Validity and reliability of the Chinese language version of the eating disorder examination (CEDE) in mainland China: Implications for the identity and nosology of the eating disorders.
OBJECTIVE
To investigate the crosscultural validity and reliability of the Chinese Language version of the Eating Disorder Examination (CEDE) in Wuhan, China, and to examine the psychopathological profile of eating disorder patients in central Mainland China.


METHODS
We administered the CEDE to 41 eating disorder patients (anorexia nervosa and bulimia nervosa) with 43 non-eating disorder controls. Specialists in eating disorders made the clinical diagnosis according to DSM-IV criteria. CEDE data between the two groups were compared.


RESULTS
The CEDE demonstrates good internal consistency, test-retest reliability, and inter-examiner reliability. All CL-EDE subscales discriminated between patients with anorexia nervosa or bulimia nervosa from non-eating disordered controls. The CEDE has satisfactory sensitivity, specificity, and positive and negative predictive values.


CONCLUSIONS
The CEDE is a useful instrument for the study of the growing clinical problem of the eating disorders in Mainland China. The finding that the characteristic fat phobia is prominent in this population of eating disordered patients and its implication on the identity and classification of the eating disorders are discussed.
Tong
Jun
J
Tongji Medical College, Huazhong University of Science and Technology, Wuhan Mental Health Centre, Wuhan Hospital for Psychotherapy, Wuhan, China.
Shi
Jing
J
Wang
Jian
J
Zhang
Hong
H
Zhang
Shu Fang
SF
Wu
Xiao Yan
XY
Hsu
L K George
LK
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000208:ethnology; D052018:Bulimia Nervosa / Q000175:diagnosis* / Q000208:ethnology; D016022:Case-Control Studies; D002681:China; D003431:Cross-Cultural Comparison; D005260:Female; D006801:Humans; D008297:Male; D010698:Phobic Disorders / Q000175:diagnosis; D011594:Psychometrics / Q000295:instrumentation*; D011795:Surveys and Questionnaires; D055815:Young Adult