Psychometric properties of eating disorder instruments in Black and White young women: internal consistency, temporal stability, and validity

Most of the major instruments in the eating disorder field have documented psychometric support only in predominantly White samples. The current study examined the internal consistency, temporal stability, and convergent and discriminant validity of a variety of eating disorder measures in Black (n = 97) and White (n = 179) female undergraduates. Internal consistency coefficients were good (>.76) for all measures for both groups. Temporal stability across 5 months was also adequate in both groups, but with evidence for dietary restraint and subjective binge eating being less stable in Black women (e.g., for the Restraint subscale of the Three-Factor Eating Questionnaire [TFEQ], r = .63 for Black women and r = .82 for White women). Scores on the bulimic symptoms and dietary restraint instruments converged and diverged in a theoretically consistent pattern. Findings suggest these eating disorder measures are reliable (internally consistent; temporally stable over 5 months) and that the bulimic symptom measures of the Bulimia Test-Revised, the Bulimia subscale of the Eating Disorder Inventory, and the dietary restraint measures from the Eating Disorder Examination-Questionnaire and TFEQ demonstrate convergent and discriminant validity in Black college women.     

Eating disorders and dieting behavior among Australian and Swazi university students

The eating behaviors of 192 Australian and 129 Swaziland university students were examined by using the Eating Attitudes Test (EAT-26; D. M. Garner, M. P. Olmsted, Y. Bohr, & P. E. Garfinkel, 1982). The results did not support the hypothesis that more Australian students than Swazi students would display eating disorder symptoms. Australian women scored significantly higher than Australian men. Surprisingly, scores on the EAT-26 for men and women from Swaziland did not differ significantly. Furthermore, there was little difference between the scores of Swazi men and either Australian women or Swazi women. Results are discussed in relation to various cultural factors and assessment issues.     

Associations between Race and Eating Disorder Symptom Trajectories in Black and White Girls

Epidemiological research suggests racial differences in the presentation of eating disorder symptoms. However, no studies have examined associations between race and eating disorder symptom trajectories across youth and adolescence, which is necessary to inform culturally sensitive prevention programs. The purpose of the current study was to examine the trajectories of eating disorder symptoms from childhood to young adulthood and to examine whether race was associated with trajectory group membership. Data were drawn from 2,305 Black and White girls who participated in a community-based longitudinal cohort study (Pittsburgh Girls Study) examining the development of psychopathology. The child and adult versions of the Eating Attitudes Test assessed self-reported eating disorder symptoms at six time points between ages 9 and 21 years. Growth mixture modeling was used to examine developmental trajectories of dieting, bulimia/food preoccupation, and total eating disorder symptom scores. Given potential confounds with race and disordered eating, financial strain (i.e., receiving public assistance) and weight were included as covariates. Four to six distinct developmental patterns were found across eating disorder symptoms, including none, increasing, decreasing, or increasing-decreasing trajectories. Black girls had a greater likelihood of being in the decreasing trajectories for dieting, bulimia/food preoccupation, and total eating disorder symptom scores. White girls were more likely to follow increasing trajectories of dieting and total eating disorder symptom scores compared to Black girls. These results highlight the importance of examining the influence of racial background on eating disorder symptoms and the potential need for differences in the timing and focus of prevention interventions in these groups.     

Eating disorders: relations with inconsistent discipline,anxiety, and drinking among college women

Since as many as 20% of all college women report symptoms of eating disorders, the present study examined the relationship between self-reported eating disorder symptoms. anxiety, drinking, and retrospective reports of inconsistent parenting during childhood. 101 college women, 85% Euro-Americans of mean age 19 yr., completed an anonymous survey including questions from the Eating Disorder Index-1, the Retrospective Family Unpredictability Scale, the Trait Anxiety Scale, and measures of drinking in the previous month. Eating disorder symptoms correlated with self-reported drinking quantity, anxiety, and retrospective ratings of inconsistent discipline. This appears to be the first time eating disorder symptoms have been associated with inconsistent discipline. Implications for etiology and treatment of eating disorders are discussed.     

Personality and Family-Environment Predictors of Self-Reported Eating Attitudes and Behaviors

We assessed the contributions of personality and family environment to variations in self-reported eating attitudes and behaviors. Female college undergraduates (N = 137) completed the NEO Personality Inventory (NEO-PI; Costa & McCrae, 1985). Family Environment Scale (Moos & Moos, 1986), Eating Disorder Inventory (EDI; Garner & Olmsted, 1984), and revised Eating Attitudes Test (EAT-26; Garner, Olmsted, Bohr & Garfinkel, 1982). Correlation and multiple regression analyses showed that among the personality variables, NEO-PI Neuroticism and Extraversion made the largest unique contributions to the EDI subscales and EAT-26. The family-environment measures made significant contributions to those EDI subscales that are reflective of broader emotional and interpersonal problems, rather than eating disorders per se. Suppression effects were found for NEO-PI Extraversion and Neuroticism, underscoring the need for researchers to assess comprehensive sets of etiologic factors—and associations among them—to properly interpret complex predictor/criterion relationships.     

Eating disorder diagnostic scale: additional evidence of reliability and validity

The authors conducted 4 studies investigating the reliability and validity of the Eating Disorder Diagnostic Scale (HDDS; E. Stice, C. F. Telch, & S. L. Rizvi, 2000), a brief self-report measure for diagnosing anorexia nervosa, bulimia nervosa, and binge eating disorder. Study 1 found that the HDDS showed criterion validity with interview-based diagnoses, convergent validity with risk factors for eating pathology, and internal consistency. Studies 2 and 3 found that the EDDS was sufficiently sensitive to detect the effects of eating disorder prevention programs. Regarding predictive validity, Studies 3 and 4 found that the EDDS predicted response to a prevention program and future onset of eating pathology and depression. Results provide additional evidence of the reliability and validity of this scale and suggest it may be useful in clinical and research applications.     

An exploratory examination of the associations among racial and ethnic discrimination, racial climate, and trauma-related symptoms in a college student population

In this study, we examined the association among perceptions of racial and/or ethnic discrimination, racial climate, and trauma-related symptoms among 289 racially diverse college undergraduates. Study measures included the Perceived Stress Scale, the Perceived Ethnic Discrimination Questionnaire, the Posttraumatic Stress Disorder Checklist-Civilian Version, and the Racial Climate Scale. Results of a multivariate analysis of variance (MANOVA) indicated that Asian and Black students reported more frequent experiences of discrimination than did White students. Additionally, the MANOVA indicated that Black students perceived the campus racial climate as being more negative than did White and Asian students. A hierarchical regression analysis showed that when controlling for generic life stress, perceptions of discrimination contributed an additional 10% of variance in trauma-related symptoms for Black students, and racial climate contributed an additional 7% of variance in trauma symptoms for Asian students.     

The Superwoman ideal and other risk factors for eating disturbances in adolescent girls

The purpose of this study was to investigate the relationship between disordered eating, the Superwoman ideal, competitiveness, and achievement motivation. The EAT-26, Personality Research Form (Achievement scale), and Self-Roles Inventory were administered to 69 10–12th-grade girls (69.6% White, 11.6% Hispanic, 5.8% Black, 5.8% Asian, 7.2% no information on ethnicity). EAT-26 scores were not significantly associated with attending an academically competitive high school, having a high achievement motivation, or considering a number of roles as important to one's sense of self (adherence to the Superwoman ideal). EAT-26 scores were significantly higher among the girls attending the average high school. It is important to conduct further investigations of the Superwoman ideal since it has been posited as a risk factor for eating disorders, but has been the focus of only a few empirical studies.     

Avoidance coping style and the risk of developing an eating disorder in adolescents

The first aim of this study was to analyse the relationship between coping styles and strategies in Spanish adolescents of both genders, with high and low eating disorder risk. Secondly, this study aims to examine the relation of coping styles and coping strategies with eating disorder risk. The sample comprised 2142 adolescents (1.130 girls and 1.012 boys), mean age 13,96 years (SD= 1.34). They completed the Adolescent Coping Scale (ACS) and the Eating Attitude Test (EAT-40). The results showed high use of intropunitive avoidance coping in both female and male adolescents with high EAT-40 scores. The regression analysis indicated that, in both girls and boys, the intropunitive avoidance and the tension reduction coping strategy explained a high percentage of variance of eating disorder risk. The results of this study have implications for the prevention of these behaviours in adolescents, because people with a high risk of developing an eating disorder present a maladaptive coping style before the onset of the eating disorder.     

Body Dissatisfaction,Need for Social Approval,and Eating Disturbances Among Japanese and American College Women

A total of 171 Japanese and 144 American collegewomen (90% European American, 4% African American, 4%Asian or Asian American, and 2% other) completed theEating Attitudes Test (EAT-26), the Body Dissatisfaction Subscale of the Eating Disorder Inventory(EDI), and the Revised Martin-Larsen Approval MotivationScale (MLAM). Japanese women expressed the greaterdissatisfaction with their body but no more eatingdisturbances than American women. The need for socialapproval predicted the Japanese women's eatingdisturbances after controlling for the effects of bodyfatness (BMI) and body dissatisfaction. BMI was asignificant predictor of eating disturbances for Americanwomen but not for Japanese women. The results werediscussed in terms of their implications forcross-cultural similarities and differences incorrelates of disordered eating.     

The Body Esteem Scale: construct validity of the female subscales

The female subscales of the Body Esteem Scale (BES) have demonstrated convergent and discriminant validity in two previous studies. However, relationships between BES dimensions, weight, and other body-image measures have not been adequately examined. In this study, 200 women with a mean age of 27.6 years completed the BES, the Eating Disorder Inventory, the Self-Consciousness Scale, the Tennessee Self-Concept Scale, a figure rating task, a phototechnical body-size estimation procedure, and items concerning weight satisfaction and attractiveness. BES Weight Concern was most closely related to weight variables and other body image measures where BES Sexual Attractiveness and Physical Condition were more strongly associated with less specific self-perceptions and attitudes. Results support the construct validity of the BES female subscales and their utility for research in populations at increased risk for body-image or eating-disorder disturbances.     

The Body Esteem Scale: Construct Validity of the Female Subscales

The female subscales of the Body Esteem Scale (BES) have demonstrated convergent and discriminant validity in two previous studies. However, relationships between BES dimensions, weight, and other body-image measures have not been adequately examined. in this study, 200 women with a mean age of 27.6 years completed the BES, the Eating Disorder inventory, the Self-Consciousness Scale, the Tennessee Self-Concept Scale, a figure rating task, a phototechnical body-size estimation procedure, and items concerning weight satisfaction and attractiveness. BES Weight Concern was most closely related to weight variables and other body image measures whereas BES Sexual Attractiveness and Physical Condition were more strongly associated with less specific self-perceptions and attitudes. Results support the construct validity of the BES female subscales and their utility for research in populations at increased risk for body-image or eating-disorder disturbances.     

The Eating Attitudes Test (EAT-26): reliability and validity in Spanish female samples

This paper focuses on the validation of the Spanish form of the Eating Attitudes Test (EAT-26; Garner, Olmsted, Bohr & Garfinkel, 1982) across two studies. Participants in Study 1 were 778 females recruited from community settings (aged 12-21). Study 2 included 86 females recruited from clinical and 86 females from community settings (aged 12-35). Results from Principal and Simultaneous Component Analyses showed a unidimensional structure of the EAT-26 item scores. Reliability analyses supported the internal consistency of the scale. Study 1 also explores the ability of the EAT-26 to discriminate between subjects with Eating Disorder (ED), Symptomatic or Asymptomatic by means of ROC analyses and using results from the Questionnaire for Eating Disorder Diagnoses (Q-EDD; Mintz, O'Halloran, Mulholland, & Schneider, 1997) as criterion. The EAT-26 demonstrated good specificity but insufficient sensitivity to detect a full or partial ED. Study 2 explores the ability of the questionnaire to discriminate between subjects with and without ED. The EAT-26 demonstrated good specificity and moderate sensitivity to detect ED. Clinical and theoretical implications of these results are discussed.     

Body-esteem, body mass index, and risk for disordered eating among adolescents in synchronized swimming

The aim of this study was to examine dimensions of body-esteem, Body Mass Index, and their relations with eating disorder symptoms among 42 elite adolescent athletes engaged in competitive synchronized swimming (M = 15.4 yr., SD = 1.2) and to compare them with 40 athletes in sports with no emphasis on leanness (M = 16.5 yr., SD = .93), and 50 nonathlete college female students (M = 16.3 yr., SD = 1.1). They completed the Body-esteem Scale and the Eating Attitudes Test, and the Body Mass Index was computed. Analysis showed synchronized swimmers reported greater negative feelings about their appearance than the two other groups and low perceptions of how others evaluate their physical appearance. Participants did not differ on the EAT-26. Regression analyses showed that Body Mass Index and Body-esteem Appearance accounted for 38% of the variance in log-transformed Dieting scores of synchronized swimmers. Results are discussed in relation to the literature.     

College women: eating behaviors and help-seeking preferences

Late adolescent women at a large, mid-Atlantic university were surveyed. Of the 578 who completed the survey, 17% were found to have eating disorders as defined by a score of 20 or above on the Eating Attitudes Test (EAT-26; Garner, Olmstead, Bohr, & Garfinkel, 1982). Participants who scored 20 or above were younger and more likely to be white, in a sorority, and Christian than were those who scored below 20 on the EAT-26. No correlation was found between EAT-26 scores and participation in organized athletics. In addition, the participants were asked about their choice of help and support should they have any worries about their eating. They were most likely to say that they would prefer a close friend to support them when dealing with disordered eating, followed by their parents and their significant other. In terms of professional services, most women reported that they would prefer individual assistance such as a consultation with a physician, a nutritionist, or a therapist, followed by family therapy, if they ever had questions about eating or thought they needed professional help with disordered eating.     

Is John Henryism a resilience factor in women experiencing intimate partner violence?

Background: Research suggests that posttraumatic stress disorder (PTSD) and depression are two common mental health problems in intimate partner violence (IPV) survivors. Research has found that while Black women consistently report higher rates of victimization than White women, they also report less severe PTSD and depressive symptoms, suggesting that Black IPV survivors might be more resilient to PTSD and depression than are White survivors. Design: We implemented a correlational study with 81 Black and 100 White female survivors of IPV to determine if John Henryism (JH; i.e., a predisposed active coping mechanism) contributes to the resilience observed in Black IPV survivors. Methods: Participants completed the John Henryism Active Coping Scale, Center for Epidemiological Studies Depression Scale, Davidson Trauma Scale, and the Abusive Behavior Inventory. Results: Results demonstrated that White woman endorsed more severe depressive symptoms as compared to Black women. Severity of PTSD symptoms and JH was not significantly different between races. JH did not moderate the relationship between race and depression; however, for PTSD, JH was found to be protective of PTSD in White women, while demonstrating little impact on Black women. Conclusions: The implications of these findings are discussed in terms of the minority stress model.     

Eating Disorders Among Urban and Rural African American and European American Women

Abstract

It is alleged that eating disorders are nonexistent in African American women and that eating disorder symptomatology occurs predominantly among White middle class women (Kumanyika, Wilson, & Guilford-Davenport, 1993; Smolak & Striegel-Moore, 2001). This research attempted to identify differences in eating disorder symptomatology in African American and White American women. An eating disorder is a disability because it can damage the person physically, emotionally and socially. It can be undetected for years and society may reinforce the hidden disorder by being complimentary regarding the thin appearance of the person. The Eating Disorder Inventory (EDI) was used to measure psychological traits and symptom clusters associated with the understanding and treatment of eating disorders (Garner, 1990). Measures of self-esteem, depression and coping were also examined. Findings indicated differences between African American and White women on the Ineffectiveness scale of the EDI, differences between the urban/rural women on Ineffectiveness and Perfectionism, and differences in coping strategies and education among this sample group of women. Successful treatment usually involves psychotherapy and/or medication for depression.     

Body attitudes and eating behaviors of female clothing sales personnel

Recent research suggests that social standards for ideal female beauty are related to negative body-image and dieting among young women. We hypothesized that women who work in settings that emphasize physical appearance (women's fashion clothing sales) would have more disturbed body attitudes and eating behaviors than college women. Sales personnel (n = 21) and students (n = 25) answered questions about their occupational status, weight, and demographic characteristics, and completed the Body-esteem Scale and the Eating Disorder Inventory. Weight and scores on the two scales were similar in both groups except that sales personnel reported more dissatisfaction with their body parts on the Body dissatisfaction scale of the Eating Disorder Inventory. Among sales personnel, those who perceived their appearance to be of greater importance in their work also reported more concern about dieting and weight, as reflected on the Drive for thinness subscale of the Eating Disorder Inventory. Results are discussed with regard to situational influences on women's body attitudes and their implications for eating behaviors.     

At the Crossroads: Racial and Womanist Identity Development in Black and White Women

This study explored the hypothesis that womanist identity and racial identity development are related. The racial identiy and womanist identity attitudes of 214 women were measured using the Black Racial Identity Attitude Scale, the White Racial Identity Attitude Scales (WRIAS), and the Womanist Identity Attitude Scale. Canonical correlation analysis was used to determine the nature of relationships among racial identity and womanist identity attitudes. Results showed that for Black women there was a significant relation between racial identity and womanist identity attitudes. Specifically, Internalization attitudes on the WRIAS were positively related to Level II (Encounter) and Level IV (Internalization) attitudes on the Womanist Identity Attitude Scale. Despite a larger number of White participants, no such relationship emerged for White women. Implications for theory, research, and counseling are discussed.     

大学生进食障碍症状的潜在剖面分析及其与抑郁的关系

为了解大学生进食障碍症状的类别特征及其与抑郁和性别的关系,使用进食障碍检查自评问卷6.0和9项患者健康问卷对575名大学生施测,采用带预测变量（抑郁）和分类结果变量（性别）的潜在剖面法进行数据分析。结果表明：大学生进食障碍症状可划分为体形关注组（62.4%）、体像顾虑组（28.0%）和进食障碍风险组（9.6%）;抑郁得分越高,个体被归为体像顾虑组或进食障碍风险组的可能性越大;女性属于体像顾虑组和进食障碍风险组的可能性比男性高。