Psychometric properties of the eating disorder examination-questionnaire in japanese adolescents
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BACKGROUND: Although the Eating Disorder Examination Questionnaire version 6.0 (EDE-Q) is one of the most widely used questionnaires for eating disorders in Western countries, no research has addressed the psychometric properties of the EDE-Q in a Japanese sample. METHODS: We explored the factor structure of the EDE-Q and examined the internal consistency of the derived scales for Japanese participants (Study I), the convergent validity with other eating disorder-related psychological measures (Study II) and the distinction between the derived two body image-related factors with psychological measures (StudyIII). The EDE-Q was administered to 1,430 undergraduate students in Study I and in Study II was subsequently assessed by two self-report measures of eating pathology, the Eating Attitudes Test (EAT-26) for 558 undergraduate students and the Eating Disorders Inventory-II (EDI-II) 111. In StudyIII, another 225 undergraduate students participated in an examination of the relationships of the derived body image-related subscales of the EDE-Q with the psychological measures of the Rosenberg Self-Esteem Scale, Beck Depression Inventory, Public Self-Consciousness Scale, and Multidimensional Perfectionism Scale. RESULTS: Exploratory factor analysis of the EDE-Q identified four meaningful factors. Of the original four EDE-Q factors, "Restriction" and "Eating Concern" were retained. However, the other two factors, "Shape" and "Weight" Concerns, were combined into two different factors: "Fear of Obesity" and "Self-Esteem Based on Shape and Weight". Internal consistency of the derived four factors was adequate, and the relationships with EDI-II and EAT-26 measures demonstrated convergent validity. Analysis of the distinction between "Fear of Obesity" and "Self-Esteem Based on Shape and Weight" revealed that only "Self-Esteem Based on Shape and Weight" was significantly associated with the measures assessing psychopathology related to eating disorders. CONCLUSIONS: This study describes restructured factors of the EDE-Q that were tested with undergraduate students. The distinction between two factors, "Fear of Obesity" and "Self-Esteem Based on Shape and Weight", may further the understanding of the psychopathology of the eating disorders of adolescent Japanese subjects to facilitate future developments in research and treatment.
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The EDE-Q has adequate internal consistency and demonstrated convergent validity.
“The internal consistency of the EDE-Q was adequate, and the relationships with other measures demonstrated convergent validity (Mitsui et al., 2017).”
From Feasibility of guided internet-based cognitive behavioral therapy for patients with anorexia nervosa (2022) · cites this paper as Mitsui et al., 2017
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Wang, X., Aizawa, N., Wang, Y., & Omori, M. (2026) · Japanese Psychological Research · doi:10.1111/jpr.70052
- Authors
- Mitsui, T., Yoshida, T., & Komaki, G.
- Affiliations
- Kobe Shinwa Women's University (JP)
- Fukuoka International University of Health and Welfare (JP)
- Corresponding author
- Mitsui, Tomoyo
- Venue
- BioPsychoSocial Medicine
- Published
- 2017-04-04
- Volume
- 11
- Issue
- 1
- Pages
- 9-9
- ISSN
- 1751-0759 (ISSN-L)
- PMC
- PMC5379552
- OpenAlex
- W2597680404
- Cited by
- 43
- References
- 62
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 2 · 2020: 9 · 2019: 3 · 2018: 2
- FWCI
- 4.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BioPsychoSocial Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Japan Society for the Promotion of Science (15H03088)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Eating Disorder Examination Questionnaire, eating disorders, Japanese adolescents, psychometric properties, factor structure, convergent validity, body image concern, eating pathology, undergraduate students
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