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Parent version of the Eating Disorder Examination: Reliability and validity in a treatment-seeking sample
Lisa Hail1, Catherine R Drury2,3, Robert E McGrath4
1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, UCSF Weill Institute for Neurosciences, 675 18th Street, San Francisco, CA, USA.
Journal of Eating Disorders
|July 18, 2024
Summary
The parent version of the Eating Disorder Examination (PEDE) shows reliable psychometric properties for assessing eating disorders (ED) in youth. Caregiver reports via PEDE offer valuable insights complementing youth self-reports for anorexia nervosa (AN) assessment.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Eating Disorder Research
Background:
- Eating disorders (ED) in youth are often underrecognized due to intrinsic symptom denial.
- Self-report measures are standard but may miss crucial information.
- The parent version of the Eating Disorder Examination (PEDE) was developed to capture caregiver perspectives.
Purpose of the Study:
- To evaluate the psychometric properties of the PEDE.
- To assess its utility in systematically gathering caregiver reports of ED symptoms in youth.
- To determine if caregiver reports provide additional diagnostic information.
Main Methods:
- A multi-site study involved 522 youth (ages 12-18) diagnosed with anorexia nervosa (AN) or subsyndromal AN.
- Youth completed the Eating Disorder Examination (EDE) for self-report.
- Caregivers completed the PEDE for collateral report.
Main Results:
- The PEDE demonstrated internal consistencies comparable to the EDE.
- Correlations between PEDE and EDE subscales were significant but agreement levels varied from poor to moderate.
- Factor analysis suggested a 3-factor model better fits the PEDE data than the EDE's 4-factor model.
Conclusions:
- The PEDE exhibits psychometric properties similar to the EDE.
- Incorporating caregiver perspectives through the PEDE may enhance the assessment of AN in adolescents.
- Further research is needed to validate the PEDE across diverse eating disorder samples.
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