Skip to main content
Log in

Factor structure of a French version of the eating disorder examination-questionnaire among women with and without binge eating disorder symptoms

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

The Eating Disorder Examination-Questionnaire (EDE-Q) is a self-report questionnaire that is widely used to investigate the core features of eating disorders. The EDE-Q is derived from the Eating Disorder Examination, a semi-structured interview considered as the “gold standard” in the assessment of eating disorders. To verify the factor structure of both instruments, originally composed of four subscales, factor analyses have been conducted with various samples. Heterogeneous results were found. Because no study had investigated the factor structure of the EDE-Q in individuals with binge eating disorder, the goal of our study was to fill this gap. We started with a review of the studies on the EDE and EDE-Q factor structure to decide which models to compare. Among 21 studies that were identified, three models had been replicated several times. We compared these three models—a 22-item, 3-factor model, a brief 7-item, 3-factor model and a brief 8-item, 1-factor model—in two samples of participants, one with threshold and subthreshold criteria for binge eating disorder (N = 116) and one without eating disorders (N = 161). Confirmatory factor analysis revealed a good fit for the brief 7-item, 3-factor model for both populations, whereas other solutions were not acceptable. Cronbach’s alpha coefficients of the three factors were acceptable to good, ranging between 0.714 and 0.953. The group with binge eating disorder symptoms had significantly higher scores for each factor. This brief 7-item instrument might be useful for screening or short interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Fairburn CG, Beglin SJ (1994) Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 16:363–370

    CAS  PubMed  Google Scholar 

  2. Fairburn CG, Beglin SJ (2008) Eating disorder examination questionnaire (6.0). In: Fairburn CG (ed) Cognitive behavior therapy and eating disorders. Guilford Press, New York, pp 309–313

    Google Scholar 

  3. Fairburn CG, Cooper Z, O’Connor M (2008) Eating disorder examination (16.0D). In: Fairburn CG (ed) Cognitive behavior therapy and eating disorders. Guilford Press, New York, pp 265–308

    Google Scholar 

  4. Fairburn CG, Cooper Z (1993) The eating disorder examination (twelfth edition). In: Fairburn CG, Wilson GT (eds) Binge eating: nature, assessment and treatment. Guilford Press, New York, pp 317–360

    Google Scholar 

  5. Cooper Z, Cooper PJ, Fairburn CG (1989) The validity of the eating disorder examination and its subscales. Br J Psychiatry 154:807–812. doi:10.1192/bjp.154.6.807

    Article  CAS  PubMed  Google Scholar 

  6. Berg KC, Peterson CB, Frazier P, Crow SJ (2012) Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord 45:428–438. doi:10.1002/eat.20931

    Article  PubMed Central  PubMed  Google Scholar 

  7. Byrne SM, Allen KL, Lampard AM, Dove ER, Fursland A (2010) The factor structure of the eating disorder examination in clinical and community samples. Int J Eat Disord 43:260–265. doi:10.1002/eat.20681

    PubMed  Google Scholar 

  8. Grilo CM, Crosby RD, Peterson CB, Masheb RM, White MA, Crow SJ et al (2010) Factor structure of the Eating Disorder Examination interview in patients with binge-eating disorder. Obesity (Silver Spring) 18:977–981. doi:10.1038/oby.2009.321

    Article  Google Scholar 

  9. Mannucci E, Ricca V, Di Bernardo M, Moretti S, Cabras PL, Rotella CM (1997) Psychometric properties of EDE 12.0D in obese adult patients without binge eating disorder. Eat Weight Disord 2:144–149

    Article  CAS  PubMed  Google Scholar 

  10. Peterson CB, Crosby RD, Wonderlich SA, Joiner T, Crow SJ, Mitchell JE et al (2007) Psychometric properties of the Eating disorder examination-questionnaire: factor structure and internal consistency. Int J Eat Disord 40:386–389. doi:10.1002/eat.20373

    Article  PubMed  Google Scholar 

  11. Hrabosky JI, White MA, Masheb RM, Rothschild BS, Burke-Martindale CH, Grilo CM (2008) Psychometric evaluation of the eating disorder examination-questionnaire for bariatric surgery candidates. Obesity (Silver Spring) 16:763–769. doi:10.1038/oby.2008.3

    Article  Google Scholar 

  12. Villarroel AM, Penelo E, Portell M, Raich RM (2011) Screening for eating disorders in undergraduate women: norms and validity of the Spanish version of the eating disorder examination questionnaire (EDE-Q). J Psychopathol Behav Assess 33:121–128. doi:10.1007/S10862-009-9177-6

    Article  Google Scholar 

  13. Friborg O, Reas DL, Rosenvinge JH, Ro O (2013) Core pathology of eating disorders as measured by the eating disorder examination questionnaire (EDE-Q): the predictive role of a nested general (g) and primary factors. Int J Methods Psychiatr Res 22:195–203. doi:10.1002/mpr.1389

    Google Scholar 

  14. Aardoom JJ, Dingemans AE, Slof Op’t Landt MC, Van Furth EF (2012) Norms and discriminative validity of the eating disorder examination questionnaire (EDE-Q). Eat Behav 13:305–309. doi:10.1016/j.eatbeh.2012.09.002

    Article  PubMed  Google Scholar 

  15. Becker AE, Thomas JJ, Bainivualiku A, Richards L, Navara K, Roberts AL et al (2010) Validity and reliability of a Fijian translation and adaptation of the eating disorder examination questionnaire. Int J Eat Disord 43:171–178. doi:10.1002/eat.20675

    Article  PubMed Central  PubMed  Google Scholar 

  16. Barnes J, Prescott T, Muncer S (2012) Confirmatory factor analysis for the eating disorder examination questionnaire: evidence supporting a three-factor model. Eat Behav 13:379–381. doi:10.1016/j.eatbeh.2012.05.001

    Article  PubMed  Google Scholar 

  17. Darcy AM, Hardy KK, Crosby RD, Lock J, Peebles R (2013) Factor structure of the eating disorder examination questionnaire (EDE-Q) in male and female college athletes. Body Image 10:399–405. doi:10.1016/j.bodyim.2013.01.008

    Article  PubMed  Google Scholar 

  18. White HJ, Haycraft E, Goodwin H, Meyer C (2014) Eating disorder examination questionnaire: factor structure for adolescent girls and boys. Int J Eat Disord 47:99–104. doi:10.1002/eat.22199

    Article  PubMed  Google Scholar 

  19. Giovazolias T, Tsaousis I, Vallianatou C (2013) The factor structure and psychometric properties of the Greek version of the eating disorder examination questionnaire (EDE-Q). Eur J Psychol Assess 29:189–196. doi:10.1027/1015-5759/a000138

    Article  Google Scholar 

  20. Hilbert A, de Zwaan M, Braehler E (2012) How frequent are eating disturbances in the population? Norms of the eating disorder examination-questionnaire. PLoS One 7:e29125. doi:10.1371/journal.pone.0029125

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Penelo E, Negrete A, Portell M, Raich RM (2013) Psychometric properties of the eating disorder examination questionnaire (EDE-Q) and norms for rural and urban adolescent males and females in Mexico. PLoS One 8:e83245. doi:10.1371/journal.pone.0083245

    Article  PubMed Central  PubMed  Google Scholar 

  22. Wade TD, Byrne S, Bryant-Waugh R (2008) The eating disorder examination: norms and construct validity with young and middle adolescent girls. Int J Eat Disord 41:551–558. doi:10.1002/eat.20526

    Article  PubMed  Google Scholar 

  23. Jongenelis MI, Byrne SM, Pettigrew S, Allen KL, Watt F (2014) A psychometric examination of a modified eight-item version of the children’s eating disorder examination. Psychol Assess 26:267–276. doi:10.1037/a0034803

    Article  PubMed  Google Scholar 

  24. Hilbert A, Buerger A, Hartmann AS, Spenner K, Czaja J, Warschburger P (2013) Psychometric evaluation of the eating disorder examination adapted for children. Eur Eat Disord Rev 21:330–339. doi:10.1002/erv.2221

    Article  PubMed  Google Scholar 

  25. Allen KL, Byrne SM, Lampard A, Watson H, Fursland A (2011) Confirmatory factor analysis of the eating disorder examination-questionnaire (EDE-Q). Eat Behav 12:143–151. doi:10.1016/j.eatbeh.2011.01.005

    Article  PubMed  Google Scholar 

  26. Grilo CM, Crosby RD, White MA (2012) Spanish-language eating disorder examination interview: factor structure in Latino/as. Eat Behav 13:410–413. doi:10.1016/j.eatbeh.2012.07.006

    Article  PubMed Central  PubMed  Google Scholar 

  27. Grilo CM, Henderson KE, Bell RL, Crosby RD (2013) Eating disorder examination-questionnaire factor structure and construct validity in bariatric surgery candidates. Obes Surg 23:657–662. doi:10.1007/s11695-012-0840-8

    Article  PubMed Central  PubMed  Google Scholar 

  28. Hilbert A, Tuschen-Caffier B, Karwautz A, Niederhofer H, Munsch S (2007) Eating disorder examination-questionnaire: evaluation der deutschsprachigen Übersetzung [Eating disorder examination-questionnaire: psychometric properties of the German version]. Diagnostica 53:144–154. doi:10.1026/0012-1924.53.3.144

    Article  Google Scholar 

  29. Carrard I, Crepin C, Rouget P, Lam T, Golay A, Van der Linden M (2011) Randomised controlled trial of a guided self-help treatment on the Internet for binge eating disorder. Behav Res Ther 49:482–491. doi:10.1016/j.brat.2011.05.004

    Article  CAS  PubMed  Google Scholar 

  30. Carrard I, Crepin C, Rouget P, Lam T, Van der Linden M, Golay A (2011) Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder. Clin Pract Epidemiol Ment Health 7:8–18. doi:10.2174/1745017901107010008

    Article  PubMed  Google Scholar 

  31. de Man Lapidoth J, Ghaderi A, Halvarsson-Edlund K, Norring C (2007) Psychometric properties of the eating disorders in obesity questionnaire: validating against the eating disorder examination interview. Eat Weight Disord 12:168–175. doi:10.1007/BF03327594

    Article  Google Scholar 

  32. First M, Spitzer R, Gibbon M, Williams J (2002) Structured Clinical Interview for DSM-IV-TR Axis I Disorders, research version, non-patient edition (SCID-I/NP). Biometrics Research, New York State Psychiatric Institute, New York

  33. Steiger JH (1990) Structural model evaluation and modification: an interval estimation approach. Multivar Behav Res 25:173–180

    Article  Google Scholar 

  34. Bentler PM (1995) EQS Structural Equations Program Manual. Multivariate Software, Encino, CA

  35. Beauducel A, Wittmann WW (2005) Simulation study on fit indexes in CFA based on data with slightly distorted simple structure. Struct Equ Model 12:41–75

    Article  Google Scholar 

  36. Bentler PM (1990) Comparative fit indexes in structural models. Psychol Bull 107:238–246

    Article  CAS  PubMed  Google Scholar 

  37. Schermelleh-Engel K, Moosbrugger H, Müller H (2003) Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. Meth Psychol Res Online 8:23–74

    Google Scholar 

  38. Kline RB (2005) Principles and practice of structural equation modeling. Guilford Press, New York

    Google Scholar 

  39. Nunnally JC, Bernstein IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York

    Google Scholar 

  40. Wilfley DE, Schwartz MB, Spurrell EB, Fairburn CG (1997) Assessing the specific psychopathology of binge eating disorder patients: interview or self-report? Behav Res Ther 35:1151–1159

    Article  CAS  PubMed  Google Scholar 

  41. Grilo CM, Masheb RM, White MA (2010) Significance of overvaluation of shape/weight in binge-eating disorder: comparative study with overweight and bulimia nervosa. Obesity (Silver Spring) 18:499–504. doi:10.1038/oby.2009.280

    Article  Google Scholar 

  42. Goldschmidt AB, Hilbert A, Manwaring JL, Wilfley DE, Pike KM, Fairburn CG et al (2010) The significance of overvaluation of shape and weight in binge eating disorder. Behav Res Ther 48:187–193. doi:10.1016/j.brat.2009.10.008

    Article  PubMed Central  PubMed  Google Scholar 

  43. Fairburn CG, Cooper Z, Shafran R (2003) Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behav Res Ther 41:509–528

    Article  PubMed  Google Scholar 

  44. Striegel-Moore RH, Dohm FA, Solomon EE, Fairburn CG, Pike KM, Wilfley DE (2000) Subthreshold binge eating disorder. Int J Eat Disord 27:270–278

    Article  CAS  PubMed  Google Scholar 

  45. Striegel-Moore RH, Wilson GT, Wilfley DE, Elder KA, Brownell KD (1998) Binge eating in an obese community sample. Int J Eat Disord 23:27–37

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The data used in this study were collected from two studies partially supported by the Swiss National Science Foundation (SNSF, Grant Number 100011-108168/1), the Hans Wilsdorf Foundation and funding from the Marie Curie Research Training Network INTACT (Individually tailored stepped care for women with eating disorders; MRTN-CT-2006-035988).

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Isabelle Carrard.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Carrard, I., Lien Rebetez, M.M., Mobbs, O. et al. Factor structure of a French version of the eating disorder examination-questionnaire among women with and without binge eating disorder symptoms. Eat Weight Disord 20, 137–144 (2015). https://doi.org/10.1007/s40519-014-0148-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-014-0148-x

Keywords

Navigation