Factor analysis of the adolescent version of the Eating Disorders Examination Questionnaire EDE-Q: results from Swedish general population and clinical samplesReport as inadecuate




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Journal of Eating Disorders

, 5:19

First Online: 01 June 2017Received: 20 December 2016Accepted: 06 March 2017DOI: 10.1186-s40337-017-0140-8

Cite this article as: Forsén Mantilla, E., Birgegård, A. & Clinton, D. J Eat Disord 2017 5: 19. doi:10.1186-s40337-017-0140-8

Abstract

BackgroundAlthough the Eating Disorder Examination Questionnaire EDE-Q is perhaps the single most widely used self-report measure of eating disorder ED symptoms, important questions remain about its validity and applicability in relation to particular groups of individuals, especially adolescents of both genders.

MethodsThe present study investigated the factor structure of the adolescent version of the Eating Disorder Examination Questionnaire EDE-Q in samples of Swedish girls and boys from the general population and girls with a diagnosed eating disorder. Girls N = 239 and boys N = 248 aged between 13 and 15 years who were attending school, and girls N = 570 aged between 12 and 14 years who were in treatment for an eating disorder at a specialist eating disorder clinic were assessed on the adolescent version of the EDE-Q.

ResultsThe adolescent version of the EDE-Q demonstrated satisfactory levels of internal consistency. However, confirmatory factor analysis CFA failed to support the four-factor model of the EDE-Q. Parallel analysis PA and subsequent exploratory factor analysis EFA suggested that the adolescent version of the EDE-Q comprises one underlying factor in young adolescent girls both clinical and general population, centred on Dissatisfaction with Shape and Weight. In boys three factors were found: Weight-related Concerns, Body Discomfort and Restraint.

ConclusionsThe EDE-Q appears to measure different underlying aspects of eating disorder psychopathology in young teenagers compared to adults. The dimensions underlying disordered eating in young girls may become increasingly differentiated with time. There appear to be important gender-based differences in the dimensions underlying the EDE-Q in young teenagers. Therapists should be alert to beliefs that girls have about the importance of shape and weight, while in boys it may be more important to be attentive to how they feel about their bodies in relation to weight.

KeywordsEating disorders Factor analysis Eating Disorder Examination Questionnaire Assessment Measurement Adolescent AbbreviationsANAnorexia Nervosa

CFAConfirmatory factor analysis

EDEating disorder

EDE-QEating Disorders Examination Questionnaire

EFAExploratory factor analysis





Author: Emma Forsén Mantilla - Andreas Birgegård - David Clinton

Source: https://link.springer.com/



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