The Functionality Appreciation Scale (FAS): psychometric properties and results of the Dutch version in a community sample and a sample of women with eating disorders (original) (raw)
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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
Purpose Differentiating the concept of body satisfaction, especially the functional component, is important in clinical and research context. The aim of the present study is to contribute to further refinement of the concept by evaluating the psychometric properties of the Dutch version of the Body Cathexis Scale (BCS). Differences in body satisfaction between clinical and non-clinical respondents are also explored. Method Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to investigate whether functional body satisfaction can be distinguished as a separate factor, using data from 238 adult female patients from a clinical sample and 1060 women from two non-clinical samples in the Netherlands. Univariate tests were used to identify differences between non-clinical and clinical samples. Results EFA identified functionality as one of three factors, which was confirmed by CFA. CFA showed the best fit for a three-factor model, where functionality, non-wei...
The Eating Disorder Inventory (EDI) is used worldwide in research and clinical work. The 3 rd version (EDI-3) has been used in recent research, yet without any independent testing of its psychometric properties. The aim of the present study was twofold: 1) to establish national norms and to compare them with the US and international norms, and 2) to examine the factor structure, the internal consistency, the sensitivity and the specificity of subscale scores. Participants were Danish adult female patients (N=561) from a specialist treatment centre and a control group (N=878) was women selected from the Danish Civil Registration system. Small but significant differences were found between Danish and international, as well as US norms. Overall, the factor structure was confirmed, the internal consistency of the subscales was satisfactory, the discriminative validity was good, and sensitivity and specificity were excellent. The implications from these results are discussed.
Associations between Body Appreciation and Disordered Eating in a Large Sample of Adolescents
Nutrients
Body appreciation is one of the main facets of a positive body image. The present study aimed to examine the psychometric properties of the Lithuanian version of the Body Appreciation Scale-2 (BAS-2-LT) and test the associations between body appreciation and disordered eating in a large sample of adolescents of both genders. Method: The sample consisted of 1412 adolescents (40.2% were boys). The ages ranged from 15 to 18 years (92.4% were 17), with a mean age of 16.9 (SD = 0.5) for girls and 17.0 (SD = 0.4) for boys. Participants completed the BAS-2-LT alongside the measures of body dissatisfaction, disordered eating, body mass index, self-esteem, body functionality, and participation in sports. Linear regressions were used to test the associations between study variables and disordered eating. Results: BAS-2-LT replicated the original one-dimensional structure in girls and boys. Invariance across genders was established. The instrument showed good internal consistency and temporal ...
International Journal of Environmental Research and Public Health
One of the most commonly used techniques for the treatment of body image problems in eating disorders (ED) is body exposure (BE). However, evidence of its effectiveness in clinical populations is scarce. In the Positive Body Experience (PBE) protocol, the focus of positive BE is on aesthetic, functional and tactile aspects of the body. The current study evaluates the outcomes of positive BE with regard to changes in attitudinal body image and eating pathology, as well as the factors that influence these changes, in a sample of 84 adult female patients with different EDs who did not receive any other treatment for their EDs during the period in which BE treatment occurred. The results show significant positive changes in attitudinal body image, ED behaviors and depressive symptoms, with depressive symptoms at baseline mediating the changes in attitudinal body image. This study indicates that the PBE protocol is a suitable intervention for reducing negative attitudinal body image in a...
Structural validity of the Eating Disorder Examination—Questionnaire: A systematic review
International Journal of Eating Disorders
Objective: The main aim was to perform a systematic literature review of studies investigating the factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q), a widely used measure of eating pathology. Secondary aims were to summarize the quality of reporting of latent variable (factor) analyses in these studies and review support for different factor solutions. Method: Literature was identified through Scopus, Medline, PsycInfo, and ProQuest databases published up to February 23, 2022 and outreach via an international listserv. All studies published in English reporting factor analysis of the EDE-Q were included with few restrictions. Sixty studies including 63,389 participants met inclusion criteria. Results: The originally proposed four-factor solution received little empirical support, although few alternative models have been robustly evaluated. Items assessing shape and weight concerns frequently coalesce in factor solutions, suggesting that these constructs are closely related. Investigations of brief versions of the EDE-Q have produced more consistent findings, suggesting that these measures, particularly a sevenitem version, might be useful alternatives to the full version. Quality of studies was reasonable, with important methodological elements of factor analysis often reported. Discussion: The findings are of relevance to practitioners and researchers, suggesting that the "original" factor structure of the EDE-Q should be reconsidered and that use of a seven-item version is to be encouraged. Public Significance: Self-report questionnaires are widely used in the assessment of disordered eating. The current study found that there is little consensus about the structure of a common measure of eating psychopathology. There is more consistent support for a brief, seven-item, version assessing dietary restraint, body dissatisfaction, and overvaluation of weight and shape. Resumen Objetivo: El objetivo principal fue realizar una revisión sistemática de la literatura de los estudios que investigan la estructura factorial del Cuestionario de Eating Disorders Examination (EDE-Q), una medida ampliamente utilizada en la patología
BODY ATTITUDE AND BODY EXPERIENCE IN GREEK AND FLEMISH FEMALES WITH AND WITHOUT EATING DISORDERS
Assessment of young females with anorexia nervosa was carried out at the time of hospitalization. Findings were compared to those from two typical weight control groups from Belgium and Greece. The total sample consisted of three groups: a) a clinical sample of 75 Belgian females with anorexia nervosa (mean age=19.01, sd=2.20), b) a typical Greek sample of 137 females (mean age=18.68, sd=1.92) and c) a control sample of 130 typical Flemish females (mean age=18.61, sd=1.34). The Body Attitude Test (BAT; Probst, et al., 1995) for female patients with eating disorders (ED) was used to measure the subjective body experience and attitudes toward body. The Body Satisfaction Scale, Silhouette Chart and the Semantic Differential were also used. One-way analysis of variance, revealed group differences on body attitudes. As it was initially hypothesised, the female patients indicated more negative attitudes and a poorer self-evaluation of their body in comparison to the non clinical groups. However, analysis of the data from Silhouette Chart and the Semantic Differential revealed that in some items there were no significant differences on body experience and satisfaction between the typical Greek female group and the clinical Belgian female group, which was an interesting and unexpected finding. The authors examined the outcomes from a cross-cultural viewpoint. Research into the cultural factors that could contribute to body dissatisfaction could help us understand the underline mechanisms and create effective preventive interventions for young females.
Objective: To investigate the psychometric properties of the Body Uneasiness Test (BUT), a 71-item self-report questionnaire that consists of two parts: BUT•A which measures weight phobia, body image concerns, avoidance, compulsive self-monitoring, detachment and estrangement feelings towards one's own body (depersonalization); and BUT•B which looks at specific worries about particular body parts or functions. Methods: We recruited a clinical sample of 531 subjects (491 females) suffering from eating disorders and a general population sample of 3273 subjects (2016 females) with BMI <25 and Eating Attitudes Test-26 scores under the cut-off 20. Results: The exploratory and confirmatory analyses confirmed a structural five-factor model for BUT•A and an eight-factor model for BUT•B. Internal consistency was satisfactory. The test-retest correlation coefficients were highly significant. Concurrent validity with other tests (Eating Disorder Inventory, EDI-2; Eating Attitudes Test, EAT-26; Symptom Check List, SCL-90R and Coopersmith Self-Esteem Inventory, SEI) was evaluated. Normative values for BUT scores in non-clinical samples of normal-weight non eating disordered subjects, from adolescence to old age, males and females, were calculated. The differences between males and females were highly significant, above all in the 18-39-age range. As for the comparison between women with eating disorders and controls, the results demonstrated a good predictive validity for anorexia nervosa and bulimia nervosa. Conclusions: The BUT is psychometrically sound. It can be a valuable tool for the screening and the clinical assessment of abnormal body image attitudes and eating disorders. (Eating Weight Disord. 11: 1-13, 2006). © 2006, Editrice Kurtis © 2 0 0 6 , E d i t r i c e K u r t i s Eating Weight Disord. © 2 0 0 6 , E d i t r i c e K u r t i s Eating Weight Disord. 11: 1-13, 2006 ©2006, Editrice Kurtis Body Uneasiness Test © 2 0 0 6 , E d i t r i c e K u r t i s N O T P R I N T A B L E Eating Weight Disord.
Validation of the Body Checking Questionnaire (BCQ) in an Eating Disorders Population
Behavioural and Cognitive Psychotherapy, 2006
The aim of this study was to validate the Body Checking Questionnaire (BCQ) in an eating disorder population, using students in psychology as control. Five hundred and seventythree females (422 controls and 151 eating disorders patients, mean age 24.1 ± 5.9 years) completed the BCQ and measures of eating disorders psychopathology. Confirmatory factor analysis confirmed that the BCQ measures the global construct of body checking with three correlated subfactors. The BCQ has good test-retest reliability (0.90), and the subfactors had good internal consistency (0.90, 0.92, and 0.84). The BCQ correlates with other body image and eating disorders measures, indicating that the BCQ measure has good concurrent validity. Finally, the BCQ reliably distinguishes eating disorders patients from controls, as well as "dieters" from "non-dieters." The study provides support for factor structure, validity and reliability of the BCQ on eating disorders population and supports the use of this questionnaire in cross-national studies.