Gewirtz-Meydan Ateret, Spivak-Lavi Zohar, Kraus Shane W, Nagy Léna, Koós Mónika, Demetrovics Zsolt, Potenza Marc N, Ballester-Arnal Rafael, Batthyány Dominik, Bergeron Sophie, Billieux Joël, Briken Peer, Burkauskas Julius, Cárdenas-López Georgina, Carvalho Joana, Castro-Calvo Jesús, Chen Lijun, Ciocca Giacomo, Corazza Ornella, Csako Rita I, Fernandez David P, Fernandez Elaine F, Fujiwara Hironobu, Fuss Johannes, Gabrhelík Roman, Gjoneska Biljana, Gola Mateusz, Grubbs Joshua B, Hashim Hashim T, Islam Md Saiful, Ismail Mustafa, Jiménez-Martínez Martha C, Jurin Tanja, Kalina Ondrej, Klein Verena, Költő András, Lee Chih-Ting, Lee Sang-Kyu, Lewczuk Karol, Lin Chung-Ying, Lochner Christine, López-Alvarado Silvia, Lukavská Kateřina, Mayta-Tristán Percy, Miller Dan J, Orosová Oľga, Orosz Gábor, Chang Hyein, Park Kyeongwoo, Ponce Fernando P, Quintana Gonzalo R, Quintero Garzola Gabriel C, Ramos-Diaz Jano, Rigaud Kévin, Rousseau Ann, Scanavino Marco De Tubino, Schulmeyer Marion K, Sharan Pratap, Shibata Mami, Shoib Sheikh, Sigre-Leirós Vera, Sniewski Luke, Spasovski Ognen, Steibliene Vesta, Stein Dan J, Strizek Julian, Ünsal Berk C, Vaillancourt-Morel Marie-Pier, Van Hout Marie Claire, Bőthe Beáta
School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Faculty of Social Work, Max Stern Yezreel Valley College, Yezreel Valley, Israel.
Int J Eat Disord. 2025 May;58(5):926-938. doi: 10.1002/eat.24365. Epub 2025 Mar 5.
This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED.
The International Sex Survey, a cross-sectional online study, was conducted in 42 countries and 26 languages. A diverse community sample of 82,243 participants, aged 18 years or older, completed the BEDS-7 and measures of sexuality, mental health, substance use, and sociodemographic characteristics. Confirmatory factor analyses and tests of measurement invariance were employed to evaluate the reliability and validity of the BEDS-7 across languages, countries, genders, and sexual orientations.
The BEDS-7 demonstrated scalar factorial invariance across languages and countries, indicating consistent factor loadings and item intercepts. In contrast, the screener showed residual invariance across gender and sexual orientation groups, supporting its robustness across these demographics. Kruskal-Wallis tests revealed significant differences in BED symptoms across languages, countries, genders, and sexual orientations, with the highest BED scores observed among queer, pansexual, and gender-diverse individuals. The BEDS-7 also demonstrated adequate reliability (Cronbach's alpha > 0.80) and moderate criterion validity.
The findings provide further evidence of the reliability and validity of the BEDS-7 as a potential screening tool for identifying probable cases of BED globally, facilitating early intervention in primary care settings.
本研究旨在评估《暴饮暴食症筛查量表-7》（BEDS-7）在42个国家和26种语言中的信度和效度，评估其作为不同文化背景下暴饮暴食症（BED）筛查工具的可靠性和有效性。具体而言，它试图加强全球初级保健机构中对BED症状的早期识别，为评估BED的标准化框架做出贡献。
国际性调查是一项横断面在线研究，在42个国家以26种语言进行。一个由82243名18岁及以上参与者组成的多样化社区样本完成了BEDS-7以及性、心理健康、物质使用和社会人口学特征的测量。采用验证性因素分析和测量不变性检验来评估BEDS-7在语言、国家、性别和性取向方面的信度和效度。
BEDS-7在语言和国家间表现出标量因子不变性，表明因子载荷和项目截距一致。相比之下，该筛查量表在性别和性取向组间表现出残差不变性，支持其在这些人口统计学特征上的稳健性。Kruskal-Wallis检验显示，BED症状在语言、国家、性别和性取向方面存在显著差异，在酷儿、泛性恋和性别多样化个体中观察到最高的BED得分。BEDS-7还表现出足够的信度（克朗巴哈系数>0.80）和中等的效标效度。
研究结果进一步证明了BEDS-7作为一种潜在筛查工具在全球范围内识别可能的BED病例的可靠性和有效性，有助于在初级保健机构中进行早期干预。
