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Beyond thinness: The contribution of muscularity-oriented disordered eating to clinical impairment across cultures
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101973
Lisa Y. Zhu , Taylor N. Breddy , Reza N. Sahlan , Kerstin K. Blomquist , Lindsay P. Bodell
{"title":"Beyond thinness: The contribution of muscularity-oriented disordered eating to clinical impairment across cultures","authors":"Lisa Y. Zhu ,&nbsp;Taylor N. Breddy ,&nbsp;Reza N. Sahlan ,&nbsp;Kerstin K. Blomquist ,&nbsp;Lindsay P. Bodell","doi":"10.1016/j.eatbeh.2025.101973","DOIUrl":"10.1016/j.eatbeh.2025.101973","url":null,"abstract":"<div><div>Muscularity-oriented disordered eating (MODE) has been linked to negative outcomes, even when controlling for thinness-oriented disordered eating; however, its contribution to clinical impairment across demographic groups remains understudied. This study examined whether MODE independently contributes to clinical impairment while accounting for cognitive restraint, restricting, and purging, and whether this relationship differs by gender and country. Female (<em>n</em> = 1575) and male (<em>n</em> = 906) students from Canada, the United States, and Iran completed self-report measures of MODE, thinness-oriented disordered eating, and clinical impairment. Hierarchical multiple regressions were conducted with gender and country as moderators. Analyses were pre-registered on Open Science Framework. The addition of MODE to the model significantly accounted for 11 % of unique variance in clinical impairment. No significant moderation effects of gender and country were found. Results suggest that across women and men from both Western and non-Western cultural contexts, the unique aspects of MODE are associated with disruptions in daily functioning in multiple domains. These findings challenge the belief that dieting for muscularity is inherently beneficial for well-being. More clinical attention on MODE is warranted, such as targeted prevention and treatment efforts that address MODE specifically, rather than conceptualizing it as an extension of thinness-oriented eating disorders.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101973"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency medical reviews and medical admission transfers during psychiatric inpatient eating disorders unit treatment
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101979
Natalie Seiler , Benjamin Ziegeler , Natalie Sacco , Nardine Elzahaby , Karen Gwee
{"title":"Emergency medical reviews and medical admission transfers during psychiatric inpatient eating disorders unit treatment","authors":"Natalie Seiler ,&nbsp;Benjamin Ziegeler ,&nbsp;Natalie Sacco ,&nbsp;Nardine Elzahaby ,&nbsp;Karen Gwee","doi":"10.1016/j.eatbeh.2025.101979","DOIUrl":"10.1016/j.eatbeh.2025.101979","url":null,"abstract":"<div><h3>Objective</h3><div>There is limited information regarding emergency medical reviews (EMRs) and medical admission transfers for psychiatric eating disorders inpatients. We aimed to describe (i) EMRs during psychiatric inpatient eating disorders treatment at the Eating Disorders Unit (EDU), Austin Hospital in Melbourne, Victoria, and (ii) medical admission transfers during EDU admissions.</div></div><div><h3>Methods</h3><div>Retrospective review of patient files was undertaken for inpatients aged 18–65 years with an eating disorder who resided within the Body Image &amp; Eating Disorders Treatment &amp; Recovery Service (BETRS) catchment area and were admitted to EDU between 01/01/21 to 30/10/23.</div></div><div><h3>Results</h3><div>Among 177 EDU admissions there were 33 EMRs and 17 medical transfers. On average, inpatients with EMRs or medical transfers were older with greater medical multimorbidity or polypharmacy, and a higher proportion of atypical anorexia nervosa and anorexia nervosa – binge/purge subtype. EMR indications included postural tachycardia, hypotension, sinus tachycardia, hypokalaemia, hypoglycaemia, altered conscious state, and chest pain. Medical admission indications included refeeding in the setting of vital sign derangement, intravenous potassium, vital sign derangement or falls attributed to antipsychotic use, infection, abdominal pain, and self-harm.</div></div><div><h3>Conclusion</h3><div>Early medical assessment and intensive monitoring are recommended for older patients with greater medical multimorbidity/polypharmacy, orthostasis, or higher risk of electrolyte instability. Caution should be undertaken regarding antipsychotic use in this vulnerable population.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101979"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unhealthy app use and dietary restraint among young adults: The moderating role of body appreciation
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101977
Selena G. Courtness, Alexis R. Foulstone
{"title":"Unhealthy app use and dietary restraint among young adults: The moderating role of body appreciation","authors":"Selena G. Courtness,&nbsp;Alexis R. Foulstone","doi":"10.1016/j.eatbeh.2025.101977","DOIUrl":"10.1016/j.eatbeh.2025.101977","url":null,"abstract":"<div><h3>Objective</h3><div>Health and fitness apps that integrate wearable-device data have increased in popularity for self-monitoring of body appearance and weight goals. However, limited research has explored their potential to promote unhealthy eating behaviors. This study assessed body appreciation as a moderator of the relationship between health and fitness app use and dietary restraint.</div></div><div><h3>Methods</h3><div>A total of 126 young adults (<span><math><msub><mi>M</mi><mi>age</mi></msub></math></span> = 20.8 <span><math><mo>±</mo></math></span> 2.2 years, 65.9 % women) completed an online survey incorporating the Three-Factor Eating Questionnaire (TFEQ), Body Appreciation Scale (BAS) and frequency of app usage.</div></div><div><h3>Results</h3><div>Hierarchical regression analysis revealed that app use significantly and positively predicted dietary restraint, explaining 33.2 % of the variance (<span><math><msup><mi>R</mi><mn>2</mn></msup></math></span>= 0.33, <em>p</em> &lt; .001), with a combined large effect (<span><math><msup><mi>f</mi><mn>2</mn></msup></math></span> = 0.50). Body appreciation moderated this relationship, accounting for an additional 3.2 % of the variance (<em>p</em> = .018). Further analysis indicated for individuals with higher levels of body appreciation (above 2.95; 70.6 % of the sample), app use was significantly associated with dietary restraint.</div></div><div><h3>Conclusions</h3><div>Results indicate that dietary restraint was associated with one-third of young adults who use health and fitness apps. Unexpectedly, young adults with high body appreciation who actively engage with these apps report intentions to restrict food intake. It remains unclear whether app-related goal-setting features influence caloric restriction. Incorporating health warnings in apps and personalizing app interactions to discourage extreme goal setting may help protect those individuals at risk of developing eating disorders.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101977"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A formative study of grandparent caregivers' grandchild feeding responsibilities and practices
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101982
Elder Garcia Varela , Michelle E. Clayson , Heidi M. Weeks , Carmen Ramos , Kira S. Birditt , Melissa N. Laska , Jess Haines , Alison L. Miller , Katherine W. Bauer
{"title":"A formative study of grandparent caregivers' grandchild feeding responsibilities and practices","authors":"Elder Garcia Varela ,&nbsp;Michelle E. Clayson ,&nbsp;Heidi M. Weeks ,&nbsp;Carmen Ramos ,&nbsp;Kira S. Birditt ,&nbsp;Melissa N. Laska ,&nbsp;Jess Haines ,&nbsp;Alison L. Miller ,&nbsp;Katherine W. Bauer","doi":"10.1016/j.eatbeh.2025.101982","DOIUrl":"10.1016/j.eatbeh.2025.101982","url":null,"abstract":"<div><h3>Background</h3><div>In the US, grandparents are increasingly living with their grandchildren in multigenerational households and/or providing their grandchildren with regular childcare. However, our understanding of the potential for these grandparents to influence children's nutrition and weight status is limited. This formative study aimed to 1) describe the scope of caregiving grandparents' grandchild-focused food responsibilities and practices, including agreement and discordance with parents' food parenting practices, and 2) assess the internal reliability and acceptability of an adapted CFPQ to measure grandparents' food parenting practices.</div></div><div><h3>Methods</h3><div>Thirty-two grandparents residing with and/or providing regular childcare for their 3 to 5-year-old grandchild enrolled. Data from interviews and closed-ended survey questions were analyzed to identify prevalent food-related responsibilities and practices. Grandparents also completed an adapted version of the CFPQ and provided feedback on applicability and face validity.</div></div><div><h3>Results</h3><div>Over 80 % of grandparents were at least “sometimes” responsible for planning, preparing, and serving meals and snacks to their grandchild. Cooking, baking, and eating together were common. While many grandparents reported agreeing with their grandchild's parents' food parenting practices, others felt parents were either too lax or too strict. Only 5 of 12 subscales of the CFPQ demonstrated strong internal reliability when used with grandparents; some grandparents reported difficulty completing the CFPQ as they were not with the grandchildren for all eating occasions, and their feeding practices varied over time.</div></div><div><h3>Conclusion</h3><div>Many caregiving grandparents have significant responsibility for their grandchildren's nutrition environments. Identifying how grandparents' food responsibilities and practices influence children's nutrition and weight status, independently and in conjunction with parents' practices, is a high priority. Grandparent-specific measures of food parenting are needed to advance this research.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101982"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food for thought: The relationship between poor eating habits, delay discounting, and quality of life in substance use recovery
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101972
Daniel A.R. Cabral, Anthony N. Nist, Rafaela M. Fontes, Laura E. Bruckner, Ana Carolina L. Bovo, Warren K. Bickel
{"title":"Food for thought: The relationship between poor eating habits, delay discounting, and quality of life in substance use recovery","authors":"Daniel A.R. Cabral,&nbsp;Anthony N. Nist,&nbsp;Rafaela M. Fontes,&nbsp;Laura E. Bruckner,&nbsp;Ana Carolina L. Bovo,&nbsp;Warren K. Bickel","doi":"10.1016/j.eatbeh.2025.101972","DOIUrl":"10.1016/j.eatbeh.2025.101972","url":null,"abstract":"<div><h3>Background</h3><div>Research on poor eating habits among individuals recovering from substance use disorders (SUD) is limited. This study examines the relationship between poor eating habits, delay discounting (DD), quality of life (QOL), and remission status, in addition to examining DD as a mediator of the relationship between poor eating and QOL.</div></div><div><h3>Methods</h3><div>Participants (<em>n</em> = 257) in recovery from SUD, completed the Health Behaviors Questionnaire (poor eating was measured using the food domain), a DD task, the World Health Organization QOL questionnaire, demographics, and SUD-related questions. Multivariate linear regression was used to test associations between poor eating and DD, as well as each QOL domain. Mediation analyses were conducted to evaluate the role of DD in the relationship between poor eating and QOL. A binary logistic regression was used to test associations between poor eating and remission status, as well as DD and remission status.</div></div><div><h3>Results</h3><div>Poor eating habits were significantly associated with higher rates of DD (<em>β</em> = 0.08, <em>p</em> &lt; .001) and lower QOL across psychological (<em>β</em> = −0.88, <em>p</em> &lt; .001, only for those in remission), physical (<em>β</em> = −0.58, <em>p</em> &lt; .001), and environmental (<em>β</em> = −0.75, <em>p</em> &lt; .001) domains. Additionally, DD significantly mediated the relationship between poor eating habits and reduced QOL in these domains (<em>ꞵs</em> &lt; −0.08, <em>ps</em> &lt; 0.003). Poor eating (<em>ꞵ</em> = 0.05, <em>p</em> = .014; OR = 1.05, <em>p</em> = .012) and high DD rates (<em>ꞵ</em> = 0.12, <em>p</em> = .049; OR = 1.12, <em>p</em> = .038) were associated with a lower likelihood of remission from SUD.</div></div><div><h3>Conclusions</h3><div>Our findings highlight the integral role of dietary habits in the recovery trajectory of individuals with SUD. The study supports the need for holistic treatment approaches that consider the impacts of nutrition on both psychological and physiological aspects of recovery.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101972"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adverse childhood experiences, adult emotional eating, and the role of self-compassion
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101978
Asher E. Hong , Marny M. Ehmann , Christina Chwyl , Charlotte J. Hagerman
{"title":"Adverse childhood experiences, adult emotional eating, and the role of self-compassion","authors":"Asher E. Hong ,&nbsp;Marny M. Ehmann ,&nbsp;Christina Chwyl ,&nbsp;Charlotte J. Hagerman","doi":"10.1016/j.eatbeh.2025.101978","DOIUrl":"10.1016/j.eatbeh.2025.101978","url":null,"abstract":"<div><div>Adverse childhood experiences (ACEs) are risk factors for the development of a range of physical and mental health problems throughout the lifetime, including emotional eating. Though the negative effects of ACEs are well established, research on protective factors that may mitigate these effects is limited. Self-compassion, which involves treating oneself kindly during challenges, is linked to greater emotional resilience and better emotion regulation. This study examined if ACEs were associated with adult emotional eating and how self-compassion affected this relationship. Adult participants (<em>N</em> = 98) were recruited nationally and completed self-report measures as part of a larger study on self-compassion, distress tolerance, and health belief change. Participants who passed attention check questions and completed optional measures of ACEs and emotional eating were included in the current sample. ACE scores were dichotomized into high (≥4) and low (&lt;4). Multiple linear regressions examined interactions between variables, and mediation analyses explored self-compassion's indirect effects on the ACEs-emotional eating relationship. When controlling for age and socioeconomic status, high ACEs predicted greater propensity for emotional eating. Contrary to hypotheses, self-compassion did not moderate the ACEs-emotional eating relationship, but lower levels of self-compassion emerged as a significant mediator. Findings suggest that higher ACEs may be related to greater adult emotional eating through reduced self-compassion. Results are limited by potential recall bias, reliance on self-report measures, and the cross-sectional nature of the study. Future work should test interventions that enhance self-compassion to reduce emotional eating in adults with ACEs.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101978"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does the interpersonal model of binge eating function similarly across diverse ethnic groups?
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101975
Neha J. Goel , Juan C. Hernández , Francesca Gomez , Kimberly Yu , Marisol Perez
{"title":"Does the interpersonal model of binge eating function similarly across diverse ethnic groups?","authors":"Neha J. Goel ,&nbsp;Juan C. Hernández ,&nbsp;Francesca Gomez ,&nbsp;Kimberly Yu ,&nbsp;Marisol Perez","doi":"10.1016/j.eatbeh.2025.101975","DOIUrl":"10.1016/j.eatbeh.2025.101975","url":null,"abstract":"<div><div>Most eating disorder (ED) etiological models were developed based on symptom presentations experienced by White individuals. This cross-sectional study examined whether the interpersonal model of binge eating is applicable for ethnic minority emerging adults. Participants (<em>N</em> = 424; women: 65.8 %) were recruited via an online study in the United States (US). College students were: American Indian or Alaska Native (20.3 %), Asian (13.7 %), Black or African American (7.8 %), Other minority group (13.2 %), Spanish-origin or Hispanic/Latino (17.92 %), and White (26.42 %). One-fifth (22.9 %) of the sample reported moderately severe binge eating symptoms. Mediation and path invariance analyses explored whether interpersonal problems contributed to binge eating via negative affect, and whether relations differed between non-Hispanic, White and ethnic minority participants. Across the entire sample, interpersonal problems were significantly associated with negative affect and binge eating, and negative affect significantly contributed to binge eating (<em>ps</em> ≤ <u>0</u>.001). Negative affect significantly mediated the pathway between interpersonal problems and binge eating (95 % CI = 1.05, 2.82). Multigroup results showed that the constrained model had superior fit based on AIC/BIC values and primary regression paths were invariant between models, indicating no significant differences between groups. Results suggest that the interpersonal model of binge eating may be a useful theoretical framework for understanding mechanisms of binge eating among minoritized college students, reiterating the importance of targeting interpersonal and mood symptoms in treatment. Future studies may consider testing associations prospectively and exploring specific types of interpersonal conflict and cultural moderators of this model for different ethnic groups within and beyond the US.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101975"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of the food craving acceptance and action questionnaire (FAAQ) in pregnancy
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101974
Julia M. Hormes , C. Alix Timko
{"title":"Validation of the food craving acceptance and action questionnaire (FAAQ) in pregnancy","authors":"Julia M. Hormes ,&nbsp;C. Alix Timko","doi":"10.1016/j.eatbeh.2025.101974","DOIUrl":"10.1016/j.eatbeh.2025.101974","url":null,"abstract":"<div><div>Food cravings are common during pregnancy and can trigger disordered eating behaviors, including binge and loss of control eating, which pose risks to maternal and fetal health. Assessing mechanisms underlying food cravings with theoretically informed and empirically validated measures is crucial for advancing research and clinical interventions that target cravings as predictors of disordered eating and its adverse sequelae during gestation. Pregnant individuals (<em>n</em> = 305) completed the ten-item Food Craving Acceptance and Action Questionnaire (FAAQ), a measure of acceptance of (factor 1) and willingness to experience cravings (factor 2), along with the Food Craving Questionnaire – Trait – reduced (FCQ-T-r), the Prenatal Eating Behaviors Screening Tool (PEBS), and Edinburgh Postnatal Depression Scale. Confirmatory factor analyses yielded poor fit for the original ten-item, two-factor structure of the FAAQ but excellent fit for the previously established seven-item, two-factor FAAQ-II (CFI = 0.96, RMSEA = 0.07, TLI = 0.94, with items 1, 3, and 6 removed). Internal consistency reliability was adequate for total (α = 0.68) and subscale scores (α = 0.76, 0.79). FAAQ-II scores correlated significantly with FCQ-T-r scores (<em>r</em> = −0.37 to −0.56, <em>p</em> &lt; .001), supporting construct validity. FAAQ-II scores differentiated participants with versus without clinically significant disordered eating (PEBS ≥34, <em>p</em> &lt; .001) and were significantly associated with pre-pregnancy body mass and mood symptoms. The FAAQ-II demonstrated robust psychometric properties in this sample, supporting its use in assessing acceptance of and willingness to experience food cravings during pregnancy.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101974"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing eating disorder examination questionnaire factor structures in veteran men and women
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101976
Patrycja Klimek-Johnson , Robin M. Masheb , Joy Huggins , Lindsay Munro , Sarah Siegel , Jennifer Snow , Shira Maguen
{"title":"Comparing eating disorder examination questionnaire factor structures in veteran men and women","authors":"Patrycja Klimek-Johnson ,&nbsp;Robin M. Masheb ,&nbsp;Joy Huggins ,&nbsp;Lindsay Munro ,&nbsp;Sarah Siegel ,&nbsp;Jennifer Snow ,&nbsp;Shira Maguen","doi":"10.1016/j.eatbeh.2025.101976","DOIUrl":"10.1016/j.eatbeh.2025.101976","url":null,"abstract":"<div><div>The present study aims to investigate the factor structure and measurement invariance by gender of the Eating Disorder Examination Questionnaire (EDE-Q)—a commonly used measure evaluating eating disorder symptom severity— in veterans. The present study used data from a 2022 survey study conducted with a nationally representative sample of 405 veterans. Competing factor structures based on prior literature were compared using confirmatory factor analyses (CFA). Multigroup CFA was used to evaluate measurement invariance among men and women (<em>n</em> = 401). None of the full-item factor structures, including the original four-factor model, were supported. A brief seven-item, first-order three-factor structure demonstrated best model fit and highest scale reliability. A bifactor model that included a general factor and three brief factors demonstrated adequate fit; however, factor loadings for two of the specific factors were low, and internal consistency of all three specific factors in this model was poor. Both the best-fitting first-order and the bifactor models demonstrated measurement invariance by gender. The present study strongly supports the use of a brief, seven-item three-factor EDE-Q with veterans. Moreover, there was some evidence for the appropriateness of a global score from the seven-item EDE-Q, although it may not fully capture eating disorder symptom severity in veterans. Further, the brief seven-item EDE-Q is appropriate for gender comparisons. The results of this study have important clinical and research implications for the use of the EDE-Q to evaluate eating disorder symptom severity in veteran men and women.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101976"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eating disorders among an online sample of Canadian and American boys and men
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101980
Kyle T. Ganson , Deborah Mitchison , Rachel F. Rodgers , Stuart B. Murray , Alexander Testa , Jason M. Nagata
{"title":"Eating disorders among an online sample of Canadian and American boys and men","authors":"Kyle T. Ganson ,&nbsp;Deborah Mitchison ,&nbsp;Rachel F. Rodgers ,&nbsp;Stuart B. Murray ,&nbsp;Alexander Testa ,&nbsp;Jason M. Nagata","doi":"10.1016/j.eatbeh.2025.101980","DOIUrl":"10.1016/j.eatbeh.2025.101980","url":null,"abstract":"<div><div>There is a continued need to identify the prevalence and sociodemographic correlates of eating disorders, particularly among the under-researched group of boys and men, to inform prevention and intervention efforts. Data from The Study of Boys and Men, a sample of 1553 boys and men aged between 15 and 35 years in Canada and the United States, were analyzed in 2024. Probable eating disorder diagnoses were identified using a previously established algorithm based on current diagnostic criteria. A multivariable logistic regression analysis was used to determine the sociodemographic correlates of meeting the criteria for any probable eating disorder diagnosis. The prevalence of meeting the criteria for any probable eating disorder diagnosis was 21.3 % (95 % confidence interval [CI] 18.7–24.1), while meeting criteria for a probable bulimia nervosa diagnosis had the highest prevalence (5.8 %, 95 % CI 4.6–7.1) and anorexia nervosa had the lowest prevalence (0.34 %, 95 % CI 0.1–0.8). Boys and men who identified as gay (adjusted odds ratio [AOR] 2.28, 95 % CI 1.35–3.85) or bisexual (AOR 2.22, 95 % CI 1.23–3.99) had higher odds of meeting criteria for any probable eating disorder diagnosis, compared to those who did not. Finally, boys and men who had a higher body mass index (BMI) (AOR 1.18, 95 % CI 1.14–1.23) had greater odds of meeting criteria for any probable eating disorder diagnosis. Findings add to the growing understanding of eating disorders among boys and men. Targeted and tailored prevention and intervention programming is needed for sexual minority boys and men, and those with higher BMIs.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101980"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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