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A cross\u2010sectional correlational design was used to examine the association between parent and youth symptom reports.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On the whole, parent\u2013youth inter\u2010rater agreement was poor to moderate. Agreement was acceptable for the presence of behavioral symptoms, with the exception of excessive exercise (PAK\u2009=\u20090.48\u20130.98). There was poor inter\u2010rater agreement on frequency of behavioral symptoms, with parents providing lower estimates than youth (ICC\u2009=\u20090.07\u20130.52). Although we predicted that inter\u2010rater agreement on cognitive symptoms would by higher with adolescents than children, both groups were discordant with parent reports. Younger children identified less severe eating disorder cognitions than parents and the opposite occurred for adolescents. An anorexia nervosa presentation and lower malnutrition were not associated with lower inter\u2010rater agreement, as might have been expected through ego syntonicity. Youth with bulimia nervosa presentations reported significantly higher severity of cognitive symptoms and more frequent disordered eating behaviors compared with their parents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Results support the utility of parent\u2013youth assessment via the EDE to obtain a wider clinical picture of eating disorder psychopathology in children and adolescents, particularly for younger children. Clinical implications pertinent to administration of the EDE and parent literacy regarding eating disorder symptoms are discussed. \u00a9 2013 Wiley Periodicals, Inc. 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