A Pilot Study Evaluating a Binge-Eating Screener in Children: Development of the Children's Brief Binge-Eating Questionnaire in a Pediatric Obesity Clinic

Clin Pediatr (Phila). 2019 Sep;58(10):1063-1071. doi: 10.1177/0009922819863664. Epub 2019 Jul 22.

Abstract

Children referred to pediatric obesity programs are at high risk of binge-eating disorder (BED) symptoms. Our goal was to develop and evaluate the Children's Brief Binge-Eating Questionnaire (CBBEQ) as a rapid screen of BED symptomatology. Seventy patients between the ages of 7 and 18 years (57% females) completed the CBBEQ and underwent the Eating Disorder Assessment for DSM-5 (EDA). Reliability and validity were assessed by examining results of the CBBEQ compared with the EDA, as well as measures of sleep, depression, and anxiety. Twenty-four of seventy (34%) children met full diagnostic interview criteria for BED and 12 (17%) met subclinical criteria. The CBBEQ demonstrated 100% specificity, 93% sensitivity, and a 100% negative predictive value for BED at a cutoff total score of 9. If confirmed in larger sample, this questionnaire could be a quick and accurate clinical tool for non-mental health providers to identify children at risk for BED.

Keywords: binge eating; eating disorder; mental health screening; obesity; pediatric obesity.

MeSH terms

  • Adolescent
  • Affect
  • Anxiety
  • Binge-Eating Disorder / diagnosis*
  • Child
  • Female
  • Humans
  • Male
  • Pediatric Obesity / psychology*
  • Pilot Projects
  • Sensitivity and Specificity
  • Sleep
  • Surveys and Questionnaires