Development and Validation of a Multifactorial Treatment Outcome Measure for Eating Disorders

The purpose of this investigation was to develop a brief self-report inventory which could be used to evaluate treatment outcome for anorexia and bulimia nervosa. The Multifactorial Assessment of Eating Disorders Symptoms (MAEDS) was constructed to measure six symptom clusters which have been found to be central to the eating disorders: depression, binge eating, purgative behavior, fear of fatness, restrictive eating, and avoidance of forbidden foods. The factor structure of the MAEDS was found to be stable and it was found to have satisfactory reliability and validity. Normative data were collected so that raw scores could be converted to standardized scores. While still in the experimental stages, the MAEDS shows promise as a valid and economical measure of treatment interventions for anorexia and bulimia nervosa.

[1]  R. Cattell The Scree Test For The Number Of Factors. , 1966, Multivariate behavioral research.

[2]  D. Gleaves,et al.  An examination of the internal consistency and factor structure of the eating disorder inventory-2 in a clinical sample. , 1994, The International journal of eating disorders.

[3]  Staci Veron-Guidry,et al.  Handbook of assessment methods for eating behaviors and weight-related problems , 1996 .

[4]  D. Garner,et al.  The Eating Attitudes Test: an index of the symptoms of anorexia nervosa , 1979, Psychological Medicine.

[5]  M. Gerrard,et al.  The Goldfarb Fear of Fat Scale. , 1985, Journal of personality assessment.

[6]  W. G. Johnson,et al.  A naturalistic functional analysis of binge eating , 1995 .

[7]  J. Thompson Body image, eating disorders, and obesity : an integrative guide for assessment and treatment , 2001 .

[8]  D. Garner,et al.  The Eating Attitudes Test: psychometric features and clinical correlates , 1982, Psychological Medicine.

[9]  D. Williamson,et al.  Assessment of Eating Disorders: Obesity, Anorexia, and Bulimia Nervosa , 1989 .

[10]  David H. Gleaves,et al.  The psychopathology of anorexia nervosa: A factor analytic investigation , 1993 .

[11]  Mark H. Thelen,et al.  A revision of the bulimia test : the BULIT-R , 1991 .

[12]  D. Williamson,et al.  Confirmatory factor analysis of a multidimensional model of bulimia nervosa. , 1993, Journal of abnormal psychology.

[13]  C. Fairburn,et al.  Binge eating: nature, assessment and treatment , 1993 .

[14]  G. C. Fekken,et al.  Critical variables associated with bingeing and bulimia in a university population: a factor analytic study , 1988 .

[15]  D. Williamson,et al.  The Interview for the Diagnosis of Eating Disorders-Iv: Application to DSM-IV Diagnostic Criteria. , 1998 .

[16]  H. Kaiser An index of factorial simplicity , 1974 .

[17]  S. C. Goldberg,et al.  Attitudinal dimensions in anorexia nervosa. , 1979, Journal of psychiatric research.

[18]  S. Theander,et al.  Outcome and prognosis in anorexia nervosa and bulimia: some results of previous investigations, compared with those of a Swedish long-term study. , 1985, Journal of psychiatric research.

[19]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[20]  S. Steinberg,et al.  Multifactorial assessment of bulimia nervosa. , 1991, Journal of abnormal psychology.

[21]  P. Lavori,et al.  Outcome in Anorexia Nervosa and Bulimia Nervosa: A Review of the Literature , 1988, The Journal of nervous and mental disease.

[22]  W. G. Johnson,et al.  Eating disorders: assessment and treatment. , 1985, Clinical obstetrics and gynecology.