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Development and validation of the Croatian version of the Eating Disorder Examination Questionnaire in a community sample

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity volume 26, pages 859–868 (2021)Cite this article

Abstract

Purpose

The Eating Disorder Examination Questionnaire (EDE-Q) is one of the most commonly used tools for identification of eating disorder (ED) symptoms. The purpose of this study was to develop and validate the Croatian version of the EDE-Q 6.0.

Methods

Participants were 279 individuals from a community sample (215 females; 64 males) with an average age of 24.61 ± 5.68 years. The Eating Attitudes Test-26 and Body Image Satisfaction Scale were used to determine the convergent validity of the EDE-Q. Four-, three-, two-, and single-factor models were tested, together with a brief 8-item version of the EDE-Q.

Results

Confirmatory factor analysis yielded a better fit of the original four-factor model when compared to other models, although the best model-data fit was obtained when testing subscales individually with correlations between factors ranging from 0.30 to 0.99. However, item 10 had to be excluded from the shape concern subscale to reach an acceptable fit. Correlation analyses showed that the EDE-Q has good convergent validity, but additional calculations discovered its tendency to overestimate ED symptomatology.

Conclusions

This study is the first to show satisfactory psychometric properties of the Croatian version of the EDE-Q with minor modifications of the original questionnaire. The Croatian translation and validation of the EDE-Q enables researchers and clinicians in Croatia to employ the most widely and commonly used instrument for the assessment of core ED features.

Level of evidence

Descriptive cross-sectional study, Level V.

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Fig. 1

Data availability

Data set is available as supplementary file.

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Funding

Researchers did not receive any funding for this study.

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Affiliations

  1. Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, Australia

    Katarina Prnjak

  2. Sport Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand

    Ivan Jukic

Authors
  1. Katarina Prnjak
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  2. Ivan Jukic
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Correspondence to Katarina Prnjak.

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Ethical approval

All procedures were carried out in accordance with the Declaration of Helsinki and were approved by the University of Split Research Ethics Committee (IRD: 19–023).

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Informed consent was obtained from all individual participants included in the study.

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Prnjak, K., Jukic, I. Development and validation of the Croatian version of the Eating Disorder Examination Questionnaire in a community sample. Eat Weight Disord 26, 859–868 (2021). https://doi.org/10.1007/s40519-020-00915-6

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  • DOI: https://doi.org/10.1007/s40519-020-00915-6

Keywords

  • Disordered eating
  • Body satisfaction
  • Confirmatory factor analysis
  • Fit indices
  • Convergent validity