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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Main Authors: Daniel Stein, Zohar Spivak-Lavi, Orna Tzischinsky, Ora Peleg, Hadar Dikstein, Yael Latzer
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Eating Disorders
Subjects:
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.
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issn 2050-2974
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publishDate 2025-01-01
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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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