Skip to main content
Top
Published in: Obesity Surgery 5/2013

01-05-2013 | Original Contributions

Eating Disorder Examination-Questionnaire Factor Structure and Construct Validity in Bariatric Surgery Candidates

Authors: Carlos M. Grilo, Kathryn E. Henderson, Robert L. Bell, Ross D. Crosby

Published in: Obesity Surgery | Issue 5/2013

Login to get access

Abstract

Background

The Eating Disorder Examination-Questionnaire (EDE-Q) is increasingly used in studies with bariatric surgery patients although little is known about psychometric properties of this self-report measure in this clinical group. The current study evaluated the factor structure and construct validity of the EDE-Q in bariatric surgery candidates.

Methods

Participants were a consecutive series of 174 obese bariatric surgery candidates who completed the EDE-Q and a battery of behavioral and psychological measures.

Results

Confirmatory factor analysis (CFA) revealed an inadequate fit for the original EDE-Q structure but revealed a good fit for an alternative structure suggested by recent research with obese samples. CFA supported a seven-item, three-factor structure; the three factors were interpreted as dietary restraint, shape/weight overvaluation, and body dissatisfaction. The three factors converged with other relevant collateral measures.

Conclusions

These factor analytic findings, which replicate recent findings from studies with diverse obese samples, demonstrated convergent validity. Implications of these findings for clinical assessment and research with bariatric surgery patients are discussed.
Literature
1.
go back to reference Dixon JB, Straznicky NE, Lambert EA, et al. Surgical approaches to the treatment of obesity. Nat Rev Gastroenterol Hepatol. 2011;8:429–37.PubMedCrossRef Dixon JB, Straznicky NE, Lambert EA, et al. Surgical approaches to the treatment of obesity. Nat Rev Gastroenterol Hepatol. 2011;8:429–37.PubMedCrossRef
2.
go back to reference Sjöström L, Lindroos A, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. New Engl J Med. 2004;351:2683–93.PubMedCrossRef Sjöström L, Lindroos A, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. New Engl J Med. 2004;351:2683–93.PubMedCrossRef
3.
go back to reference Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13:639–48.PubMedCrossRef Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13:639–48.PubMedCrossRef
4.
go back to reference Wadden TA, Faulconbridge LF, Jones-Corneille LR, et al. Binge eating disorder and the outcome of bariatric surgery at one year: a prospective observational study. Obesity. 2011;19:1220–8.PubMedCrossRef Wadden TA, Faulconbridge LF, Jones-Corneille LR, et al. Binge eating disorder and the outcome of bariatric surgery at one year: a prospective observational study. Obesity. 2011;19:1220–8.PubMedCrossRef
5.
go back to reference White MA, Masheb RM, Rothschild BS, et al. The prognostic significance of regular binge eating in extremely obese gastric bypass patients: 12-month postoperative outcomes. J Clin Psychiat. 2006;67:1928–35.CrossRef White MA, Masheb RM, Rothschild BS, et al. The prognostic significance of regular binge eating in extremely obese gastric bypass patients: 12-month postoperative outcomes. J Clin Psychiat. 2006;67:1928–35.CrossRef
6.
go back to reference White MA, Kalarchian MA, Masheb RM, et al. Loss of control over eating predicts outcomes in bariatric surgery: a prospective 24-month follow-up study. J Clin Psychiatry. 2010;71:175–84.PubMedCrossRef White MA, Kalarchian MA, Masheb RM, et al. Loss of control over eating predicts outcomes in bariatric surgery: a prospective 24-month follow-up study. J Clin Psychiatry. 2010;71:175–84.PubMedCrossRef
7.
go back to reference Grilo CM, Masheb RM, Wilson GT. A comparison of different methods for assessing the features of eating disorders in patients with binge eating disorder. J Consult Clin Psychol. 2001;69:317–22.PubMedCrossRef Grilo CM, Masheb RM, Wilson GT. A comparison of different methods for assessing the features of eating disorders in patients with binge eating disorder. J Consult Clin Psychol. 2001;69:317–22.PubMedCrossRef
8.
go back to reference Grilo CM, Masheb RM, Wilson GT. Different methods for assessing the features of eating disorders in patients with binge eating disorder: a replication. Obes Res. 2001;9:418–22.PubMedCrossRef Grilo CM, Masheb RM, Wilson GT. Different methods for assessing the features of eating disorders in patients with binge eating disorder: a replication. Obes Res. 2001;9:418–22.PubMedCrossRef
9.
go back to reference Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord. 1994;16:363–70.PubMed Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord. 1994;16:363–70.PubMed
10.
go back to reference Barnes RD, Masheb RM, White MA, et al. Comparison of methods for identifying and assessing obese patients with binge eating disorder in primary care settings. Int J Eat Disord. 2011;44:157–63.PubMed Barnes RD, Masheb RM, White MA, et al. Comparison of methods for identifying and assessing obese patients with binge eating disorder in primary care settings. Int J Eat Disord. 2011;44:157–63.PubMed
11.
go back to reference Kalarchian MA, Wilson GT, Brolin RE, et al. Assessment of eating disorders in bariatric surgery candidates: self-report questionnaire versus interview. Int J Eat Disord. 2000;28:465–9.PubMedCrossRef Kalarchian MA, Wilson GT, Brolin RE, et al. Assessment of eating disorders in bariatric surgery candidates: self-report questionnaire versus interview. Int J Eat Disord. 2000;28:465–9.PubMedCrossRef
12.
go back to reference de Zwaan M, Mitchell JE, Swan-Kremeier L, et al. A comparison of different methods of assessing the features of eating disorders in post-gastric bypass patients: a pilot study. Eur Eat Disord Rev. 2004;12:380–6.CrossRef de Zwaan M, Mitchell JE, Swan-Kremeier L, et al. A comparison of different methods of assessing the features of eating disorders in post-gastric bypass patients: a pilot study. Eur Eat Disord Rev. 2004;12:380–6.CrossRef
13.
go back to reference Elder KA, Grilo CM, Masheb RM, et al. Comparison of two self-report instruments for assessing binge eating in bariatric surgery candidates. Behav Res Ther. 2006;44:545–60.PubMedCrossRef Elder KA, Grilo CM, Masheb RM, et al. Comparison of two self-report instruments for assessing binge eating in bariatric surgery candidates. Behav Res Ther. 2006;44:545–60.PubMedCrossRef
14.
go back to reference Reas DL, Grilo CM, Masheb RM. Reliability of the Eating Disorder Examination-Questionnaire in patients with binge eating disorder. Beh Res Ther. 2006;44:43–51.CrossRef Reas DL, Grilo CM, Masheb RM. Reliability of the Eating Disorder Examination-Questionnaire in patients with binge eating disorder. Beh Res Ther. 2006;44:43–51.CrossRef
15.
go back to reference Mond JM, Hay PJ, Rodgers B, et al. Temporal stability of the Eating Disorder Examination Questionnaire. Int J Eat Disord. 2004;36:195–203.PubMedCrossRef Mond JM, Hay PJ, Rodgers B, et al. Temporal stability of the Eating Disorder Examination Questionnaire. Int J Eat Disord. 2004;36:195–203.PubMedCrossRef
16.
go back to reference Berg KC, Peterson CB, Frazier P, et al. Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord. 2012;45:428–38.PubMedCrossRef Berg KC, Peterson CB, Frazier P, et al. Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord. 2012;45:428–38.PubMedCrossRef
17.
go back to reference Peterson CB, Crosby RD, Wonderlich SA, et al. Psychometric properties of the Eating Disorder Examination-Questionnaire: factor structure and internal consistency. Int J Eat Disord. 2007;40:386–9.PubMedCrossRef Peterson CB, Crosby RD, Wonderlich SA, et al. Psychometric properties of the Eating Disorder Examination-Questionnaire: factor structure and internal consistency. Int J Eat Disord. 2007;40:386–9.PubMedCrossRef
18.
go back to reference Hrabosky JI, White MA, Masheb RM, et al. Psychometric evaluation of the Eating Disorder Examination-Questionnaire for bariatric surgery candidates. Obesity. 2008;16:763–9.PubMedCrossRef Hrabosky JI, White MA, Masheb RM, et al. Psychometric evaluation of the Eating Disorder Examination-Questionnaire for bariatric surgery candidates. Obesity. 2008;16:763–9.PubMedCrossRef
19.
go back to reference Mannucci E, Ricca V, di Bernardo M, et al. Psychometric properties of EDE 12.0D in obese patients without binge eating disorder. Eat Weight Disord. 1997;2:144–9.PubMed Mannucci E, Ricca V, di Bernardo M, et al. Psychometric properties of EDE 12.0D in obese patients without binge eating disorder. Eat Weight Disord. 1997;2:144–9.PubMed
20.
go back to reference Wade TD, Byrne S, Bryant-Waugh R. The Eating Disorder Examination: norms and construct validity with young and middle adolescent girls. Int J Eat Disord. 2008;41:551–8.PubMedCrossRef Wade TD, Byrne S, Bryant-Waugh R. The Eating Disorder Examination: norms and construct validity with young and middle adolescent girls. Int J Eat Disord. 2008;41:551–8.PubMedCrossRef
21.
go back to reference Bryne SM, Allen KL, Lampard AM, et al. The factor structure of the Eating Disorder Examination in clinical and community samples. Int J Eat Disord. 2010;43:260–5. Bryne SM, Allen KL, Lampard AM, et al. The factor structure of the Eating Disorder Examination in clinical and community samples. Int J Eat Disord. 2010;43:260–5.
22.
go back to reference Grilo CM, Crosby RD, Peterson CB, et al. Factor structure of the Eating disorder Examination interview in patients with binge eating disorder. Obesity. 2010;18:977–81.PubMedCrossRef Grilo CM, Crosby RD, Peterson CB, et al. Factor structure of the Eating disorder Examination interview in patients with binge eating disorder. Obesity. 2010;18:977–81.PubMedCrossRef
23.
go back to reference Grilo CM, Crosby RD, White MA. Spanish-language Eating disorder Examination Interview: factor structure in Latino/as. Eat Beh. 2012;13:410–3.CrossRef Grilo CM, Crosby RD, White MA. Spanish-language Eating disorder Examination Interview: factor structure in Latino/as. Eat Beh. 2012;13:410–3.CrossRef
24.
go back to reference Fairburn CG, Cooper Z. The Eating Disorder Examination (12th Edition). In: Fairburn CG, Wilson GT, editors. Binge eating: nature, assessment, and treatment. New York: Guilford; 1993. p. 317–60. Fairburn CG, Cooper Z. The Eating Disorder Examination (12th Edition). In: Fairburn CG, Wilson GT, editors. Binge eating: nature, assessment, and treatment. New York: Guilford; 1993. p. 317–60.
25.
go back to reference Cooper PJ, Taylor MJ, Cooper Z, et al. The development and validation of the Body Shape Questionnaire. Int J Eat Disord. 1987;6:485–94.CrossRef Cooper PJ, Taylor MJ, Cooper Z, et al. The development and validation of the Body Shape Questionnaire. Int J Eat Disord. 1987;6:485–94.CrossRef
26.
go back to reference Rosen JC, Jones A, Ramirez E, et al. Body Shape Questionnaire: studies of validity and reliability. Int J Eat Disord. 1996;20:315–9.PubMedCrossRef Rosen JC, Jones A, Ramirez E, et al. Body Shape Questionnaire: studies of validity and reliability. Int J Eat Disord. 1996;20:315–9.PubMedCrossRef
27.
go back to reference Beck AT, Steer R. Manual for Revised Beck Depression Inventory. New York: Psychological Corporation; 1987. Beck AT, Steer R. Manual for Revised Beck Depression Inventory. New York: Psychological Corporation; 1987.
28.
go back to reference Beck AT, Steer R, Garbin M. Psychometric properties of the Beck Depression Inventory: 25 years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef Beck AT, Steer R, Garbin M. Psychometric properties of the Beck Depression Inventory: 25 years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef
29.
go back to reference Rosenberg M. Conceiving the self. New York: Basic; 1979. Rosenberg M. Conceiving the self. New York: Basic; 1979.
30.
go back to reference Griffiths RA, Beumont PJV, Giannakopoulos E, et al. Measuring self-esteem in dieting disordered patients: the validity of the Rosenberg and Coopersmith contrasted. Int J Eat Disord. 1999;25:227–31.PubMedCrossRef Griffiths RA, Beumont PJV, Giannakopoulos E, et al. Measuring self-esteem in dieting disordered patients: the validity of the Rosenberg and Coopersmith contrasted. Int J Eat Disord. 1999;25:227–31.PubMedCrossRef
31.
go back to reference Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.CrossRef Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.CrossRef
32.
go back to reference Hrabosky JI, Masheb RM, White MA, et al. Overvaluation of shape/weight in binge eating disorder. J Consult Clin Psychol. 2007;75:175–80.PubMedCrossRef Hrabosky JI, Masheb RM, White MA, et al. Overvaluation of shape/weight in binge eating disorder. J Consult Clin Psychol. 2007;75:175–80.PubMedCrossRef
33.
go back to reference Masheb RM, Grilo CM, Burke-Martindale CH, et al. Evaluating oneself by shape and weight is not the same as being dissatisfied about shape and weight: a longitudinal examination in severely obese gastric bypass patients. Int J Eat Disord. 2006;39:716–20.PubMedCrossRef Masheb RM, Grilo CM, Burke-Martindale CH, et al. Evaluating oneself by shape and weight is not the same as being dissatisfied about shape and weight: a longitudinal examination in severely obese gastric bypass patients. Int J Eat Disord. 2006;39:716–20.PubMedCrossRef
34.
go back to reference Grilo CM, Hrabosky JI, Allison KC, et al. Overvaluation of shape and weight in binge eating disorder and overweight controls: refinement of a diagnostic construct. J Abn Psychol. 2008;117:414–9.CrossRef Grilo CM, Hrabosky JI, Allison KC, et al. Overvaluation of shape and weight in binge eating disorder and overweight controls: refinement of a diagnostic construct. J Abn Psychol. 2008;117:414–9.CrossRef
35.
go back to reference Grilo CM, Masheb RM, White MA. Significance of overvaluation of shape/weight in binge eating disorder: comparative study with overweight and bulimia nervosa. Obesity. 2010;18:499–504.PubMedCrossRef Grilo CM, Masheb RM, White MA. Significance of overvaluation of shape/weight in binge eating disorder: comparative study with overweight and bulimia nervosa. Obesity. 2010;18:499–504.PubMedCrossRef
36.
go back to reference Grilo CM, Masheb RM, Crosby RD. Predictors and moderators of response to cognitive behavioral therapy and medication for the treatment of binge eating disorder. J Consult Clin Psychol. 2012;80:897–906.PubMedCrossRef Grilo CM, Masheb RM, Crosby RD. Predictors and moderators of response to cognitive behavioral therapy and medication for the treatment of binge eating disorder. J Consult Clin Psychol. 2012;80:897–906.PubMedCrossRef
37.
go back to reference Grilo CM, White MA, Gueorguieva R, et al. Predictive significance of the overvaluation of shape/weight in obese patients with binge eating disorder: findings from a randomized controlled trial with 12-month follow-up. Psychol Med. 2012. doi:10.1017/S0033291712002097. Grilo CM, White MA, Gueorguieva R, et al. Predictive significance of the overvaluation of shape/weight in obese patients with binge eating disorder: findings from a randomized controlled trial with 12-month follow-up. Psychol Med. 2012. doi:10.​1017/​S003329171200209​7.
Metadata
Title
Eating Disorder Examination-Questionnaire Factor Structure and Construct Validity in Bariatric Surgery Candidates
Authors
Carlos M. Grilo
Kathryn E. Henderson
Robert L. Bell
Ross D. Crosby
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 5/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-012-0840-8

Other articles of this Issue 5/2013

Obesity Surgery 5/2013 Go to the issue