Comparison of methods for identifying and assessing obese patients with binge eating disorder in primary care settings

比较初级保健机构中识别和评估肥胖暴食症患者的方法

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Abstract

OBJECTIVE: Given the prevalence and health significance of binge eating disorder (BED) it is important to determine if time-efficient self-reports can adequately assess BED and its features in primary care settings. We compared the Eating Disorder Examination-Questionnaire (EDE-Q) and Questionnaire for Eating and Weight Patterns-Revised (QEWP-R), administered to obese patients with BED in primary care setting to the Eating Disorder Examination (EDE) interview. METHOD: Sixty-six participants completed the questionnaires and were interviewed. RESULTS: The EDE interview was significantly correlated with the EDE-Q (binge eating, four subscales, and global score) and the QEWP-R (binge eating, distress, and body image). The EDE-Q yielded significantly lower estimates of binge eating and significantly higher scores on the EDE subscales. The QEWP-R yielded significantly higher scores on the behavioral indicators and distress about binge eating and body image variables. DISCUSSION: These findings suggest that these two self-report measures have potential utility for identifying BED in obese patients in primary care.

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