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Article: Cross-cultural validity of the eating disorder examination: A study of Chinese outpatients with eating disorders in Hong Kong

TitleCross-cultural validity of the eating disorder examination: A study of Chinese outpatients with eating disorders in Hong Kong
Authors
KeywordsAnorexia nervosa
Bulimia nervosa
Eating disorders
Psychometrics
Issue Date2006
PublisherHong Kong College of Psychiatrists. The Journal's web site is located at http://www.hkjpsych.com/search.jsp
Citation
Hong Kong Journal Of Psychiatry, 2006, v. 16 n. 4, p. 132-136 How to Cite?
AbstractObjective: To assess the cross-cultural validity of the Cantonese-Chinese version of the Eating Disorder Examination among Chinese outpatients. Patients and Methods: The Cantonese-Chinese version of the Eating Disorder Examination was administered to 42 patients with anorexia nervosa, anorexia nervosa without fat phobia, bulimia nervosa or binge eating disorders and to 12 controls. An eating disorders specialist made the clinical diagnoses. The eating disorder psychopathologies of cases were compared with controls. Results: The Cantonese-Chinese version of the Eating Disorder Examination exhibited satisfactory internal consistency, sensitivity, specificity, positive and negative predictive value for diagnosing subjects with anorexia nervosa, bulimia nervosa and binge eating disorders. All subscales discriminated between patients with anorexia nervosa or bulimia nervosa and controls. Apart from the restraint subscale, the other three subscales discriminated between those with binge eating disorders and controls. Those with anorexia nervosa and anorexia nervosa without fat phobia had similar results except for those of the weight concern subscale. No subjects with eating disorders met the definition for excessive exercise. Conclusion: The Cantonese-Chinese version of the Eating Disorder Examination has good reliability, discrimination and criterion validity. The similarities between responses from those with anorexia nervosa and those with anorexia nervosa without fat phobia made the inclusion of fat phobia as a diagnostic criterion for anorexia nervosa in the 4th Edition of the Diagnostic and Statistical Manual of Mental Disorders questionable. The discrepancy between binge eating disorders and control regarding weight and shape concern suggests cognitive features should be considered as diagnostic criteria for binge eating disorders. The definition of excessive exercise may not be appropriate for Hong Kong Chinese population. © 2006 Hong Kong College of Psychiatrists.
Persistent Identifierhttp://hdl.handle.net/10722/144311
ISSN
2012 SCImago Journal Rankings: 0.158
References

 

DC FieldValueLanguage
dc.contributor.authorLau, LLSen_HK
dc.contributor.authorLee, Sen_HK
dc.contributor.authorLee, Een_HK
dc.contributor.authorWong, Wen_HK
dc.date.accessioned2012-01-20T09:00:28Z-
dc.date.available2012-01-20T09:00:28Z-
dc.date.issued2006en_HK
dc.identifier.citationHong Kong Journal Of Psychiatry, 2006, v. 16 n. 4, p. 132-136en_HK
dc.identifier.issn1026-2121en_HK
dc.identifier.urihttp://hdl.handle.net/10722/144311-
dc.description.abstractObjective: To assess the cross-cultural validity of the Cantonese-Chinese version of the Eating Disorder Examination among Chinese outpatients. Patients and Methods: The Cantonese-Chinese version of the Eating Disorder Examination was administered to 42 patients with anorexia nervosa, anorexia nervosa without fat phobia, bulimia nervosa or binge eating disorders and to 12 controls. An eating disorders specialist made the clinical diagnoses. The eating disorder psychopathologies of cases were compared with controls. Results: The Cantonese-Chinese version of the Eating Disorder Examination exhibited satisfactory internal consistency, sensitivity, specificity, positive and negative predictive value for diagnosing subjects with anorexia nervosa, bulimia nervosa and binge eating disorders. All subscales discriminated between patients with anorexia nervosa or bulimia nervosa and controls. Apart from the restraint subscale, the other three subscales discriminated between those with binge eating disorders and controls. Those with anorexia nervosa and anorexia nervosa without fat phobia had similar results except for those of the weight concern subscale. No subjects with eating disorders met the definition for excessive exercise. Conclusion: The Cantonese-Chinese version of the Eating Disorder Examination has good reliability, discrimination and criterion validity. The similarities between responses from those with anorexia nervosa and those with anorexia nervosa without fat phobia made the inclusion of fat phobia as a diagnostic criterion for anorexia nervosa in the 4th Edition of the Diagnostic and Statistical Manual of Mental Disorders questionable. The discrepancy between binge eating disorders and control regarding weight and shape concern suggests cognitive features should be considered as diagnostic criteria for binge eating disorders. The definition of excessive exercise may not be appropriate for Hong Kong Chinese population. © 2006 Hong Kong College of Psychiatrists.en_HK
dc.languageengen_US
dc.publisherHong Kong College of Psychiatrists. The Journal's web site is located at http://www.hkjpsych.com/search.jspen_HK
dc.relation.ispartofHong Kong Journal of Psychiatryen_HK
dc.subjectAnorexia nervosaen_HK
dc.subjectBulimia nervosaen_HK
dc.subjectEating disordersen_HK
dc.subjectPsychometricsen_HK
dc.titleCross-cultural validity of the eating disorder examination: A study of Chinese outpatients with eating disorders in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailLee, E: edwinlhm@hku.hken_HK
dc.identifier.authorityLee, E=rp01575en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.scopuseid_2-s2.0-35348980797en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-35348980797&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue4en_HK
dc.identifier.spage132en_HK
dc.identifier.epage136en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridLau, LLS=23994388300en_HK
dc.identifier.scopusauthoridLee, S=8695933800en_HK
dc.identifier.scopusauthoridLee, E=7406967099en_HK
dc.identifier.scopusauthoridWong, W=55239266300en_HK

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