Eating‐disordered behavior in adolescent boys: Eating disorder examination questionnaire norms

Mond, Jonathan; Hall, Ashleigh; Bentley, Caroline; Harrison, Carmel; Gratwick-Sarll, Kassandra; Lewis, Vivienne

doi:10.1002/eat.22237

Cited by 126 publications

(152 citation statements)

References 35 publications

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“…At intake, her results were the following: 5.0 on DR, 5.0 on SC, 4.5 on WC, 3.2 on EC, and 4.5 on GS. Compared with normative data of a community sample of adolescent females aged 12 to 15, Sheila's responses on the EDE-Q were elevated (Mond et al, 2014).…”

Section: Assessmentcontrasting

confidence: 60%

Intensive Family-Based Therapy During an Acute Medical Admission for Anorexia Nervosa

Matthews

Peterson

2016

Clinical Case Studies

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Family-based therapy (FBT) is the evidence-based treatment of choice for anorexia nervosa (AN) in adolescents, with numerous studies providing support for its efficacy in the outpatient realm. This case report describes the application of a brief FBT intervention during an inpatient medical admission for an adolescent presenting with medical instability secondary to new onset AN. The intensive, four-session FBT-guided intervention included (a) psychoeducation and illness externalization, (b) parent skills training, (c) meal coaching, and (d) behavioral contracting. Selfreport assessment and anthropometric data collected at pre-, post-, and 5 months following the intervention suggest increase in body mass index (BMI) and percent ideal body weight, increased parental understanding of AN and parental self-efficacy in managing the illness, decreased parent emotional burden of the illness, and decreases in overall adolescent Eating Disorder Examination Questionnaire (EDE-Q) scores. This case report provides preliminary evidence for the acceptability and effectiveness of a brief FBT-based intervention during medical stabilization for adolescents with AN and their families before proceeding to outpatient FBT.

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Section: Assessmentcontrasting

confidence: 60%

Intensive Family-Based Therapy During an Acute Medical Admission for Anorexia Nervosa

Matthews

Peterson

2016

Clinical Case Studies

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“…Although very large sample sizes would be needed to examine the status of overvaluation among adolescent males with LOC eating in a community sample, research of this kind would be of interest given that LOC eating may be relatively common in boys [16]. …”

Section: Discussionmentioning

confidence: 99%

“…370,000 in 2012), which includes the city of Canberra [15]. The recruitment procedures have been detailed previously [16]. In brief, participants were recruited from 12 ACT schools, which varied in terms of type (Government, Independent, and Catholic), location and numbers of students at the school.…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaire included measures of eating disorder symptoms, general psychological distress, quality of life and basic demographic information. Body mass index (BMI: kg/m 2 ) was calculated from self-reported height and weight [16]. Classification of weight status was based on the age-and-gender-specific BMI cut-points recommended by the Centers for Disease Control and Prevention (CDC) [17].…”

Section: Methodsmentioning

confidence: 99%

“…For the current study, an additional item assessing the occurrence of subjective binge eating episodes, namely, episodes of perceived overeating in which a loss of control is experienced but the amount of food consumed is not unusually large, was included. The inclusion of this item permitted the assessment of LOC eating, this being defined as the occurrence of objective and/or subjective binge eating episodes [16]. As in previous studies [22,23], minor changes to the wording of some EDE-Q items were made in order to ensure the suitability of the instrument for use in an adolescent population.…”

Section: Methodsmentioning

confidence: 99%

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Loss of control eating with and without the undue influence of weight or shape on self-evaluation: evidence from an adolescent population

et al. 2014

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BackgroundThe overvaluation of weight and/or shape (“overvaluation”), a diagnostic criterion for anorexia nervosa and bulimia nervosa, is increasingly supported for inclusion in the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) criteria of binge eating disorder (BED). However, current evidence has been largely confined to adult populations. The current study aims to examine the status of overvaluation among adolescents with loss of control (LOC) eating recruited from a large, population-based sample.MethodSubgroups of female adolescents – LOC eating with overvaluation (n = 30); LOC eating without overvaluation (n = 58); obese no LOC eating (“obese control”) (n = 36); and “normal-weight control” (normal-weight, no LOC eating) (n = 439) – recruited from secondary schools within the Australian Capital Territory (ACT) were compared on measures of eating disorder psychopathology, general psychological distress and quality of life.ResultsParticipants in the LOC eating with overvaluation subgroup reported significantly higher levels of eating disorder psychopathology than all other groups, while levels did not differ between participants in the LOC eating without overvaluation and obese control subgroups. On measures of distress and quality of life there were no significant differences between LOC eating with and without overvaluation subgroups. Both reported significantly greater distress and quality of life impairment than normal-weight controls. LOC eating with overvaluation participants had significantly higher levels of distress and quality of life impairment than obese controls, whereas scores on these measures did not differ between LOC eating without overvaluation and obese control subgroups.ConclusionThe results suggest that the presence of overvaluation among adolescents with LOC eating indicates a more severe disorder in terms of eating disorder psychopathology, however may not indicate distress and disability as clearly as it does among adults with BED.

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Symptoms of Depression, Eating Disorders, and Binge Eating in Adolescents With Obesity

Jebeile,

Baur,

Kwok

et al. 2024

JAMA Pediatr

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ImportanceDepression and eating disorders are heightened for adolescents with obesity. Clinical reviews alongside self-report questionnaires are important to ensure appropriate intervention.ObjectiveTo evaluate changes in self-report symptoms of depression, eating disorders, and binge eating in adolescents with obesity during the Fast Track to Health trial.Design, Setting, and ParticipantsThis was a randomized clinical trial conducted from 2018 to 2023. It was a multisite trial conducted at children’s hospitals in Sydney, New South Wales, and Melbourne, Victoria, Australia, and included adolescents (13-17 years) with obesity (defined as adult equivalent body mass index ≥30; calculated as weight in kilograms divided by height in meters squared) and 1 or more related complications.InterventionsDuration was 52 weeks including a very low energy diet for 4 weeks followed by intermittent energy restriction (IER) or continuous energy restriction (CER).Main Outcomes and MeasuresSelf-report symptoms of depression (Center for Epidemiologic Studies Depression Scale–Revised 10-Item Version for Adolescents [CESDR-10]; scores 0-30), eating disorders (Eating Disorder Examination Questionnaire [EDE-Q]; scores 0-6), and binge eating (Binge Eating Scale [BES]; scores 0-46) were assessed. Adolescents were screened for depression and eating disorders (weeks 0, 4, 16, and 52) and monitored for the onset of new symptoms of disordered eating during dietetic consults.ResultsOf 141 adolescents (median [IQR] age, 14.8 [12.9-17.9] years; 71 male [50.4%]) enrolled, median baseline EDE-Q score was 2.28 (IQR, 1.43-3.14), median baseline CESDR-10 score was 9.00 (IQR, 4.00-14.50), and median baseline BES score was 11.00 (IQR, 5.00-17.00). There were no differences between groups for change in CESDR-10 (mean difference at week 52, 0.75; 95% CI, −1.86 to 3.37), EDE-Q (mean difference at week 52, 0.02; 95% CI, −0.41 to 0.45), or BES (mean difference at week 52, −2.91; 95% CI, −5.87 to 0.05). The within-group reductions at week 4 were maintained at week 52, for CESDR-10 and EDE-Q, indicating reduced symptoms of depression and eating disorders. Within-group reductions on the BES were maintained in the IER group only. Seventeen adolescents (12.1%) required support or referral for depression and/or disordered eating, including 7 (5%; 5 IER, 2 CER) adolescents who experienced the onset or reemergence of symptoms during the intervention.Conclusions and RelevanceResults suggest that many treatment-seeking adolescents with obesity self-reported symptoms of depression and eating disorders. Although symptoms reduced for most, some required additional support. Obesity treatment is an opportune time to screen and monitor for depression and disordered eating.Trial RegistrationAustralian New Zealand Clinical Trials Registry: ACTRN12617001630303

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Eating‐disordered behavior in adolescent boys: Eating disorder examination questionnaire norms

Cited by 126 publications

References 35 publications

Intensive Family-Based Therapy During an Acute Medical Admission for Anorexia Nervosa

Intensive Family-Based Therapy During an Acute Medical Admission for Anorexia Nervosa

Loss of control eating with and without the undue influence of weight or shape on self-evaluation: evidence from an adolescent population

Symptoms of Depression, Eating Disorders, and Binge Eating in Adolescents With Obesity

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