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Table 2 Description of studies

From: Psychometric properties of self-report measures of eating disorder cognitions: a systematic review

Measure/study

Development Study

Factor analysis

Study population(s) and sample size(s)

Mean age (SD)

Sex ratio (% female)

Beliefs About Appearance Questionnaire

(BAAS)

Spangler and Stice [82]

No

PCA and CFA indicated a one-factor model

University Sample 1 = 462

University Sample 2 = 117

64% aged 18–21

Age range 17–29

53%

100%

Bulimic Automatic Thoughts Test

(BATT)

Franko and Zuroff [31]

No

No factor analysis performed

BN = 64

Depressed college = 20

Non-binge obese = 20

Control college = 20

25.20 (?)

20.60 (?)

20.60 (?)

20.60 (?)

?

?

?

?

Body Checking Cognitions Scale

(BCCS)

Mountford et al. [60]

Yes

PCA and CFA indicated a four-factor model:

1. Objective verification beliefs

2. Reassurance beliefs

3. Safety beliefs

4. Body control beliefs

Non-clinical = 180

Clinical ED = 84

22.40 (6.64)

28.30 (8.69)

100%

100%

Bulimia Cognitive Distortions Scale

(BCDS)

Bonifazi et al. [7]

No

No factor analysis performed

BN = 15

Restrained eaters = 15

Control = 15

20.10 (2.20)

19.50 (2.60)

19.40 (1.30)

100%

100%

100%

Schulman et al. [80]

Yes

EFA indicated two-factor model:

1. Cognitive distortions associated with automatic eating behaviours

2. Cognitive distortions associated with physical appearance

BN = 55

Control = 55

24.50 (?)

22.60 (?)

100%

100%

Bulimic Thoughts Questionnaire

(BTQ)

Phelan [68]

Yes

CFA indicated a three-factor model:

1. Self-schema

2. Self-efficacy

3. Salient beliefs

BN = 31

Obese = 20

Control = 22

N/A (‘college’)

100%

Eating Beliefs Questionnaire

(EBQ)

Burton et al. [12]

No

CFA indicated a two-factor model:

1. Positive beliefs about eating

2. Negative Beliefs about eating

Community = 290

University = 283

BE = 76

Obese = 120

27.54 (9.57)

20.23 (4.80)

35.97 (17.68)

42.32 (9.51)

67.9%

52.3%

100%

58%

Burton et al. [14]

No

No factor analysis performed

BN = 38

BED = 36

Control = 114

23.08 (4.45)

49.72 (16.35)

29.12 (10.34)

100%

100%

70.2%

Eating Beliefs Questionnaire 18

(EBQ-18)

Burton and Abbott [10]

No

EFA indicated and CFA supported a three-factor model:

1. Positive beliefs about eating

2. Negative beliefs about eating

3. Permissive beliefs about eating

University = 907

20.38 (4.88)

72%

Burton et al. [13]

No

CFA supported a three-factor model as in Burton and Abbott [10]

Total sample = 688

25.38 (11.82)

63.1%

Eating Disorder Beliefs Questionnaire

(EDBQ)

Cooper et al. [18]

Yes

PCA indicated a four-factor model:

1. Negative self-beliefs

2. Weight and shape as a means of acceptance by others

3. Weight and shape as a means to self-acceptance

4. Control over eating

Study 1: Non-clinical = 249

20.90 (?)

100%

Bergin and Wade [6]

No

CFA supported four-factor model as in Cooper et al. [18]

Non-clinical = 298

BN = 44

24.00 (9.65)

27.00 (7.76)

100%

97.7%

Eating Disorder Core Beliefs Questionnaire

(ED-CBQ)

Fairchild and Cooper [28]

Yes

EFA indicated five-factor model:

1. Self-loathing

2. Unassertive/inhibited

3. High standards for self

4. Demanding/in need of help and support

5. Abandoned/deprived

Non-clinical = 500

26.25 (8.70)

100%

Eating Disorder Core Beliefs Questionnaire Revised

(ED-CBQ-R)

Hatoum et al. [40]

No

CFA indicated four-factor model:

1. Self-loathing

2. Unassertive/inhibited

3. Demanding/in need of help and support

4. Abandoned/deprived

Non-clinical = 763

19.21 (3.21)

71%

Hatoum et al. [41]

No

CFA supported four-factor model as in Hatoum et al. [40]

Non-clinical = 283

20.23 (4.80)

52.3%

Eating Disorder Inventory—Body Dissatisfaction Subscale

(EDI [BD])

Garner et al. [36]

Yes

No factor analysis performed

AN Restrictors = 48

AN Bulimics = 65

Non-clinical 1 = 577

Non-clinical 2 = 166

Normal weight bulimic = 195

Obese = 44

Formerly obese = 52

Recovered anorexic = 17

21.00 (?)

22.40 (?)

19.90 (?)

20.30 (?)

20.80 (?)

32.50 (?)

36.70 (?)

23.90 (?)

100%

100%

100%

0%

100%

100%

100%

?

Cooper et al. [19]

No

No factor analysis performed

Psychiatric outpatients = 27

N/A (Range 17–39)

100%

Gross et al. [38]

No

No factor analysis performed

Bulimia = 82

24.30 (?)

100%

Raciti and Norcross [71]

No

PCA supported the hypothesised eight-factor model

(including the body dissatisfaction subscale)

Non-clinical = 268

18.00 (0.78)

100%

Wear and Pratz [95]

No

No factor analysis performed

University = 70

N/A (‘University’)

75.7%

Welch et al. [96]

No

PCA indicated a three-factor model, not supporting the eight original EDI subscales

(body dissatisfaction subscale not indicated as a separate factor/subscale)

University 1 = 

University 2 = 

Aerobic dancers = 142

20.00 (?)

21.00 (?)

26.00 (?)

?

?

?

tt et al. (1990)

No

No factor analysis performed

AN = 65

General psychiatric = 69

Bulimia = 66

23.00 (7.00)

31.00 (6.30)

26.10 (5.70)

100%

100%

100%

Klemchuk et al. [47]

No

PCA indicated a six-factor model, not supporting the eight original EDI subscales

(body dissatisfaction subscale not indicated as a separate factor/subscale)

University 1 = 621

University 2 = 636

University 3 = 249

18.30 (1.00)

18.80 (0.70)

20.60 (0.80)

100%

100%

100%

Schaefer et al. [79]

No

EFA indicated a five-factor model, not supporting the eight original EDI subscales

(including the body dissatisfaction subscale)

BN subsample = 48

EDNOS subsample = 17

Total ED sample = 79

24.40 (4.00)

29.00 (7.77)

? (?)

100%

100%

100%

Eating Disorder Inventory II—Body Dissatisfaction Subscale

(EDI-II [BD])

Tasca et al. [86]

No

CFAs supported a second-order two factor structure for the original EDI scales in the BED sample but not the BN sample

CFAs did not support the hypothesised two-factor structure in either sample

BED = 144

BN Purging = 152

41.97 (12.35)

29.39 (8.80)

100%

100%

Spillane et al. [83]

No

CFA supported the hypothesised eight-factor structure, and provided evidence for invariance of body dissatisfaction subscale across gender

University 1 = 215

University 2 = 214

18.48 (1.07)

18.83 (1.15)

100%

0%

Reilly et al. [72]

No

No factor analysis performed

University = 529

N/A (‘University’)

55.4%

Eating Disorder Inventory III—Body Dissatisfaction Subscale

(EDI-III [BD])

Kashubeck-West et al. [46]

No

CFA did not support one-factor structure hypothesised for the body dissatisfaction subscale

EFA suggested a two-factor model:

1. Stomach sizes

2. Thighs, hips, butt

University = 278

29.04 (9.35)

100%

Cordero et al. [22]

No

EFA using the ‘eating disorder risk composite’ subscales supported the hypothesised three-factor model:

1. Drive for thinness

2. Bulimia

3. Body dissatisfaction*

University = 248

20.30 (4.50)

97.6%

Stein et al. [85]

No

No factor analysis performed

University = 477

19.80 (2.40)

100%

Belon et al. [4]

No

CFA using the ‘eating disorder risk composite’ subscales supported the hypothesised three-factor model in the full sample:

1. Drive for thinness

2. Bulimia

3. Body dissatisfaction*

Measurement invariance not supported in subsamples for the body dissatisfaction subscale (Caucasian and Hispanic subsamples)

University = 688

20.40 (3.50)

100%

Rothstein et al. [74]

No

CFA using the ‘eating disorder risk composite’ subscales supported the hypothesised three-factor model in European American subsample

1. Drive for thinness

2. Bulimia

3. Body dissatisfaction*

A follow-up EFA using the ‘eating disorder risk composite’ subscales indicated a four-factor model in African American subsample:

1. Drive for thinness

2. Bulimia

3. Body dissatisfaction*

4. Body satisfaction

African American = 104

European American = 197

29.03 (11.37)

27.30 (9.82)

100%

Forbush et al. [30]

No

No factor analysis performed

University = 227

19.80 (3.00)

58.2%

Eating Expectancy Inventory

(EEI)

Williams-Kerver et al. [99]

No

CFA supported the hypothesised five-factor model:

1. Eating helps manage negative affect

2. Eating is pleasurable and useful as a reward

3. Eating leads to feeling out of control

4. Eating enhances cognitive competence

5. Eating alleviates boredom

Bariatric = 262

45.30 (12.80)

100%

Functions of Binge Eating Scale

(FBES)

O’Loghlen et al. [62]

Yes

EFA and CFA indicated an eight-factor model:

1. Self-protection

2. Compensatory eating

3. Hedonic hunger

4. Emotional regulation

5. Control

6. Self-punishment

7. Emotion expression

8. Numbness/dissociation

Non-clinical = 882

28.52 (9.55)

76.6%

Irrational Food Beliefs Scale

(IFBS)

Osberg et al. [64]

Yes

EFA indicated a two-factor model:

1. Irrational beliefs about food and eating

2. Rational beliefs about food and eating

University sample 1 = 139

University sample 2 = 58

University sample 3 = 301

Obese = 96

19.25 (2.56)

N/A (‘college’)

19.54 (2.93)

49.50 (11.90)

81.3%

79.3%

68.1%

80.2%

Interpersonal Outcome Expectancy for Thinness Scale

(IOET)

Li et al. [49]

Yes

EFA indicated a one-factor model:

1. Positive interpersonal outcome expectancies for being thin

University sample 1 = 361

University sample 2 = 184

19.37 (1.56)

19.10 (1.55)

100%

100%

Mizes Anorectic Cognitions Questionnaire

(MACQ)

Mizes and Klesges [58]

Yes

PCA indicated a three-factor model:

1. Rigid weight and eating regulation

2. Weight and eating behaviour as the basis of approval from others

3. Self-esteem based off excessive self-control

Non-clinical = 205

N/A (‘college’)

48.8%

Mizes [54]

No

No factor analysis performed

Non-clinical = 205

N/A (‘college’)

48.8%

Mizes [55]

No

PCA supported three-factor model as in Mizes and Klesges [58]

Non-clinical = 100

18.50 (1.70)

100%

Mizes [56]

No

No factor analysis performed

BN = 15

AN = 8

Psychiatric Control = 11

‘18 + ’ (N/A)

86.7%

87.5%

90.9%

Bonifazi et al. [7]a

No

No factor analysis performed

BN = 15

Restrained eaters = 15

Control = 15

20.10 (2.20)

19.50 (2.60)

19.40 (1.30)

100%

Mizes Anorectic Cognitions Questionnaire Brief

(MACQ-B)

Osman et al. [65]

No

CFA indicated a three-factor model as in Mizes et al. [57]

Non-clinical = 290

20.63 (1.98)

66.6%

Mizes Anorectic Cognitions Questionnaire Revised

(MACQ-R)

Mizes et al. [57]

No

PCA supported three-factor model:

1. Self-control and self esteem

2. Weight and approval

3. Rigid weight regulation and fear of weight gain

AN = 44

BN = 97

AN (B/P) = 7

EDNOS = 57

25.90 (9.20)

97.1%

Muscle Dysmorphia Inventory—Drive for Size Subscale

(MDDI [DS])

Hildebrandt et al. [43]

Yes

PCA indicated a three-factor model:

1. Drive for size*

2. Appearance intolerance

3. Functional impairment

Weightlifters = 42

Weightlifters = 237

28.23 (8.07)

32.64 (12.37)

0%

0%

Compte et al. [16]

No

EFA and CFA supported the three-factor model as in Hildebrandt et al. [43]

Gay men = 715

Lesbian women = 404

35.40 (10.10)

31.60 (8.40)

0%

100%

Nagata et al. [61]

No

EFA and CFA supported the three-factor model as in Hildebrandt et al. [43]

Transgender men = 330

30.90 (9.80)

0%

Perceived Benefits of Thinness Scale

(PBTS)

Flatt et al. [29]

Yes

EFA and CFA indicated a one-factor model

Non-clinical = 3246

22.18 (5.31)

100%

Sociocultural Attitudes Towards Appearance Questionnaire 4—Internalisation Thin/Low Body Fat subscale (SATAQ-4 [IT])

Schaefer et al. [75]

No

EFA and CFA indicated a five-factor model:

1. Internalisation—Thin/low body fat*

2. Internalization—Muscular/athletic

3. Pressures—Family

4. Pressures—Peers

5. Pressures—Media

Non-clinical = 859

Non-clinical = 440

Non-clinical = 304

Non-clinical = 349

Non-clinical = 362

Non-clinical = 271

20.17 (2.41)

18.71(1.01)

19.99 (1.69)

18.87 (1.61)

22.73 (2.82)

20.31 (1.75)

100%

100%

100%

100%

100%

0%

Schaefer et al. [76]

No

No factor analysis performed

Non-clinical = 787

20.17 (2.41)

100%

Sociocultural Attitudes Towards Appearance Questionnaire 4 Revised-Internalisation Thin/Low Body Fat subscale

(SATAQ-4R [IT])

Schaefer et al. [78]

No

EFA and CFA indicated a seven-factor model:

1. Internalisation—Thin/low body fat*

2. Internalization—Muscular/athletic

3. Internalisation: General attractiveness

4. Pressures—Family

5. Pressures—Peers

6. Pressures—significant others

7. Pressures—Media

Non-clinical = 566

Non-clinical = 548

Non-clinical = 133

Non-clinical = 290

20.53 (2.52)

20.55 (4.43)

19.59 (2.35)

20.84 (2.70)

100%

100%

100%

0%

Thompson et al. [88]

No

CFA indicated a bifactor model (indicating shared and unique constructs) for the

1. SATAQ-4R -Internalisation—Thin/low body fat subscale*

2. IBSS-R

University = 1114

20.54 (2.48)

100%

Convertino et al. [17]

No

CFA supported seven-factor model as in Schaefer et al. [78]

Non-clinical = 479

Non-clinical = 482

24.03 (3.76)

23.33 (3.69)

0%

100%

Stirling Eating Disorders Scales

Anorexic Dietary Cognitions subscale

(SEDS [ADC])

Bulimic Dietary Cognitions subscale

(SEDS [BDC])

Low Self-esteem subscale

(SEDS [LSE])

Williams et al. [98]1

Yes

No factor analysis performed

AN = 38

BN = 36

Non-clinical control = 68

24.70 (5.30)

20.50 (6.10)

23.80 (4.90)

?

?

?

Openshaw and Waller [63]1

No

No factor analysis performed

BN = 40

28.40 (6.60)

100%

Gamble et al. [33]1

No

CFA did not support the original eight-factor model

PCA indicated a five-factor solution, not matching the original eight SEDS subscales

Clinical ED = 241

26.8 (7.8)

?

Testable Assumptions Questionnaire for Eating Disorders (TAQ-ED)

Hinrichsen et al. [44]

Yes

EFA indicated a three-factor model:

1. Dysfunctional assumptions about the world

2. Dysfunctional assumptions about the body

3. Dysfunctional assumptions about feelings

AN = 17

BN = 34

EDNOS = 28

28.59 (8.31)

100%

Testable Assumptions Questionnaire for Eating Disorders Revised

(TAQ-ED-R)

Dhokia et al. [25]

No

No factor analysis performed

Non-clinical = 128

AN = 25

BN = 47

25.60 (6.07)

27.10 (6.94)

28.30 (7.17)

100%

100%

100%

Thoughts Questionnaire

(TQ)

Cooper et al. [20]

Yes

PCA indicated a three-factor model:

1. Negative thoughts about eating

2. Positive thoughts about eating

3. Permissive thoughts

Study 1: Non-clinical = 258

Study 1: AN = 14

Study 1: Dieters = 17

Study 1: Control = 18

Study 2: BN = 12

Study 2: Dieters = 17

Study 2: Control = 20

25.70 (8.10)

31.10 (10.30)

29.30 (5.70)

29.80 (8.30)

27.50 (6.30)

28.10 (5.10)

28.00 (4.90)

100%

Weight Influenced Self-Esteem Questionnaire

(WISE-Q)

Trottier et al. [89]

Yes

EFA indicated a two-factor model:

1. ‘Generalised’ aspects of self-esteem

2. ‘Expected’ aspects of self-esteem

Study 1 Clinical ED = 184

Study 1 University = 248

Study 2 Clinical ED = 96

27.40 (8.60)

22.10 (4.04)

27.40 (8.40)

100%

100%

100%

  1. AN, Anorexia Nervosa; AN (B/P), Anorexia Nervosa binge-purge subtype; BE, binge eating; BED, Binge Eating Disorder; BN, Bulimia Nervosa; CFA, confirmatory factor analysis; ED, eating disorder; EDNOS, eating disorder not otherwise specified; EFA, exploratory factor analysis; N/A, not applicable; PCA, principal components analysis; SD, standard deviation
  2. ? = Indicates no information found
  3. aThis study contained psychometric evaluation of both the MACQ and the BCDS
  4. *Only subscales with an asterisk were considered for psychometric evaluation of its properties. Only subgroups within studies that met inclusion criteria for age were considered for psychometric evaluation of psychometric p0roperties