Validation of the Emotional Eating Scale adapted for use in children and adolescents (EES-C)

Validation of the Emotional Eating Scale adapted for use in children and adolescents (EES-C)
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DOI:
10.1002/eat.20362
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发表时间:
2007-04-01
影响因子:
5.5
通讯作者:
Yanovski, Jack A.
Yanovski, Jack A.
中科院分区:
医学2区
文献类型:
--
作者:
Tanofsky-Kraff, Marian;Theim, Kelly R.;Yanovski, Jack A.

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目的:在成年人中,因负面情绪而进食与暴饮暴食或饮食失控有关。虽然儿童报告参与情绪化饮食,但关于青少年情绪化饮食的数据有限。Int J Eat Disord,18,79-90,1995)用于儿童和青少年(EES-C)。59名超重(BMI >=年龄和性别的第95百分位数)和100名非超重(BMI第5 - 94百分位数)参与者(平均年龄+/- SD 14.3 +/- 2.4岁)完成了EES-C,以及近期进食和一般精神病理学的测量。在64名儿童超过3.4 +/- 2.6个月的intervation.Results的重测信度进行了评估:因素分析产生了三个分量表:吃的反应,焦虑,愤怒,和挫折(EES-C-AAF),抑郁症状(EES-C-DEP),和感觉不安(EES-C-UNS)。建立了分量表的内部一致性; EES-C-AAF、EES-C-DEP和EES-C-UNS的Cronbach α分别为0.95、0.92和0.83。EES-C具有良好的收敛效度:报告最近进食事件的儿童在所有分量表上得分较高(p < 0.05)。EES-C-AAF和EES-CUNS分量表显示出良好的判别效度,EES-C-DEP显示出足够的判别效度。各分量表的组内相关系数均具有较好的时间稳定性(EES-C-AAF = 0.59,EES-C-DEP = 0.74,EES-C-UNS = 0.66; p's < 0.001)。需要进一步的调查来阐明情绪化饮食可能对儿童能量摄入和体重产生的作用。(c)出版社:Wiley Periodicals,Inc.
Objective: Eating in response to negative emotions is associated with binge or loss of control (LOC) eating in adults. Although children report engaging in LOC eating, data on emotional eating among youth are limited.Method: We adapted the adult Emotional Eating Scale (Arnow et al., Int J Eat Disord, 18, 79-90, 1995) to be used with children and adolescents (EES-C). Fifty-nine overweight (BMI >= 95th percentile for age and sex) and 100 non-overweight (BMI 5th-94th percentile) participants (mean age +/- SD 14.3 +/- 2.4 years) completed the EES-C, and measures of recent LOC eating and general psychopathology. Test-retest reliability was assessed in 64 children over a 3.4 +/- 2.6 month interval.Results: A factor analysis generated three subscales: eating in response to anxiety, anger, and frustration (EES-C-AAF), depressive symptoms (EES-C-DEP), and feeling unsettled (EES-C-UNS). Internal consistency for the subscales was established; Cronbach's alphas for the EES-C-AAF, EES-C-DEP, and EES-C-UNS were 0.95, 0.92, and 0.83, respectively. The EES-C had good convergent validity: children reporting recent LOC eating episodes scored higher on all subscales (p's < 0.05). The EES-C-AAF and EES-CUNS subscales demonstrated good discriminant validity and the EES-C-DEP revealed adequate discriminant validity. Intra-class correlation coefficients revealed good temporal stability for each subscale (EES-C-AAF = 0.59, EES-C-DEP = 0.74, EES-C-UNS = 0.66; p's < 0.001).Conclusion: The EES-C has good convergent and discriminant validity, and test-retest reliability for assessing emotional eating in children. Further investigation is required to clarify the role emotional eating may play in children's energy intake and body weight. (c) 2007 by Wiley Periodicals, Inc.