The EAT-26 as screening instrument for clinical nutrition unit attenders

University of Udine, Udine, Friuli Venezia Giulia, Italy
International Journal of Obesity (Impact Factor: 5). 07/2006; 30(6):977-81. DOI: 10.1038/sj.ijo.0803238
Source: PubMed


The aim of this study was to use the Eating Attitudes Test-26 (EAT-26) as a screening instrument on a specific population with a marked prevalence of binge eating disorder (BED) and eating disorder not otherwise specified (EDNOS). The EAT-26 questionnaire was used in order to identify the high-risk subjects for referral to clinical evaluation.
EAT-26 was administered to 845 subjects who, for the first time, came to the Nutritional Medicine Service looking for a diet between January 1999 and December 2002. From this initial sample, subsequently, 250 subjects were randomly selected and administered a semistructured clinical interview for DSM-IV (SCID I, version 2.0).
Discriminant analysis provided a cutoff value of EAT-26=11. Logistic regression analysis indicated high Dieting (D) or Bulimia (B) subscale scores as a risk factor of EDNOS or bulimia nervosa (BN) cases, respectively; on the other hand, a high Oral Control (O) subscale score represented a protecting factor for BED cases.
Our study tried to assess the usefulness of EAT-26 as a screening instrument for obese patients attending a Medical Nutritional Service. Results from this study suggest that a cutoff score of 11, lower than that indicated in the literature, improves the diagnostic accuracy of the EAT-26 in a high-risk setting regarding sensibility level (68.1%) and leading to a reduction of the false negative rate (31.9%).

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Available from: Claudio Taboga, May 21, 2015
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    • "The EAT-26 an abbreviated version of the Eating Attitudes Test (EAT-40) (Garner &Garfinkel, 1997), contains 26 questions that measure attitudes and behavior patterns associated with anorexia nervosa. Research (Garner &Garfinkel; Garner, Olmsted, Bohr, &Garfinkel, 1982; Orbitello et al., 2006) identifies three subscales to the EAT-26: bulimia, dieting, and the tendency to self-control. The EAT-26 has been shown to be a valid instrument in screening for eating disorders (Jones, Bennett, Olmsted, Lawson, & Rodin, 2001). "
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    ABSTRACT: Eating behaviours are usually formed during young adulthood which makes college students a particularly vulnerable group that easily can adopt unhealthy eating behaviours. Psycho-Education as an approach of health promotion enhances positive health and prevents ill health in individuals and groups. This study investigates the impact of Psycho-Education intervention on eating behaviors and Eating Attitudes in young adults. The sample consists of first year college students , they divided in to two groups. Group -1 consists of psycho education (N=64) and Group -2 is a Control Group (N=57). All participants were assessed pre-intervention, post-intervention, and at two -month follow-up on Eating behaviors and Eating Attitudes. The Three-Factor Eating Questionnaire (TFEQ)and Eating Attitudes Test (EAT-26) were administered on the subjects. To assess the impact of psycho-education a repeated measure ANOVA was used analyses the collected data. The study results showed significant positive impact of Psycho-Educational Programme in enhancing Eating Behaviours in young adults. From the results, it was inferred that Psycho educational programme was effective in enhancing healthy Eating Behaviour.
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    • "Studying factors like high drives for thinness, weight concerns, and dieting in general population allow professionals to identify people in risk to develop ED (Wiederman & Pryor, 2000). For this purpose, the EAT-26 (Eating Attitudes Test 26; Garner & Garfinkel, 1979; Garner, Olmsted, Bohr, & Garfinkel, 1982) questionnaire can be used in order to identify the high-risk subjects (Orbitello et al., 2006). This screening test allows professionals to detect individuals with a special disposition to suffer a non specified ED that afterwards will have to be confirmed trough a clinical interview. "
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    ABSTRACT: The literature has found that eating disorders (ED) patients usually have a depression and anxiety diagnosis. However, not many investigations have studied the relationship between ED and well-being. One of the main problems of patients with ED is their body image. These individuals usually see themselves too big but there are not many investigations that focus on how these patients see people with real weight problems. For this reason in this study it is analyzed how women in risk to develop ED see obese people. 456 female students were selected. It was found that women with high scores in the different subscales of the Eating Attitudes Test 26 (EAT-26; dieting, bulimia and oral control) had lower well-being (both subjective and psychological) and worse attitudes toward obese people (measured with Antifat Attitudes Test, AFA, Beliefs About Obese People Scale, BAOP, and Attitudes Toward Obese People Scale, ATOP) compared with women with low scores in the EAT-26.
    The Spanish Journal of Psychology 11/2012; 15(3):1293-302. DOI:10.5209/rev_SJOP.2012.v15.n3.39415 · 0.74 Impact Factor
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    • "In this regard, Al-Adawi, Dorvlo, Burke, Moosa and Al- Bahlani (2002) found that a cut-off point of 10 in the EAT- 26 gave the best compromise between sensitivity (64%) and specificity (38%) for identifying AN in a general sample of adolescents, including males and females with a mean age of 15.29 years. In the same line, recent findings indicate that a cut-off score of 11, instead of 20, could provide better sensitivity and specificity rates for identifying subjects with BN, Binge Eating Disorders (BED) or EDNOS among obese patients attending medical nutritional services (Orbitello, et al., 2006). Results from ROC analyses applied to the Spanish version of the EAT-40 also show that accuracy values of the test are high if a cut-off score lower than 30 is used for detecting any DSM-III-R eating disorder among non-clinical females (100%, 93%, and 18% for sensitivity, specificity, and positive predictive value respectively) (Canals et al., 2002). "
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    ABSTRACT: This paper focuses on the validation of the Spanish form of the Eating Attitudes Test (EAT-26; Garner, Olmsted, Bohr & Garfinkel, 1982) across two studies. Participants in Study 1 were 778 females recruited from community settings (aged 12-21). Study 2 included 86 females recruited from clinical and 86 females from community settings (aged 12-35). Results from Principal and Simultaneous Component Analyses showed a unidimensional structure of the EAT-26 item scores. Reliability analyses supported the internal consistency of the scale. Study 1 also explores the ability of the EAT-26 to discriminate between subjects with Eating Disorder (ED), Symptomatic or Asymptomatic by means of ROC analyses and using results from the Questionnaire for Eating Disorder Diagnoses (Q-EDD; Mintz, O'Halloran, Mulholland, & Schneider, 1997) as criterion. The EAT-26 demonstrated good specificity but insufficient sensitivity to detect a full or partial ED. Study 2 explores the ability of the questionnaire to discriminate between subjects with and without ED. The EAT-26 demonstrated good specificity and moderate sensitivity to detect ED. Clinical and theoretical implications of these results are discussed.
    The Spanish Journal of Psychology 11/2010; 13(2):1044-56. DOI:10.1017/S1138741600002687 · 0.74 Impact Factor
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