title: Psychometric properties of the Compulsive Exercise Test in an adolescent eating disorder population.
abstract: The objective of this study was to evaluate the factor structure, validity, and reliability of the Compulsive Exercise Test (CET) in an adolescent clinical eating disorder population. The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project, a prospective ongoing registry study comprising consecutive pediatric tertiary eating disorder referrals. Adolescents (N=104; 12-17years) with eating disorders completed the CET and other measures. Factor structure, convergent validity, and internal consistency were evaluated. Despite failing to identify a factor structure, the study provided clear evidence of the multidimensionality of the measure. The total score correlated significantly with measures of eating pathology, perfectionism, and frequency of exercise for shape and weight control (r=0.32-0.70, ps<0.05). More research into the multidimensional nature of compulsive exercise in clinical populations is needed. Further, research into compulsive exercise offers promise as an addition to existing cognitive behavioral models and treatments for eating disorders.
authors.affiliation: School of Physiotherapy, University of Notre Dame, Perth, Australia.
authors.forename: Pam
authors.initials: P
authors.lastname: Formby
authors.affiliation: Eating Disorders Program, Specialised Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Department of Health in Western Australia, Perth, Australia; Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, United States; School of Psychology and Speech Pathology, Curtin University, Perth, Australia; School of Paediatrics and Child Health, The University of Western Australia, Perth, Australia. Electronic address: hunna.watson@health.wa.gov.au.
authors.forename: Hunna J
authors.initials: HJ
authors.lastname: Watson
authors.affiliation: Eating Disorders Program, Specialised Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Department of Health in Western Australia, Perth, Australia.
authors.forename: Anna
authors.initials: A
authors.lastname: Hilyard
authors.affiliation: Eating Disorders Program, Specialised Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Department of Health in Western Australia, Perth, Australia.
authors.forename: Kate
authors.initials: K
authors.lastname: Martin
authors.affiliation: School of Psychology and Speech Pathology, Curtin University, Perth, Australia.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Egan
mesh_terms: D000293:Adolescent; D002648:Child; D003192:Compulsive Behavior / Q000175:diagnosis* / Q000523:psychology; D015444:Exercise / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011594:Psychometrics; D015203:Reproducibility of Results
keywords: Adolescent; Compulsive Exercise Test; Eating disorders; Factor analysis; HOPE Project