Reliability and Validation of the Children’s Eating Attitudes Test among 10- to 14-Year-Old School Children in Turkey.
Palabras clave:ChEAT, trastornos alimentarios, fiabilidad, niños turcos, validez
Introduction: Eating disorders (ED) onset occurs commonly during adolescence and this is a very critical period of
life in the context of developmental perspectives because adequate nutrition is necessary for optimal growth and development. Nutritional disorders can be harmful and cause extreme and potentially permanent physical and psychological
consequences. Therefore, defining the eating disorder in its
early stages is important.
Objective: The goal of this study was to translate the
Children’s Eating Attitude Test (CHEAT) into Turkish and establish its validity and reliability among Turkish schoolchildren.
Methods: The study was conducted on students from two
private and two public primary schools. After delivering invitations to suitable classes, informed consents that had been
written by participants and parents were collected.
Results: The research comprised 352 children between
the ages of 10 and 14, including 222 females and 130 boys.
Minimum factor loading is 0.597 and total percentage of explained variance is 58.04 The CFA supported these findings,
since the 15-item scale had a greater goodness-of-fit and exploratory component analysis generated four factors.
Conclusion: Analysis of data showed that the ChEAT scale
is a valid and reliable measurement tool available in Turkey. It
is thought that the ChEAT scale will contribute to studies on
eating disorders in children aged between 10-14 years.
Fairburn, C. G., & Harrison, P. J. Eating disorders. Lancet Lond Engl. 2003;361: 407–416.
Da Luz, F. Q., Sainsbury, A., Mannan, H., Touyz, S., Mitchison, D., & Hay, P. Prevalence of obesity and comorbid eating disorder behaviors in South Australia from 1995 to 2015. International Journal of Obesity. 2017;41(7), 1148-1153. https://doi.org/10.10 38/ijo.2017.79.
Culbert, K. M., Racine, S. E., & Klump, K. L. Research Review: What we have learned about the causes of eating disorders–a synthesis of sociocultural, psychological, and biological research. Journal of Child Psychology and Psychiatry. 2015;56(11), 11411164. https://doi.org/10.1111/jcpp.12441.
Hopwood, C. J., Thomas, K. M., Markon, K. E., Wright, A. G., & Krueger, R. F. (2012). DSM-5 personality traits and DSM–IV personality disorders. Journal of abnormal psychology. 2012; 121(2), 424.https://doi.org/10.1037/a0026656.
Wu J, Liu J, Li S, Ma H, Wang Y. Trends in the prevalence and disability-adjusted life years of eating disorders from 1990 to 2017: results from the Global Burden of Disease Study 2017. Epidemiology and Psychiatric Sciences. 2020; 29, e191, 1–12.
Bemporad JR. Cultural and historical aspects of eating disorders. Theor Med. 1997;18(4):401-420.
Ünal, E., Aydın, R., Gökler, M. E., & Ünsal, A. Eating disorders and anxiety among high school students in Western area of Turkey. International Journal of Research in Medical Sciences. 2017; 4, 3513-3520.
Uzun, Ö., Güleç, N., Özşahin, A., Doruk, A., Özdemir, B., & Çalışkan, U. Screening disordered eating attitudes and eating disorders in a sample of Turkish female college students. Comprehensive psychiatry. 2006; 47(2), 123-126. https://doi.org/10.1016/j.comppsych. 2005.05.004.
Kugu, N., Akyuz, G., Dogan, O., Ersan, E., & Izgic, F. The prevalence of eating disorders among university students and the relationship with some individual characteristics. Australian & New Zealand Journal of Psychiatry. 2006; 40(2), 129-135. https://doi.org/10.1080/j.1440-1614.2006.01759.x.
Vardar, E., & Erzengın, M. The prevalence of eating disorders (EDs) and comorbid psychiatric disorders in adolescents: a twostage community-based study. Turkish journal of psychiatry. 2011;22(4).
Bray, I., Slater, A., Lewis-Smith, H., Bird, E., & Sabey, A. Promoting positive body image and tackling overweight/obesity in children and adolescents: A combined health psychology and public health approach. Preventive medicine. 2018; 116, 219-
Bryant-Waugh, R. J., Lask, B. D., Shafran, R. L., & Fosson, A. R.
Do doctors recognise eating disorders in children?. Archives of Disease in Childhood. 1992; 67(1), 103-105. http://dx.doi.org/
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. The eating attitudes test: psychometric features and clinical correlates. Psychological medicine.1982; 12(4), 871-878. https://doi.org/ 10.1017/S0033291700049163.
Maloney, M. J., McGUIRE, J. B., & Daniels, S. R. Reliability testing of a children's version of the Eating Attitude Test. Journal of the American Academy of Child & Adolescent Psychiatry. 1988; 27(5), 541-543. https://doi.org/10.1097/00004583-198809000-00004.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. Cluster Analysis. Multivariate data analysis. 2010;Volume 7th ed. Edited by: Hair JF.
Tabachnick, B. G., & Fidell, L. S. Using multivariate statistics. 2013; 6th (ed.) Boston, MA.
Ferketich, S. Internal consistency estimates of reliability. Research in nursing & health.1990; 13(6), 437-440. https://doi.org/10.10 02/nur.4770130612.
Smolak, L., & Levine, M. P. Psychometric properties of the children's eating attitudes test. International Journal of Eating Disorders. 1994; 16(3), 275-282. https://doi.org/10.1002/1098108X(199411)16:3<275::AID-EAT2260160308>3.0.CO;2-U.
Theuwis, L., Moens, E., & Braet, C. Psychometric quality of the Dutch version of the children's eating attitude test in a community sample and a sample of overweight youngsters. Psychologica Belgica. 2010; 49(4). http://doi.org/10.5334/pb-49-4-311.
Chiba, H., Nagamitsu, S., Sakurai, R., Mukai, T., Shintou, H., Koyanagi, K., ... & Matsuishi, T. Children's eating attitudes test: reliability and validation in Japanese adolescents. Eating behaviors. 2016; 23, 120-125. https://doi.org/10.1016/j.eatbeh.2016.
Sancho, C., Asorey, O., Arija, V., & Canals, J. Psychometric characteristics of the children's eating attitudes test in a Spanish sample. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association. 2005; 13(5), 338343. https://doi.org/10.1002/erv.643.
Lommi, S., Viljakainen, H. T., Weiderpass, E., & de Oliveira Figueiredo, R. A. Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children. Eating and Weight DisordersStudies on Anorexia, Bulimia and Obesity. 2020; 25(4), 961-971. https://doi.org/10.1007/s40519-019-00712-w.
Ambrosi-Randić, N., & Pokrajac-Bulian, A. Psychometric properties of the eating attitudes test and children’s eating attitudes test in Croatia. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2005;10(4), e76-e82.
Rojo‐Moreno, L., García‐Miralles, I., Plumed, J., Barberá, M., Morales, M. M., Ruiz, E., & Livianos, L. Children's eating attitudes test: Validation in a sample of Spanish schoolchildren. International Journal of Eating Disorders. 2011; 44(6), 540-546. https://doi.org/10.1002/eat.20855.
McVey, G., Tweed, S., & Blackmore, E. Dieting among preadolescent and young adolescent females. Cmaj. 2004;170(10), 15591561. https://doi.org/10.1503/cmaj.1031247.
Rolland, K., Farnill, D., & Griffiths, R. A. Body figure perceptions and eating attitudes among Australian schoolchildren aged 8 to 12 years. International Journal of Eating Disorders. 1997; 21(3), 273-278. https://doi.org/10.1002/(SICI)1098-108X(199704)21: 3<273::AID-EAT7>3.0.CO;2-H.
Tanofsky-Kraff, M., Yanovski, S. Z., Wilfley, D. E., Marmarosh, C., Morgan, C. M., & Yanovski, J. A. Eating-disordered behaviors, body fat, and psychopathology in overweight and normal-weight children. Journal of consulting and clinical psychology. 2004; 72(1), 53. https://doi.org/10.1037/0022-006X.72.1.53.
Ferreiro, F., Seoane, G., & Senra, C. A prospective study of risk factors for the development of depression and disordered eating in adolescents. Journal of Clinical Child & Adolescent Psychology. 2011; 40(3), 500-505. https://doi.org/10.1080/15374416.2011. 563465.
Hautala, L. A., Junnila, J., Helenius, H., Väänänen, A. M., Liuksila, P. R., Räihä, H., ... & Saarijärvi, S. Towards understanding gender differences in disordered eating among adolescents. Journal of clinical nursing. 2008; 17(13), 1803-1813. https://doi.org/10.11 11/j.1365-2702.2007.02143.x.
Ferreiro, F., Seoane, G., & Senra, C. Gender-related risk and protective factors for depressive symptoms and disordered eating in adolescence: A 4-year longitudinal study. Journal of youth and adolescence. 2012;41(5), 607-622.
Holm-Denoma, J. M., Hankin, B. L., & Young, J. F. Developmental trends of eating disorder symptoms and comorbid internalizing symptoms in children and adolescents. Eating behaviors. 2014; 15(2), 275-279. https://doi.org/10.1016/j.eatbeh.2014.03.015.
Erickson, S. J., & Gerstle, M. Developmental considerations in measuring children's disordered eating attitudes and behaviors. Eating behaviors. 2007; 8(2), 224-235. https://doi.org/10.1016 /j.eatbeh.2006.06.003.
Kim, Y., Austin, S. B., Subramanian, S. V., Thomas, J. J., Eddy, K. T., Franko, D. L., ... & Kawachi, I. Risk factors for disordered weight control behaviors among Korean adolescents: Multilevel analysis of the Korea Youth Risk Behavior Survey. International Journal of Eating Disorders. 2018; 51(2), 124-138.https://doi.or g/10.1002/eat.22820.
Fairburn, C. G., & Beglin, S. J. Assessment of eating disorders: Interview or self‐report questionnaire?. International journal of eating disorders. 1994; 16(4), 363-370. https://doi.org/10.1002/ 1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2%23.
Derechos de autor 2022 Nutrición Clínica y Dietética Hospitalaria
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)