Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatment
Abstract Objective The Eating Attitudes Test-26 (EAT-26) is considered the screening instrument of choice to identify eating disorders (ED) symptoms in clinical and community populations, showing a classical three-factor structure. This study assessed whether the factor structure of the EAT-26 in pa...
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Format: | Article |
Language: | English |
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BMC
2025-01-01
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Series: | Journal of Eating Disorders |
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Online Access: | https://doi.org/10.1186/s40337-024-01184-9 |
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author | Daniel Stein Zohar Spivak-Lavi Orna Tzischinsky Ora Peleg Hadar Dikstein Yael Latzer |
author_facet | Daniel Stein Zohar Spivak-Lavi Orna Tzischinsky Ora Peleg Hadar Dikstein Yael Latzer |
author_sort | Daniel Stein |
collection | DOAJ |
description | Abstract Objective The Eating Attitudes Test-26 (EAT-26) is considered the screening instrument of choice to identify eating disorders (ED) symptoms in clinical and community populations, showing a classical three-factor structure. This study assessed whether the factor structure of the EAT-26 in patients with ED was stable at admission and discharge from inpatient treatment. Methods We administered the EAT-26 to 207 female adolescents with ED at both admission and discharge. Results Factor structure of the EAT-26 at admission comprised of four factors and at discharge three factors and 15-item version of the EAT, producing two factors, was considerably more stable at both admission and discharge. Cutoff score of 23 in the EAT-15 better defined patients as improved at discharge than the cutoff score of 20 in the EAT-26. Conclusion Different factor structures of the EAT are found in the same population of young females with ED during the acute stage of illness vs. symptomatic improvement. In addition, shorter versions of the EAT with higher cutoff scores may better differentiate between improved and not improved patients at discharge. Findings suggest that using the EAT-15 is more effective for evaluating a population with clinical characteristics of ED. |
format | Article |
id | doaj-art-87179f57a32147bcaaea8bc33299a377 |
institution | Kabale University |
issn | 2050-2974 |
language | English |
publishDate | 2025-01-01 |
publisher | BMC |
record_format | Article |
series | Journal of Eating Disorders |
spelling | doaj-art-87179f57a32147bcaaea8bc33299a3772025-01-19T12:04:21ZengBMCJournal of Eating Disorders2050-29742025-01-0113111410.1186/s40337-024-01184-9Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatmentDaniel Stein0Zohar Spivak-Lavi1Orna Tzischinsky2Ora Peleg3Hadar Dikstein4Yael Latzer5Safra Children’s Hospital, Sheba Medical CenterDepartment of Social Work, Max Stern Yezreel Valley CollegeDepartment of Behavioral Science, Max Stern Yezreel Valley CollegeEducational Counseling (MA) , Max Stern Yezreel Valley CollegeMedical Psychology Department, The Academic College of Tel Aviv-YaffoSchool of Social Work, Faculty of Social Welfare and Health Sciences, University of HaifaAbstract Objective The Eating Attitudes Test-26 (EAT-26) is considered the screening instrument of choice to identify eating disorders (ED) symptoms in clinical and community populations, showing a classical three-factor structure. This study assessed whether the factor structure of the EAT-26 in patients with ED was stable at admission and discharge from inpatient treatment. Methods We administered the EAT-26 to 207 female adolescents with ED at both admission and discharge. Results Factor structure of the EAT-26 at admission comprised of four factors and at discharge three factors and 15-item version of the EAT, producing two factors, was considerably more stable at both admission and discharge. Cutoff score of 23 in the EAT-15 better defined patients as improved at discharge than the cutoff score of 20 in the EAT-26. Conclusion Different factor structures of the EAT are found in the same population of young females with ED during the acute stage of illness vs. symptomatic improvement. In addition, shorter versions of the EAT with higher cutoff scores may better differentiate between improved and not improved patients at discharge. Findings suggest that using the EAT-15 is more effective for evaluating a population with clinical characteristics of ED.https://doi.org/10.1186/s40337-024-01184-9EAT-26Factor structureAssessmentEating disordersClinical populations |
spellingShingle | Daniel Stein Zohar Spivak-Lavi Orna Tzischinsky Ora Peleg Hadar Dikstein Yael Latzer Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatment Journal of Eating Disorders EAT-26 Factor structure Assessment Eating disorders Clinical populations |
title | Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatment |
title_full | Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatment |
title_fullStr | Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatment |
title_full_unstemmed | Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatment |
title_short | Differences in the factor structure of the Eating Attitudes Test-26 in female adolescent patients with eating disorders before and after treatment |
title_sort | differences in the factor structure of the eating attitudes test 26 in female adolescent patients with eating disorders before and after treatment |
topic | EAT-26 Factor structure Assessment Eating disorders Clinical populations |
url | https://doi.org/10.1186/s40337-024-01184-9 |
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