Lee S, Lee A M, Leung T
Department of Psychiatry, Chinese University of Hong Kong, Shatin, China.
Int J Eat Disord. 1998 Mar;23(2):177-88. doi: 10.1002/(sici)1098-108x(199803)23:2<177::aid-eat8>3.0.co;2-h.
To evaluate the cross-cultural validity of the Chinese version of the Eating Disorder Inventory (EDI) in a clinical sample of patients with eating disorders in Hong Kong.
After comprehensive clinical assessment, a consecutive series (1990-1996) of Chinese patients with bulimia nervosa (N = 17) and broadly diagnosed anorexia nervosa (N = 26) completed the Chinese EDI. Results were compared with those of Chinese female undergraduates (N = 606) and Canadian patients with eating disorders.
The EDI profiles of bulimic and fat phobic anorectic patients were remarkably and modestly similar to those of their Canadian counterparts. The EDI meaningfully distinguished bulimic patients and fat phobic anorectic patients from local undergraduates, but exhibited deficient criterion-related validity in nonfat phobic anorectic patients.
The questionable validity of certain EDI subscales in nonfat phobic patients reflects the ethnospecific constructs upon which they are based, and weakens the efficacy of the EDI in screening for anorexia nervosa in Chinese populations. Apart from illustrating some of the conceptual and methodological issues that need to be tackled in the cross-cultural study of the eating disorders, this study furnishes empirical support for the syndromal homogeneity of bulimia nervosa, and the clinical grouping of anorexia nervosa into fat phobic and nonfat phobic subtypes.
评估《饮食失调量表》（EDI）中文版在香港饮食失调患者临床样本中的跨文化效度。
在进行全面临床评估后，连续一系列（1990 - 1996年）的神经性贪食症中国患者（N = 17）和广义诊断的神经性厌食症患者（N = 26）完成了中文版EDI测试。将结果与中国女大学生（N = 606）以及加拿大饮食失调患者的结果进行比较。
神经性贪食症患者和恐惧肥胖型神经性厌食症患者的EDI剖面图与加拿大患者的剖面图分别呈现出显著和一定程度的相似性。EDI能够有效地区分神经性贪食症患者和恐惧肥胖型神经性厌食症患者与本地大学生，但在非恐惧肥胖型神经性厌食症患者中表现出与标准相关的效度不足。
某些EDI分量表在非恐惧肥胖型患者中效度存疑，这反映了其基于的特定文化构建，削弱了EDI在中国人群中筛查神经性厌食症的功效。除了阐明饮食失调跨文化研究中需要解决的一些概念和方法问题外，本研究为神经性贪食症的综合征同质性以及将神经性厌食症临床分为恐惧肥胖型和非恐惧肥胖型亚型提供了实证支持。
