Comparison of assessments of children's eating-disordered behaviors by interview and questionnaire

Objective: in adults, interview methods may detect eating-disordered behaviors more accurately than self-report methods. However, no studies have investigated the relationships between interview and self-report assessments in children. We compared results from the Eating Disorder Examination adapted for Children (ChEDE) with the Adolescent version of the Questionnaire on Eating and Weight Patterns (QEWP-A) and with the Children's Eating Attitude Test (ChEAT) in a nontreatment sample of overweight and normal weight children. Method: the ChEDE, QEWP-A, and ChEAT were administered to 46 overweight (body mass index [BMI] at or above the 85th percentile) and 42 normal weight (BMI at the 15th-85th percentile) children, 10 +/- 1.8 years, recruited from the community. Results: the ChEDE and QEWP-A were not concordant for the number or type of eating episodes that occurred in the past month. Compared with the ChEDE, the QEWP-A was reasonably specific, but it was not sensitive for the presence of objective (17% sensitivity, 91% specificity) or subjective bulimic episodes (0% sensitivity, 89% specificity) during the past month. ChEDE and ChEAT global scores were significantly related (Kendall's tau = 0.286, p < .001), but specific items assessing guilt in relation to eating and preoccupation with food were not. Discussion: Although self-report methods of eating disorder assessment in children may provide some general information regarding eating psychopathology in non-treatment-seeking children, they do not accurately reflect the results of a structured interview. Published 2003 by Wiley Periodicals, Inc.NICHHD, Unit Growth & Obest, Dev Endocrinol Branch, NIH, Bethesda, MD 20892 USACatholic Univ Amer, Dept Psychol, Washington, DC 20064 USAUniversidade Federal de São Paulo, Dept Psiquiatria, São Paulo, BrazilNIDDKD, Div Digest Dis & Nutr, Bethesda, MD USAWashington Univ, Sch Med, Dept Psychiat, St Louis, MO USAUS PHS, Bethesda, MD USAWashington Univ, Sch Med, Dept Med, St Louis, MO USAWashington Univ, Sch Med, Dept Pediat, St Louis, MO USAWashington Univ, Sch Med, Dept Psychol, St Louis, MO USAUniversidade Federal de São Paulo, Dept Psiquiatria, São Paulo, BrazilWeb of Scienc