diseases (ICD‐11), diagnostic criteria for feeding and eating disorders were revised and new diagnoses including avoidant/restrictive food intake disorder (ARFID) are classifiable; however, nothing is known about how these changes affect the prevalence of feeding and eating disorders. This study compared the distribution and clinical characteristics of restrictive feeding and eating disorders between ICD‐10 and ICD‐11.MethodThe Eating Disorder Examination (EDE), its child version, and the EDE ARFID module were administered to N = 82 patients (0–17 years) seeking treatment for restrictive feeding and eating disorders and their parents. Clinical characteristics were derived from medical records, questionnaires, and objective anthropometrics.ResultsThe number of residual restrictive eating disorders (rrED) significantly decreased from ICD‐10 to ICD‐11 due to a crossover to full‐threshold disorders, especially anorexia nervosa (AN) or ARFID. Patients reclassified to ICD‐11 ARFID were younger, had an earlier age of illness onset, more restrictive eating behaviors, and tended to have more somatic comorbidities compared to those reclassified to ICD‐11 AN. Patients with rrED according to both ICD‐10 and ICD‐11 were younger, had an earlier age of illness onset, less shape concern, and more somatic comorbidities than patients who were reclassified from ICD‐10 rrED to ICD‐11 AN or ARFID.DiscussionThis study highlights the inclusive approach of ICD‐11 criteria, paving the way for more targeted treatment, and ARFID's high clinical relevance. Future studies considering nonrestrictive feeding and eating disorders across the life span may allow further analyses on diagnostic crossover.Public SignificanceChanges in diagnostic criteria for restrictive eating disorders within the newly published ICD‐11 led to an increase in full‐threshold disorders, while the number of rrED was significantly lowered compared to ICD‐10 criteria. The results thus highlight the diagnostic utility of ICD‐11 criteria and may help providing adequate treatment to children and adolescents with rrED.

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Eating Disorder Examination Adapted for Children--German Version

Cited by 7 publications

References 0 publications

Interview‐based assessment of avoidant/restrictive food intake disorder (ARFID): A pilot study evaluating an ARFID module for the Eating Disorder Examination

Interview‐based assessment of avoidant/restrictive food intake disorder (ARFID): A pilot study evaluating an ARFID module for the Eating Disorder Examination

An internet-based program to enhance motivation to change in females with symptoms of an eating disorder: a randomized controlled trial

Distribution and clinical comparison of restrictive feeding and eating disorders using ICD‐10 and ICD‐11 criteria

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