Hostname: page-component-848d4c4894-p2v8j Total loading time: 0 Render date: 2024-05-03T08:55:57.924Z Has data issue: false hasContentIssue false
  • English
  • Français

The structured interview for anorexic and bulimic disorders for DSM-IV and ICD-10 (SIAB-EX): reliability and validity

Published online by Cambridge University Press:  16 April 2020

M. Fichter  and
N. Quadflieg
M. Fichter*
Affiliation:
Department of Psychiatry, University of Munich, Munich, Germany Klinik Roseneck, 83209 Prien, Germany
N. Quadflieg
Affiliation:
Department of Psychiatry, University of Munich, Munich, Germany
*
*Correspondence and reprints: Manfred M. Fichter, M.D., Klinik Roseneck affiliated with the University of Munich, Am Roseneck 6, 83209 Prien, Germany
Get access

Abstract

Objective. For reliable and valid assessment and diagnostic categorization of eating disorders, self-report measures have considerable limitations. A semi-structured interview – the SIAB-EX – was developed for a more reliable and valid assessment of eating disorders.

Methods. One study (videotapes of 31 inpatients, seven raters) was made to establish inter-rater reliability; in another study with 80 patients the SIAB-EX was compared to another semi-structured interview designed for comparable purposes (EDE). In a third study data was obtained on 377 eating disorder patients seeking treatment to explore discriminant and convergent (construct) validity using the following self-rating scales: EDI, TFEQ, SCL-90, BDI, and the PERI Demoralization Scale.

Results. Inter-rater reliability of dichotomous ratings was good with mean kappa values of .81 (current) and .85 (past). Comparison of the SIAB-EX with the EDE generally showed quite similar results and higher intercorrelation of the total scale (.77). There are, however, a number of differences between the two scales, which are discussed in detail. Construct validity of the SIAB-EX was established.

Conclusion. Inter-rater reliability was good. Convergent and discriminant (construct) validity of the SIAB-EX was demonstrated. The constructs assessed by the SIAB and its subscales and items are discussed in the context of their correlations with other well-known scales.

Keywords

eating disordersexpert ratingSIAB-EX
Type
Original article
Information
European Psychiatry , Volume 16 , Issue 1 , February 2001 , pp. 38 - 48
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association Diagnostic and statistical manual of mental disorders, fourth edition DSM-IV. Washington, DC: APA 1994.Google Scholar
Beck, ATWard, CHMendelson, MMock, JErbaugh, J.An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561–571.CrossRefGoogle ScholarPubMed
Black, C.MDWilson, GT.Assessment of eating disorders: interview versus questionnaire. Int J Eating Disord 1996; 20: 43–50.3.0.CO;2-4>CrossRefGoogle ScholarPubMed
Cooper, ZFairburn, C.The Eating Disorder Examination: a semi-structured interview for the assessment of the specific psychopathology of eating disorders. Int J Eating Disord 1987; 6: 1–8.3.0.CO;2-9>CrossRefGoogle Scholar
Cooper, PJTaylor, MJCooper, Fairburn, CG.The development and validation of the body shape questionnaire. Int J Eat Disord 1987; 6: 485–494.3.0.CO;2-O>CrossRefGoogle Scholar
Derogatis, LRRickels, KRock, AF.The SCL-90 and the MMPI: a step in the validation of new self-report scale. Br J Psychiatry 1976; 128: 280–289.CrossRefGoogle ScholarPubMed
Dohrenwend, BPShrout, PEEgri, GMendelson, FS.Nonspecific psychological distress and other dimensions of psychopathology. Arch Gen Psychiatry 1980; 37: 1129–1236.CrossRefGoogle ScholarPubMed
Fairburn, CGCooper, Z.The Eating Disorder Examination. 12th ed Fairburn, C.GWilson, GT.Binge eating, nature, assessment, and treatment. New York: Guilford; 1993 317360.Google Scholar
Fairburn, CGBeglin, SJ.Assessment of eating disorders: interview or self-report questionnaire?. Int J Eating Disord 1994; 16: 363–370.Google ScholarPubMed
Fichter, MMElton, MEngel, KMeyer, AEMall, HPonstka, F.Structured Interview for Anorexia and Bulimia Nervosa (SIAB): development of a new instrument for the assessment of eating disorders. Int J Eating Disord 1991; 10: 571–592.3.0.CO;2-J>CrossRefGoogle Scholar
Fichter, MMHerpertz, SQuadflieg, NHerpertz-Dahlmann, B.Structured Interview for Anorexic and Bulimic Disorders for DSM-IV and ICD-10: Updated (Third) Revision. Int J Eating Disord 1998; 24: 227–249.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
Fichter, MMQuadflieg, N.Comparing self- and expert rating: a self-report screening version (SIAB-S) of the Structured Interview for Anorexic and Bulimic Syndromes for DSM-IV and ICD-10 (SIAB-EX). Eur Arch Psychiatry Clin Neurosci 2000; 250: 175–185.CrossRefGoogle Scholar
Garner, DM.Eating Disorder Inventory-2. Professional Manual. Odessa, FL: Psychological Assessment Ressources; 1991.Google Scholar
Garner, DMGarfinkel, PE.The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol M 1979; 9: 273–279.CrossRefGoogle ScholarPubMed
Garner, DMOlmstead, MPPolivy, J.Development and validation of a multidimensional eating disorder inventory of anorexia nervosa and bulimia. Int J Eating Disord 1983; 2: 14–34.3.0.CO;2-6>CrossRefGoogle Scholar
Greeno, CGMarcus, MDWing, RR.Diagnosis of binge eating disorder: discrepancies between a questionnaire and clinical interview. Int J Eating Disord 1995; 17: 153–160.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Kaye, WHLilenfeld, LRBerrettini, WHStrober, MDevlin, BKlump, KLet al. A search for susceptibility loci in anorexia nervosa: methods and sample description. Biol Psychiatry 2000; 47: 794–803.CrossRefGoogle ScholarPubMed
Loeb, KLPike, KMWalsh, BTWilson, GT.Assessment of diagnostic features of bulimia nervosa: interview versus self-report format. Int J Eating Disorders 1994; 16: 75–81.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Manucci, ERicca, VDi Bernardo, RMoretti, SCabras, PLRotella, CM.Psychometric properties of EDE 12.0D in obese adult patients without binge eating disorder. Eating Weight Disord 1998; 2: 144–149.CrossRefGoogle Scholar
Regier, DAKaelber, CTRae, DSFarmer, MEKnäuper, BKessler, RCet al. Limitations of diagnostic criteria and assessment instruments for mental disorders. Arch Gen Psychiatry 1998; 55: 109–115.CrossRefGoogle ScholarPubMed
Rosen, JCVara, LWendt, SLeitenberg, H.Validity studies of the eating disorder examination. Int J Eating Disord 1990; 9: 519–528.3.0.CO;2-K>CrossRefGoogle Scholar
Shearin, ENRuss, MJHull, JWClarkin, JFSmith, GP.Construct validity of the Three-Factor Eating Questionnaire: flexible and rigid control subscales. Int J Eating Disord 1994; 16: 187–198.3.0.CO;2-U>CrossRefGoogle ScholarPubMed
Smith, CFGeiselman, PJWilliamson, DAChampagne, CMBray, GARyan, DH.Association of dietary restraint with eating behavior, body mass, and hunger. Eating Weight Disord 1998; 3: 7–15.CrossRefGoogle ScholarPubMed
Steinhausen, HCSeidel, R.Correspondence between the clinical assessment of eating-disordered patients and findings derived from questionnaires at follow-up. Int J Eating Disord 1993; 14: 367–374.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
van Strien, T.On the relationship between dieting and “obese” and bulimic eating patterns. Int J Eating Disord 1996; 19: 83–92.3.0.CO;2-R>CrossRefGoogle ScholarPubMed
Stunkard, AJMessick, S.The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985; 29: 71–83.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.