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      Eating Disorder Inventory-2 (EDI-2) : Normierung an einer Stichprobe normalgewichtiger Schüler im Alter von 10 bis 20 Jahren und an Patientinnen mit Anorexia nervosa

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          Abstract

          Zusammenfassung. Das Eating Disorder Inventory-2 (EDI-2; Paul & Thiel, 2005) ist ein mehrdimensionales psychometrisches Selbstberichtsinstrument zur Erfassung pathologischen Essverhaltens und anderer für Anorexia nervosa (AN) und Bulimia nervosa (BN) relevanter psychopathologischer Variablen bei Erwachsenen. In der vorliegenden Arbeit wird über die bisher noch fehlende Normierung an einer deutschen nicht-klinischen Stichprobe von 1754 SchülerInnen im Alter von 10 bis 20 Jahren ( M Alter = 15.8, SD = 1.7) berichtet. Zusätzlich werden erste geschlechtsspezifische Werte für 66 Patientinnen mit AN ( M Alter = 16.2, SD = 1.7) und 22 Patientinnen mit BN ( M Alter = 16.8, SD = 1.5) beschrieben. Die hier vorgestellten Normen für Kinder und Jugendliche sowie eine bereits vorgenommene psychometrische Evaluation ( Salbach-Andrae et al., 2010) ermöglichen zukünftig den Einsatz des EDI-2 in dieser Altersgruppe. Unabhängig von der Antwortversion können interna-tionale Vergleiche anhand geschlechtsspezifischer (und für weibliche Stichproben altersspezifischer) Normen vorgenommen werden.

          Eating Disorder Inventory (EDI-2): Normative data among 10 to 20 year old German girls and boys

          Abstract. The Eating Disorder Inventory-2 (EDI-2; Paul & Thiel, 2005) is a multidimensional psychometric self-report instrument for assessing disordered eating behavior and associated psychological characteristics among patients with anorexia (AN) and bulimia nervosa (BN). To enhance the clinical and research utility of the EDI-2 for children and adolescents, we report normative data among 1,754 German participants aged 10 to 20 years (Mean age = 15.8, SD = 1.7). Additionally preliminary results of 66 patients with AN (Mean age = 16.2, SD = 1.7) and 22 patients with BN (Mean age = 16.8, SD = 1.5) are presented. Results indicate that female patients with AN display higher scores on most of the EDI-2 subscales (except bulimia, maturity fears, and impulse regulation) and on the EDI-2 total score than female healthy controls. The presented normative data of children and adolescents aged 10 to 20 years and the psychometric analysis we reported elsewhere ( Salbach-Andrae et al., 2010) allow international gender-specific and age-specific (for female samples) comparisons.

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          Clinical perfectionism: a cognitive-behavioural analysis.

          This paper reviews the characteristics of clinical perfectionism and proposes a new definition of the phenomenon. It is suggested that the defining feature of clinically significant perfectionism is the overdependence of self-evaluation on the determined pursuit (and achievement) of self-imposed personally demanding standards of performance in at least one salient domain, despite the occurrence of adverse consequences. It is suggested that such clinical perfectionism is maintained by the biased evaluation of the pursuit and achievement of personally demanding standards. Specifically, it is suggested that people with perfectionism react to failure to meet their standards with self-criticism. If they do meet their standards, the standards are re-evaluated as being insufficiently demanding. Anorexia nervosa and bulimia nervosa are considered to have a particular relationship to perfectionism, with both disorders often being direct expressions of perfectionism. Under these circumstances self-evaluation is dependent on the pursuit and attainment of personally demanding standards in the domain of control over eating, shape and weight. The implications of this analysis for research and practice are considered.
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            Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood.

            To describe the epidemiology of eating disorders (ED) in a community sample of adolescent girls; to compare the clinical characteristics of full-syndrome (FS) and partial-syndrome (PS) ED cases; and to provide information about the continuity between adolescent ED and young adult psychopathology. A randomly selected sample of high school girls were assessed during adolescence (n = 891) and a year later (n = 810), and a stratified subset (n = 538) was assessed during their 24th year. The assessments included the Schedule for Affective Disorders and Schizophrenia for School-Age Children, the Longitudinal Interval Follow-up Evaluation, level of functioning, mental health treatment utilization, history of suicide attempt, and physical symptoms. The incidence of ED was less than 2.8% by age 18, and 1.3% for ages 19 through 23. Comorbidity with other psychopathology (89.5%), but especially depression, was very high. FS- and PS-ED groups differed significantly from a no-disorder comparison group on most outcome measures, and more than 70% of the adolescent FS- and PS-ED cases met criteria for an Axis I disorder in young adulthood. FS- and PS-ED are associated with substantial comorbidity, treatment seeking, impaired functioning, and risk for psychopathology in young adulthood.
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              Test-retest reliability of the Eating Disorder Inventory 2.

              This study reports on findings concerning the test-retest reliability of the Eating Disorder Inventory 2 (EDI-2). Three hundred twenty-seven female inpatients who met the DSM-IV criteria for eating disorders (anorexia nervosa, bulimia nervosa, or eating disorders not otherwise specified) and 209 inpatients with a diagnosis of depression, obsessive-compulsive disorder, anxiety disorder, or somatoform disorder took part in the study. The EDI-2 was administered to the patients at the beginning of inpatient therapy and a second time 7 days later. All 11 EDI-2 subscales showed significant test-retest correlations ranging from .81 to .89 in the eating disorder group and from .75 to .94 in the group with other diagnoses. The test-retest reliabilities for the EDI-2 subscales are relatively high, indicating a good and acceptable stability over time. These results provide further evidence that the EDI-2 is an instrument with good reliability for the assessment of eating disorder symptoms.
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                Author and article information

                Journal
                dia
                Diagnostica
                Zeitschrift für Psychologische Diagnostik und Differentielle Psychologie
                Hogrefe Verlag, Göttingen
                0012-1924
                2190-622X
                Juli 2012
                : 58
                : 3
                : 127-144
                Author notes
                Dipl.-Psych. Viola Kappel, Dipl.-Psych. Charlotte Jaite, Dipl.-Psych. Nora Schneider, Dr. med. Ernst Pfeiffer, Prof. Dr. Ulrike Lehmkuhl, PD Dr. rer. nat. Harriet Salbach-Andrae, Charité-Universitätsmedizin Berlin, Klinik für Psychiatrie, Psychosomatik und , Psychotherapie des Kindes- und Jugendalters, Augustenburger Platz 1, 13353 Berlin, E-Mail: viola.kappel@ 123456charite.de
                Prof. Dr. Andreas Thiel, Diakoniekrankenhaus Rotenburg, Klinik für Psychiatrie und Psychotherapie , 27356 Rotenburg
                Dr. phil. Martin Holzhausen, Charité-Universitätsmedizin Berlin, Institut für Biometrie und Klinische Epidemiologie, 10098 Berlin
                Article
                dia_58_3_127
                10.1026/0012-1924/a000069
                f606e75b-af53-413f-917b-445ccd1c9e6c
                Copyright @ 2012
                History
                Categories
                Originalia

                Psychology,Clinical Psychology & Psychiatry
                Essstörungen,Kinder,Jugendliche,Normen,EDI-2,eating disorders,children,adolescents,norms

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