Psychometric Properties of Persian Version of the Eating Disorders Screen for Athletes (EDSA)

محورهای موضوعی : Exercise Physiology and Performance

Rokhsareh Badami ¹ (Associate Professor of Motor Behavior, Department of Physical Education and Sport Science, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran, P.O. box: 158/81595)
Mehrali Vosoughi ² (Department of Physical Education and Sports Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran)

تاریخ دریافت : 1402/08/01 تاریخ پذیرش : 1403/02/14 تاریخ انتشار : 1403/03/21

کلید واژه: Athletes, Eating Disorders, Psychometrics, Screen,

چکیده مقاله :

Background: This study pursues two goals: first, presenting Persian translation and cultural adaptation of Eating Disorders Screen for Athletes (EDSA) in accordance with an international standard method, and second, studying factor structure and psychometric properties of EDSA. Methods: A total of 439 athletes aged 18 years and older from various sports all around the country participated in this research. A confirmatory factor analysis was utilized to present the validation of the structure. Internal consistency was also examined using Cronbach's alpha coefficient. Concurrent validity was evaluated using the zero correlation between EDSA and the Eating Disorder Examination Questionnaire (EDE-Q). Receptor Operating Characteristic (ROC) curve analysis based on gender and distinct performance analysis were used to predict the grouping of athletes based on the EDSA cut-off point (3.33 as the optimal cut for men and women) from the benchmark test. The Persian version of the EDE-Q in athletes has a similar factor structure to the English one. The questionnaire's reliability obtained by Cronbach's alpha was 0.744. The correlation between the scores of this questionnaire and the EDE_Q was confirmed. Diagnostic validity for classification of male and female athletes with low and high eating disorders has a significance level of P <0.001, and a cut-off score of 3.25 on EDSA presented an optimal exchange of sensitivity in return for sensitivity in genders. .Results: CStandardized factor loadings ranged between .43 and .81 at the significance level of p = 0.001. Conclusions: The present research indicates the successful translation, development and validation of Persian EDSA as a screening tool to identify male and female athletes at risk for eating disorders. The Persian version of EDSA can be confidently used in Persian language research and applied fields.

چکیده انگلیسی:

منابع و مأخذ:

Ackard, D. M., Fulkerson, J. A., & Neumark-Sztainer, D. (2011). Psychological and behavioral risk profiles as they relate to eating disorder diagnoses and symptomatology among a school-based sample of youth. Int J Eat Disord, 44(5), 440-446. doi:10.1002/eat.20846
Alan Currie*, M., ChB, MPhil, FRCPsych. (2010). Sport and Eating Disorders Understanding and Managing the Risks. Asian Journal of Sports Medicine.
Allen, K. L., Byrne, S. M., Oddy, W. H., & Crosby, R. D. (2013). DSM-IV-TR and DSM-5 eating disorders in adolescents: prevalence, stability, and psychosocial correlates in a population-based sample of male and female adolescents. J Abnorm Psychol, 122(3), 720-732. doi:10.1037/a0034004
American.Psychiatric.Association. (2013). Diagnostic and statistical manual of mental disorders. 5th ed. Arlington:American Psychiatric Publishing.
Association, A. P. (2015). Depressive Disorders: DSM-5® Selections: American Psychiatric Pub.
Black, D. R., Larkin, L. J. S., Coster, D. C., Leverenz, L. J., & Abood, D. A. (2003). Physiologic Screening Test for Eating Disorders/Disordered Eating Among Female Collegiate Athletes. Journal of Athletic Training.
Bratland-Sanda, S., & Sundgot-Borgen, J. (2013). Eating disorders in athletes: overview of prevalence, risk factors and recommendations for prevention and treatment. Eur J Sport Sci, 13(5), 499-508. doi:10.1080/17461391.2012.740504
Byrne, S., & McLean, N. (2001). Eating Disorders in Athletes: A Review of the Literature.
Byrne, S., & McLean, N. (2002). Elite Athletes: Effects of the Pressure to be Thin. Journal of Science and Medicine in Sport.
Christine M. Bonci, Bonci, L. J., Craig L. Johnson, Robert M. Malina, Leslie W. Milne, Randa R. Ryan, & Erin M. Vanderbunt. (2008). National Athletic Trainers’ Association Position Statement: Preventing, Detecting, and Managing Disordered Eating in Athletes.
Christopher G. Fairburn, D., FRCPsych; , Patricia A. Norman, B., Sarah L. Welch, D., MRCPsych; , Marianne E. O'Connor, B., Helen A. Doll, M., & Robert C. Peveler, D., MRCPsych. (1995). A Prospective Study of Outcome in Bulimia Nervosa and the Long-term Effects of Three Psychological Treatments.
Christy Greenleaf, P. D., & Health Promotion. (2002). Athletic Body Image: Exploratory Interviews with Former Competitive Female Athlete.
Claire V. Wiseman, M. A., James 1. Gray, P. D., James E. Mosimann, P. D., & Anthony H. Ahrens, P. D. (1990). Cultural Expectations of Thinness in Women: An Update.
Conrad, F., Johnny Blair, & Elena Tracy. (1999). Verbal Reports Are Data! A Theoretical Approach to Cognitive Interviews. FCSM Conference1999.
Darcy, A. M., Hardy, K. K., Crosby, R. D., Lock, J., & Peebles, R. (2013). Factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in male and female college athletes. Body Image, 10(3), 399-405. doi:10.1016/j.bodyim.2013.01.008
Deborah L. Nagel, David R. Black, Larry J. Leverenz, & Daniel C. Coster. (2000). Evaluation of a Screening Test for Female College Athletes with Eating Disorders and Disordered Eating. Journal of Athletic Training.
DSM.5. (2013). Diagnostic and statistical manual of mental disorders DSM-5 ™. American Psychiatric Association, 21.
Eisenberg, M. E., Berge, J. M., Fulkerson, J. A., & Neumark-Sztainer, D. (2012). Associations between hurtful weight-related comments by family and significant other and the development of disordered eating behaviors in young adults. J Behav Med, 35(5), 500-508. doi:10.1007/s10865-011-9378-9
El Ghoch, M., Soave, F., Calugi, S., & Dalle Grave, R. (2013). Eating disorders, physical fitness and sport performance: a systematic review. Nutrients, 5(12), 5140-5160. doi:10.3390/nu5125140
Forsyth, B. H., & Lessler, J. T. (1991). COGNITIVE LABORATORY METHODS: A TAXONOMY. Measurement errors in surveys. New York: Wiley; 1991.
GARNERl, D. M., & GARFINKEL, P. E. (1980). Socio-cultural factors in the development of anorexia nervosa
. Psychological Medicine.
Hair, J. F., Celsi, M., Ortinau, D. J., & Bush, R. P. (2010). Essentials of marketing research (Vol. 2): McGraw-Hill/Irwin New York, NY.
Hazzard, V. M., Schaefer, L. M., Mankowski, A., Carson, T. L., Lipson, S. M., Fendrick, C., . . . Sonneville, K. R. (2020). Development and Validation of the Eating Disorders Screen for Athletes (EDSA): A Brief Screening Tool for Male and Female Athletes. Psychol Sport Exerc, 50. doi:10.1016/j.psychsport.2020.101745
Herdman, M., Fox-Rushby, & Badia, X. (1997). ‘Equivalence’ and the translation and adaptation of health-related quality of life questionnaires. Quality of Life Research.
Hu, L. t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. doi:10.1080/10705519909540118
Hudson, J. I., Hiripi, E., Pope, H. G., Jr., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry, 61(3), 348-358. doi:10.1016/j.biopsych.2006.03.040
Jorunn Sundgot-Borgen, P., & Monica Klungland Torstveit, M. (2004). Prevalence of Eating Disorders in Elite Athletes Is Higher Than in the General Population. Clinical Journal ofSport Medicine.
Joy, E., Kussman, A., & Nattiv, A. (2016). 2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management. Br J Sports Med, 50(3), 154-162. doi:10.1136/bjsports-2015-095735
Keel, P. K., Haedt, A., & Edler, C. (2005). Purging disorder: an ominous variant of bulimia nervosa? Int J Eat Disord, 38(3), 191-199. doi:10.1002/eat.20179
Keel, P. K., Heatherton, T. F., Dorer, D. J., Joiner, T. E., & Zalta, A. K. (2006). Point prevalence of bulimia nervosa in 1982, 1992, and 2002. Psychol Med, 36(1), 119-127. doi:10.1017/S0033291705006148
L.Glazer, J. (2008). Eating Disorders Among Male Athletes. Current Sports Medicine Reports,.
Laitinen, J., Ek, E., & Sovio, U. (2002). Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med, 34(1), 29-39. doi:10.1006/pmed.2001.0948
Lisa Anderson BSc, Jill-Marie Shaw BSc, & RD, L. M. P. (1997). Physiological effects of bulimia nervosa on the gastrointestinal tract.
Martinsen, M., Holme, I., Pensgaard, A. M., Torstveit, M. K., & Sundgot-Borgen, J. (2014). The development of the brief eating disorder in athletes questionnaire. Med Sci Sports Exerc, 46(8), 1666-1675. doi:10.1249/MSS.0000000000000276
MCCARTHY, M. (1990). THE THIN IDEAL, DEPRESSION AND EATING DISORDERS IN WOMEN. Behaviour Research and Therapy.
McDonald, A. H., Pritchard, M., & McGuire, M. K. (2020). Self-reported eating disorder risk in lean and non-lean NCAA Collegiate Athletes. Eat Weight Disord, 25(3), 745-750. doi:10.1007/s40519-019-00681-0
McNulty, K. Y., Adams, C. H., Anderson, J. M., & Affenito, S. G. (2001). Development and validation of a screening tool to identify eating disorders in female athletes. Journal of the American Dietetic Association, 101(8), 886-892. doi:10.1016/s0002-8223(01)00218-8
Mitchison, D., Hay, P., Slewa-Younan, S., & Mond, J. (2014). The changing demographic profile of eating disorder behaviors in the community. BMC Public Health.
Mountjoy, M., Hutchinson, M., Cruz, L., & Lebrun, C. (2015). Female Athlete Triad Screening Questionnaire. In Female Athlete Triad Coalition.
Mountjoy, M., Sundgot-Borgen, J., Burke, L., Carter, S., Constantini, N., Lebrun, C., . . . Ljungqvist, A. (2014). The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S). Br J Sports Med, 48(7), 491-497. doi:10.1136/bjsports-2014-093502
Murray, S. B., Brown, T. A., Blashill, A. J., Compte, E. J., Lavender, J. M., Mitchison, D., . . . Nagata, J. M. (2019). The development and validation of the muscularity-oriented eating test: A novel measure of muscularity-oriented disordered eating. Int J Eat Disord, 52(12), 1389-1398. doi:10.1002/eat.23144
Murray, S. B., Nagata, J. M., Griffiths, S., Calzo, J. P., Brown, T. A., Mitchison, D., . . . Mond, J. M. (2017). The enigma of male eating disorders: A critical review and synthesis. Clin Psychol Rev, 57, 1-11. doi:10.1016/j.cpr.2017.08.001
Murray, S. B., Rieger, E., Hildebrandt, T., Karlov, L., Russell, J., Boon, E., . . . Touyz, S. W. (2012). A comparison of eating, exercise, shape, and weight related symptomatology in males with muscle dysmorphia and anorexia nervosa. Body Image, 9(2), 193-200. doi:10.1016/j.bodyim.2012.01.008
Nolen-Hoeksema, S. (2011). Abnormal Psychology. McGraw-Hill: New York, NY, USA, 2011, 2011.
O'Doherty, J. P. (2004). Reward representations and reward-related learning in the human brain: insights from neuroimaging. Curr Opin Neurobiol, 14(6), 769-776. doi:10.1016/j.conb.2004.10.016
Picard1, C. L. (1999). The Level of Competition as a Factor for the Development of Eating Disorders in Female Collegiate Athletes.
Plateau, C. R., Arcelus, J., & Meyer, C. (2017). Detecting Eating Psychopathology in Female Athletes by Asking About Exercise: Use of the Compulsive Exercise Test. Eur Eat Disord Rev, 25(6), 618-624. doi:10.1002/erv.2561
Plateau, C. R., Shanmugam, V., Duckham, R. L., Goodwin, H., Jowett, S., Brooke-Wavell, K. S. F., . . . Meyer, C. (2014). Use of the Compulsive Exercise Test With Athletes: Norms and Links With Eating Psychopathology. Journal of Applied Sport Psychology, 26(3), 287-301. doi:10.1080/10413200.2013.867911
Pustivsek, S., Hadzic, V., Dervisevic, E., & Carruthers, J. (2019). Risk for eating disorders and body composition among adolescent female and male athletes and non-athlete controls. Int J Adolesc Med Health, 32(4). doi:10.1515/ijamh-2017-0190
Schaal, K., Tafflet, M., Nassif, H., Thibault, V., Pichard, C., Alcotte, M., . . . Toussaint, J. F. (2011). Psychological balance in high level athletes: gender-based differences and sport-specific patterns. PLoS One, 6(5), e19007. doi:10.1371/journal.pone.0019007
Smink, F. R. E., Hoeken, D. v., Oldehinkel, A. J., & Hoek, H. W. Prevalence and severity of DsM-5 eating disorders in a community cohort of adolescents.
Smolak, L., & Murnen, S. K. (2008). Drive for leanness: assessment and relationship to gender, gender role and objectification. Body Image, 5(3), 251-260. doi:10.1016/j.bodyim.2008.03.004
Song, Y. M., & Lee, K. (2020). Eating behavior and metabolic syndrome over time. Eat Weight Disord, 25(3), 545-552. doi:10.1007/s40519-019-00640-9
Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128(5), 825-848. doi:10.1037/0033-2909.128.5.825
Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol, 122(2), 445-457. doi:10.1037/a0030679
Striegel-Moore, R. H., & Bulik, C. M. (2007). Risk factors for eating disorders. Am Psychol, 62(3), 181-198. doi:10.1037/0003-066X.62.3.181
Styer, D. M., Conviser, J. H., Washburn, J. J., & Aldridge, D. ((2014, March)). Gender differences in quality of life and functional impairment associated with binge eating disorders: A clinical population study. Paper presented at the International Conference on Eating Disorders, New York, NY.
Sundgot-Borgen, J. (2004). Prevalence of Eating Disorders in Elite Athletes Is Higher Than in the General Population. Clinical Journal of Sport Medicine.
Taranis, L., Touyz, S., & Meyer, C. (2011). Disordered eating and exercise: development and preliminary validation of the compulsive exercise test (CET). Eur Eat Disord Rev, 19(3), 256-268. doi:10.1002/erv.1108
Tenforde, A. S., Barrack, M. T., Nattiv, A., & Fredericson, M. (2016). Parallels with the Female Athlete Triad in Male Athletes. Sports Med, 46(2), 171-182. doi:10.1007/s40279-015-0411-y
Torstveit, M. K., Rosenvinge, J. H., & Sundgot-Borgen, J. (2008). Prevalence of eating disorders and the predictive power of risk models in female elite athletes: a controlled study. Scand J Med Sci Sports, 18(1), 108-118. doi:10.1111/j.1600-0838.2007.00657.x
Udo, T., & Grilo, C. M. (2019). Psychiatric and medical correlates of DSM-5 eating disorders in a nationally representative sample of adults in the United States. Int J Eat Disord, 52(1), 42-50. doi:10.1002/eat.23004
Wooldridge, T. (2016). Understanding anorexia nervosa in males: an integrative approach. New York: Routledge; 2016.

اشتراک گذاری

آدرس مقاله

Psychometric Properties of Persian Version of the Eating Disorders Screen for Athletes (EDSA)

سکوی نشر دانش

پیوندهای سایت

مراکز مرتبط

پشتیبانی

صفحات رسمی