title: Assessment of patients with anorexia nervosa: interview versus self-report.
abstract: OBJECTIVE
  The current study compared the agreement between the Eating Disorders Examination (EDE) and the Eating Disorders Examination-Questionnaire (EDE-Q) in the diagnosis and assessment of eating disorder pathology in a sample of women with anorexia nervosa.
  
  
  METHODS
  First, a physician administered a clinical interview to each patient. Then, before hospital admission, all subjects were given the EDE-Q and the EDE interview.
  
  
  RESULTS
  Results indicate that agreement between the EDE and the EDE-Q on the individual items informing the overall diagnosis of anorexia nervosa ranges from low to moderate. Agreement for the overall diagnosis of anorexia nervosa and for the binge/purge subtype was more impressive. Although correlations between subscale scores as well as eating disorder behaviors were strong, higher levels of disturbance were consistently reported on the EDE-Q than on the EDE interview.
  
  
  CONCLUSIONS
  The pattern of findings suggests that the EDE-Q may be used in place of the interviewer-based measure when assessing overall diagnosis and subtype, as well as specific, well-defined features (vomiting/laxative use). However, there was a low level of agreement with respect to less-defined features, like binge eating, for which significantly higher frequencies were generated by the self-report questionnaire.
authors.affiliation: Eating Disorders Research Unit, NY State Psychiatric Institute--Unit 98, 1051 Riverside Drive, New York, NY 10032, USA.
authors.forename: Sara L
authors.initials: SL
authors.lastname: Wolk
authors.forename: Katharine L
authors.initials: KL
authors.lastname: Loeb
authors.forename: B Timothy
authors.initials: BT
authors.lastname: Walsh
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis*; D001828:Body Image; D002032:Bulimia / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008875:Middle Aged; D012649:Self Concept; D012647:Self-Assessment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires