Abstract
The Irrational Food Beliefs Scale (IFBS) is a self-report questionnaire comprising 57 items, 41 of which in the irrational food beliefs subscale, assessing cognitive distortions and inappropriate attitudes and beliefs about food. This study aimed to propose the Italian version of the IFBS and examine its psychometric properties. The tool was translated into Italian and administered to 503 Italian-speaking patients with obesity and 45 healthy controls. The clinical group also completed the Eating Disorder Examination (EDE) interview, and the Symptom Checklist-90 (SCL-90). Principal factor analysis identified that 51.6% of the variance was accounted for by six factors, which we termed ‘self-deception on eating and weight control’, ‘beliefs about eating and emotion regulation’, ‘low tolerance for eating control’, ‘beliefs about eating and hedonic pleasure’, ‘beliefs about dieting’, and ‘all-or-nothing thinking about eating.‘ The IFBS global and subscale scores were partially correlated with eating-disorder and general psychopathology. Significantly higher scores were found in patients with obesity and binge-eating disorder than in those with obesity without binge-eating disorder. Overall, the study demonstrated the good psychometric properties of the Italian version of the IFBS and validated its use in Italian-speaking patients with obesity.
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The datasets generated during and/or analysed during the current study are not available for public consultation, due the fact that they constitute an excerpt of research in progress. However, they are available from the corresponding author upon reasonable request.
References
Bray, G. A., Kim, K. K., & Wilding, J. P. H. (2017). Obesity: A chronic relapsing progressive disease process. A position statement of the world obesity federation. Obesity Reviews, 18(7), 715–723. https://doi.org/10.1111/obr.12551.
Calugi, S., Ricca, V., Castellini, G., Lo Sauro, C., Ruocco, A., Chignola, E., & Dalle Grave, R. (2015). The eating disorder examination: Reliability and validity of the italian version. Eating and Weight Disorders, 20(4), 505–511. https://doi.org/10.1007/s40519-015-0191-2.
Cooper, Z., & Fairburn, C. G. (2001). A new cognitive behavioural approach to the treatment of obesity. Behaviour Research and Therapy, 39(5), 499-511. https://doi.org/10.1016/S0005-7967(00)00065-6
Dalle Grave, R., Calugi, S., & Marchesini, G. (2014). The influence of cognitive factors in the treatment of obesity: Lessons from the QUOVADIS study. Behaviour Research and Therapy, 63, 157–161. https://doi.org/10.1016/j.brat.2014.10.004.
Derogatis, L. R. (1994). Symptom Checklist-90-R: Administration, scoring & procedure manual for the revised version of the SCL-90. National Computer Systems.
Donini, L. M., Dalle Grave, R., Di Flaviano, E., Gentile, M. G., Mezzani, B., Pandolfo Mayme, M., Brunani, A., Rovera, G., Santini, F., Lenzi, A., & Cuzzolaro, M. (2014). Assessing the appropriateness of the level of care for morbidly obese subjects: Validation of the CASCO-R scale. Annals of Physical and Rehabilitation Medicine, 26(3), 195–204. https://doi.org/10.7416/ai.2014.1977.
Dotti, A., & Lazzari, R. (1998). Validation and reliability of the Italian EAT-26. Eating and Weight Disorders, 3(4), 188–194. https://doi.org/10.1007/bf03340009.
Duclos, M. (2016). Osteoarthritis, obesity and type 2 diabetes: The weight of waist circumference. Advances in Experimental Medicine and Biology, 59(3), 157–160. https://doi.org/10.1016/j.rehab.2016.04.002.
Ellis, A. (1962). Reason and emotion in psychotherapy. Lyle Stuart.
Ellis, A. (1993). Fundamentals of rational–emotive therapy for the 1990s. In W. Dryden, & L. K. Hill (Eds.), Innovations in rational–emotive therapy. Sage.
Engin, A. (2017). The definition and prevalence of obesity and metabolic syndrome. Advances in Experimental Medicine and Biology, 960, 1–17. https://doi.org/10.1007/978-3-319-48382-5_1.
Fairburn, C., & Cooper, Z. (1993). The eating disorder examination. In C. Fairburn, & G. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (pp. 317–360). Guilford Press.
Fairburn, C. G., Cooper, Z., & O’Connor, M. (2008). Eating disorder examination. In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 265–308). Guilford Press.
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The Eating Attitudes Test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878. https://doi.org/10.1017/s0033291700049163.
Gorsuch, R. L. (1983). Factor analysis (2nd ed.).). Lawrence Erlbaum Associates.
Jáuregui Lobera, I., & Bolaños, P. (2010). Spanish version of the irrational food beliefs scale. Nutricion Hospitalaria, 25(5), 852–859.
Kaiser, H. F. (1974). An index of factorial simplicity. Psychometrika, 39(1), 31–36. https://doi.org/10.1007/BF02291575.
Keesey, R. E., & Hirvonen, M. D. (1997). Body weight set-points: Determination and adjustment. The Journal of Nutrition, 127(9), 1875s–1883. https://doi.org/10.1093/jn/127.9.1875S. s.
Lee, J. H., & Cho, J. (2022). Sleep and obesity. Sleep Medicine Clinics, 17(1), 111–116. https://doi.org/10.1016/j.jsmc.2021.10.009.
Look AHEAD Research Group. (2014). Eight-year weight losses with an intensive lifestyle intervention: The look AHEAD study. Obesity (Silver Spring, Md.), 22(1), 5–13. https://doi.org/10.1002/oby.20662.
Malnick, S. D., & Knobler, H. (2006). The medical complications of obesity. Qjm, 99(9), 565–579. https://doi.org/10.1093/qjmed/hcl085.
Melchionda, N., Marchesini, G., Apolone, G., Cuzzolaro, M., Mannucci, E., & Grossi, E. (2003). The QUOVADIS Study: Features of obese italian patients seeking treatment at specialist centers. Diabetes Nutrition & Metabolism, 16(2), 115–124.
Ortega, F. B., Lavie, C. J., & Blair, S. N. (2016). Obesity and cardiovascular disease. Circulation Research, 118(11), 1752–1770. https://doi.org/10.1161/circresaha.115.306883.
Osberg, T. M., Poland, D., Aguayo, G., & MacDougall, S. (2008). The Irrational Food Beliefs Scale
development and validation.Eating Behaviors, 9(1),25–40. https://doi.org/10.1016/j.eatbeh.2007.02.001
Prunas, A., Sarno, I., Preti, E., Madeddu, F., & Perugini, M. (2012). Psychometric properties of the italian version of the SCL-90-R: A study on a large community sample. European Psychiatry, 27(8), 591–597. https://doi.org/10.1016/j.eurpsy.2010.12.006.
Renehan, A. G., Tyson, M., Egger, M., Heller, R. F., & Zwahlen, M. (2008). Body-mass index and incidence of cancer: A systematic review and meta-analysis of prospective observational studies. Lancet, 371(9612), 569–578. https://doi.org/10.1016/s0140-6736(08)60269-x.
Rossi, L., Berni Canani, S., Censi, L., Gennaro, L., Leclercq, C., Scognamiglio, U., Sette, S., & Ghiselli, A. (2022). The 2018 revision of italian dietary guidelines: Development process, novelties, main recommendations, and policy implications. Frontiers in Nutrition, 9, 861526. https://doi.org/10.3389/fnut.2022.861526.
Stevens, J. (1996). Applied multivariate statistics for the social sciences (3rd ed.).). Lawrence Erlbaum Associates, Publishers.
Stevens, J. P. (1992). Applied multivariate statistics for the social sciences (2nd ed.). ed.). Erlbaum.
Tabachnick, B. G., & Fidell, S. L. (2013). Principal components and factor analysis. In B. G. Tabachnick (Ed.), Using multivariate statistics. Pearson.
U.S. Department of Health and Human Services and U.S. Department of Agriculture. (January 2005). Dietary guidelines for Americans, 2005. Washington, DC: U.S. Government Printing Office.
Wadden, T. A., & Butryn, M. L. (2003). Behavioral treatment of obesity. Endocrinology and Metabolism Clinics of North America 32(4), 981–1003, x. https://doi.org/10.1016/s0889-8529(03)00072-0
Wadden, T. A., Sternberg, J. A., Letizia, K. A., Stunkard, A. J., & Foster, G. D. (1989). Treatment of obesity by very low calorie diet, behavior therapy, and their combination: A five-year perspective. International Journal of Obesity, 13(Suppl 2), 39–46.
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All authors contributed to the study conception and design. Materials preparation, data collection and analysis were performed by Laura Dametti, Elena Bani, Chiara Tomasi, Anna Dalle Grave, Rossella Derrigo and Mirko Chimini. The first draft of the manuscript was written by Simona Calugi and Riccardo Dalle Grave, and all authors’ comments were taken into account in the final version, which was read and approved by all authors.
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Dametti, L., Bani, E., Tomasi, C. et al. The Irrational Food Beliefs Scale: Validation of the Italian Version in Patients with Obesity. J Rat-Emo Cognitive-Behav Ther (2023). https://doi.org/10.1007/s10942-023-00499-x
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DOI: https://doi.org/10.1007/s10942-023-00499-x