Further development of the 12-item EDE-QS: identifying a cut-off for screening purposes

BMC Psychiatry. 2020 Apr 3;20(1):146. doi: 10.1186/s12888-020-02565-5.

Abstract

Background: The Eating Disorder Examination - Questionnaire Short (EDE-QS) was developed as a 12-item version of the Eating Disorder Examination Questionnaire (EDE-Q) with a 4-point response scale that assesses eating disorder (ED) symptoms over the preceding 7 days. It has demonstrated good psychometric properties at initial testing. The purpose of this brief report is to determine a threshold score that could be used in screening for probable ED cases in community settings.

Methods: Data collected from Gideon et al. (2016) were re-analyzed. In their study, 559 participants (80.86% female; 9.66% self-reported ED diagnosis) completed the EDE-Q, EDE-QS, SCOFF, and Clinical Impairment Assessment (CIA). Discriminatory power was compared between ED instruments using receiver operating characteristic (ROC) curve analyses.

Results: A score of 15 emerged as the threshold that ensured the best trade-off between sensitivity (.83) and specificity (.85), and good positive predictive value (.37) for the EDE-QS, with discriminatory power comparable to other ED instruments.

Conclusion: The EDE-QS appears to be an instrument with good discriminatory power that could be used for ED screening purposes.

Keywords: Discriminant validity; EDE-QS; Eating disorders; ROC analysis; Screening.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Feeding and Eating Disorders / diagnosis*
  • Female
  • Humans
  • Male
  • Mass Screening / methods*
  • Predictive Value of Tests
  • Psychometrics / instrumentation
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Surveys and Questionnaires / standards*