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Measurement invariance of the Eating Disorder Examination in black and white children and adolescents.


ABSTRACT:

Objective

The Eating Disorder Examination (EDE) was originally developed and validated in primarily white female samples. Since data indicate that eating pathology impacts black youth, elucidating the psychometric appropriateness of the EDE for black youth is crucial.

Methods

A convenience sample was assembled from seven pediatric obesity studies. The EDE was administered to all youth. Confirmatory factor analyses (CFA) were conducted to examine the original four-factor model fit and two alternative factor structures for black and white youth. With acceptable fit, multiple-group CFAs were conducted. For measurement invariant structures, the interactive effects of race with sex, BMIz, adiposity, and age were explored (all significance levels p < .05).

Results

For both black and white youth (N = 820; 41% black; 37% male; 6-18 years; BMIz -3.11 to 3.40), the original four-factor EDE structure and alternative eight-item one-factor structure had mixed fit via CFA. However, a seven-item, three-factor structure reflecting Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction had good fit and held at the level of strict invariance. Girls reported higher factor scores than boys. BMIz and adiposity were positively associated with each subscale. Age was associated with Dietary Restraint and Body Dissatisfaction. The interactional effects between sex, BMIz, and age with race were not significant; however, the interaction between adiposity and race was significant. At higher adiposity, white youth reported greater pathology than black youth.

Conclusion

An abbreviated seven-item, three-factor version of the EDE captures eating pathology equivalently across black and white youth. Full psychometric testing of the modified EDE factor structure in black youth is warranted.

SUBMITTER: Burke NL 

PROVIDER: S-EPMC5505792 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Measurement invariance of the Eating Disorder Examination in black and white children and adolescents.

Burke Natasha L NL   Tanofsky-Kraff Marian M   Crosby Ross R   Mehari Rim D RD   Marwitz Shannon E SE   Broadney Miranda M MM   Shomaker Lauren B LB   Kelly Nichole R NR   Schvey Natasha A NA   Cassidy Omni O   Yanovski Susan Z SZ   Yanovski Jack A JA  

The International journal of eating disorders 20170403 7


<h4>Objective</h4>The Eating Disorder Examination (EDE) was originally developed and validated in primarily white female samples. Since data indicate that eating pathology impacts black youth, elucidating the psychometric appropriateness of the EDE for black youth is crucial.<h4>Methods</h4>A convenience sample was assembled from seven pediatric obesity studies. The EDE was administered to all youth. Confirmatory factor analyses (CFA) were conducted to examine the original four-factor model fit  ...[more]

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