Accurso, E.C. and Waller, G. orcid.org/0000-0001-7794-9546 (2021) Concordance between youth and caregiver report of eating disorder psychopathology : development and psychometric properties of the Eating Disorder-15 for Parents/Caregivers (ED-15-P). International Journal of Eating Disorders, 54 (7). pp. 1302-1306. ISSN 0276-3478
Abstract
Objective
Outcome measurement in youth with eating disorders relies heavily on self-report, which is problematic in a population that may deny or minimize symptoms. Caregiver-report measures are lacking. This study examined the psychometric and clinical properties of a newly-developed measure designed to assess short-term change in eating disorder symptomatology as observed by caregivers—the Eating Disorder-15 for Parents/Caregivers (ED-15-P).
Method
At initial presentation to an outpatient eating disorders assessment, 206 families (primary caregiver and their child up to 18 years old) completed psychological measures.
Results
The ED-15-P demonstrated excellent reliability, preliminary evidence of discriminant and concurrent validity, and good sensitivity to change early in treatment (first 8 weeks). Agreement between primary caregivers and children on eating disorder psychopathology was moderate, while agreement between pairs of caregivers was relatively strong. Level of agreement varied across behaviors and informants, with poorer caregiver-child agreement on dieting and driven exercise.
Discussion
Agreement was stronger within caregiver pairs than caregiver-child pairs, indicating that caregivers and their children have related but unique perspectives on eating disorder symptoms, highlighting the importance of multi-informant assessment. The ED-15-P complements a parallel youth report measure to more comprehensively assess eating disorder psychopathology, with high utility for measuring change over time.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Wiley Periodicals LLC. This is an author-produced version of a paper subsequently published in International Journal of Eating Disorders. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | assessment; children and adolescents; eating disorder psychopathology; parents and caregivers; psychometrics; routine outcome monitoring |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 10 Aug 2021 08:44 |
Last Modified: | 22 May 2022 00:38 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1002/eat.23557 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:176934 |