RNOtherArchives of psychiatric nursing2017

Eating Disorder Examination-Questionnaire (EDE-Q): Norms for a Clinical Sample of Males.

Karen M Jennings, Kathryn E Phillips

PMID 28104062

WHAT IT FOUND

In 38 male inpatients with eating disorders, 39.5% to 55.3% reached the EDE-Q clinical cutoff on subscales or global score, and diagnostic groups did not differ.

Key findings

01All participants met criteria for an eating disorder, but only 39.5% to 55.3% reported clinically significant scores on EDE-Q subscales or global score.

02Using a score of 4 or higher as clinical range, 42.1% scored clinically significant on restraint, 39.5% on eating concern, 55.3% on shape concern, 47.4% on weight concern, and 44.7% on global.

03EDE-Q global and subscale scores did not differ by eating disorder diagnosis.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The analysed sample was only 38 male inpatients from one eating disorders unit. 20 male patients did not complete the EDE-Q, although completers and non-completers did not differ on age, diagnosis, BMI, or length of stay. The sample was limited to males admitted for inpatient eating disorder treatment, so the norms do not describe outpatient, female, or general male populations. The EDE-Q was developed using female populations and may not capture the male desire for both leanness and muscle mass. The authors state that conclusions about tool sensitivity are tentative because of the small sample and non-completion. The sample size may have been too small to detect differences between diagnostic groups.

The easy way to misread this

Do not treat the EDE-Q norms as a validated way to diagnose or grade severity in male eating disorders. The analysed sample was 38 male inpatients, 20 did not complete the questionnaire, and diagnostic groups did not differ, so the authors call conclusions about tool sensitivity tentative.

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