Karapatsia Maria, Antoniadou Maria Evangelia, Tzavara Chara, Michopoulos Ioannis, Gonidakis Fragiskos
First Department of Psychiatry, Eginition Hospital, National and Kapodistrian University of Athens.
Second Department of Psychiatry, Attikon Hospital, National and Kapodistrian University of Athens.
Psychiatriki. 2024 Dec 27;35(4):303-313. doi: 10.22365/jpsych.2024.014. Epub 2024 Sep 18.
Binge eating disorder (BED), the most prevalent eating disorder, carries significant physical and psychological consequences. Therefore, there is a continuous need to assess binge eating symptomatology and evaluate the effectiveness of various therapeutic interventions. The Binge Eating Scale (BES), which is a self-administered questionnaire, is widely used to assess binge eating in obese people. It examines the person' s experience of binge eating and the emotional, cognitive, and behavioural symptoms associated with it. The purpose of the present study was to translate and adapt BES in Greek, as well as to assess the factorial structure of BES and evaluate its psychometric properties. A sample of 160 participants (90% females) with a mean age of 40.7 years (SD=11.5 years) and a mean body mass index (BMI) 37.5kg/m2 (SD=9.2kg/m2) completed the BES and the Eating Disorder Examination Questionnaire (EDE-Q). An exploratory factor analysis (EFA) was carried out to assess the construct validity of the BES in a sample of patients with BED according to DSM-5 who came for therapy at the Eating Disorders Unit at Eginition Hospital and the day center "Anasa". The two-factor structure fits the data best. Regarding internal consistency, the results were acceptable, with Cronbach' s alpha equal to 0.78. The BES has high significant correlations with the Eating Concern, Weight Concern, and Shape Concern subscales and the Global Score of EDE-Q, but not with the Restrain subscale. Also, BES has correlations with the specific EDE-Q questions about the frequency of objective and subjective binge eating episodes. A high correlation was obtained with the measure of ΒΜΙ too. The Greek version of BES is a valid and reliable scale to evaluate binge eating in a clinical population diagnosed with BED.
暴饮暴食症（BED）是最常见的饮食失调症，会带来严重的身体和心理后果。因此，持续需要评估暴饮暴食症状，并评估各种治疗干预措施的有效性。暴饮暴食量表（BES）是一种自我管理的问卷，广泛用于评估肥胖人群的暴饮暴食情况。它考察了个体的暴饮暴食经历以及与之相关的情绪、认知和行为症状。本研究的目的是将BES翻译成希腊语并进行改编，同时评估BES的因子结构并评价其心理测量特性。160名参与者（90%为女性）组成的样本完成了BES和饮食失调检查问卷（EDE-Q），样本的平均年龄为40.7岁（标准差=11.5岁），平均体重指数（BMI）为37.5kg/m²（标准差=9.2kg/m²）。对根据《精神疾病诊断与统计手册》第5版前来埃吉尼翁医院饮食失调科和日间中心“阿纳萨”接受治疗的BED患者样本进行了探索性因子分析（EFA），以评估BES的结构效度。两因素结构最符合数据。在内部一致性方面，结果是可接受的，克朗巴哈系数α等于0.78。BES与EDE-Q的饮食关注、体重关注、体型关注子量表以及总体得分高度显著相关，但与克制子量表无关。此外，BES与EDE-Q中关于客观和主观暴饮暴食发作频率的特定问题相关。与BMI测量值也获得了高度相关性。希腊语版的BES是评估临床诊断为BED人群中暴饮暴食情况的有效且可靠的量表。
