title: Psychometric evaluation of the youth eating disorder examination questionnaire in children with overweight or obesity.
abstract: This study evaluated the psychometric properties of the Youth Eating Disorder Examination Questionnaire (YEDE-Q) and its utility for detecting loss of control (LOC) eating (i.e., eating episodes, regardless of size, involving a perceived inability to control what or how much one is eating) among school-age children with overweight or obesity. Identifying eating pathology, particularly LOC eating, in this population may facilitate treatment that improves weight outcomes and reduces eating disorder risk. Children with overweight or obesity (N = 241; 7-11 years) completed the YEDE-Q and abbreviated Child EDE (ChEDE) to assess LOC eating, prior to entering a weight management treatment trial. Confirmatory factor analyses (CFA) were conducted on children's YEDE-Q responses and compared to the standard adult EDE-Q factor structure and newer, alternate factor structures. CFA supported a three-factor structure, which distinguished youth with versus without LOC. The YEDE-Q showed low accuracy for detecting LOC eating as measured by the ChEDE, which served as the gold-standard benchmark (AUC = 0.69). Among children who endorsed LOC eating, more episodes per month were reported on the YEDE-Q than ChEDE (p < .001). The YEDE-Q may not have utility as a screener for identifying true cases of LOC eating among school-age children with overweight or obesity. Further evaluation of the YEDE-Q and the alternate three-factor structure is warranted.
authors.affiliation: Department of Psychiatry & Behavioral Neuroscience, The University of Chicago, Chicago, Illinois.
authors.forename: Andrea E
authors.identifier: 0000-0002-9736-8906
authors.initials: AE
authors.lastname: Kass
authors.affiliation: National Center for Weight and Wellness, Washington, DC.
authors.forename: Kelly
authors.initials: K
authors.lastname: Theim Hurst
authors.affiliation: Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: Rachel P
authors.identifier: 0000-0002-5107-1146
authors.initials: RP
authors.lastname: Kolko
authors.affiliation: Department of Psychological Sciences, Kent State University, Kent, Ohio.
authors.forename: Elizabeth B
authors.initials: EB
authors.lastname: Ruzicka
authors.affiliation: Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Richard I
authors.initials: RI
authors.lastname: Stein
authors.affiliation: Seattle Children's Hospital, Seattle, Washington, DC.
authors.forename: Brian E
authors.initials: BE
authors.lastname: Saelens
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: R Robinson
authors.initials: RR
authors.lastname: Welch
authors.affiliation: Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Perri
authors.affiliation: Department of Biostatistics, Washington University in St. Louis, St. Louis, Missouri.
authors.forename: Kenneth B
authors.initials: KB
authors.lastname: Schechtman
authors.affiliation: Department of Pediatrics, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York.
authors.forename: Leonard H
authors.initials: LH
authors.lastname: Epstein
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Denise E
authors.initials: DE
authors.lastname: Wilfley
mesh_terms: D002648:Child; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000175:diagnosis*; D050177:Overweight / Q000175:diagnosis*; D011594:Psychometrics / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: assessment; children; eating disorder pathology; loss of control eating; overweight