Hernández-Ponce Lisett, Pardo-Pacheco Blanca Rosalba, Calzada-Mendoza Claudia C, González-Guzmán Otto P, Aguilar-Maciel Sandra, Vargas-De-León Cruz
Escuela Superior de Medicina. Instituto Politécnico Nacional.
Servicio de Endocrinología y Bariatría. Hospital Juárez de México. Escuela Superior de Enfermería y Obstetricia. Instituto Politécnico Nacional.
Nutr Hosp. 2025 Jun 19;43(3):493-499. doi: 10.20960/nh.05490.
Introduction: negative emotions and persistent stress can lead to abnormal compensatory behaviors, known as emotional eating (EE). However, there is a gap in research aimed at validating EE questionnaires for specific populations. Objective: to validate the Emotional Eating Questionnaire (EEQ) in overweight and obese Mexican adults. Methods: this is a clinimetric study. Participants included sedentary individuals aged 18 to 60 years with overweight or obesity. The study comprised three phases: a Delphi panel to validate content, administration of the EEQ to a sample of at least 300 participants, and a retest of the EEQ with 15 % of the sample to assess test-retest reliability. Criterion validity was evaluated using confirmatory factor analysis (CFA). The CFA goodness of fit, reliability via Cronbach's alpha and Dillon-Goldstein's rho, and test-retest reliability with the intraclass correlation coefficient (ICC) were verified. Results: a total of 508 participants were recruited (123 men and 385 women), with an average age of 44.5 years (standard deviation = 10.6). The average BMI was 32.5 (range, 27.0-59.3). The Delphi panel validated the content in 2 rounds. The CFA showed excellent goodness of fit. Internal consistency was adequate (Cronbach's alpha, 0.822; Dillon-Goldstein's rho, 0.863). Test-retest reliability was acceptable (ICC, 0.60) in 78 participants reassessed. Conclusion: the EEQ was shown to be reliable and valid for assessing emotional eating in overweight and obese Mexican adults, distinguished by its simplicity and ease of use among participants.
负面情绪和持续压力会导致异常的代偿行为,即情绪性进食(EE)。然而,针对特定人群验证情绪性进食问卷的研究存在空白。目的:验证超重和肥胖的墨西哥成年人的情绪性进食问卷(EEQ)。方法:这是一项临床计量学研究。参与者包括年龄在18至60岁之间、久坐不动且超重或肥胖的个体。该研究包括三个阶段:一个德尔菲小组以验证内容,对至少300名参与者的样本进行EEQ问卷调查,以及对15%的样本重新进行EEQ问卷调查以评估重测信度。使用验证性因素分析(CFA)评估效标效度。验证了CFA的拟合优度、通过克朗巴赫α系数和狄龙 - 戈尔茨坦ρ系数的信度以及组内相关系数(ICC)的重测信度。结果:共招募了508名参与者(123名男性和385名女性),平均年龄为44.5岁(标准差 = 10.6)。平均体重指数为32.5(范围为27.0 - 59.3)。德尔菲小组在两轮中验证了内容。CFA显示出优异的拟合优度。内部一致性良好(克朗巴赫α系数为0.822;狄龙 - 戈尔茨坦ρ系数为0.863)。在重新评估的78名参与者中,重测信度可接受(ICC为0.60)。结论:EEQ被证明对于评估超重和肥胖的墨西哥成年人的情绪性进食是可靠且有效的,其特点是在参与者中简单易用。