Delma S.

Robles
De La Salle-College of Saint Benilde
Semi-structured interview

Self-report questionnaire
Cooper & Fairburn (1987) Eating Disorder
Examination (EDE) interview measures specific
psychopathology of eating disorders including shape
and weight

Eating Disorder Examination Questionnaire (EDE-Q)

Questionnaire version of the full length EDE
interview; same 4 subscales: restraint, eating concern,
shape concern and weight concern
Garner (1995) Eating Disorder Inventory (EDI)
measures attitudes, feelings and behaviors common
to anorexia nervosa and bulimia nervosa

Herman & Polivy (1980) Restraint Scale measures

weight fluctuation and subjective concern for dieting
Comparative Studies
Semi-structured interview

Wilson and Smith (1989)

- better in assessment of bulimia nervosa

Pyle, Halvorson, Newman & Mitchell (1986)

- more accurate on identification of binge eating and
fear of loss of control over eating behaviors
Carter, Aime, & Mills (2001)
- showed higher scores in measuring binge and
vomiting frequencies

Tanofsky-Kraff, Morgan, Yanovski, Marmarosh,

Wilfley & Yanovski (2003)
- more accurate results
Self-report questionnaire

Fairburn & Beglin (1994)

-generated higher scores in the assessment binge
eating and body shape concerns
Wilfley, Schwartz, Spurrell & Fairburn (1997)
- showed greater levels of disturbance
Black & Wilson (1998)
- more efficient in identifying eating disorder
symptoms
Wolk, Loeb, & Walsh (2005)
- generates higher frequencies in assessing binge
eating and other featues such as vomiting and laxative
use
Field, Taylor, Celio & Colditz (2004)
- more substantial results in assessment of bulimic
behaviors among adolescents
Fairburn, C. G., Walsh, T. B. & Sysko, R. (2005)
EDE and EDE-Q yield similar assessments of eating
disorder symptoms and change in symptoms after
intervention
Objective of the Study
To develop and validate a brief self-report
questionnaire that assesses the presence of eating
disorder symptoms and disordered eating patterns of
college women
Participants
258 female college students
Age range 15 to 26 (mean age – 18.42)
Mean height – 5’3”; Mean weight – 118.89
Filipino – 244; Chinese – 6; Japanese – 3;
Filipino-American – 2; American – 1;
Korean – 1; Filipino-German - 1
Measures
Eating Attitudes Test (EAT26)
3 Subscales
Dieting (13 items)
Bullimia and Food Preoccupation (6 items)
Oral Control (7 items)
Eating Behavior Checklist
4 Subscales
Self Starvation (5 items)
Food Restraint (6 items)
Eating Concern (3 items)
Bulimic Behaviors (4 items)
Procedure
EB Checklist and EAT26 were administered
individually and in small groups
Data Analysis
Descriptive statistics (subscales)
Convergent validity
Discriminant validity

Confirmatory Factor Analysis

Results
Table 1 Cronbach’s
N M SD alpha SS FR EC BB Diet BFD OC
Eating Behavior
Checlist
Self-Starvation 258 1.79 1.12 0.8 ---
Food Restraint 258 1.63 0.78 0.65 .55** ---
Eating
Concerns 258 1.29 0.78 0.23 .43** .33** ---
Bulimic .
Behaviors 258 0.31 0.53 0.58 .55** .41** 27** ---
EAT 26
. .
Diet 258 0.53 0.55 0.86 .71** .54** 57** 57** ---
Bulimia/Food . .
Preoccupation 258 0.18 0.34 0.71 .45** .32** 43** 45** .62** ---
. .
Oral Control 258 0.43 0.47 0.64 .25** .45** 23** 30** .43** .45** ---
Discriminant Validity of the EB Checklist and EAT26

M M t-value df P
Eat large amount of
food Yes No

_Self-Starvation 1.97 1.68 2.07* 256 0.04

_Food Restraint 1.69 1.59 0.99 256 0.32

_Eating Concerns 1.57 1.12 4.72** 256 0.00
_Bulimic
Behaviors 0.36 0.28 1.21 256 0.23
_Diet 0.61 0.49 1.75 256 0.08
_Bulimia/Food
Preoccupation 0.25 0.14 2.57** 256 0.01
_OC 0.42 0.43 -0.20 256 0.84
Engaged in Binge
Eating Yes No
Self-Starvation 2.03 1.69 2.26* 256 0.02

_Food Restraint 1.76 1.58 1.71 256 0.09

_Eating Concerns 1.62 1.15 4.66** 256 0.00

_Bulimic
Behaviors 0.42 0.26 2.23* 256 0.03
_Diet 0.70 0.46 3.28** 256 0.00
Bulimia/Food
Preoccupation 0.26 0.15 2.56** 256 0.01
Oral Control 0.48 0.41 1.15 256 0.25
Force Vomited Yes No

_Self-Starvation 2.72 1.70 4.33** 256 0.00

_Food Restraint 2.17 1.58 3.52** 256 0.00

_Eating Concerns 1.41 1.28 0.72 256 0.47

_Bulimic
Behaviors 1.15 0.23 9.11** 256 0.00
_Diet 1.06 0.48 5.04** 256 0.00
_Bulimia/Food
Preoccupation 0.41 0.16 3.51** 256 0.00
_Oral Control 0.64 0.41 2.25* 256 0.03
Pills/Laxatives Yes No

_Self-Starvation 2.75 1.67 5.16** 256 0.00

_Food Restraint 2.14 1.57 3.85** 256 0.00

_Eating Concerns 1.56 1.26 1.99* 256 0.04

_Bulimic
Behaviors 0.80 0.25 5.58** 256 0.00
_Diet 0.89 0.49 3.84** 256 0.00
_Bulimia/Food
Preoccupation 0.19 0.18 0.14 256 0.89
_Oral Control 0.51 0.42 0.99 256 0.32
Treated for
Eating Disorder Yes No

_Self-Starvation 2.30 1.75 1.90 256 0.06

_Food Restraint 1.85 1.62 1.18 256 0.24

_Eating Concerns 1.40 1.29 0.54 256 0.59

_Bulimic
Behaviors 0.52 0.29 1.61 256 0.11
_Diet 0.84 0.51 2.31* 256 0.02
_Bulimia/Food
Preoccupation 0.28 0.17 1.22 256 0.22
_Oral Control 0.50 0.43 0.61 256 0.54
Attempted
Suicide Yes No

_Self-Starvation 2.13 1.75 1.55 256 0.12

_Food Restraint 1.92 1.60 1.94* 256 0.04

_Eating Concerns 1.26 1.30 -0.20 256 0.84

_Bulimic
Behaviors 0.52 0.29 2.06* 256 0.04
_Diet 0.63 0.52 0.95 256 0.34
_Bulimia/Food
Preoccupation 0.19 0.18 0.20 256 0.84
_Oral Control 0.46 0.43 0.31 256 0.76

*p<.05
**p<.01
Findings
Those who starve themselves adopt bulimic behaviors
and eat large amount of food when sad or depressed
Those who engage in binge eating have less control
over food intake
Those who force vomit to lose weight are not
preoccupied with food
Those who take pills and laxatives exhibit less bulimic
behaviors
Those who were treated for eating disorder engage in
dieting
Those who divulged that they have thought or
attempted suicide were found to have bulimic
behaviors and restrained food intake
Descriptive statistics showed that the EB Checklist
measured the factors that it purports to evaluate
Confirmatory Factor Analysis supports the construct
validity of the two instruments.
low internal consistencies of the subscales were found
in the EB Checklist, as influenced by the small
number of items for each subscale
Research Implications
 how far most young women’s self-esteem is attached
to their body weight, shape and size and what dieting
or weight loss techniques they employ that may
adversely affect their health
ways of coping with the pressure of media or society
in achieving the ideal figure
how disordered eating patterns may lead these young
women to other self-destructive behaviors like
drinking, smoking or self-injury