Psychometric Properties of the Chinese Version of the Eating Attitudes Test in Young Female Patients with Eating Disorders in Mainland China

Kang, Qing; Chan, Raymond C.K.; Li, Xiaoping; Arcelus, Jon; Yue, Ling; Huang, Jinjing; Gu, Lian; Fan, Qing; Zhang, Haiyin; Xiao, Zeping; Chen, Jue

doi:10.1002/erv.2560

Cited by 40 publications

(42 citation statements)

References 23 publications

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“…A higher EAT-26 total score indicates more eating disorder symptoms. The Chinese version of the EAT-26 demonstrated good internal consistency, test-retest reliability and convergent validity ( 47 ). The Cronbach's α of the EAT-26 in the present study was 0.855.…”

Section: Methodsmentioning

confidence: 99%

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Guo

Rong

et al. 2021

Front. Psychiatry

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Background: Sleep problems and eating disorders (EDs) are both serious public health concerns often seen in young adults. Yet, the underlying mechanisms for such associations are largely unknown. This study aims to examine potential serial multiple mediation effects of problematic smartphone use (PSU) and psychological distress (i.e., depressive and anxiety symptoms) in the relationship between sleep quality and disordered eating behaviors/attitudes (DEBs).Methods: A total of 4,325 students from two Tibet universities in China (2,657 females and 1,668 males) completed an online survey that included the following measurements: Eating Attitude Test-26 for disordered eating behaviors/attitudes, the Chinese Version of Pittsburgh Sleep Quality Index (CPSQI), Smartphone Addiction Scale—Short Version (SAS-SV) for problematic smartphone use, Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) for psychological distress.Results: While the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.016, 95% CI = 0.0256~0.0591) and anxiety symptoms (Standardized β = 0.014, 95% CI = 0.0203~0.0526) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> anxiety symptoms -> DEBs” existed(Standardized β = 0.001, 95% CI = 0.0002~0.0012). Similarly, while the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.020, 95% CI = 0.0337~0.0692) and depressive symptoms (Standardized β = 0.015, 95% CI = 0.0139~0.0652) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> depressive symptoms -> DEBs” existed (Standardized β = 0.001, 95% CI = 0.0006~0.0038).Conclusions: Psychological and behavioral factors may comprehensively work together, leading to flow-on effects from sleep problems to disordered eating behaviors among university students. Appropriate interventions that target problematic smartphone use could thus potentially reduce anxiety and depression levels, which in turn will provide a buffer against the negative impact of poor sleep quality on eating disorder symptoms.

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Section: Methodsmentioning

confidence: 99%

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Guo

Rong

et al. 2021

Front. Psychiatry

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“…All items are first rated on a 6-point Likert scale (0 = never; 5 = always) and then converted into a 4-point scale (0 = never, rarely and sometimes; 1 = often; 2 = usually; 3 = always). A higher score on the EAT-26 indicates a higher level of eating disturbance [30][31][32]. The internal consistency of the Persian EAT-26 is adequate to excellent (α = 0.61 to 0.92) [33].…”

Section: Eating Attitudes Test (Eat-26)mentioning

confidence: 99%

Validity of the Yale Food Addiction Scale for Children (YFAS-C): Classical test theory and item response theory of the Persian YFAS-C

et al. 2020

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Purpose To examine whether the child/adolescent version of the Yale Food Addiction Scale (YFAS-C) is valid to assess the Iranian adolescents who are overweight. Methods After using an internationally standardized method to translate the YFAS-C into Persian, 1186 overweight/obese adolescents aged between 13 and 18 years participated in the present study [666 males; mean age = 15.5 (SD = 1.9) years; zBMI = 2.5 (1.0) kg/m 2 ]. All the participants completed the Persian YFAS-C alongside Persian versions of the following scales: Eating Disorder Examination Questionnaire (EDEQ), Clinical Impairment Assessment (CIA), Binge Eating Scale (BES), Eating Attitudes Test (EAT-26), and Depression, Anxiety, Stress Scale (DASS-21). Results At the scale level, confirmatory factor analysis verified the single-factor structure of the Persian YFAS-C. Additionally, the Persian YFAS-C had promising properties regarding internal consistency (KR20 = 0.81), test-retest reliability (intraclass correlation coefficient = 0.83), separation reliability (person separation reliability = 0.77; item separation reliability = 0.98), and separation index (person separation index = 2.04; item separation index = 8.01). At the item level, all items had satisfactory properties in factor loadings, corrected item-total correlation, test-retest reliability, and infit and outfit mean square. Moreover, no substantial differential item functioning (DIF) was found concerning gender (male vs. female) or weight status (overweight vs. obesity). Significant and moderate correlations were found between the Persian YFAS-C and other psychometric scales assessing eating symptomatology and general psychopathology (r = 0.352 to 0.484). Conclusion The Persian YFAS-C is a valid instrument that assists healthcare providers in assessing food addiction among Iranian adolescents. Level of evidence Level V, cross-sectional descriptive study.

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“…Therefore, screening for EDs in university students using simple and valid scales may allow early detection and appropriate medical and psychological intervention. Examples of useful scales for detection of EDs include the Sick, Control, One stone, Fat, Food (SCOFF) [ 17 – 21 ] and Eating Attitudes Test-26 (EAT-26) [ 22 , 23 ] which can facilitate screening and early detection of EDs among college students [ 17 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Disordered eating attitudes in female students of An-Najah National University: a cross-sectional study

et al. 2018

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BackgroundEating disorders (ED) are serious psychiatric disorders characterized by unhealthy eating habits. There is a limited number of studies on eating disorders among female university students in Arab countries. Therefore, the objective of this study was to examine the prevalence of disordered eating attitudes (EA) among female students at An-Najah National University, Palestine.MethodsA survey study on 2001 female students at An-Najah National University was carried out. The Sick, Control, One Stone, Fat, Food (SCOFF) screening questionnaire and the Eating Attitudes Test (EAT-26) were used.ResultsOf the 2001 participants, 28.6% scored ≥ 20 on the EAT-26 while 38.2% scored ≥ 2 on the SCOFF scale. A significant positive correlation was found between body mass index (BMI) and EAT-26 and SCOFF scores. There was a significant difference in EAT-26 (p < .01) and SCOFF scores (p = .037) between different academic specializations. Female students in non-scientific fields (arts and humanities) obtained higher scores than female students in scientific/medical fields. Age was significantly and negatively correlated with EAT-26 scores but not with SCOFF scores. Approximately 85% of students with scores in the “high risk” category of the EAT-26 scale endorsed the item “I am terrified about being overweight”.ConclusionAwareness regarding appropriate nutrition in relation to body weight is needed among female university students. A general university elective course in this regard might be helpful.

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Psychometric Properties of the Chinese Version of the Eating Attitudes Test in Young Female Patients with Eating Disorders in Mainland China

Cited by 40 publications

References 23 publications

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Validity of the Yale Food Addiction Scale for Children (YFAS-C): Classical test theory and item response theory of the Persian YFAS-C

Disordered eating attitudes in female students of An-Najah National University: a cross-sectional study

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