Kim Na Young, Suh Sooyeon, Kim Jieun, Son Kumhee, Woo Sarah, Kim Jia, Park Kyung Hee, Lim Hyunjung
Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, 17104, Korea.
Department of Psychology, Sungshin Women's University, Seoul, 02844, Korea.
J Eat Disord. 2023 Oct 6;11(1):177. doi: 10.1186/s40337-023-00894-w.
Using reliable measurement tools is becoming increasingly important as the prevalence of obesity among children increases in Korea. The Dutch Eating Behavior Questionnaire for Children (DEBQ-C) measures three eating behaviors associated with overeating. This study aims to validate the DEBQ-C for use among Korean children and adolescents with high body weight. It examines the psychometric features of the Korean translation of the DEBQ-C and investigates the relationship between the subscale scores of the DEBQ-C and the weight status of participants (categorized into overweight, obese, and morbidly obese).
A total of 233 children and adolescents (mean age: 11.4 ± 1.6 years) completed the questionnaire. The study verified the factor structure of the DEBQ-C using confirmatory factor analysis (CFA) and estimated its internal consistency with Cronbach's alpha. For convergent validity, it employed Pearson's correlation coefficient to assess relationships between the three eating behaviors of the DEBQ-C and the number of food addiction symptoms of the Yale Food Addiction Scale for Children (YFAS-C). Lastly, it examined the relationship between DEBQ-C scores and weight status via multinomial logistic regression analysis.
The three-factor model demonstrated goodness-of-fit (χ = 253, df = 167, χ/df = 1.515, p < 0.001, CFI = 0.944; TLI = 0.937; RMSEA = 0.047). The internal consistency of the three eating behaviors was also satisfactory (Cronbach's alpha = 0.707-0.890). The emotional and external eating subscales of the DEBQ-C were positively correlated with the number of symptoms of food addiction of the YFAS-C. Emotional (OR: 2.008; 95% CI 1.973-2.043) and external (OR: 2.074; 95% CI 2.029-2.119) eating were positively associated with obesity status.
The results suggest that the Korean version of the DEBQ-C is suitable for the examination of problematic eating behaviors in Korean children and adolescents with high body weight.
随着韩国儿童肥胖率的上升，使用可靠的测量工具变得越来越重要。荷兰儿童饮食行为问卷（DEBQ-C）测量与暴饮暴食相关的三种饮食行为。本研究旨在验证DEBQ-C在韩国高体重儿童和青少年中的适用性。它检验了DEBQ-C韩语翻译版的心理测量特征，并调查了DEBQ-C分量表得分与参与者体重状况（分为超重、肥胖和病态肥胖）之间的关系。
共有233名儿童和青少年（平均年龄：11.4±1.6岁）完成了问卷。该研究使用验证性因素分析（CFA）验证了DEBQ-C的因素结构，并使用克朗巴哈α系数估计其内部一致性。为了进行收敛效度分析，它采用皮尔逊相关系数来评估DEBQ-C的三种饮食行为与儿童耶鲁食物成瘾量表（YFAS-C）的食物成瘾症状数量之间的关系。最后，它通过多项逻辑回归分析检验了DEBQ-C得分与体重状况之间的关系。
三因素模型显示出良好的拟合度（χ=253，df=167，χ/df=1.515，p<0.001，CFI=0.944；TLI=0.937；RMSEA=0.047）。三种饮食行为的内部一致性也令人满意（克朗巴哈α系数=0.707-0.890）。DEBQ-C的情绪性饮食和外部性饮食分量表与YFAS-C的食物成瘾症状数量呈正相关。情绪性饮食（比值比：2.008；95%置信区间1.973-2.043）和外部性饮食（比值比：2.074；95%置信区间2.029-2.119）与肥胖状况呈正相关。
结果表明，DEBQ-C韩语版适用于检测韩国高体重儿童和青少年的问题饮食行为。
