Validation of the Lithuanian eating disorder examination-questionnaire (EDE-Q) in a community sample of young adults.

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Asta Adler, Rima Breidokienė, Danguolė Čekuolienė, Rasa Barkauskienė
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Abstract

Objective: The Eating Disorder Examination Questionnaire (EDE-Q), originally validated in English-speaking women, has become a widely used tool for assessing eating pathology. However, its original factor structure has often failed to replicate in diverse populations. This study aimed to examine the factor structure and assess the measurement invariance of the EDE-Q 6.0 in a representative sample of young men and women in Lithuania.

Method: The study included 800 participants aged 18-30 years, representing a demographically diverse sample of young adults in Lithuania. Confirmatory factor analysis (CFA) was conducted to validate the structure of the Eating Disorder Examination Questionnaire (EDE-Q 6.0) and establish a configural model. Measurement invariance was assessed across sexes. Convergent validity was evaluated using the Level of Personality Functioning Scale-Brief Form 2.0 and the Patient Health Questionnaire-4.

Results: The original four-factor structure of the EDE-Q 6.0 was not supported. Instead, CFA indicated that a three-factor, seven-item model provided the best fit to the data (EDE-Q 7). The identified factors were Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction. This model demonstrated excellent fit indices and measurement invariance across sexes. However, women reported significantly higher scores on all subscales compared to men. EDE-Q 7 exhibited adequate convergent validity, correlating with measures of personality functioning, anxiety, and depression.

Discussion: The three-factor, 7-item measure is a brief, valid, and reliable measure of eating disorder psychopathology for Lithuanian young adults.

立陶宛饮食失调检查问卷(ed -q)在社区年轻人样本中的验证。
目的:饮食失调检查问卷(ed - q)最初在英语女性中得到验证,现已成为广泛使用的评估饮食病理的工具。然而,其原有的因子结构往往无法在不同的种群中复制。本研究旨在检查因素结构和评估ed - q 6.0在立陶宛年轻男性和女性的代表性样本的测量不变性。方法:该研究包括800名年龄在18-30岁之间的参与者,代表立陶宛年轻人的人口统计学多样化样本。采用验证性因子分析(CFA)对进食障碍检查问卷(ed - q6.0)的结构进行验证,并建立构形模型。测量不变性评估跨性别。采用《人格功能水平量表-简表2.0》和《患者健康问卷-4》进行收敛效度评价。结果:原来的ed - q6.0的四因素结构不被支持。相反,CFA表明,一个三因素,七项模型提供了最适合的数据(ed - q7)。确定的因素是饮食限制,体型/体重高估和身体不满。该模型具有良好的拟合指数和性别间的测量不变性。然而,与男性相比,女性在所有量表上的得分都要高得多。ed - q7表现出足够的收敛效度,与人格功能、焦虑和抑郁的测量相关。讨论:三因素,七项测量是立陶宛年轻人饮食失调精神病理的一个简短,有效和可靠的测量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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