Cutoff scores of the Eating Disorder Examination–Questionnaire for the German population.

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Title: Cutoff scores of the Eating Disorder Examination–Questionnaire for the German population.
Authors: Meule, Adrian, Hilbert, Anja, de Zwaan, Martina, Brähler, Elmar, Koch, Stefan, Voderholzer, Ulrich
Source: International Journal of Eating Disorders. Mar2024, Vol. 57 Issue 3, p602-610. 9p.
Subjects: Bulimia, Self-evaluation, Patients, Research funding, Research methodology evaluation, Hospital admission & discharge, Sex distribution, Questionnaires, Binge-eating disorder, Treatment effectiveness, Age distribution, Descriptive statistics, Eating disorders, Anorexia nervosa, Sensitivity & specificity (Statistics)
Abstract: Objective: The Eating Disorder Examination‐Questionnaire (EDE‐Q) is one of the most widely used self‐report measures for the assessment of eating disorder (ED) symptomatology. However, proposed cutoff scores that may indicate the presence of an ED have been heterogeneous. Therefore, the current study derived cutoff scores from two large samples: one representative for the German population and one composed of persons with EDs at admission to inpatient treatment. Method: Receiver operating characteristic analysis was used with the EDE‐Q global score as independent variable and group (controls: n = 2519, patients: n = 2038) as dependent variable. These analyses were also conducted separately with the patient group divided into persons with anorexia nervosa (AN; n = 1456), bulimia nervosa (BN; n = 370), and other EDs (n = 212) and after matching groups for age and sex distribution. Results: The EDE‐Q global score discriminated well between controls and patients (AUC >91%, sensitivity >.84, specificity >.79). A score of 1.6 discriminated best between controls and patients in general and persons with AN in particular. Optimal thresholds for discriminating between controls and persons with BN and other EDs ranged between scores of 1.8 and 2.4. Discussion: In the German population, cutoff scores between 1.6 and 2.4 may be used to screen for the presence or absence of an ED or evaluate treatment outcome, with slightly higher cutoff scores for persons with BN and other EDs than for persons with AN. Public Significance: Questionnaire scores have little value when it is unclear which scores indicate the likely presence of an ED, as such scores can be used to estimate the prevalence of or screen for EDs in the general population and evaluate outcome at the end of ED treatment. The current study indicates a score around 2 on the EDE‐Q as an optimal threshold for this. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Cutoff scores of the Eating Disorder Examination–Questionnaire for the German population.
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Meule%2C+Adrian%22">Meule, Adrian</searchLink><br /><searchLink fieldCode="AR" term="%22Hilbert%2C+Anja%22">Hilbert, Anja</searchLink><br /><searchLink fieldCode="AR" term="%22de+Zwaan%2C+Martina%22">de Zwaan, Martina</searchLink><br /><searchLink fieldCode="AR" term="%22Brähler%2C+Elmar%22">Brähler, Elmar</searchLink><br /><searchLink fieldCode="AR" term="%22Koch%2C+Stefan%22">Koch, Stefan</searchLink><br /><searchLink fieldCode="AR" term="%22Voderholzer%2C+Ulrich%22">Voderholzer, Ulrich</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Mar2024, Vol. 57 Issue 3, p602-610. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Bulimia%22">Bulimia</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+admission+%26+discharge%22">Hospital admission & discharge</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Binge-eating+disorder%22">Binge-eating disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: The Eating Disorder Examination‐Questionnaire (EDE‐Q) is one of the most widely used self‐report measures for the assessment of eating disorder (ED) symptomatology. However, proposed cutoff scores that may indicate the presence of an ED have been heterogeneous. Therefore, the current study derived cutoff scores from two large samples: one representative for the German population and one composed of persons with EDs at admission to inpatient treatment. Method: Receiver operating characteristic analysis was used with the EDE‐Q global score as independent variable and group (controls: n = 2519, patients: n = 2038) as dependent variable. These analyses were also conducted separately with the patient group divided into persons with anorexia nervosa (AN; n = 1456), bulimia nervosa (BN; n = 370), and other EDs (n = 212) and after matching groups for age and sex distribution. Results: The EDE‐Q global score discriminated well between controls and patients (AUC >91%, sensitivity >.84, specificity >.79). A score of 1.6 discriminated best between controls and patients in general and persons with AN in particular. Optimal thresholds for discriminating between controls and persons with BN and other EDs ranged between scores of 1.8 and 2.4. Discussion: In the German population, cutoff scores between 1.6 and 2.4 may be used to screen for the presence or absence of an ED or evaluate treatment outcome, with slightly higher cutoff scores for persons with BN and other EDs than for persons with AN. Public Significance: Questionnaire scores have little value when it is unclear which scores indicate the likely presence of an ED, as such scores can be used to estimate the prevalence of or screen for EDs in the general population and evaluate outcome at the end of ED treatment. The current study indicates a score around 2 on the EDE‐Q as an optimal threshold for this. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24133
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 602
    Subjects:
      – SubjectFull: Bulimia
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Research methodology evaluation
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Binge-eating disorder
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Sensitivity & specificity (Statistics)
        Type: general
    Titles:
      – TitleFull: Cutoff scores of the Eating Disorder Examination–Questionnaire for the German population.
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            NameFull: Meule, Adrian
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            NameFull: Hilbert, Anja
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            NameFull: de Zwaan, Martina
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            NameFull: Brähler, Elmar
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            NameFull: Koch, Stefan
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            NameFull: Voderholzer, Ulrich
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            – D: 01
              M: 03
              Text: Mar2024
              Type: published
              Y: 2024
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            – TitleFull: International Journal of Eating Disorders
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