Testing the measurement invariance of the eating disorder inventory in nonclinical samples of Hispanic and Caucasian women

Belon, Katherine E.; McLaughlin, Elizabeth A.; Smith, Jane Ellen; Bryan, Angela D.; Witkiewitz, Katie; Lash, Denise N.; Winn, Jaime L.

doi:10.1002/eat.22286

Cited by 19 publications

(16 citation statements)

References 37 publications

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“…We examined EDI‐DFT scores as a continuous explicit measure of drive for thinness. Consistent with previous literature (Becker et al, ), individuals with NFP‐AN in our study had significantly lower explicit EDI‐DFT scores than those with FP‐AN, falling within a range similar to that of a nonclinical sample (Belon et al, ). Although explicit EDI‐DFT scores differed between individuals with NFP‐ and FP‐AN, they showed similar implicit biases toward thinness and dieting, which further supports that explicit endorsements do not match implicit attitudes.…”

Section: Discussionsupporting

confidence: 92%

Implicit attitudes toward dieting and thinness distinguish fat‐phobic and non‐fat‐phobic anorexia nervosa from avoidant/restrictive food intake disorder in adolescents

Izquierdo

Plessow

Becker

et al. 2018

Intl J Eating Disorders

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Objective The majority of individuals with anorexia nervosa (AN) have a fat‐phobic (FP‐AN) presentation in which they explicitly endorse fear of weight gain, but a minority present as non‐fat‐phobic (NFP‐AN). Diagnostic criteria for avoidant/restrictive food intake disorder (ARFID) specifically exclude fear of weight gain. Differential diagnosis between NFP‐AN and ARFID can be challenging and explicit endorsements do not necessarily match internal beliefs. Method Ninety‐four adolescent females (39 FP‐AN, 13 NFP‐AN, 10 low‐weight ARFID, 32 healthy controls [HC]) completed implicit association tests (IATs) categorizing statements as pro‐dieting or non‐dieting and true or false (questionnaire‐based IAT), and images of female models as underweight or normal‐weight and words as positive or negative (picture‐based IAT). We used the Eating Disorder Examination to categorize FP‐ versus NFP‐AN presentations. Results Individuals with FP‐AN and NFP‐AN demonstrated a stronger association between pro‐dieting and true statements, whereas those with ARFID and HCs demonstrated a stronger association between pro‐dieting and false statements. Furthermore, while all groups demonstrated a negative implicit association with underweight models, HC participants had a significantly stronger negative association than individuals with FP‐AN and NFP‐AN. Discussion Individuals with NFP‐AN exhibited a mixed pattern in which some of their implicit associations were consistent with their explicit endorsements, whereas others were not, possibly reflecting a minimizing response style on explicit measures. In contrast, individuals with ARFID demonstrated implicit associations consistent with explicit endorsements. Replication studies are needed to confirm whether the questionnaire‐based IAT is a promising method of differentiating between restrictive eating disorders that share similar clinical characteristics.

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Section: Discussionsupporting

confidence: 92%

Implicit attitudes toward dieting and thinness distinguish fat‐phobic and non‐fat‐phobic anorexia nervosa from avoidant/restrictive food intake disorder in adolescents

Izquierdo

Plessow

Becker

et al. 2018

Intl J Eating Disorders

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“…Recent diversity-affirming ED research, therefore, includes norming and reformulation efforts for standardized ED assessments such as the Eating Disorder Inventory and the Eating Disorder Examination-Questionnaire for heterosexual men (56), gay men (57), transgender persons (58,59), and Black patients (60). Although some of these efforts have revealed a convergence of questionnaire structures between diverse samples (61,62), others have shown that identical questionnaires may measure dissimilar constructs in different diverse groups (63), emphasizing the necessity for validation across groups.…”

Section: Updates In Diagnostic Criteriamentioning

confidence: 99%

A Plea for Diversity in Eating Disorders Research

2022

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Eating disorders (EDs) are often stereotyped as affecting the SWAG, that is, as affecting mostly skinny, White, affluent girls. Over the last decade, however, significant progress has been made toward increasing diversity in ED research. There is consensus that EDs affect individuals of all genders, ages, sexual orientations, ethnic, and socio-economic backgrounds, with recent studies exploring social determinants of ED etiology, ED presentation, and developing diversity-affirming ED assessments. This article provides a brief summary of current developments related to diversity as a research theme, and proposes different perspectives toward further improving diversity in ED research. Specifically, we argue for exploring the role of diversity in ED treatment settings and outcomes, for pursuing diversity-oriented research pro-actively rather than as a reaction to issues of under-representation, and for integrating diversity across different areas of medical education and trainings in psychotherapy. Limitations with respect to the paucity of research, and the link between diversity as a research theme and ED-related workforce diversity are discussed.

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“…Given that ED presentation was comparable or more severe in WOC than in White women in this study, future efforts must address treatment disparities between minority and non‐minority women with EDs. There are likely multiple factors that contribute to screening and treatment disparities between WOC and non‐Hispanic, White women with EDs, such as mental health stigma (Gary, 2005), clinician bias leading to lower rates of ED identification in WOC (Becker et al, 2003; Goel et al, 2020a), and lack of culturally‐sensitive assessments (Belon et al, 2015). Findings from this study could inform future ED screening to reduce disparities in underrepresented populations, especially with regards to the high endorsements of binge eating in Asian/South Asian women and laxative use and insomnia symptoms in Hispanic women.…”

Section: Discussionmentioning

confidence: 99%

Eating disorder symptomatology, clinical impairment, and comorbid psychopathology in racially and ethnically diverse college women with eating disorders

Monterubio

Fitzsimmons‐Craft

Balantekin

et al. 2020

Intl J Eating Disorders

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Objective: To examine eating disorder (ED) symptomatology, related clinical impairment, and comorbid psychopathology in college women with EDs across five racial and two ethnic groups. Method: Participants were 690 women from 28 US universities who screened positive for an ED. Thirteen variables assessing ED symptoms, related clinical impairment, and comorbid psychopathology were compared across racial and ethnic groups using analyses of variance (ANOVAs) and independent samples t-tests. Results: Across racial groups, significant differences emerged in binge eating and laxative use. Asian women reported significantly more binge eating than White women (p < .01). Individuals self-identified as the "Other" racial group reported greater laxative use than Asian and White women (ps ≤ .01). No other significant differences emerged across all other variables (ps ≥ .13). Across ethnic groups, Hispanic women reported significantly more laxative use (p < .01), and more comorbid insomnia symptoms (p = .03) than non-Hispanic women. No other significant differences were observed (ps ≥ .24). Discussion: Findings suggest that binge eating, laxative use, and insomnia symptoms differ across racial and ethnic groups in US college women who screened positive for EDs. Findings can inform tailoring of ED screening to reduce current disparities in these underrepresented populations.

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Testing the measurement invariance of the eating disorder inventory in nonclinical samples of Hispanic and Caucasian women

Cited by 19 publications

References 37 publications

Implicit attitudes toward dieting and thinness distinguish fat‐phobic and non‐fat‐phobic anorexia nervosa from avoidant/restrictive food intake disorder in adolescents

Implicit attitudes toward dieting and thinness distinguish fat‐phobic and non‐fat‐phobic anorexia nervosa from avoidant/restrictive food intake disorder in adolescents

A Plea for Diversity in Eating Disorders Research

Eating disorder symptomatology, clinical impairment, and comorbid psychopathology in racially and ethnically diverse college women with eating disorders

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