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Spanish-language Eating Disorder Examination interview: Factor structure in Latino/as

机译:饮食失调考试西班牙语访谈:拉丁裔/男性的因素结构

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摘要

Latino/as face health care disparities in eating/weight disorders but are under-represented in treatment research and this is especially the case for Spanish-speaking-only persons. The development of psychometrically-sound assessment methods for Latino/as is needed to facilitate eating/weight research. The current study aimed to evaluate the factor structure of the Spanish-language version of the Eating Disorder Examination (S-EDE) interview, one of the primary assessment methods in studies of eating/weight despite limited data regarding psychometric aspects of this measure. Participants were 156 Spanish-speaking-only Latino/as (mean BMI 33.2; 84.6% classified as overweight) who were reliably administered the S-EDE interview by trained bi-lingual doctoral research-clinicians. Confirmatory factor analysis revealed an inadequate fit for the original EDE structure but revealed a good fit for an alternative structure suggested by recent research. CFA supported an 8-item 3-factor structure; the three factors were interpreted as dietary restraint, shape/weight overvaluation, and body dissatisfaction. These factor analytic findings of the Spanish EDE interview are comparable to recent findings reported for English-speaking obese patient groups and have implications for clinical assessment and research with Latino/as.
机译:拉丁裔/在饮食/体重失调方面面临着医疗保健方面的差异,但在治疗研究中代表性不足,尤其是讲西班牙语的人。需要开发拉丁裔/ as的心理计量评估方法,以促进饮食/体重研究。本研究旨在评估饮食失调考试(S-EDE)西班牙语版本的因素结构,这是饮食/体重研究中的主要评估方法之一,尽管该方法的心理测量方面数据有限。参加者为156名仅讲西班牙语的拉丁裔/人(平均BMI 33.2; 84.6%分类为超重),他们由受过训练的双语博士研究人员可靠地进行S-EDE采访。验证性因素分析显示,原始EDE结构的拟合度不足,但最新研究表明,该结构非常适合替代结构。 CFA支持8项3要素结构;这三个因素被解释为饮食限制,形状/体重过高和身体不满意。西班牙EDE访谈的这些因素分析结果可与英语肥胖患者群体的近期研究结果相提并论,对临床评估和Latino / as研究具有重要意义。

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