Brazilian Portuguese version of Eating Pathology Symptoms Inventory.

Abstract

Universidade de São Paulo, Faculty of Medicine, School of Medicine – São Paulo (SP), Brazil. *Corresponding author: oliveira.jonatas@usp.br Conflicts of interest: the authors declare there is no conflict of interest. Funding: none. Received on January 04, 2023. Accepted on January 21, 2023. The identification of eating disorder (ED) symptoms and their diagnosis is still a challenge in the Brazilian scenario, which requires the association of various methodologies to identify symptoms in terms of frequency, association, and an approximation to the clinical diagnosis. The commonly used methods are the Eating Attitudes Test (EAT26)1 and the Binge Eating Scale2, which are self-administered. Also, recently, the questionnaire on Eating and Weight Patterns (QEWP-5)3, with its Brazilian version, is available for use by clinical interviewers, bringing great advances to the study of binge eating disorders. On the contrary, questionnaires that assess symptoms and risk for ED, such as the EAT-26, present limited features of ED pathology. Also, with the use of the BES, binge eating can be assessed, but not with other aspects such as cognitive restraint and restraint. Fat phobia through negative attitudes toward weight and obesity is also a prominent indicator in the psychopathology of EDs. In response to this gap, Forbush et al., developed the Eating Pathology Symptoms Inventory (EPSI)4, which comprises 45 items to assess the frequency of cognitions and behaviors in the last month. An initial pool of 160 items was developed by the researchers to assess 20 dimensions of eating pathology, and after the ensuing analyses were conducted, an 8-factor structure was identified: body dissatisfaction, binge eating, cognitive restraint, excessive exercise, restricting, purging, muscle building, and negative attitudes toward obesity. Bilingual researchers translated the original scale from English to Portuguese version. Then, additional bilingual translators produced two back-translations. The cross-cultural adaptation process of the instrument was carried out, and the final version for use in the Brazilian population is presented in Table 1.