Assessment of eating disorders: interview or self-report questionnaire?

  title={Assessment of eating disorders: interview or self-report questionnaire?},
  author={Christopher G Fairburn and Sarah J. Beglin},
  journal={The International journal of eating disorders},
  volume={16 4},
  • C. Fairburn, S. Beglin
  • Published 1 December 1994
  • Psychology
  • The International journal of eating disorders
A detailed comparison was made of two methods for assessing the features of eating disorders. An investigator-based interview was compared with a self-report questionnaire based directly on that interview. A number of important discrepancies emerged. Although the two measures performed similarly with respect to the assessment of unambiguous behavioral features such as self-induced vomiting and dieting, the self-report questionnaire generated higher scores than the interview when assessing more… 
Assessment of Eating Disorders in Women
This article reviews current eating disorder self-report and interview measures and makes recommendations for choosing assessment devices for practice and research. The authors also incorporate
Assessment of eating disorders in bariatric surgery candidates: self-report questionnaire versus interview.
There were lower levels of agreement between the EDE and EDE-Q than have been previously found in other samples, and variability in ratings contributed to only modest agreement with respect to classification of patients as binge eaters.
A Comparison of the Eating Disorder Examination and a General Psychiatric Schedule
While the psychiatric interview satisfactorily assessed disturbed eating in general, it seemed less capable of accurately assessing cases of bulimia nervosa in particular, the major weakness being the overestimation of binge-eating.
Binge eating in interview versus self-report: different diagnoses show different divergences.
Opposite discrepancies were observed between methods depending on ED diagnosis, such that a higher number of restrictive patients reported BE on the questionnaire than the interview, whereas the opposite was true for bulimic patients.
Assessment of bulimia nervosa: a comparison of interview and self-report questionnaire methods.
Findings suggest that some core features of eating disorders are more accurately assessed using the EDE interview, including binge episodes, laxative and diuretic misuse and concerns about shape and weight.
Self-report versus interview assessment of purging in a community sample of women.
The assumption of interview superiority in the assessment of specific aspects of eating disorder psychopathology should not be uncritically accepted and caution should be exercised in drawing conclusions concerning the level of agreement between self-report and interview assessment of purging based on research in clinical samples.
Concurrent validity of self‐report measures of eating disorders in adolescents with type 1 diabetes
Eating disorder screening tools have not been adequately validated for use with adolescents with type 1 diabetes, and these screening tools were chosen because they broadly assess eating disorder psychopathology and have subscales helpful for clinical management.
Clinical Ratings Scales and Assessment in Eating Disorders
This chapter provides a detailed review of the available self-report instruments and semi-structured interviews for the eating disorders.


The Validity of the Eating Disorder Examination and its Subscales
The EDE provides clinicians and research workers with a detailed and comprehensive profile of the psychopathological features of patients with eating disorders.
Adult Personality Functioning Assessment (APFA)
The development of an investigator-based standardised interview to assess patterns of specific and general social dysfunction is described, and it was concluded that the total APFA score provided a reasonable measure of generalsocial dysfunction.
Eating habits and eating disorders during pregnancy.
In this study of a general population sample, no evidence was found of a relationship between pregnancy outcome and the severity of eating disorder features prior to pregnancy.
Comparison of cognitive-behavioral and supportive-expressive therapy for bulimia nervosa.
Cognitive-behavioral therapy was significantly more effective in ameloriating disturbed attitudes toward eating and weight, depression, poor self-esteem, general psychological distress, and certain personality traits than supportive-expressive therapy.
Eating disorders in young adults with insulin dependent diabetes mellitus: a controlled study.
There was no evidence that clinical eating disorders are more prevalent in young women with diabetes than in non-diabetic women, but disturbed eating is common and is associated with poor control of glycaemia, and the misuse of insulin to influence body weight is also common in youngWomen with diabetes.
Laboratory assessment of feeding behavior in bulimia nervosa and healthy women: methods for developing a human-feeding laboratory.
Data gathered in a laboratory setting appears to be a reasonable replication of naturalistic feeding and suggest that such a laboratory may prove useful for future studies of feeding behaviors in humans.
Studies of the epidemiology of bulimia nervosa.
A shift in emphasis is recommended away from studies of the distribution of the disorder toward studies ofThe determinants of the whole spectrum of the disturbance that exists in the community.
Psychotherapy and bulimia nervosa. Longer-term effects of interpersonal psychotherapy, behavior therapy, and cognitive behavior therapy.
Bulimia nervosa may be treated successfully without focusing directly on the patient's eating habits and attitudes to shape and weight through the operation of apparently different mediating mechanisms.
Prevalence of Eating Disorder Symptoms in Preadolescent and Adolescent Girls With IDDM
It appears that when applying stringent diagnostic procedures and matching criteria, IDDM girls do not evidence an elevated prevalence of eating disorder symptoms, however, those IDDM patients who did report symptoms may be a high-risk group for the development of an eating disorder and should be followed prospectively.