Factor analysis of the adolescent version of the Eating Disorders Examination Questionnaire (EDE-Q): results from Swedish general population and clinical samples

Mantilla, Emma Forsén; Birgegård, Andreas; Clinton, David

doi:10.1186/s40337-017-0140-8

Cited by 32 publications

(41 citation statements)

References 35 publications

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“…Items loading below .40, or cross-loading items of .32 or above (Forsén Mantilla et al, 2017;Tabachnick, Fidell, & Osterlind, 2001) were removed from further analyses.…”

Section: Discussionmentioning

confidence: 99%

“…However, we aimed to externally validate each of the newly-proposed factor structures in independent student (Sample 2) and non-student (Sample 3) samples, which is a key strength of our design. Moreover, the present pattern of findings is in line with previous research which investigates EDE-Q norms and factor structure in non-clinical samples across different countries (Quick & Byrd-Bredbenner., 2013;Allen et al, 2011;White et al, 2014;Forsén Mantilla et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

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Eating Disorder Examination Questionnaire (EDE-Q): Norms and psychometric properties in U.K. females and males.

Carey¹,

Kupeli²,

Knight³

et al. 2019

Psychological Assessment

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The Eating Disorder Examination Questionnaire (EDE-Q) is a widely used assessment of eating disorder psychopathology; however, EDE-Q norms are yet to be provided within a nonclinical UK adult sample. Secondly, there is considerable disagreement regarding the psychometric properties of this measure. Several alternative factor structures have been previously proposed, but very few have subsequently validated their new structure in independent samples and many are often confined to specific sub-populations. Therefore, in the current study, we provide norms of the original four-factor EDE-Q structure, and subsequently assess the psychometric properties of the EDE-Q in females and males using a large non-clinical UK sample (total N=2459). EDE-Q norms were consistently higher in females compared with males across all samples. Initial Confirmatory Factor Analyses (CFA) did not support the original four-factor structure for females or males (Phase 1). However, subsequent Exploratory Factor Analyses (EFA) revealed a three-factor structure as being the optimal fit for both females and males, using an 18-item and 16-item model, respectively (Phase 2). For females, the newly-proposed 18-item structure was validated within an independent student sample and further validated in an additional non-student sample. The 16item three-factor male structure was also validated within an independent non-student sample, but was marginally below accepted fit indices within an independent student sample (Phase 3).Taken together, the above findings suggest that the EDE-Q factor structure may require further reassessment, with greater focus on the qualitative differences in interpretation of EDE-Q items between females and males. Public Significance StatementThe present study suggests that the measures used to investigate eating disorder psychopathology in the non-clinical population may require reassessment in accordance with updated eating disorder symptomology. Additionally, given that this measure was originally developed using female populations, the utility of the EDE-Q measuring male eating disorder symptomology must be further considered.

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“…Items loading below .40, or cross-loading items of .32 or above (Forsén Mantilla et al, 2017;Tabachnick, Fidell, & Osterlind, 2001) were removed from further analyses.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Eating Disorder Examination Questionnaire (EDE-Q): Norms and psychometric properties in U.K. females and males.

Carey¹,

Kupeli²,

Knight³

et al. 2019

Psychological Assessment

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show abstract

“…Items focusing on cognitions and attitudes are rated on a 7-point scale (higher scores indicate more problematic attitudes: 0 = never and 6 = every day). The EDE-Q yields a global score and four subscales: Restraint, Eating Concern, Weight Concern, and Shape Concern, although the factor analytic structure of the measure typically does not reproduce those subscales (e.g., [ 26 ]). Items measuring occurrence and frequency of key ED behaviors such as CE are assessed by respondents specifying if they occur (yes/no) and if so, how many times during the past 14 days.…”

Section: Methodsmentioning

confidence: 99%

“…The eating disorder examination questionnaire (EDE-Q: [ 25 ]) is the most well-known and widely used self-report measure of ED symptoms, measuring both underlying psychopathology and key behaviors such as CE. A recent factor analysis of the instrument [ 26 ] identified the items best capturing ED psychopathology in clinical girls, healthy girls, and healthy boys. Some items were central for all (e.g., desire to lose weight), while others were important in one group only.…”

Section: Introductionmentioning

confidence: 99%

“…First, we examined differences in general ED pathology based on presence/absence of CE and gender. Second, we investigated the gender-relevant EDE-Q items reported in Forsén Mantilla et al [ 26 ] and the four SASB self-criticism items in order to determine which items related most strongly to presence/absence of CE in boys and girls separately.…”

Section: Introductionmentioning

confidence: 99%

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Exercise Caution: Questions to Ask Adolescents Who May Exercise Too Hard

Mantilla

Levallius

Monell

et al. 2018

IJERPH

Self Cite

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When the primary goal of exercise is to compensate for food intake and to alter body shape and weight, it is considered compulsive and may be harmful. Compulsive exercise (CE) is important in the pathogenesis of eating disorders (EDs). Many healthy adolescents engage in CE too, and this may indicate a risk for EDs. Our aim was to learn more about ED risk factors tied to CE and to try to isolate questions to ask in order to probe for high ED risk in adolescents engaging in CE. Using two well-established instruments (the Structural Analysis of Social Behavior and the Eating Disorders Examination Questionnaire), we studied associations between ED variables and CE in healthy adolescent boys and girls. We examined gender-specific items to generate the best possible fit for each gender. Individuals with CE displayed significantly greater ED pathology and more self-criticism, and this pattern was stronger in girls than in boys. Risk factors for ED among individuals with CE differed slightly for boys and girls. We put forward a set of gender-specific questions that may be helpful when probing for ED risk among adolescents engaging in CE.

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Screen‐detected disordered eating and related traits in a large population sample of females in mainland China: China Health and Nutrition Survey

Yao

Zhang

Thornton

et al. 2020

Intl J Eating Disorders

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Objective: We describe the prevalence and sociodemographic factors associated with screen-detected disordered eating and related traits in a population-based sample of women in China. We also explored prevalence trends over time. Method: A total of 4,218 females aged 12-50 were sampled from 15 provinces as part of the China Health and Nutrition Survey (CHNS) in 2015. The SCOFF questionnaire screened for disordered eating and the selected questions from the Eating Disorders Examination-Questionnaire measured dietary restraint, shape concerns, and weight concerns. Body mass index (BMI) was measured and sociodemographic factors captured urban/rural residence, age, ethnicity, income, education, marital status, and occupational status. We calculated the prevalence of screen-detected disordered eating and related traits broadly and across several dimensions and compared prevalence estimates to 2009 and 2011 reports. Results: We detected 296 individuals who screened positive for disordered eating on the SCOFF (prevalence = 7.04%). Positive screens were associated with urban residence (p = .002) and higher education levels (p < .001). Scores on restraint, shape concerns, and weight concerns were all higher for individuals in urban versus village locations (all p's < .001), and with higher BMI (p < .001) for shape and weight concerns. The prevalence of screen-detected disordered eating increased numerically across 2009, 2011, and 2015. Discussion: The prevalence of screen-detected disordered eating in mainland China was comparable to other populations worldwide obtained from a recent meta-analysis. The distribution of disordered eating and related traits varied by several sociodemographic factors, which include age, BMI, urban/rural residence, education, and income, suggesting important directions for case detection and intervention in China.

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Factor analysis of the adolescent version of the Eating Disorders Examination Questionnaire (EDE-Q): results from Swedish general population and clinical samples

Cited by 32 publications

References 35 publications

Eating Disorder Examination Questionnaire (EDE-Q): Norms and psychometric properties in U.K. females and males.

Eating Disorder Examination Questionnaire (EDE-Q): Norms and psychometric properties in U.K. females and males.

Exercise Caution: Questions to Ask Adolescents Who May Exercise Too Hard

Screen‐detected disordered eating and related traits in a large population sample of females in mainland China: China Health and Nutrition Survey

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