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Delma S. Robles
De La Salle-College of Saint Benilde
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y Semi-structured interview
y Self-report questionnaire
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y Cooper & Fairburn (1987) Eating DisorderExamination (EDE) interview measures specific
psychopathology of eating disorders including shapeand weight
y Eating Disorder Examination Questionnaire (EDE-Q)
y Questionnaire version of the full length EDEinterview; same 4 subscales: restraint, eating concern,shape concern and weight concern
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y Garner (1995) Eating Disorder Inventory (EDI)measures attitudes, feelings and behaviors common to
anorexia nervosa and bulimia nervosa
y Herman & Polivy (1980) Restraint Scale measuresweight fluctuation and subjective concern for dieting
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Comparative StudiesSemi-structured interview
y Wilson and Smith (1989)- better in assessment of bulimia nervosa
y Pyle, Halvorson, Newman & Mitchell (1986)
- more accurate on identification of binge eating andfear of loss of control over eating behaviors
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y Carter, Aime, & Mills (2001)
- showed higher scores in measuring binge and
vomiting frequencies
y Tanofsky-Kraff, Morgan, Yanovski, Marmarosh,Wilfley & Yanovski (2003)
- more accurate results
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Self-report questionnaire
y Fairburn & Beglin (1994)-generated higher scores in the assessment bingeeating and body shape concerns
y Wilfley, Schwartz, Spurrell & Fairburn (1997)
y - showed greater levels of disturbance
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y Black & Wilson (1998)
- more efficient in identifying eating disorder
symptomsy Wolk, Loeb, & Walsh (2005)
- generates higher frequencies in assessing bingeeating and other featues such as vomiting and laxativeuse
y Field, Taylor, Celio & Colditz (2004)
- more substantial results in assessment of bulimicbehaviors among adolescents
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y Fairburn, C. G., Walsh, T. B. & Sysko, R. (2005)
y EDE and EDE-Q yield similar assessments of eating
disorder symptoms and change in symptoms afterintervention
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Objective of the Studyy To develop and validate a brief self-report
questionnaire that assesses the presence of eating
disorder symptoms and disordered eating patterns ofcollege women
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Participantsy 258 female college students
yAge range 15 to 26 (mean age 18.42)
y Mean height 53; Mean weight 118.89y Filipino 244; Chinese 6; Japanese 3;
y Filipino-American 2; American 1;
y Korean 1; Filipino-German - 1
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MeasuresEating Attitudes Test (EAT26)
3 Subscales
y Dieting (13 items)y Bullimia and Food Preoccupation (6 items)
y Oral Control (7 items)
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Eating Behavior Checklist
4 Subscales
y Self Starvation (5 items)y Food Restraint (6 items)
y Eating Concern (3 items)
y Bulimic Behaviors (4 items)
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Procedurey EB Checklist and EAT26 were administered
individually and in small groups
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Data AnalysisDescriptive statistics (subscales)
y Convergent validity
y Discriminant validity
Confirmatory Factor Analysis
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Results
Table 1 N M SD
Cronbachs
alpha SS FR EC BB Diet BFD OC
Eating Behavior
Checlist
Self-Starvation 258 1.79 1.12 0.8 ---
Food Restraint 258 1.63 0.78 0.65 .55** ---
EatingConcerns 258 1.29 0.78 0.23 .43** .33** ---
Bulimic
Behaviors 258 0.31 0.53 0.58 .55** .41**
.27*
* ---
EAT 26
Diet 258 0.53 0.55 0.86 .71** .54**
.57*
*
.57*
* ---
Bulimia/Food
Preoccupation 258 0.18 0.34 0.71 .45** .32**
.43*
*
.45*
* .62** ---
Oral Control 258 0.43 0.47 0.64 .25** .45**
.23*
*
.30*
* .43** .45** ---
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M M t-value df PEat large amount of
food Yes No
_Self-Starvation 1.97 1.68 2.07* 256 0.04
_Food Restraint 1.69 1.59 0.99 256 0.32
_Eating Concerns 1.57 1.12 4.72** 256 0.00
_Bulimic
Behaviors 0.36 0.28 1.21 256 0.23 _Diet 0.61 0.49 1.75 256 0.08
_Bulimia/Food
Preoccupation 0.25 0.14 2.57** 256 0.01
_OC 0.42 0.43 -0.20 256 0.84
Engaged in Binge
Eating Yes No
Self-Starvation 2.03 1.69 2.26* 256 0.02
_Food Restraint 1.76 1.58 1.71 256 0.09
_Eating Concerns 1.62 1.15 4.66** 256 0.00
_Bulimic
Behaviors 0.42 0.26 2.23* 256 0.03
_Diet 0.70 0.46 3.28** 256 0.00
Bulimia/Food
Preoccupation 0.26 0.15 2.56** 256 0.01
Oral Control 0.48 0.41 1.15 256 0.25
Discriminant Validity of the EB Checklist and EAT26
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Force Vomited Yes No
_Self-Starvation 2.72 1.70 4.33** 256 0.00
_Food Restraint 2.17 1.58 3.52** 256 0.00
_Eating Concerns 1.41 1.28 0.72 256 0.47
_Bulimic
Behaviors 1.15 0.23 9.11** 256 0.00
_Diet 1.06 0.48 5.04** 256 0.00
_Bulimia/FoodPreoccupation 0.41 0.16 3.51** 256 0.00
_Oral Control 0.64 0.41 2.25* 256 0.03
Pills/Laxatives Yes No
_Self-Starvation 2.75 1.67 5.16** 256 0.00
_Food Restraint 2.14 1.57 3.85** 256 0.00
_Eating Concerns 1.56 1.26 1.99* 256 0.04
_Bulimic
Behaviors 0.80 0.25 5.58** 256 0.00
_Diet 0.89 0.49 3.84** 256 0.00
_Bulimia/Food
Preoccupation 0.19 0.18 0.14 256 0.89
_Oral Control 0.51 0.42 0.99 256 0.32
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Treated for
Eating Disorder Yes No
_Self-Starvation 2.30 1.75 1.90 256 0.06
_Food Restraint 1.85 1.62 1.18 256 0.24
_Eating Concerns 1.40 1.29 0.54 256 0.59
_Bulimic
Behaviors 0.52 0.29 1.61 256 0.11
_Diet 0.84 0.51 2.31* 256 0.02
_Bulimia/Food
Preoccupation 0.28 0.17 1.22 256 0.22
_Oral Control 0.50 0.43 0.61 256 0.54Attempted
Suicide Yes No
_Self-Starvation 2.13 1.75 1.55 256 0.12
_Food Restraint 1.92 1.60 1.94* 256 0.04
_Eating Concerns 1.26 1.30 -0.20 256 0.84
_Bulimic
Behaviors 0.52 0.29 2.06* 256 0.04
_Diet 0.63 0.52 0.95 256 0.34
_Bulimia/Food
Preoccupation 0.19 0.18 0.20 256 0.84
_Oral Control 0.46 0.43 0.31 256 0.76
*p
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Findingsy Those who starve themselves adopt bulimic behaviors
and eat large amount of food when sad or depressed
y
Those who engage in binge eating have less controlover food intake
y Those who force vomit to lose weight are notpreoccupied with food
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y Those who take pills and laxatives exhibit less bulimicbehaviors
y
Those who were treated for eating disorder engage indieting
y Those who divulged that they have thought orattempted suicide were found to have bulimic
behaviors and restrained food intake
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y Descriptive statistics showed that the EB Checklistmeasured the factors that it purports to evaluate
y
Confirmatory Factor Analysis supports the constructvalidity of the two instruments.
y low internal consistencies of the subscales were foundin the EB Checklist, as influenced by the small number
of items for each subscale
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Research Implicationsy how far most young womens self-esteem is attached
to their body weight, shape and size and what dieting
or weight loss techniques they employ that mayadversely affect their health
yways of coping with the pressure of media or society inachieving the ideal figure
y
how disordered eating patterns may lead these youngwomen to other self-destructive behaviors likedrinking, smoking or self-injury