Psychometric properties of the Chinese version of the Eating Attitudes Test (EAT-26) in young female patients with eating disorders in mainland China

Kang, Qing, Chan, Raymond C.K., Li, Xiaoping, Arcelus, Jon, Yue, Ling, Huang, Jiabin, Gu, Lian, Fan, Qing, Zhang, Haiyin, Xiao, Zeping and Chen, Jue (2017) Psychometric properties of the Chinese version of the Eating Attitudes Test (EAT-26) in young female patients with eating disorders in mainland China. European Eating Disorders Review, 25 (6). pp. 613-617. ISSN 1099-0968

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The study aimed to investigate the reliability and validity of the Chinese version of the eating attitudes test (EAT-26) among female adolescents and young adults in Mainland China. This scale was administered to 396 female eating disorder patients and 406 noneating disorder healthy controls, in addition 35 healthy controls completed a retest after a 4-week intervals. Tests for reliability, convergent validity and receiver operating characteristic analysis were performed to detect the psychometric properties. The EAT-26 demonstrated good internal consistency (Cronbach's alpha = 0.822–0.922), test–retest reliability (interclass correlation coefficient = 0.817) and convergent validity(r = 0.450–0.750). The receiver operating characteristic analysis showed that the cut-off 14 for anorexia nervosa and 15 for bulimia nervosa represented good compromises with approximate sensitivity (0.66–0.68) and specificity (0.85–0.86). Our findings provided evidence that the Chinese version of the EAT-26 was a psychometrically reliable and valid self-rating instrument for identifying people suffering from an eating disorder in Mainland China. A clinical cut-off range between 14 and 15 could be used, but caution should be exercised because of the low sensitivity of the tool.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Kang, Q., Chan, R. C. K., Li, X., Arcelus, J., Yue, L., Huang, J., Gu, L., Fan, Q., Zhang, H., Xiao, Z., and Chen, J. (2017) Psychometric Properties of the Chinese Version of the Eating Attitudes Test in Young Female Patients with Eating Disorders in Mainland China. Eur. Eat. Disorders Rev., doi: 10.1002/erv.2560. which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Keywords: EAT-26; eating disorder; psychometric properties; cutoff; Mainland China
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
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Depositing User: Eprints, Support
Date Deposited: 21 Sep 2017 13:46
Last Modified: 04 May 2020 19:11

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