Eating Disorder Examination-Questionnaire as a measure of change in patients with bulimia nervosa

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Abstract
Objective The current study evaluated the agreement between the Eating Disorder Examination and the Eating Disorder Examination‐Questionnaire in assessing eating disorder pathology in a sample of women with bulimia nervosa. Method Patients with broadly defined bulimia nervosa were enrolled in a double‐blind, placebo‐controlled treatment study of fluoxetine, with and without guided self‐help. The current study presents information from 50 patients with data from both the EDE and EDE‐Q at study entry and treatment termination. Results The EDE and EDE‐Q produced more similar scores for compensatory behaviors (vomiting/laxative use) than complex eating‐disordered features (binge eating/importance of shape and weight) at the pretreatment and posttreatment assessments, and for change during the study. Discussion The EDE and EDE‐Q are highly correlated for many of the behavioral and attitudinal features of bulimia nervosa. There is substantial variability in agreement for individual patients, but on average, the EDE and EDE‐Q will yield similar assessments of eating disorder symptoms and change in symptoms over time. © 2005 by Wiley Periodicals, Inc.