Abstract
The eating disorder examination questionnaire (EDE-Q) Global score is a self-report measure of global eating disorder (ED) psychopathology. This study used ecological momentary assessment (EMA) to evaluate the ecological validity of EDE-Q Global scores among obese adults. Fifty obese adults completed the EDE-Q and 2 weeks of EMA ratings prior to initiating eating episodes and subsequently after eating episodes. EMA items assessed behavioral symptoms [i.e., loss of control (LOC) eating and overeating] and cognitive symptoms (i.e., weight/shape concerns, eating concerns, and restraint). EDE-Q Global was associated with increased EMA weight/shape concerns and fear of LOC at pre-eating recordings. EDE-Q Global was associated with increased EMA post-episode weight/shape concerns, eating concerns, LOC eating, and overeating. There was no association between EDE-Q Global and EMA restraint. Results generally supported the ecological validity of EDE-Q Global scores. Future studies of ED psychopathology in obese adults may benefit from considering EDE-Q Restraint separately. Level of Evidence Level V, descriptive study.
Original language | English (US) |
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Pages (from-to) | 521-526 |
Number of pages | 6 |
Journal | Eating and Weight Disorders |
Volume | 23 |
Issue number | 4 |
DOIs | |
State | Published - Aug 1 2018 |
Bibliographical note
Funding Information:Acknowledgements This work was supported by Grants P30DK50456 from the National Institute of Diabetes and Digestive and Kidney Diseases, and T32MH082761 from the National Institute of Mental Health.
Keywords
- EDE-Q
- Eating disorder examination questionnaire
- Ecological momentary assessment
- Obesity