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Table 2 Methodology and results of the validation process of the studies

From: Assessing eating disorder symptoms in low and middle-income countries: a systematic review of psychometric studies of commonly used instruments

First author (Publication year)

Validity methodology

Reliability

Validation results

Reliability results

Tong [29]

Discriminant validity: Anorexia Nervosa (AN)

Bulimia Nervosa (BN)

Individuals without Eating Disorders (EDs)

Method:

Two-tailed independent sample t-test (Mean, Standard Deviation, SD) Diagnostic performance: Anorexia Nervosa (AN) Bulimia Nervosa (BN) Method: Sensitivity Specificity Positive Predictive Values (PPV) Negative Predictive Values (NPV)

Internal consistency: Method:

Cronbach's alpha coefficient Test–retest: Method:

Spearman coefficient

Discriminant validity: AN: Mean: 3.66; SD: 1.30

BN: Mean: 3.60; SD: 1.30 Individuals without EDs: Mean: 0.43; SD: 0.45

P < 0.01

Diagnostic performance: AN

Sensitivity: 94% Specificity: 100% PPV: 100% NPV: 96% BN

Sensitivity: 96% Specificity 100% PPV: 100% NPV: 94%

Internal consistency: Cronbach's alpha coefficient: 0.89 Test–retest:

Spearman coefficient r: 0.88; p < 0.01

Penelo [35]

Convergent validity: Presented by group: Women Men Questionnaire on Influences of Aesthetic Body Ideal Eating Disorder Inventory-2 (EDI-2) Children Eating Attitudes Test (ChEAT) Method:

Pearson correlation coefficient Construct validity: Confirmatory factor analysis: Method:

Maximum likelihood estimation Chi-square statistic/degrees of freedom (χ2/df) Root Mean Square Error of Approximation (RMSEA) Confidence Interval (CI) Comparative Fit Index (CFI) Factor Loading

Measurement Invariance

Model across

Sex

Area of residence

Method:

Equal factor loadings

Item intercepts

Multiple-Indicator Multiple-Cause (MIMC)

Chi-square statistic/degrees of freedom (χ2/df) Root Mean Square Error of Approximation (RMSEA) Confidence Interval (CI) Comparative Fit Index (CFI)

Internal consistency: Method:

Omega coefficient Test–retest: Method:

Intraclass correlation coefficient Cohen’s Kappa coefficient

Convergent validity: Women: Questionnaire on Influences of Aesthetic Body Ideal: r: 0.75

EDI-2: r: 0.71

ChEAT: r: 0.53

p < 0.01 Men: Questionnaire on Influences of Aesthetic Body Ideal: r: 0.43

EDI-2: r: 0.18

ChEAT: r: 0.28

p < 0.01 Construct validity: Confirmatory factor analysis: χ2/df: 1945.85; 205 RMSEA: 0.05 CI 90%: 0.052; 0.056 CFI: 0.89 Factor loadings: All items with factor loadings > 0.30; p < 0.01

Measurement Invariance:

Model equal factor loading:

χ2/df: 2887.616; 880

RMSEA: 0.056 CI90%: 0.054; .058

CFI: 0.875

Model equal intercepts

χ2/df: 3065.523; 940

RMSEA: 0.056 CI 90%: 0.053; 0.058

CFI: 0.867

Internal consistency: Omega coefficient: 0.94 Test–retest: Intraclass correlation coefficients: 0.84 Cohen’s Kappa: 0.56

Becker [32]

Convergent validity: Fijian Body Shape Concern and Dissatisfaction Questionnaire (FBSQ) Questions on Tradition and Change Global School-Based Student Health Survey (GSHS) Method:

Pearson correlation coefficients Construct validity: Exploratory factor analysis: Method: Extraction: Principal axis factoring Rotation: Oblique ProMax Total Variance

Factor Loading

Internal consistency: Method:

Cronbach's alpha coefficients Test–retest: Method:

Intraclass correlation coefficients

Cohen’s kappa coefficient

Convergent validity: FBSQ:

r: 0.53 Questions on Tradition and Change: r: 0.11–0.23

GSHS: r: 0.27–0.41

p < 0.001 Construct validity Exploratory factor analysis: Total Variance: Four factors represent 42% of the total variance

Factor loadings: All items with factor loadings > 0.50, range: 0.7–0.8

Internal consistency: Cronbach's alpha coefficient: Range: 0.66 to 0.81 Test–retest: Intraclass correlation coefficients: 0.50–0.70 Cohen’s kappa coefficient: k: 0.13 to 0.81

Mahmoodi [34]

Convergent validity: Clinical Impairment Assessment (CIA) Binge Eating Scale (BES) Method:

Pearson correlation coefficient Discriminant validity: Underweight students Overweight student Healthy weight student Method:

Univariate Analysis of Variance (Mean, Standard Deviation (SD)

Internal consistency: Method:

Cronbach's alpha coefficients

Convergent validity: CIA: r: 0.34 BES: r: 0.60

p < 0.01 Discriminant validity: Underweight students: Mean: 0.46; SD: 0.65

Overweight student: Mean: 2.35; SD: 1.27 Healthy weight student: Mean: 1.19; SD: 1.06

p < 0.0001

Internal consistency: Cronbach's alpha coefficient: 0.91

Lewis-Smith [28]

Convergent validity: Presented by group: Boys Girls Body Esteem Scale for Adolescents and Adult (BESAA) Method:

Spearman's rank correlation coefficient (rho) Construct validity: Exploratory factor analysis: Method: Rotation: Oblique Guttman-Kaiser Criterion Parallel analysis criterion Factor Loadings Relative Chi-Square (Relative χ2) Root Mean Square Error of Approximation (RMSEA) Comparative Fit Index (CFI) Tucker-Lewis Index (TLI) Standardized Root Mean Square Residual (SRMSR) Confirmatory factor analysis: Method: Relative Chi-Square (Relative χ2) Root Mean Square Error of Approximation (RMSEA) Comparative Fit Index (CFI) Tucker-Lewis Index (TLI) Standardized Root Mean Square Residual (SRMSR)

Measurement Invariance

Boys

Girls

Method:

Multiple Indicators Multiple Causes Models (MIMIC)

Internal consistency:

Method:

Cronbach's alpha coefficients Test–retest: Method: Boys Girls Cohen’s kappa coefficient

Convergent validity: Boys BESAA: rho: 0.61

p < 0.01

Girls BESAA: rho: 0.64

p < 0.01 Construct validity: Exploratory factor analysis: Boys: Guttman-Kaiser Criterion: Two factors with eigenvalues > 1; range: 1.92 and 8.98 Parallel Analysis Criterion: Two factors for the solution Factor Loadings: All items with factor loadings > 0.5 Relative χ2: 2.53 RMSEA: 0.06 CFI: 0.95 TLI: 0.93 SRMR: 0.05 Girls: Guttman-Kaiser Criterion: Three factors eigenvalues with > 1; range: 1.4, 2.4 and 9.96 Parallel Analysis Criterion: Two factors for retention Factor Loadings: All items with factor loadings > 0.5 Relative χ2: 2.16 RMSEA: 0.06 CFI: 0.93 TLI: 0.90 SRMR: 0.04 Confirmatory factor analysis: Relative χ2: 5.5475

RMSEA: 0.06 CFI: 0.95 TLI: 0.94 SRMR: 0.03

Measurement Invariance

Boys and girls

MIMIC: 0.244 to 0.317

Internal consistency:

Cronbach's alpha coefficient: 0.91 Test–retest: Cohen’s kappa coefficient: Range: 0.25–0.74

Unikel Santoncini [30]

Construct validity: Confirmatory factor analysis: Method:

Maximum likelihood Chi-square statistic/degrees of freedom (χ2/df) Root Mean Square Error of Approximation (RMSEA) Comparative Fit Index (CFI) Tucker-Lewis Index (TLI) Standardized Root Mean Residual (SRMR) Factor Loading

Internal consistency: Method:

Cronbach's alpha coefficient

Construct validity: Confirmatory factor analysis: χ2/df: 39; 11; p < 0.001 RMSEA: 0.07; 90% CI: 0.05, 0.10 CFI: 0.99 TLI: 0.98 SRMR: 0.02 Factor Loadings: All items with factor loadings > 0.60; range: 0.66–0.91

Internal consistency: Cronbach's alpha coefficient: 0.9

He [26]

Convergent validity: Eating Attitude Test‑26 (EAT-26) Kessler Psychological Distress Scale (K10) Method:

Pearson correlation coefficients

Construct validity: Confirmatory factor analysis: Method: Chi-square statistic/degrees of freedom (χ2/ df) Comparative Fit Index (CFI) Tucker-Lewis Index (TLI) Root Mean-Square Error of Approximation (RMSEA) with (Confidence Interval 90% CI) Factor Loadings Item response theory: Rasch modeling: Method: Unidimensionality: Principal components analysis: Variance Explained Unexplained Variance Eigenvalue Item calibration: Information weighted ft statistic (inft) Outlier-sensitive ft statistic (outfit) Person separation index Person separation reliability Differential Item Functioning (DIF)

Internal consistency: Method:

Cronbach's alpha coefficient

Test–retest: Method:

Intraclass correlation coefficient

Convergent validity: EAT-26: r: 0.56

K10: r: 0.44

p < 0.01

Construct validity: Confirmatory factor analysis: χ2/df: 1060.34; 54, p < 0.01 CFI: 0.93 TLI: 0.91 RMSEA: 0.14; 90% CI: 0.13–0.14 Factor Loadings: All items with factor loadings > 0.6 Item response theory: Rasch modeling: Unidimensionality: Principal components analysis Variance Explained: 48.9% Unexplained Variance: 9.6% Eigenvalue: 2.25 Item calibration Inft: Range: 0.89 to 1.28 Outfit: Range: 0.84 to 1.31 Person separation index: 2.17 Person separation reliability: 8.13 DIF: Contrast value for item 6 0.67, the rest of the items < 0.55 logits

Internal consistency: Cronbach's alpha coefficient: 0.89

Test–retest: Intraclass correlation coefficient: 0.82

Yucel [31]

Convergent validity: Eating Attitudes Test (EAT) Turkish version of the General Health Questionnaire (GHQ) Body Image Satisfaction Method:

Pearson correlation coefficient

Internal consistency: Method:

Cronbach's alpha coefficients Test-rest: Method:

Pearson correlation coefficient

Convergent validity: EAT: r: 0.49 Turkish version of the GHQ: r: 0.41

BIS: r: −0.25

p < 0.001

Internal consistency: Cronbach's alpha coefficient: 0.93 Test–retest: Pearson correlation coefficient: r: 0.91; p < 0.001

Ramli [36]

Construct validity: Confirmatory factor analysis: Method: Rotation: Varimax Keiser value Eigenvalues Total Variance Factor loading

Internal consistency: Method:

Cronbach's alpha coefficients

Construct validity: Confirmatory factor analysis: Keiser value: 0.89 Eigenvalues: Four factors with eigenvalues > 1 Total Variance: Four factors explained 59% of the total variance Factor loading: 21 of the 26 items with factor loadings < 0.3; range: 0.3–0.8

Internal consistency: Cronbach's alpha coefficient: 0.87

Mohd Taib [27]

Convergent validity: Eating Attitudes Test (EAT)

World Health Organization Quality of Life Brief (WHOQL) Method:

Pearson correlation coefficient

Construct validity: Exploratory factor analysis: Method: Extraction: principal axis factoring Rotation: Oblique Eigenvalue Total variance Factor loadings

Internal consistency: Method:

Cronbach's alpha coefficient Test–retest: Method:

Pearson

correlations coefficient

Convergent validity: EAT: r: 0.53

WHOQL: r: 0.27

p < 0.01 Construct validity: Exploratory factor analysis: Eigenvalue: Four factors with eigenvalue > 1; range 1.1–9.4 Total variance: Four factors explained 63% of the total variance Factor loadings: 27 of the 28 items with factor loadings in all factors < 0.3; range: 0.3–0.9

Internal consistency: Cronbach's alpha coefficient: 0.93 Test–retest: Pearson correlation:

coefficient: r: 0.83

p < 0.01

Compte [33]

Construct validity: Confirmatory factor analysis: Presented by group: College students Weightlifter Cross-fit Rugby players Method:

Robust maximum likelihood estimation Chi-square statistic/degrees of freedom (χ2/df) Comparative Fit Index (CFI) Tucker–Lewis Index (TLI) Standardized Root Mean Square Residual (SRMSR) Root Mean Square Error of Approximation (RMSEA); (Confidence Interval 90% (CI)

Measurement Invariance

Configural invariance

Metric invariance

Scalar invariance

Method:

Δ Comparative Fit Index (CFI)

Δ Root Mean Square Error of Approximation (RMSEA)

Δ Standardized Root Mean Square Residual (SRMR)

Internal consistency: Presented by group: College students Weightlifter Cross-fit Rugby players Method:

Omega coefficients (Confidence Interval 95% (CI)

Construct validity: Confirmatory factor analysis: College students: χ2/df: 2.17 CFI: 0.96 TLI: 0.94 SRMSR: 0.04 RMSEA: 0.07; CI 90%: 0.05, 0.09 Weightlifters: χ2/df: 2.55 CFI: 0.94 TLI: 0.92 SRMSR: 0.04 RMSEA: 0.08; CI 90%: 0.05, 0.10 Cross fit: χ2/df: 1.82 CFI: 0.95 TLI: 0.93 SRMSR: 0.05 RMSEA: 0.06; CI 90%: 0.04, 0.10 Rugby: χ2/df: 2.57 CFI: 0.91 TLI: 0.87 SRMSR: 0.05 RMSEA: 0.09; CI 90%: 0.06, 0.11

Measurement Invariance

Configural vs Metric:

ΔCFI: 0.003

ΔRMSEA: 0.008

ΔSRMR: 0.024

Metric vs Scalar:

ΔCFI: 0.003

ΔRMSEA: 0.005

ΔSRMR: 0.002

Internal consistency: Omega coefficients: College students: 0.91; CI 95%: 0.88, 0.93 Weightlifter: 0.86; CI 95%: 0.82, 0.89 Cross-fit: 0.86; CI 95%: 0.82, 0.91 Rugby players: 0.86; CI 95%: 0.82, 0.90

Unikel Santoncini [37]

Convergent validity: Symptom checklist Coopersmith Self Esteem Inventory (CSEI) Method:

Pearson correlation coefficient Construct validity: Exploratory factor analysis: Method: Extraction: Principal components analysis Rotation: Varimax Eigenvalues Total Variance Factor Loadings

Internal consistency: Method:

Cronbach's alpha coefficients

Convergent validity: Symptom check list: r: 0.45–0.71 CSEI: r: −0.63

p < 0.01 Construct validity: Exploratory factor analysis: Eigenvalue: Six factors with eigenvalues > 1; range: 1.2–9.9 Total Variance: Six factor explained 56% of the total variance Factor Loadings: All items with factor loadings > 0.50; range: 0.51–0.80

Internal consistency: Cronbach's alpha coefficient: 0.93

García-García [38]

Diagnostic performance: Method: Sensitive cut-off point Sensitivity (Confidence Interval 95% CI) Specificity (Confidence Interval 95% CI) Positive Predictive Value (PPV) Negative Predictive Value (NPV) Specific cut-off point

Internal consistency: Method:

Cronbach's alpha coefficient

Diagnostic performance: Sensitive cutoff point: 80% Sensitivity: 91%; CI 95%: 69 a 98 Specificity: 80%; CI 95%: 58 to 92 PPV: 82% NPV: 87% Specific cutoff point: 105% Sensitivity: 81%; CI 95%: 59 to 94 Specificity: 89%; CI 95%: 70 to 97 PPV: 85% NPV: 84%

Internal consistency: Cronbach's alpha coefficient: 0.85

Dadgostar [40]

Content validity: Method: Content Validity Index Validity index for clarity Validity index for relevancy Comprehensiveness of the survey

Internal consistency: Method:

Cronbach's alpha coefficient Test–Retest: Method:

Intraclass correlation coefficient

Content validity: Validity index for clarity: 0.91; 89 items out of 91 Validity index for relevancy: 0.89; 87 items out of 91 Comprehensiveness of the survey: 100%

Internal consistency: Cronbach's alpha coefficients: Range: 0. 6–0.8

Test–retest: Intraclass correlation coefficient: Range: 0.69–0.71

Rutsztein [39]

Construct validity: Exploratory factor analysis: Eating Disorder Risk Scale Scales of psychological characteristics Method: Extraction: Maximum likelihood Rotation: Promax Bartlett's test Kaiser–Meyer–Olkin coefficient (KMO) Eigenvalues Total Variance

Internal consistency: Method:

Cronbach's alpha coefficient

Construct validity: Exploratory factor analysis: Eating Disorder Risk Scale: Bartlett's test: χ2: 902.567 g.l.: 300; p < 0.01 KMO: 0.93 Eigenvalue: Three factors with eigenvalue > 1; range: 1.6–9.047 Total Variance: Three factor explained 53% of the total variance Scales of psychological characteristics: Bartlett's test: χ2: 16,851.928; g.l.: 208; p < 0.01 KMO: 0.91. Eigenvalues: Eight factors with eigenvalue > 1; range: 1.5–12.39 Total Variance: Eight factor explained 44% of the total variance

Internal consistency: Cronbach's alpha coefficient: Range: 0.63–0.97

Savaşır [25]

Construct validity: Exploratory factor analysis: Method: Extraction: principal component analysis Total variance Factor loadings

Internal Consistency: Method:

Cronbach's alpha coefficient

Construct validity: Exploratory factor analysis: Total variance: Four factors explained 59% of the total variance Factor loadings: 13 of the 40 items with factor loadings > 0.30; range: 0.35–0.73

Internal consistency: Cronbach's alpha coefficient: 0.70

Nasser [41]

Construct validity: Confirmatory Factor Analysis: Method:

Orthogonal structure

Rotation: Varimax

Screen Test with eigenvalues Total Variance Factor Loadings

Internal consistency: Internal validity of each factor: Factor dieting Factor bulimia and food preoccupation Factor oral control Method:

Cronbach's alpha coefficient

Construct Validity: Confirmatory Factor Analysis: Scree plot with eigenvalues: Three factors with eigenvalues > 1; range:1.01–3.54 Total variance: Three factors explained 54,2% of the total variance Factor loadings: 15 of the 26 items presented factor loadings > 0.40; range: 0.40–0.99

Internal consistency: Cronbach's alpha coefficient: Range: 0.2–0.8

Alvarez-Rayón [44]

Discriminant validity: Individuals with Eating Disorders (EDs) Control Group Method:

Mean, Standard Deviation SD Construct validity: Exploratory factor analysis: Method: Rotation: Varimax Criterion of Eigenvalue Total Variance Factor Loadings Diagnostic performance: Method: Cut-off Sensitivity Specificity

Positive Predictive Value (PPV)

Negative Predictive Value (NPV)

Internal consistency: Method:

Cronbach's alpha coefficient

Discriminant validity: Individuals with EDs: Mean: 49.1; SD: 11.3 Control Group: Mean: 15.5; SD: 5.0

p ≤ 0.0001 Construct validity: Exploratory factor analysis: Criterion of Eigenvalue: Five factors with eigenvalue > 1; range: 1.5–9.4 Total Variance: Five factors explained 46% of the total variance Factor Loadings: 25 of the 40 items with factor loadings > 0.30; range: 0.41–0.84 Diagnostic performance: Cut-off: 26 Sensitivity: 83% Specificity: 91%

PPV: 16.3%

NPV: 9.3%

Internal consistency: Cronbach's alpha coefficient: 0.93

Nunes [45]

Diagnostic performance: Method: Cut-off point Sensitivity Specificity Positive Predictive Value (PPV) Negative Predictive Value (NPV)

Internal consistency:

Method:

Cronbach's alpha coefficient

Diagnostic performance: Cut-off point ≥ 21 Sensitivity: 40% Specificity: 84% PPV: 14% NPV: 95%

Internal consistency: Cronbach's alpha coefficient: 0.75

Fortes [46]

Convergent validity: Body Shape Questionnaire (BSQ) Method:

Spearman Rank correlation Discriminant validity: Anthropometric data: Low weight

Normal weight

Overweight

Obese Method:

ANOVA one-way (Mean; Standard Deviation, (SD) Construct validity: Exploratory factor analysis Method: Extraction: Principal components analysis Rotation: Oblimin Bartlett's Test Kaiser–Meyer–Olkin coefficient (KMO) Total Variance Factor Loadings

Internal consistency: Method:

Cronbach's alpha coefficient Test–retest: Method:

Intraclass correlation coefficient

Convergent Validation: BSQ: r-spearman: 0.50

p < 0.01 Discriminant validaty: Low weight: Mean: 10.5; SD: 3.9

Normal weight: Mean: 13.4; SD: 1.2

Overweight: Mean: 14.8; SD: 2.6

Obese: Mean: 21.1; SD: 4.2

p < 0.05 Construct validity: Exploratory factor analysis: Bartlett's Test: 3567; p < 0.01 KMO: 0.92 Total Variance: A single factor was responsible for explaining 32.8% of the total variance. Factor Loadings: 24 of the 26 items with factor loadings > 0.30-range: 0.34–0.73

Internal consistency: Cronbach's alpha coefficient: 0.88 Test–retest: Intraclass correlation coefficient: 0.93; p < 0.01

Kang [48]

Convergent validity Eating Disorder Inventory (EDI) Method:

Pearson correlation coefficient Diagnostic performance: Method: A receiver operating characteristic Area under the curve (AUC) Sensitivity Specificity Youden Index (YI)

Internal consistency:

Method:

Cronbach's alpha coefficient Test–retest: Method:

Interclass correlation coefficient

Convergent validity: EDI: r: 0.45–0.75

p < 0.001 Diagnostic performance: Cut-off: 15 AUC: 0.83; 95% CI: 0.80–0.81 Sensitivity: Range: 0.66 to 0.68 Specificity: Range: 0.85–0.86 YI: 0.52

Internal consistency: Cronbach's alpha coefficient: Range: 0.82–0.92 Test–retest: Interclass correlation coefficient: 0.81

Constaín [49]

Construct validity: Exploratory factor analysis: Method: Extraction: Principal components analysis Rotation: Varimax Correlation matrix Bartlett's test Kaiser–Meyer–Olkin coefficient (KMO) Eigenvalue Total variance Factorial loadings Diagnostic performance: Method:

ROC Curves (receiver operating characteristic)

Area under the curve (AUC) Sensitivity Specificity Positive Predictive Value (PPV) Negative Predictive Value (NPV) + Likelihood Ratio (+ LR)—Likelihood Ration (-LR) (Confidence Interval 95% CI)

Internal consistency: Method:

Cronbach's alpha coefficient

Construct validity: Exploratory factor analysis: Correlation matrix: 0.000000291 Bartlett's test: 2.46.48; p < 0.0001 KMO: 0.90 Eigenvalue: Four factors with > 1 Total Variance: Four factors represent 66% of the total variance. Factorial loadings: All items with factorial loadings > 0.50; range: 0.55 to 0.85 Diagnostic performance: Cut-off value ≥ 11

AUC: 97.3% (z = 20.7, p < 0,0001) Sensitivity: 100%; CI 95%: 86.3–100% Specificity: 85.6%; CI 95%: 77.6–91.5% PPV: 61%; CI 95%: 44.5–75.8 NPV: 100%; CI 95%: 96.2–100.0% + LR: 6.9%; CI 95%: 4.4–10.9%-LR: 0.0%

Internal consistency: Cronbach's alpha coefficient: 0.92

Constaín [50]

Construct validity: Exploratory factor analysis: Method: Extraction: Principal components analysis Rotation: Varimax Bartlett's test Kaiser–Meyer–Olkin coefficient (KMO) Eigenvalue Total variance Factor loadings Diagnostic performance: Method:

ROC Curves (receiver operating characteristic)

Area under the curve (AUC Sensitivity Specificity Positive Predictive Value (PPV) Negative Predictive Value (NPV) + Likelihood Ratio (+ LR)—Likelihood Ration (-LR) (Confidence Interval 95% CI)

Internal consistency: Method:

Cronbach's alpha coefficient

Construct validity: Exploratory factor analysis: Bartlett's test: 325; p < 0.0001 KMO: 0.78 Eigenvalue: Four factors with eigenvalue > 1 Total variance: Four factors represent 56.4% of the total variance. Factor loadings: All items with factor loadings > 0.50; range: 0.44–0.79

Diagnostic performance: Cut-off value ≥ 21

AUC: 99.9% (z = 142.3; p < 0,0001) Sensitivity: 100%; CI 95%: 86.3–100% Specificity: 85.6%; CI 95%: 79.3–100% PPV: 93%; CI 95%: 72.0 -98.9% NPV: 100%; CI 95%: 96.0–100.0% + LR: 46.5%; CI 95%: 45.1–47.9% -LR: 0.0%

Internal consistency: Cronbach's alpha coefficient: 0.89

Erguney-Okumus [51]

Convergent validity: Eating Attitude Test-40 (EAT-40) Brief Symptom Inventory (BSI) Eating Disorder Rating Scale Method:

Pearson correlation coefficient

Construct validity: Exploratory Factor Analysis: Method: Rotation: Oblique Bartlett's test Kaiser–Meyer–Olkin coefficient (KMO) Eigenvalue Total variance Factor loadings Confirmatory factor analysis: Method:

Robust maximum likelihood estimation Chi-square statistic/degrees of freedom (χ2/df) Comparative Fit Index (CFI) Goodness-of-Fit Index (GFI) Standardized Root Mean Square Residual (SRMSR) Root Mean Square Error of Approximation (RMSEA)

Internal consistency: Method:

Cronbach's alpha coefficient Test–retest: Method:

Pearson correlation coefficient

Convergent validity: EAT-40: r: 0.48

BSI: r: 0.22

Eating Disorder Rating Scale: r: 0.65

p < 0.001 Construct validity: Exploratory factor analysis: Bartlett's test: 325; p < 0.001 KMO: 0.88 Eigenvalue: Three factors with eigenvalues > 1 Total variance: Three factors explained 38.5% of the total variance Factor loadings: All items with factor loadings > 0.30; range: 0.31 to 0.80 Confirmatory factor analysis: χ2/df: 2.92 CFI: 0.84 GFI: 0.89 SRMR: 0.08 RMSEA: 0.07

Internal consistency: Cronbach's alpha coefficient: Range: 0.62–0.85 Test–retest: Pearson correlation coefficient: r: 0.78; p < 0.001

Kaewporndawan [47]

Content validity: Method:

Content validity index Item total correlation coefficient

Discriminant validity: Individuals with Eating Disorders (EDs) Control group Method: (Independent sample test-t); Mean, Standard Deviation, SD Diagnostic performance: Method: Area Under the Curve (AUC) Cut-off Sensitivity Specificity Positive Predictive Value (PPV) Negative Predictive Value (NPV)

Positive Likelihood Ratio (+ LR) Negative Likelihood Ratio

(-LR)

Not Applicable

Content validity: Item total correlation coefficient: 25 of the 26 items were > 0.5, except for question 26 of 0.82

Discriminant validity: Individuals with EDs: Mean: 30.4; SD: 15.7

Control group: Mean: 6.5; SD: 5.9

p < 0.001 Diagnostic performance: AUC: 0.93 Cut-off point: 12 Sensitivity: 71% Specificity: 94% PPV: 92% NPV: 76% + LR: 11.8 -LR: 0.31

Not Applicable

Haddad [42]

Construct validity: Exploratory factor analysis: Method: Extraction: principal component analysis Rotation: Promax Bartlett's test of sphericity Kaiser–Meyer–Olkin coefficient (KMO) Eigenvalue Total Variance Confirmatory factor analysis: Method: Maximum likelihood Relative chi-square (χ2/df) Root Mean Square Error of Approximation (RMSEA) Goodness of Fit Index (GFI)

Adjusted Goodness of Fit Index (AGFI)

Internal consistency: Method:

Cronbach's alpha coefficient

Construct validity: Exploratory factor analysis: Bartlett's test of sphericity: p < 0·001 KMO: 0·91 Eigenvalue: Six factors with eigenvalues > 1 Total variance: Six factors explained 60% of the total variance

Confirmatory Factor Analysis: Method: Maximum likelihood χ2/df: 2.4 RMSEA: 0.13 GFI: 0.76 AGFI: 0.71

Internal consistency: Cronbach's alpha coefficient: 0.89

Ahmadi [43]

Convergent validity: Binge Eating Scale (BES)

Beck Depression Inventory-II (BDI-II) Beck Anxiety Inventory (BAI) Method: Bonferroni correction Discriminant validity: Method:

Individuals who are currently on a diet Individuals who have never been on a diet Method:

Multivariate analysis of variance (Mean; Standard Deviation; SD)

Construct validity: Exploratory factor analysis: Method: Extraction: Principal component analysis Rotation: Varimax Bartlett's test Kaiser–Meyer–Olkin coefficient (KMO) Eigenvalue Total Variance Factor Loadings

Internal consistency: Method:

Polychoric ordinal alpha Test–retest: Method:

Pearson correlation

coefficient

Convergent validity: BES: r: 0.46

BDI-II: r: 0.19

BAI: r: 0.26

p < 0.001 Discriminant validity:

Individuals who are currently on a diet: Mean: 20.4; SD: 1.1 Individuals who have never been on a diet: Mean: 8.8; SD: 0.5

p < 0.001 Construct validity: Exploratory factor analysis: Bartlett's test: 3.977.12; p < 0.0001 KMO: 0.82 Eigenvalue: Five factors with eigenvalue > 1; range 1.26–5.7 Total Variance: Five factors represent 50% of the total variance. Factor Loadings: All items with factor loadings > 0.30; range: 0.33–0.87

Internal consistency: Polychoric ordinal alpha: Range: 0.76–0.92 Test–retest: Pearson correlation coefficient: Range: 0.26–0.64

Pinhero [52]

Construct validity: Exploratory factor analysis: Method: Extraction: Principal components analysis Rotation: Varimax Bartlett’s test Kaiser–Meyer–Olkin coefficient (KMO) Scree plot with eigenvalues Total Variance Factor Loadings

Internal consistency: Method:

Cronbach's alpha coefficient

Construct validity: Exploratory factor analysis: Bartlett’s test: 0.003 KMO: 0.70 Scree plot with eigenvalues: Three factors with eigenvalues > 1 Total Variance: Three factors explained 33% of the total variance Factorial Loadings: All items with factor loadings > 0.30; range: 0.35–0.81

Internal consistency: Cronbach's alpha coefficient: 0.69

  1. AGFI Adjusted Goodness of Fit Index, AN Anorexia Nervosa, AUC Area Under the Curve, BAI Beck Anxiety Inventory, BDI-II Beck Depression Inventory-II, BES Binge Eating Scale, BSI Brief Symptom Inventory, BESAA Body Esteem Scale for Adolescents and Adult, BN Bulimia Nervosa, ChEAT Children Eating Attitudes Test, CIA Clinical Impairment Assessment, CI Confidence Interval, CFI Comparative Fit Index, DIF Differential Item Functioning, EAT-40 Eating Attitude Test-40, EDs Eating disorders, EDI-2 Eating Disorder Inventory-2, FBSQ Fijian Body Shape Concern and Dissatisfaction Questionnaire, GFI Goodness of Fit Index, GSHS Global School-Based Student Health Survey, KMO Kaiser–Meyer–Olkin coefficient, K10 Kessler Psychological Distress Scale, + LR Positive Likelihood Ratio, −LR Negative Likelihood Ratio, MIMC Multiple Indicators Multiple Causes Models, NPV Negative Predictive Value, PPV Positive Predictive Value, RMSEA Root Mean Square Error of Approximation, ROC receiver operating characteristic, SD Standard Deviation, SRMSR Standardized Root Mean Square Residual, TLI Tucker–Lewis Index, outfit Outlier-sensitive ft statistic, χ2/df Relative chi-square χ2/df Chi-square statistic/degrees of freedom; inft Information weighted ft statistic, WHOQL World Health Organization Quality of Life Brief, YI Youden Index