title: An evaluation of the reliability and construct validity of eating disorder measures in white and black women.
abstract: Most measures of eating disorder symptoms and risk factors were developed in predominantly White female samples. Yet eating disorders affect individuals of all racial and ethnic backgrounds. Black women appear more vulnerable to certain forms of eating pathology, such as binge eating, and less susceptible to other eating disorder symptoms and risk factors, such as body dissatisfaction, compared with their White peers. Despite concern that extant measures do not adequately assess eating concerns among Black women, the construct validity of scores on most of these measures has not been adequately examined within this population. This study included 2,208 Black and White women who completed the following: the Binge Eating Scale (BES), the Eating Disorder Diagnostic Scale (EDDS), the Eating Attitudes Test-26 (EAT-26), the Eating Disorder Inventory Body Dissatisfaction and Drive for Thinness subscales, the Bulimia Test-Revised (BULIT-R), the Multidimensional Body-Self Relations Questionnaire-Appearance Evaluation subscale (MBSRQ-AE), and the Objectified Body Consciousness Scale (OBCS). Most measures yielded internally consistent scores in both races. Confirmatory factor analyses indicated that loadings for some measures, including the EAT-26 and EDDS, were not invariant across groups and thus do not assess equivalent constructs in White and Black women. However, others, including the BULIT-R, BES, OBCS, and MBSRQ-AE, exhibited factorial invariance in both races. Results suggest scores are likely not equivalent across races for several popular measures of eating disorder symptoms and risk factors. Thus, it is recommended that researchers and clinicians obtain additional information regarding racial/cultural factors when using these instruments with Black women.
authors.affiliation: Department of Psychology.
authors.forename: Nichole R
authors.initials: NR
authors.lastname: Kelly
authors.affiliation: Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.
authors.forename: Karen S
authors.initials: KS
authors.lastname: Mitchell
authors.affiliation: Department of Psychology.
authors.forename: Rachel W
authors.initials: RW
authors.lastname: Gow
authors.affiliation: Department of Psychiatry, University of North Carolina at Chapel Hill.
authors.forename: Sara E
authors.initials: SE
authors.lastname: Trace
authors.affiliation: Department of Psychology.
authors.forename: Janet A
authors.identifier: 0000-0001-6425-514X
authors.initials: JA
authors.lastname: Lydecker
authors.affiliation: Department of Psychology.
authors.forename: Carrie E
authors.initials: CE
authors.lastname: Bair
authors.affiliation: Department of Psychology.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Mazzeo
mesh_terms: D000328:Adult; D001741:Black or African American; D001068:Feeding and Eating Disorders / Q000175:diagnosis*; D005260:Female; D006801:Humans; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics / Q000295:instrumentation* / Q000592:standards; D015203:Reproducibility of Results; D044465:White People; D055815:Young Adult