Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Int J Eat Disord. 2022 Apr;55(4):481-493. doi: 10.1002/eat.23696. Epub 2022 Mar 8.
This study evaluated the factor structure and invariance of the Eating Disorder Examination-Questionnaire (EDE-Q) in a sample of Asian/Hawaiian/Pacific Islander (n = 163), Black (n = 155), and White (n = 367) American university men.
Twelve different EDE-Q factor structures reported in the literature were evaluated using multi-group confirmatory factor analyses, and measurement invariance assessed.
A respecified four-factor structure proposed by Parker et al. (2016) showed superior fit and was invariant across groups. Significant differences emerged across all latent factors, with small to medium effects. Asian/Hawaiian/Pacific Islander men reported significantly higher scores on factors assessing Appearance Concern, Overvaluation of Shape/Weight, and Eating Concerns, and were more likely to endorse regular objective binge eating (OBE) and fasting episodes than their Black and White peers. Both White and Asian/Hawaiian/Pacific Islander men reported greater dietary restraint than Black men. Among this sample, frequencies of regular compensatory exercise ranged from 10% to 16%, fasting 6% to 14%, and OBEs 1% to 10%.
Results provide further support for the use of alternate EDE-Q factor structures, especially among non-White men. In this study, Asian/Hawaiian/Pacific Islander men reported the highest levels of ED psychopathology relative to White and Black men, indicating they might be particularly vulnerable to EDs.
This study failed to find support for using the original Eating Disorder Examination-Questionnaire four-factor structure to detect disordered eating in Asian, Black, and White American college men. An alternate model proposed by Parker et al. in 2016 may be more appropriate. Asian men also reported the highest levels of eating psychopathology relative to their peers, suggesting they may be at high risk for developing eating disorders.
本研究评估了饮食障碍检查问卷（EDE-Q）在亚洲/夏威夷/太平洋岛民（n=163）、黑人（n=155）和白人（n=367）美国大学生样本中的因子结构和不变性。
使用多组验证性因子分析评估了文献中报道的 12 种不同的 EDE-Q 因子结构，并评估了测量不变性。
帕克等人（2016 年）提出的重新指定的四因子结构表现出较好的拟合度，并且在群体间具有不变性。所有潜在因素都出现了显著差异，具有小到中等的影响。亚洲/夏威夷/太平洋岛民男性在评估外貌关注、体型/体重高估、进食关注的因子上得分明显较高，并且比他们的黑人和白人同龄人更有可能定期出现客观暴食（OBE）和禁食发作。白人和亚洲/夏威夷/太平洋岛民男性报告的饮食限制比黑人男性更大。在这个样本中，定期补偿性运动的频率从 10%到 16%不等，禁食的频率从 6%到 14%不等，OBE 的频率从 1%到 10%不等。
结果进一步支持使用替代 EDE-Q 因子结构，尤其是在非白人男性中。在这项研究中，亚洲/夏威夷/太平洋岛民男性报告的 ED 心理病理学水平高于白人和黑人男性，这表明他们可能特别容易患 ED。
本研究未能支持使用原始的饮食障碍检查问卷四因子结构来检测亚洲、黑人和白人美国大学生中的饮食障碍。帕克等人在 2016 年提出的替代模型可能更合适。亚洲男性也报告了最高水平的进食心理病理学，与他们的同龄人相比，这表明他们可能有很高的风险患上饮食失调症。
