SummaryThe Eating Attitudes Test (EAT) is one of the most commonly used measures of abnormal eating habits; however, it has been criticized for its unstable factorial structure. Different studies proposed different solutions, but as yet there is no consensus whether the three-, five-or seven-factor solution is appropriate. We examined the cues provided by previous studies that investigated the EAT structure, and tested our expectations on a nonclinical group of 617 women. Based on bi-factor confirmatory factor analysis, we demonstrated that the EAT measures general eating pathology as well as more specific factors, such as 'Social pressure', 'Food awareness', 'Food preoccupation' and 'Purging behaviors'. Among distinguished specific factors, 'Social pressure' seems to be a promising scale to be used for screening purposes. The 'Food awareness' factor could be interpreted in terms of orthorexia nervosa; however, further evidence is required to support this conclusion. We also provided evidence that 'Bulimia' and 'Food preoccupation' factors should be maintained within the EAT-26 as important behavioral aspects of eating pathology. These results shed new light on this measure and provide the basis for a discussion of its psychometric issues.
EAT-26 structure/EAT-26 assessmentIt is well known that eating disorders (EDs) are prevalent and constitute significant health problems among young women [1]. There is evidence that effective eating disorder treatment does exist; however, findings from community studies indicate that only a minority of patients are in treatment [2]. This is a factor leading researchers to employ various screening strategies in order to estimate the prevalence of eating disorders as well as to detect cases for the purpose of earlier interventions [3]. One of the most widely used screening measures for eating disorders is the abbreviated version of the Eating Attitudes Test - . Three factors were distinguished: dieting, bulimia and food preoccupation, and oral control. Following the development of the EAT-26, screening studies of abnormal eating habits have proliferated [5], and this has raised questions regarding its psychometric properties.Although many studies of the psychometric properties of the EAT-26 exist, researchers have not been able to reach an agreement concerning its factor structure. Therefore, different versions of the EAT exist in the literature: comprising three factors [6][7][8], four factors [9][10][11], five factors [12,13] or seven factors [14]. Second, researchers often encounter items that do not load on any factor [7,8], items that cross-load on other scales [13], or items that weave between scales [10]. Third, the intercorrelations between distinguished factors are extremely high [11], which could be interpreted in terms of a general abnormal eating habits factor whose reliability estimates have been reported in numerous studies [15]. Failure in replication of the factor structure may be the result of sample selection, since the EAT was originally developed on a clinica...