Psychometric analysis of the Stunkard-Messick Eating Questionnaire (SMEQ) and Comparison with the dutch Eating Behavior Questionnaire (DEBQ)

The factor structure of the Stunkard-Messick Eating Questionnaire (SMEQ) differs from that of the Dutch Eating Behavior Questionnaire (DEBQ). Using students and members of a weight watchers club, we factor-analyzed responses to the SMEQ and produced a solution which was different from that obtained by Stunkard and Messick, but which had some similarities to the factor structure of the DEBQ. “External” taste items and “internal” hunger items loaded on the same factor, a finding inconsistent with externality theory but consistent with the common sense notion of appetite strength. Although our finding suggests factor instability of the SMEQ, the stability of the DEBQ appears to be the consequence of a restricted range of DEBQ items compared with SMEQ items. Financial support for this research was given by Lilly Industries.     

Chemical aversion treatment of alcoholism: Lithium as the aversive agent

Animal work indicating flavour aversion produced by chemical aversion therapy (CAT) with lithium might be effective in the treatment of alcoholism led to this treatment being given to 25 patients. The abstinence rate six months later of 36% was significantly better than the 12% rate for an equivalent group of patients, treated with a disulfuram-like drinking deterrent, calcium carbimide. The rate for the CAT group improves to 47% if 8 patients are excluded who did not develop sickness reactions to lithium. CAT with lithium appears safe given proper medical precautions.