title: The Compulsive Exercise Test: confirmatory factor analysis and links with eating psychopathology among women with clinical eating disorders.
abstract: BACKGROUND
  This study aimed to determine the psychometric properties of the Compulsive Exercise Test (CET) among an adult sample of patients with eating disorders.
  
  
  METHODS
  Three hundred and fifty six patients and 360 non-clinical control women completed the CET and the Eating Disorders Examination questionnaire (EDE-Q).
  
  
  RESULTS
  A confirmatory factor analysis revealed that the clinical data showed a moderate fit to the previously published five factor model derived from a community sample (Taranis L, Touyz S, Meyer C, Eur Eat Disord Rev 19:256-268, 2011). The clinical group scored significantly higher than the non-clinical group on four of the five CET subscales, and logistic regression analysis revealed that the CET could successfully discriminate between the two groups. A Receiver Operating Curve analysis revealed that a cut-off score of 15 on the CET resulted in acceptable values of both sensitivity and specificity.
  
  
  CONCLUSIONS
  The CET appears to have a factor structure that is acceptable for use with an adult sample of patients with eating disorders. It can identify compulsive exercise among patients with eating disorders and a cut-off score of 15 is acceptable as indicating an appropriate cut-off point.
authors.affiliation: WMG, University of Warwick, Coventry, CV4 7AL UK ; Warwick Medical School, Coventry, CV77AL UK ; University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
authors.forename: Caroline
authors.identifier: 0000-0003-0684-299X
authors.initials: C
authors.lastname: Meyer
authors.affiliation: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
authors.forename: Carolyn R
authors.initials: CR
authors.lastname: Plateau
authors.affiliation: School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
authors.forename: Lorin
authors.initials: L
authors.lastname: Taranis
authors.affiliation: Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Bennion Centre, Leicester, UK.
authors.forename: Nicola
authors.initials: N
authors.lastname: Brewin
authors.affiliation: Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Bennion Centre, Leicester, UK.
authors.forename: Jackie
authors.initials: J
authors.lastname: Wales
authors.affiliation: Leicestershire Adult Eating Disorders Service, Leicestershire Partnership NHS Trust, Bennion Centre, Leicester, UK ; Nottingham Centre for Gender Dysphoria, Nottingham, UK ; Division of Psychiatry and Applied Psychology, Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK.
authors.forename: Jon
authors.initials: J
authors.lastname: Arcelus
keywords: Compulsive exercise; Detection; Eating disorders; Measurement; Screening