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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
Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden..ORCID iD: 0000-0001-9550-3820
Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden..
Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Inst Eating Disorders, Kruses Gata 8, N-0263 Oslo, Norway..ORCID iD: 0000-0002-3536-6059
2017 (English)In: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 5, article id 19Article in journal (Refereed) Published
Abstract [en]

Background: Although 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. Methods: The 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. Results: The 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. Conclusions: The 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.

Place, publisher, year, edition, pages
BMC , 2017. Vol. 5, article id 19
Keywords [en]
Eating disorders, Factor analysis, Eating Disorder Examination Questionnaire, Assessment, Measurement, Adolescent
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Psychiatry
Identifiers
URN: urn:nbn:se:gih:diva-7751DOI: 10.1186/s40337-017-0140-8ISI: 000402567300001PubMedID: 28580141OAI: oai:DiVA.org:gih-7751DiVA, id: diva2:1795160
Available from: 2023-09-07 Created: 2023-09-07 Last updated: 2023-09-07

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Forsén Mantilla, Emma

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