scholarly journals Psychometric Properties of The 26-Item Eating Attitudes Test (EAT-26): An Application of Rasch Analysis

Author(s):  
Natalie M. Papini ◽  
Myungjin Jung ◽  
Amanda Cook ◽  
Nanette V Lopez ◽  
Lauren T Ptomey ◽  
...  

Abstract Background: The 26-item Eating Attitudes Test (EAT-26) is a commonly used tool to assess eating disorder risk. The purpose of this study was to examine the psychometric properties of the EAT-26 with a sample of adults (n=469; age=36.17±17.83 years; female =72.5%; white=66.3%; obese BMI category=58%).Methods: Rasch analysis of the EAT-26 assessed model-data fit, an item-person map to evaluate relative distribution items and persons, item difficulty, and person’s eating disorder (ED) risk level, differential item functioning (DIF), and rating scale functioning. Results: A total of 7 misfit items were removed from the final analysis due to unacceptable Infit and Outfit mean square residual values. The item-person map showed that the items were biased toward participants with moderate to high levels of ED risk and did not cover those who had low risk for having an ED (< -1 logits). The DIF analyses results showed that none of the items functioned differently across sex, but 5 items were flagged based on obesity status. The six-category Likert-type rating scale did not function well indicating a different response format may be needed.Conclusion: Several concerns were identified with the psychometric evaluation of the EAT-26 that may question its utility in assessing ED risk. Because the EAT-26 is a frequently used screening tool for nonclinical populations, future work should focus on developing screening tools that are more effective at assessing ED risk in people with overweight and obesity.

Author(s):  
Roges Ghidini Dias ◽  
Ricardo Rodrigo Rech ◽  
Ricardo Halpern

There is growing recognition of the adverse effects of body image dissatisfaction (BID) and eating disorder (ED) symptoms on adolescent health. The aim of this study was to estimate the prevalence of ED symptoms, BID, and their relationship in adolescents from public schools in Southern Brazil. A total of 782 schoolchildren (male: n=420, female: n=362); age: 15 ± 0,4 years) answered a self-administrated questionnaire to identify sociodemographic data. Children´s Figure Rating Scale was adopted to identify body image and Eating Attitudes Test (EAT-26) was applied to investigate ED symptoms. Inferential statistics and hierarchical model-controlled logistic regression were used for association between variables. Most of the schoolchildren reported being satisfied with their bodies. However, we observed a higher prevalence of dissatisfaction among girls for being overweight and thinness among boys. Female students and students from schools located in the central area of the city showed higher chances of developing ED symptoms, and the absence of symptoms of ED appeared to act as a protective factor against BID in schoolchildren. Results of this study show the need to reflect on these factors that influence the development of ED and non-acceptance of their own body in a population concerned with their physical appearance.


2006 ◽  
Vol 40 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Piangchai S Jennings ◽  
David Forbes ◽  
Brett Mcdermott ◽  
Gary Hulse ◽  
Sato Juniper

Objective: To examine eating disorder attitudes and psychopathology among female university students in Australia and Thailand. Method: Participants were 110 Caucasian Australians, 130 Asian Australians and 101 Thais in Thailand. The instruments included the Eating Attitudes Test (EAT) and the Eating Disorders Inventory (EDI). Results: Eating disorder attitudes and psychopathology scores in the Thai group were found to be highest. The Asian Australian group did not have significantly higher scores on the EAT-26 than the Caucasian Australian group, but had higher scores in some subscales of the EDI-2. That the Thai group had the highest scores in susceptibility to developing an eating disorder and eating disorder psychopathology may be partially explained in sociocultural terms, with pressure to be thin more extreme in Thailand than in Australia. The evidence suggested that unhealthy eating disorder psychopathology is not limited to Western societies but is already present in Thai and other Asian societies.


2016 ◽  
Vol 9 (2) ◽  
pp. 22-30
Author(s):  
Serafina Castro-Zamudio ◽  
Josefina Castro-Barea

El presente estudio examina la impulsividad y la búsqueda de sensaciones como posibles factores asociados a actitudes y comportamientos característicos de la anorexia y bulimia nerviosas en estudiantes de ambos sexos, entre 12 y 20 años de edad. El diseño se corresponde con un estudio observacional analítico de casos y controles, donde los casos corresponden al grupo de sujetos sintomáticos (han superado el punto de corte propuesto por los autores en los distintos instrumentos de evaluación) y los controles al grupo asintomático (no han superado el punto de corte). La muestra estaba constituida por 300 estudiantes de la provincia de Málaga (España), 136 varones (45.33%) y 164 muje-res (54.66%), que respondieron de manera voluntaria, anónima y bajo el consentimiento de los padres a los siguientes cuestionarios y escalas: Eating Disorder Inventory (EDI-II), Eating Attitudes Test (EAT-26), Bulimia Test Revised (BULIT-R), Barratt Impulsiveness Scale (BIS-11) y Sensation Seeking Scale (SSS-V). Los resultados constatan una correlación positiva entre la impulsividad y sintomatología asociada con la conducta alimentaria alterada, anorexia y bulimia nerviosas. En la variable búsqueda de sensaciones dicha correlación sólo es positiva cuando se estudia con sintomatología bulímica. En resumen, impulsividad y búsqueda de sensaciones parecen ser variables estrechamente relacionadas con los TCA y, por tanto, deberían ser incluidas en programas de estilos de vida saludables, ya que po-drían contribuir a disminuir y/o prevenir el incremento de los TCA en población adolescente.


2005 ◽  
Vol 13 (2) ◽  
pp. 58-68 ◽  
Author(s):  
Nicole Baltruschat ◽  
Edgar Geissner ◽  
Michael Klein

Zusammenfassung. Theoretischer Hintergrund: In den letzten zwei Jahrzehnten wurden die psychischen Auswirkungen elterlichen Alkoholismus auf deren Kinder (children of alcoholics) verstärkt betrachtet. Fragestellung: Hintergrund der Studie ist die Frage, ob das Aufwachsen in einer Familie, in der ein Elternteil an einer Alkoholstörung erkrankt ist, insbesondere für die Töchter das Risiko erhöht, an einer Essstörung zu erkranken. Vorausgegangene Studien analysierten, (a) inwieweit bei essgestörten Frauen eine Alkoholstörung bei deren Eltern vorlag bzw. (b) ob bei alkoholerkrankten Eltern die Rate töchterlicher Essstörungen erhöht war. Die bis heute uneindeutige Befundlage sollte in der Studie eruiert werden. Methode: Es wurden zwei Ansätze verfolgt: (a) Untersuchung 100 essgestörter Frauen (13-26 J.) mittels klinischer Interviews und Fragebögen ([1] Familiengeschichte, [2] Children of Alcoholics Screening Test (CAST)), (b) Untersuchung 47 alkoholerkrankter Elternteile über wahrgenommene Essstörungssymptome der Töchter ([1] klinische Interviews, [2] Eating Attitudes Test 26 - Fremdauskunft, [3] Subskalen des Eating Disorder Inventory EDI - Fremdauskunft; sowie Befragung von deren Töchtern (N = 54) [EAT-26, EDI, CAST]. Ergebnisse: Die Ergebnisse können unsere Hypothese, dass es einen Zusammenhang zwischen Essstörung der Töchter und dem Alkoholabusus der Eltern gibt, stützen. Für Untersuchungsstichprobe (a) (Töchter) ergab sich eine Rate elterlicher Alkoholerkrankungen von 47% (Grundrate in der Allgemeinbevölkerung 1.1-4%). Für Untersuchungsstichprobe (b) (Eltern mit Alkoholerkrankung) wurde eine töchterliche Rate an Essstörungssymptomen von ca. 40% ermittelt (Essstörungsraten bei jungen Frauen z.B. 3% für Bulimie, 10% für subklinische Essstörungssymptome). Schlussfolgerung: Elterlicher Alkoholabusus stellt einen bedeutsamen Risikofaktor für die Entwicklung einer Essstörung bei Töchtern dar. Die Ergebnisse werden vor dem Hintergrund familiärer Sozialisation und der allgemeinen Transmission psychischer Störungen diskutiert.


Author(s):  
A. A. Kibitov ◽  
E. D. Kasyanov ◽  
G. V. Rukavishnikov ◽  
N. A. Chuprova ◽  
A. V. Bobrovsky ◽  
...  

Controlling the epidemic of overweight and obesity is one of the major challenges to modern healthcare. One of the possible causes of overweight and obesity can be food addiction manifesting as overeating and other eating disturbances (ED).We conducted a cross-sectional study to test the association between addiction-related ANKK1/DRD2 gene Taq1A polymorphism (rs1800497) and ED in overweight patients. Overall, 527 outpatients (469 (89,0%) females, 58 (11,0%) males; mean ± SD: BMI — 35,8±7,3 kg/m2; age — 46,7±11,8 years) of European ancestry were included in the study. Eating Disorder Examination — Questionnaire (EDE-Q), Eating Attitudes Test (EAT-26) and Dutch Eating Behavior Questionnaire (DEBQ) were used to assess the ED. We also used Hospital Anxiety and Depression Scale (HADS), Hamilton Rating Scale for Depression (HRDS), Hamilton Anxiety Rating Scale (HARS) and Yale-Brown Obsessive-Compulsive Scale (YBOCS) to assess depressive, anxiety and obsessive-compulsive disturbances respectively. DNA was extracted from blood samples and polymorphism rs1800497 was detected by RT-PCR.According to the dominant genetic model, carriers of minor T allele (“CT+TT” group) in contrast to wild-type allele homozygous patients (“CC” group) were younger (p=0,075) and demonstrated higher scores of EDE-Q (p=0,085) and emotional eating subscale of DEBQ (p=0,063). Moreover, among them the proportion of patients with high ED risk was significantly increased vs. CC group: 1) EAT-26 score: 15,2% vs. 9,0%, OR=1,82 (CI95% (1,054-3,134), p=0,03; 2) EDE-Q score: 46,6% vs. 37,5%, OR=1,45 (CI95% (1,015-2,072), p=0,041. BMI was correlated with emotional eating subscale of DEBQ score in “CT+TT” group only (ρs =0,199, p=0,004). Correlation analysis showed weaker connections between ED and affective disturbances in “CT+TT” group.Our results show that carriers of the addiction-related T allele of ANKK1/DRD2 gene Taq1A polymorphism comprise the at-risk group for eating disturbances in overweight individuals. This may support the role of food addiction in overweight and obesity.


2020 ◽  
pp. 016327872096568
Author(s):  
Babak Nejati ◽  
Chia-Wei Fan ◽  
William J. Boone ◽  
Mark D. Griffiths ◽  
Chung-Ying Lin ◽  
...  

Women with breast cancer are at risk of being overweight/obese which may consequently increase mortality. Intuitive eating is an adaptive eating behavior which might be beneficial for weight outcomes. The present study validated the Persian Intuitive Eating Scale-2 (IES-2) among overweight/obese Iranian females with breast cancer. Women who were overweight/obese with breast cancer (n = 762; mean ± SD age = 55.1 ± 5.7 years) completed the following questionnaires: IES-2, General Self-Efficacy Scale (GSE-6), Hospital Anxiety and Depression Scale (HADS), Short Form-12 (SF-12), Weight Bias Internalization Scale (WBIS), Body Appreciation Scale-2 (BAS-2), and Eating Attitudes Test (EAT-26). Confirmatory factor analysis (CFA) and Rasch analysis were applied to examine the psychometric properties of the IES-2. Associations between IES-2 score and other scale scores were assessed. CFA and Rasch analysis suggested that the Persian IES-2 had robust psychometric properties and all IES-2 items were meaningful in their embedded domains. The four-factor structure of the Persian IES-2 was confirmed. Concurrent validity was supported by the positive correlations between the IES-2 score and scores on the GSE-6, SF-12 mental component, and BAS-2. Negative correlations were found between the IES-2 score and the HADS (anxiety and depression subscales), WBIS, and EAT-26. The present study demonstrated that the Persian IES-2 is a well-designed instrument and is applicable for women who are overweight/obese with breast cancer.


2010 ◽  
Vol 13 (2) ◽  
pp. 1044-1056 ◽  
Author(s):  
Teresa Rivas ◽  
Rosa Bersabé ◽  
Manuel Jiménez ◽  
Carmen Berrocal

This paper focuses on the validation of the Spanish form of the Eating Attitudes Test (EAT-26; Garner, Olmsted, Bohr & Garfinkel, 1982) across two studies. Participants in Study 1 were 778 females recruited from community settings (aged 12-21). Study 2 included 86 females recruited from clinical and 86 females from community settings (aged 12-35). Results from Principal and Simultaneous Component Analyses showed a unidimensional structure of the EAT-26 item scores. Reliability analyses supported the internal consistency of the scale. Study 1 also explores the ability of the EAT-26 to discriminate between subjects with Eating Disorder (ED), Symptomatic or Asymptomatic by means of ROC analyses and using results from the Questionnaire for Eating Disorder Diagnoses (Q-EDD; Mintz, O'Halloran, Mulholland, & Schneider, 1997) as criterion. The EAT-26 demonstrated good specificity but insufficient sensitivity to detect a full or partial ED. Study 2 explores the ability of the questionnaire to discriminate between subjects with and without ED. The EAT-26 demonstrated good specificity and moderate sensitivity to detect ED. Clinical and theoretical implications of these results are discussed.


2013 ◽  
Vol 35 (2) ◽  
pp. 243
Author(s):  
Maria Fernanda Laus ◽  
Michele Ghidini Souza ◽  
Rita De Cássia Margarido Moreira ◽  
Telma Maria Braga-Costa

The study investigated the relationship between body image dissatisfaction, nutritional status, and eating attitudes in adolescents from a small town of the interior of São Paulo State. A total of 278 adolescents (106 boys and 172 girls) aged between 15 and 18 years had completed measures of body image dissatisfaction through the Figure Rating Scale and eating attitudes by the Eating Attitudes Test (EAT-26) and had their weight and height measured. Girls related more dissatisfaction and abnormal eating behavior than boys and, in both genders the abnormal eating attitudes tend to increase with increasing dissatisfaction. Moreover, dissatisfaction was higher between those individuals classified as overweight and obesity. These results demonstrated that body image dissatisfaction and inappropriate eating behaviors afflict boys and girls even from small cities in developing countries, highlighting the need to undertake epidemiological studies to early recognition of populations at risk of developing eating disorders.   


2017 ◽  
Vol 23 (1) ◽  
pp. 37-41
Author(s):  
Leonardo de Sousa Fortes ◽  
Santiago Tavares Paes ◽  
Dilson Borges Ribeiro Júnior ◽  
Sebastião de Sousa Almeida ◽  
Maria Elisa Caputo Ferreira

RESUMO Introdução: Parece que a busca pela muscularidade pode ter relação com os transtornos alimentares (TA) em atletas do sexo masculino. Todavia, de acordo com nosso conhecimento, não existem estudos sobre esse tema. Objetivo: Analisar a relação da busca pela muscularidade e estado de humor com os transtornos alimentares nessa população. Métodos: Participaram do estudo 112 competidores de diversas modalidades esportivas, pertencentes a federações do sudeste brasileiro. Utilizou-se o Eating Attitudes Test (EAT-26), Drive for Muscularity Scale (DFM) e a Escala de Humor de Brunel (BRUMS) para avaliar, respectivamente, os comportamentos alimentares de risco de TA, a busca pela muscularidade e o estado de humor. Resultados: Os achados dos modelos de regressão hierárquica não demonstraram relação da busca pela muscularidade (p > 0,05) e do estado de humor (p > 0,05) com os transtornos alimentares. Todavia, os resultados indicaram diferença de busca pela muscularidade em razão das classificações do EAT-26 (p < 0,05), fato que não foi revelado para o estado de humor (p > 0,05). Conclusão: Concluiu-se que tanto o estado de humor quanto a busca pela muscularidade não se relacionaram com os transtornos alimentares em atletas do sexo masculino.


2011 ◽  
Vol 27 (2) ◽  
pp. 195-198 ◽  
Author(s):  
Alex Aigner de Souza ◽  
José Carlos Souza ◽  
Ester Shiori Hirai ◽  
Helena de Almeida Luciano ◽  
Neomar Souza

Detectar as prevalências indicativas de Anorexia e Bulimia em estudantes universitárias, considerando estado civil, curso, IMC, depressão e atividade física. Aplicaram-se em 352 alunas o Eating Attitudes Test (EAT-26) e o Body Shape Questionnaire (BSQ). O curso de nutrição apresentou maior prevalência positiva de Anorexia (20,2%), as pessoas com depressão (23,2%) e praticantes de atividade física (19,2%). A Terapia Ocupacional e não praticantes apresentaram maior prevalência negativa. Quanto à Bulimia, as pessoas obesas (35,7%) e com sobre peso (21,1%) apresentaram preocupação grave com a imagem corporal; as pessoas abaixo do peso não apresentaram (93,8%). O curso de nutrição apresentou maior prevalência indicativa de Anorexia; e pessoas com depressão tendem a resultados piores nos dois instrumentos.


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