Spanish-language Eating Disorder Examination interview: factor structure in Latino/as

Eat Behav. 2012 Dec;13(4):410-3. doi: 10.1016/j.eatbeh.2012.07.006. Epub 2012 Jul 16.

Abstract

Latino/as face health care disparities in eating/weight disorders but are under-represented in treatment research and this is especially the case for Spanish-speaking-only persons. The development of psychometrically-sound assessment methods for Latino/as is needed to facilitate eating/weight research. The current study aimed to evaluate the factor structure of the Spanish-language version of the Eating Disorder Examination (S-EDE) interview, one of the primary assessment methods in studies of eating/weight despite limited data regarding psychometric aspects of this measure. Participants were 156 Spanish-speaking-only Latino/as (mean BMI 33.2; 84.6% classified as overweight) who were reliably administered the S-EDE interview by trained bi-lingual doctoral research-clinicians. Confirmatory factor analysis revealed an inadequate fit for the original EDE structure but revealed a good fit for an alternative structure suggested by recent research. CFA supported an 8-item 3-factor structure; the three factors were interpreted as dietary restraint, shape/weight overvaluation, and body dissatisfaction. These factor analytic findings of the Spanish EDE interview are comparable to recent findings reported for English-speaking obese patient groups and have implications for clinical assessment and research with Latino/as.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Body Image
  • Body Mass Index
  • Factor Analysis, Statistical
  • Feeding Behavior*
  • Feeding and Eating Disorders / diagnosis*
  • Female
  • Hispanic or Latino
  • Humans
  • Male
  • Middle Aged
  • Obesity / diagnosis*
  • Psychometrics
  • Surveys and Questionnaires
  • Translations