Skip to main content
Log in

Multidimensionality in adolescent eating problems. A two-phase measurement study

  • Original Research Paper
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

The aims of this study were, firstly, to examine the factor structure of single items from several self-report methods used to measure eating disorder symptoms, and secondly, in search for a short assessment instrument to reduce the number of items within each factor. Factor analyses were employed to identify and confirm the constructs measured by a total of sixty items drawn from these assessment methods. In phase one, 508 secondary school pupils were recruited as subjects, and principal factor analysis identified three factors; body concern, dieting, and loss of control over eating. Twenty-nine items were retained, and in phase two subjected to a second data collection among 4129 secondary school pupils. Confirmatory factor analysis was employed to cross-validate the factor structure from phase one. The three-factor structure was confirmed satisfactorily for boys, but not for girls aged 12–14 years. For girls aged 14–16 years, it was confirmed when a number of items were omitted. The findings are discussed in relation to restraint theory and the continuum hypothesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Fairburn C.G., Doll H.A., Welch S.L., Hay P.J., Davies B.A., O’Connor M.E.: Risk factors for binge eating disorder. A community-based, case-control study. Arch. Gen. Psychiatry, 55, 425–432, 1998.

    Article  CAS  PubMed  Google Scholar 

  2. Gleaves D.H., Eberenz K.R.: Validating a multidimensional model of the psychopathology of bulimia nervosa. J. Clin. Psychol. 51, 181–189, 1995.

    Article  CAS  PubMed  Google Scholar 

  3. Gleaves D.H., Williamson D.A., Barker S.E.: Confirmatory factor analysis of a multidimensional model of bulimia nervosa. J. Abnorm. Psychol., 102, 173–176, 1993.

    Article  CAS  PubMed  Google Scholar 

  4. Lee S., Lee A.M., Leung T.: Cross-cultural validity of the Eating Disorder Inventory: A study of Chinese patients with eating disorders in Hong Kong. Int. J. Eating Disord., 23, 177–188, 1998.

    Article  CAS  Google Scholar 

  5. Williams S.S., Michaela J.L., Contento I.R., Gladis M.M., Pierce N.T.: Restrained eating among adolescents: Dieters are not always bingers and bingers are not always dieters. Health Psychol., 15, 176–184, 1996.

    Article  CAS  PubMed  Google Scholar 

  6. Striegel-Moore R.H., Huydic E.S.: Problem drinking and symptoms of disordered eating in female high school students. Int. J. Eating Disord., 14, 417–425, 1993.

    Article  CAS  Google Scholar 

  7. Williamson D.A.: Assessment of eating disorders: Obesity, anorexia, and bulimia nervosa., New York, Pergamon, 1990.

    Google Scholar 

  8. Halmi K.A.: Classification of eating disorders. Int. J. Eating Disord., 2, 21–26, 1983.

    Article  Google Scholar 

  9. Hsu L.K.G.: The gender gap in eating disorders: Why are the eating disorders more common among women? Clin. Psychol. Rev., 9, 393–407, 1989.

    Article  Google Scholar 

  10. Vamado P.J., Williamson D.A., Netemeyer R.: Confirmatory factor analysis of eating disorder symptoms in college women. J. Psychopathol. Behav. Assess., 17, 69–79, 1995.

    Article  Google Scholar 

  11. Polivy J., Herman C.P.: Dieting and binging. Am. Psychol., 40, 193–201, 1985.

    Article  CAS  PubMed  Google Scholar 

  12. Nylander I.: The feeling of being fat and dieting in a school population. Acta Socio-Medica Scand., 1, 17–26, 1971.

    Google Scholar 

  13. Striegel-Moore R., Silberstein L., Rodin J.: Toward an understanding for risk factors for bulimia. Am. Psychol., 41, 246–263, 1986.

    Article  CAS  PubMed  Google Scholar 

  14. Drewnowski A., Yee D.K., Kurth C.L., Kahn D.D.: Eating pathology and DSM-III-R bulimia nervosa: A continuum of behavior. Am. J. Psychiatry, 151, 1217–1219, 1994.

    CAS  PubMed  Google Scholar 

  15. Vanderheyden D..A., Fekken G.C., Boland F.J.: Critical variables associated with bingeing and bulimia in a university population: A factor analytic study. Int. J. Eating Disord., 7, 321–329, 1988.

    Article  Google Scholar 

  16. Engelsen B.K., Laberg J.C.: Do the EAT-12, EDI and EDE-Q measure the same? A comparison of three eating problem assessment instruments among non-clinical adolescents. Manuscript submitted for publication.

  17. Williamson D.A., Barker S.E., Bertman L.J., Gleaves D.H.: Body image, body dysphoria, and dietary restraint: Factor structure in nonclinical subjects. Behav. Res. Ther., 33, 85–93, 1995.

    Article  CAS  PubMed  Google Scholar 

  18. Veron-Guidry S., Williamson D.A.: Development of a body image assessment procedure for children and preadolescents. Int. J. Eating Disord., 20, 287–293, 1996.

    Article  CAS  Google Scholar 

  19. Gleaves D.A., Eberenz K.R.: The psychopathology of anorexia nervosa: A factor analytic investigation. J. Psychopathol. Behav. Assess., 15, 141–152, 1993.

    Article  Google Scholar 

  20. Tobin D.L., Johnson C., Steinberg S., Staats M., Dennis A.B.: Multifactorial assessment of bulimia nervosa. J. Abnorm. Psychol., 100, 14–21, 1991.

    Article  CAS  PubMed  Google Scholar 

  21. Garfinkel P.E., Goldbloom D., Davis R., Olmsted M.P., Garner D.M., Halmi K.A.: Body dissatisfaction in bulimia nervosa: Relationship to weight and shape concerns and psychological functioning. Int. J. Eating Disord., 11, 151–161, 1992.

    Article  Google Scholar 

  22. Gleaves D.H., Williamson D.A., Eberenz K.R., Sebastian S.B., Barker S.E.: Clarifying body-image disturbance — analysis of a multidimensional model using structural modeling. J. Pers. Assess., 64, 478–493, 1995.

    Article  CAS  PubMed  Google Scholar 

  23. Striegel-Moore R.H., Nicholson T.J., Tamborlane W.: Prevalence of eating disorder symptoms in preadolescent and adolescent girls with IDDM. Diabetes Care 15, 1361–1368, 1992.

    Article  CAS  PubMed  Google Scholar 

  24. Keel P.K., Klump K.L., Leon G.R., Fulkerson J.A.: Disordered eating in adolescent males from a school-based sample. Int. J. Eating Disord., 23, 125–132, 1998.

    Article  CAS  Google Scholar 

  25. Drewnowski A., Kurth C.L., Kahn D.D.: Effects of body image on dieting, exercise, and anabolic steroid use in adolescent males. Int. J. Eating Disord., 17, 381–386, 1995.

    Article  CAS  Google Scholar 

  26. Rolland K., Farnill D., Griffiths R.A.: Body figure perceptions and eating attitudes among Australian schoolchildren aged 8 to 12 years. Int. J. Eating Disord., 21, 273–278, 1997.

    Article  CAS  Google Scholar 

  27. Steen S.N., Wadden T.A., Foster G.D., Andersen R.E.: Are obese adolescent boys ignoring an important health risk? Int. J. Eating Disord., 20, 281–286, 1996.

    Article  CAS  Google Scholar 

  28. French S.A., Perry C.L., Leon G.R., Fulkerson J.A.: Dieting behaviors and weight change history in female adolescents. Health Psychol., 14, 548–555, 1995.

    Article  CAS  PubMed  Google Scholar 

  29. French S.A., Story M., Downes B., Resnick M.D., Blum R.W.: Frequent dieting among adolescents: Psychosocial and health behavior correlates. Am. J. Public Health, 85, 695–701, 1995.

    Article  CAS  PubMed  Google Scholar 

  30. Hill A.J.: Pre-adolescent dieting: Implications for eating disorders. Int. Rev. Psychiatry, 5, 87–100, 1993.

    Article  Google Scholar 

  31. Killen J.D., Taylor C.B., Hayward C., Wilson D.M., Hammer L.D., Robinson T.N., Litt I., Simmonds B.A., Haydel F., Varady A., Kraemer H.C.: The pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: A three-year prospective analysis. Int. J. Eating Disord., 16, 227–238, 1994.

    Article  CAS  Google Scholar 

  32. Lee A.M., Lee S.: Disordered eating and its psychosocial correlates among Chinese adolescent fernales in Hong Kong. Int. J. Eating Disord. 20, 177–183, 1996.

    Article  CAS  Google Scholar 

  33. Lee S., Lee A.M., Leung T., Yu H.: Psychometric properties of the Eating Disorders Inventory (EDI-l) in a nonclinical Chinese population in Hong Kong. Int. J. Eating Disord. 21, 187–194, 1997.

    Article  CAS  Google Scholar 

  34. Rainey C.J., McKeown R.E., Sargent R.G., Valois R.F.: Adolescent athleticism, exercise, body image, and dietary practices. Am. J. Health Behav., 22, 193–205, 1998.

    Google Scholar 

  35. Taylor C.B., Sharpe T., ShissIak C., Bryson S., Estes L., Gray N., McKnight K.M., Crago M., Kraemer H.C., Killen J.D.: Factors associated with weight concerns in adolescent girls. Int. J. Eating Disord., 24, 31–42, 1998.

    Article  CAS  Google Scholar 

  36. Garfinkel P.E.: Evidence in support of attitudes to shape and weight as a diagnostic criterion of bulimia nervosa. Int. J. Eating Disord., 11, 321–325, 1992.

    Article  Google Scholar 

  37. Nasser M.: Culture and weight consciousness. London, Routledge, 1997.

    Book  Google Scholar 

  38. Polivy J., Herman C.P. Dieting and its relation to eating disorders. In: Brownell K.D., Fairbum C.G. (Eds.) Eating disorders and obesity. A comprehensive handbook. New York, Guilford Press, 1995, pp. 83–86.

    Google Scholar 

  39. Hill A.J., Bhatti R.: Body shape perception and dieting in preadolescent British Asian girls: Links with eating disorders. Int. J. Eating Disord., 17, 175–183, 1995.

    Article  CAS  Google Scholar 

  40. Huon G.F., Strong K.G.: The initiation and maintenance of dieting: Structural models for large-scale longitudinal investigations. Int. J. Eating Disord., 23, 361–369, 1998.

    Article  CAS  Google Scholar 

  41. French S.A., Jeffery R.W.: Consequences of dieting to lose weight: Effects on physical and mental health. Health Psychol., 13, 195–212, 1994.

    Article  CAS  PubMed  Google Scholar 

  42. Gendall K.A., Joyce P.R., Sullivan P.F., Bulik C.M.: Personality and dimensions of dietary restraint. Int. J. Eating Disord., 24, 371–379, 1998.

    Article  CAS  Google Scholar 

  43. Ruderman A.J.: Dietary restraint: A theoretical and empirical review. Psychol. Bull., 99, 247–262, 1986.

    Article  CAS  PubMed  Google Scholar 

  44. Neumark-Sztainer D., Jeffery R.W., French S.A.: Self-reported dieting: How should we ask? What does it mean? Associations between dieting and reported energy intake. Int. J. Eating Disord., 22, 437–449, 1997.

    Article  CAS  Google Scholar 

  45. Heatherton T.F., Herman C.P., Polivy J., King G.A., McGree S.T.: The (mis)measurement of restraint: An analysis of conceptual and psychometric issues. J. Abnorm. Psychol. 97, 19–28, 1988.

    Article  CAS  PubMed  Google Scholar 

  46. Palmer R.L.: Weight concern should not be a necessary criterion for the eating disorders: A polemic. Int. J. Eating Disord., 14, 459–465, 1993.

    Article  CAS  Google Scholar 

  47. Mussell M.P., Mitchell J.E., Fenna C.J., Crosby R.D., Miller J.P., Hoberman H.M.: A comparison of onset of binge eating versus dieting in the development of bulimia nervosa. Int. J. Eating Disord., 21, 353–360, 1997.

    Article  Google Scholar 

  48. Wilson G.T.: Relation of dieting and voluntary weight loss to psychological functioning and binge eating. Ann. Intern. Med., 119, 727–730, 1993.

    Article  CAS  PubMed  Google Scholar 

  49. Lowe M.R.: The effects of dieting on eating behavior: A three-factor model. Psychol. Bull., 114, 100–121, 1993.

    Article  CAS  PubMed  Google Scholar 

  50. Roth D.M., Armstrong J.G.: Perceptions of control over eating disorder and social behaviors. Int. J. Eating Disord., 10, 265–271, 1992.

    Article  Google Scholar 

  51. Hill A.J., Rogers P.J., Blundell J.E.: Dietary restraint in young adolescent girls: A functional analysis. Br. J. Clin. Psychol., 28, 165–176, 1989.

    Article  PubMed  Google Scholar 

  52. WardIe J., Beinart H.: Binge eating: A theoretical review. Br. J. Clin. Psychol., 20, 97–109, 1981.

    Article  Google Scholar 

  53. Balaam B.J., Haslam A.: A closer look at the role of social influence in the development of attitudes to eating. J. Commun. Appl. Soc. Psychol., 8, 195–212, 1998.

    Article  Google Scholar 

  54. Levenkron S.: Treating and overcoming anorexia nervosa. Warner, New York, 1982.

    Google Scholar 

  55. Garner D.M., Garfinkel P.E.: The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychol. Med., 9, 1–7, 1979.

    Article  Google Scholar 

  56. Lavik N.J., Clausen S.P., Pedersen W.: Eating behavior, drug use, psychopathology and parental bonding in adolescents in Norway. Acta Psychiatr. Scand., 84, 387–390, 1991.

    Article  CAS  PubMed  Google Scholar 

  57. Garner D.M., Olmsted M.P., Polivy J.: Development and validation of a multidimensional Eating Disorder Inventory for anorexia nervosa and bulimia. Int. J. Eating Disord., 2, 15–34, 1983.

    Article  Google Scholar 

  58. Fairburn C.G., Wilson G.T. (Eds.) Binge Eating: Nature, assessment and treatment. New York, Guilford Press, 1993.

    Google Scholar 

  59. Schoemaker C., van Strien T., van der Staak C.: Validation of the Eating Disorders Inventory in a nonclinical population using transformed and untransformed responses. Int. J. Eating Disord., 15, 387–393, 1994.

    Article  CAS  Google Scholar 

  60. Kaiser H.F., Rice J.: Little Jiffy, Mark IV. Educational and Psychological Measurement, 34, 111–117, 1974.

    Article  Google Scholar 

  61. Cattell R.B.: The scree test for the number of factors. Multivariate Behav. Res.: 1, 245–275, 1966.

    Article  Google Scholar 

  62. Cattell R.B.: Personality and motivation structure and measurement. Yonkers-on-Hudson, New York, World Book, 1957.

    Google Scholar 

  63. Jøreskog K.G., Sørbom D.: LISREL 8: A guide to the program and applications, ed. 3 Chicago, SPSS Inc., 1993.

    Google Scholar 

  64. Engelsen B.K., Hagtvet K.A.: The dimensionality of the 12-item version of the Eating Attitudes Test. Confirmatory factor analyses. Manuscript submitted for publication.

  65. Jøreskog K.G., Sørbom D.: PRELIS: A preprocessor for LISREL. ed. 2. Chicago, IL, Scientific Software, 1988.

    Google Scholar 

  66. Bollen K.A.: Structural equations with latent variables. New York, John Wiley, 1989.

    Google Scholar 

  67. Browne M.W., Cudeck R.: Alternative ways of assessing model fit. In: Bollen K.A., Long J.S. (Eds) Testing structural equation models. Newbury Park, CA, Sage Publications, 1993, pp. 136–162

    Google Scholar 

  68. Jøreskog K.G., Sørbom D.: LISREL 8: Structural equation modeling with the SIMPLIS command language. Chicago, Scientific Software Int, Inc., 1993.

    Google Scholar 

  69. Marsh H.W., Balla J.: Goodness of fit in confirmatory factor analysis: the effects of sample size and model parsimony. Quality & Quantity, 28, 185–217, 1994.

    Article  Google Scholar 

  70. Yadama G.N., Pandey S.: Effect of sample size on goodness-of-fit indices in structural equation models. J. Social Service Res., 20, 49–70, 1995.

    Article  Google Scholar 

  71. Steiger J.H.: Structural model evaluation and modification: an interval approach. Multivariate Behav. Res., 25, 173–180, 1990.

    Article  Google Scholar 

  72. Bentler P.M.: 1990. Comparative fit indexes in structural models. Psychol. Bull., 107, 238–246

    Article  CAS  PubMed  Google Scholar 

  73. Burnett P.C., Dart B.C.: Conventional versus confirmatory factor analysis: Methods for validating the structure of existing scales. J. Res. Dev. Education, 30, 126–132, 1997.

    Google Scholar 

  74. Gerbing D.W., Hamilton J.G.: Viability of exploratory factor analysis as a precursor to confirmatory factor analysis. Structural Equation Modeling, 3, 62–72, 1996.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Engelsen, B.K. Multidimensionality in adolescent eating problems. A two-phase measurement study. Eat Weight Disord 4, 63–75 (1999). https://doi.org/10.1007/BF03339720

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03339720

Key words

Navigation