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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
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Gender-based differential item functioning in measures of eating pathology
Lauren M Schaefer1, Lisa M Anderson2, Melissa Simone2
1Sanford Research, Center for Biobehavioral Research, Fargo, North Dakota.
The International Journal of Eating Disorders
|June 25, 2019
Summary
Common eating disorder (ED) symptom measures are valid for both men and women. This study found no significant gender differences in how men and women respond to these ED questionnaires.
Area of Science:
- Psychiatry
- Psychology
- Clinical Psychology
Background:
- Eating disorder (ED) symptoms affect men, yet are often perceived as female disorders.
- Existing ED self-report measures were primarily developed and validated in women, necessitating evaluation for male use.
Purpose of the Study:
- To assess the utility of commonly used ED symptom measures in undergraduate men.
- To determine if item endorsement differs by gender using differential item functioning (DIF) analyses.
Main Methods:
- Undergraduate men (n=1,083) and women (n=2,424) completed the EAT-26, EDEQ, and EDDS.
- Differential item functioning (DIF) analyses were used to compare item endorsement across genders.
- Clinical significance for DIF was defined as ΔR² ≥ 0.13.
Main Results:
- No clinically significant DIF was found for any items on the EAT-26, EDEQ, or EDDS.
- The examined ED symptom measures performed similarly for undergraduate men and women.
Conclusions:
- The findings support the use of the EAT-26, EDEQ, and EDDS in nonclinical male samples.
- Further research is encouraged to develop and test measures for ED symptoms more prevalent in males, such as muscularity-oriented behaviors.
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