Identifying a male clinical cutoff on the Eating Disorder Examination‐Questionnaire (EDE‐Q)

Schaefer, Lauren M.; Smith, Kathryn E.; Leonard, Rachel C.; Wetterneck, Chad T.; Smith, Brad E. R.; Farrell, Nicholas R.; Riemann, Bradley C.; Frederick, David A.; Schaumberg, Katherine; Klump, Kelly L.; Anderson, Drew A.; Thompson, J. Kevin

doi:10.1002/eat.22972

Cited by 83 publications

(75 citation statements)

References 19 publications

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“…First, we identified whether EDE-Q Global scores were above 1.68, which is the EDE-Q Global score that achieved the best balance of sensitivity and specificity in differentiating males with versus without EDs (Schaefer et al, 2018). First, we identified whether EDE-Q Global scores were above 1.68, which is the EDE-Q Global score that achieved the best balance of sensitivity and specificity in differentiating males with versus without EDs (Schaefer et al, 2018).…”

Section: Identifying Core Ed Symptomsmentioning

confidence: 99%

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Using network analysis to identify central eating disorder symptoms among men

Forrest

Perkins

Lavender

et al. 2019

Intl J Eating Disorders

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Objective: The network theory of psychopathology has been described as an "innovative framework" that may "transform" clinical psychological science. Several network studies have identified central eating disorder (ED) symptoms, yet studies have been comprised primarily of women. Using two large samples, we constructed ED symptom networks among men to identify central symptoms.Method: Participants were recruited from three universities and using Amazon's Mechanical Turk. Participants completed the Eating Disorder Examination-Questionnaire (EDE-Q), Male Body Attitudes Scale, and Drive for Muscularity Scale.ED symptom networks were jointly estimated among men with (n = 248) and without core ED symptoms (n = 902). Core ED symptoms were defined by (a) scoring above a suggested male EDE-Q clinical cutoff and (b) reporting symptoms consistent with probable ED diagnoses. Expected influence and predictability (proportion of each node's variance explained by other nodes in the network) were calculated for each node.Results: Shape overvaluation, desiring weight loss, fear of losing control over eating, feeling guilty for missing weight training, and using supplements had the greatest expected influence and predictability. Network structures did not significantly differ between participants with versus without core ED symptoms.Discussion: The centricity of body dissatisfaction items in the networks supports some components of cognitive behavioral theories of EDs. However, the findings also suggest the importance of muscularity-and leanness-oriented concerns, which have been traditionally neglected from leading ED theories that tend to focus on thinness pursuits as a main driver of body dissatisfaction. K E Y W O R D Seating disorder, leanness, men, muscularity, network analysis

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Section: Identifying Core Ed Symptomsmentioning

confidence: 99%

“…Rather, we divided our sample by the proposed EDE-Q Global male clinical cutoff (Schaefer et al, 2018) and adapted an algorithm to identify the presence of core ED symptoms. First, we did not include a clinical sample of men with diagnosed EDs.…”

Section: Strengths Limitations and Future Directionsmentioning

confidence: 99%

Using network analysis to identify central eating disorder symptoms among men

Forrest

Perkins

Lavender

et al. 2019

Intl J Eating Disorders

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“…For example, clinical and community samples of men consistently demonstrate lower mean scores on ED measures than clinical and community samples of women (e.g., Eating Disorder Examination Questionnaire [EDEQ]; Lavender, De Young, & Anderson, 2010;Smith et al, 2017). Further, empirically derived clinical cutoffs, which are used to identify probable ED cases, are lower for men than women (Rø, Reas, & Stedal, 2015;Schaefer et al, 2018), suggesting that men with ED pathology may be less likely to endorse certain items (e.g., those relating to predominantly female body ideals) than women with ED pathology.…”

Section: Introductionmentioning

confidence: 99%

“…Although men have historically been underrepresented in eating disorder (ED) research, males constitute a substantial and increasing portion of ED cases (Murray et al, ), highlighting a critical need for additional research examining ED pathology in this population. As accumulating research suggests gender‐based differences in body image concerns (Murray, Griffiths, & Mond, ) and the specific behaviors enacted to achieve gendered body ideals (Mitchison & Mond, ), investigators have begun to question the appropriateness of existing measures for assessing ED concerns in men (Schaefer et al, ). Despite regular use in male samples, measures of ED symptomatology have typically been developed and validated within female samples (e.g., Eating Attitudes Test‐26 [EAT‐26]; Garner, Olmsted, Bohr, & Garfinkel, ), introducing substantial potential for gender‐based measurement bias in the resulting scales (Mitchison & Mond, ).…”

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confidence: 99%

Gender‐based differential item functioning in measures of eating pathology

Schaefer

Anderson

Simone

et al. 2019

Intl J Eating Disorders

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Objective Eating disorder (ED) symptoms are common and impairing in males, despite their perception as “female” disorders. As existing self‐report symptom measures were developed and primarily validated in women, there is a need to establish the utility of these measures in men. The present study used differential item functioning (DIF) analyses to explore whether item endorsement differed by gender for three commonly used ED symptom measures. Method Participants were undergraduate men (n = 1,083) and women (n = 2,424) from three universities in the United States. Global scores on the Eating Attitudes Test‐26 (EAT‐26), Eating Disorder Examination Questionnaire (EDEQ), and Eating Disorder Diagnostic Scale for DSM‐IV (EDDS) were examined. Tests of DIF were conducted by regressing each item against its composite scale score, and then comparing fit and variance explained (R2) to a model with the interaction of item*gender. The clinical significance threshold for DIF is ΔR2 ≥ 0.13. Results There was no evidence of clinically significant DIF within the EAT‐26, EDEQ, or EDDS. Discussion Findings suggest that the examined measures perform similarly for undergraduate men and women, supporting their use in nonclinical male samples. However, development and testing of items reflecting ED symptoms that more commonly occur in males (e.g., muscularity‐oriented behaviors) is encouraged.

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“…In our female sample, 59% of participants scored above this cutoff. Moreover, a cutoff of 1.68 produced sensitivity and specificity of 0.77 in detecting EDs among males (Schaefer et al, ). In our male sample, 57% of participants scored above this cutoff.…”

Section: Methodsmentioning

confidence: 99%

Expressive suppression mediates the relation between disordered eating and suicidal ideation

et al. 2019

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Objective Although disordered eating is robustly associated with suicidal thoughts, it is not well understood why these conditions relate to each other. Emotion dysregulation is a shared risk factor for disordered eating and suicidal thoughts. Individuals with dysregulated emotions struggle to select appropriate strategies to modulate emotions and the strategies they use might explain some of the shared variances. Thus, we examined whether emotion regulation strategies mediated the relationship between disordered eating and suicidal ideation. Method Adult participants (N = 230) completed questionnaires on current disordered eating symptoms, emotion regulation strategies, and current suicidal ideation. Results Disordered eating symptoms positively associated with suicidal ideation. In addition, expressive suppression mediated the relation between disordered eating symptoms and current suicidal ideation. No relation was found for cognitive reappraisal. Conclusions The use of expressive suppression as an emotion regulation strategy may be related to increased suicidal ideation in individuals who express concerns about eating.

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Identifying a male clinical cutoff on the Eating Disorder Examination‐Questionnaire (EDE‐Q)

Cited by 83 publications

References 19 publications

Using network analysis to identify central eating disorder symptoms among men

Using network analysis to identify central eating disorder symptoms among men

Gender‐based differential item functioning in measures of eating pathology

Expressive suppression mediates the relation between disordered eating and suicidal ideation

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