Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.
Int J Eat Disord. 2012 Mar;45(2):257-62. doi: 10.1002/eat.20940. Epub 2011 May 10.
To challenge the conclusion by Jansen et al., Int J Eat Disord 2011; 44:164-168, that the widely used Dutch Eating Behavior Questionnaire (DEBQ) External Eating subscale (DEBQ-EX) lacks validity for external eating, because of limitations of that study.
In a seminaturalistic setting we measured participants' intake of crisps and M&Ms while they watched food commercials or neutral commercials spliced into a film. To avoid misclassification due to the use of median splits we used extreme scores on the DEBQ-ex (n = 60) in addition to the full range of scores (n = 125).
As was expected, high external eaters in the food commercial condition ate more crisps than did high external eaters in the neutral commercial condition, whereas low external eaters did not eat more crisps in one condition than in the other. No such moderator effect was found for emotional eating. No significant moderator effect was found for external eating in the original sample (n = 125) using the median-split procedure.
The DEBQ scale for external eating has validity and specificity for external eating provided that the participants have sufficiently extreme external eating scores and a natural setting is used.
对扬森等人在《国际饮食失调杂志》2011 年第 44 卷第 164-168 页的结论提出质疑,即广泛使用的荷兰饮食行为问卷(DEBQ)的外食分量表(DEBQ-EX)在外食方面缺乏有效性,因为该研究存在局限性。
在半自然环境中,我们测量了参与者在观看食品广告或插入电影中的中性广告时吃薯片和 M&M 的摄入量。为了避免由于使用中位数分割而导致的错误分类,我们使用了 DEBQ-ex 的极端分数(n=60),以及全范围分数(n=125)。
正如预期的那样,在食品广告条件下的高外食者比在中性广告条件下的高外食者吃了更多的薯片,而低外食者在一种条件下并不比另一种条件下吃更多的薯片。对于情绪性进食,没有发现这种调节作用。在外食分量表的原始样本(n=125)中,使用中位数分割程序,没有发现外食的显著调节作用。
只要参与者有足够极端的外食得分,并且使用自然环境,DEBQ 外食量表在外食方面具有有效性和特异性。