Examination of Psychometric Properties of the Turkish Version of The Eating Disorders Diagnostic Scale-DSM5 (EDDS)

Yıl 2023, Cilt: 10 Sayı: 1, 83 - 100, 31.01.2023

Bengi Düşgör , Duygu Karaer

https://doi.org/10.31682/ayna.1108509

Cited By: 1

Öz

This study aimed to adapt the Eating Disorder Diagnostic Scale-DSM 5 Version (EDDS-DSM-5) as a diagnostic and statistical tool in the Turkish population and to examine its validity and reliability. After the translation procedures were completed, a demographic form, EDDS-DSM-5, and The Eating Disorder Examination Questionnaire (EDE-Q) were administered to participants (i.e., 237 females, 84 males, and 4 non-binary). Internal reliability, test-retest reliability, concurrent validity, and factor structure of EDDS were examined. EDDS had four factors: (1) Body Concern (BC), (2) Binge Eating (BE), (3) Self-induced Compensatory Behaviors (SICB), and (4) Overeating Concern (OC), explaining the variance ranging from 8-20%. The internal reliability of the scale (α = .85) and the test-retest reliability (ICC: .97 [.93 – .98]) were found to be satisfactory. In terms of concurrent validity, the results of correlational analysis between EDDS symptom composite scores and EDE-Q total scores indicated a significant correlation (r = .61, p < .001). EDDS is a reliable and valid instrument for the Turkish sample. The current data highlighted the importance of generating additional tools which combine self-report measures with clinical observations for evaluating more complex and emotional dimensions of eating disorders other than concrete indicators.

Anahtar Kelimeler

Eating Disorders Diagnostic Scale-DSM-5 Version, eating disorders, adaptation

Yeme Bozuklukları Tanı Ölçeği-DSM 5 (EDDS-DSM5)’in Türkçe Formunun Psikometrik Özelliklerinin İncelenmesi

Öz

Bu çalışmanın amacı, EDDS-DSM-5 versiyonunun tanısal ve istatistiksel bir araç olarak Türk toplumuna uyarlanması ve geçerlik ve güvenirlik açısından incelenmesidir. Çeviri işlemleri tamamlandıktan sonra katılımcılara (237 kadın, 84 erkek ve 4 non-binary) demografik form, Yeme Bozukluğu Tanı Ölçeği-DSM-5 Versiyonu (EDDS) ve Yeme Bozukluğu İnceleme Anketi (EDE-Q) uygulanmıştır. EDDS'nin iç güvenirliği, test tekrar test güvenirliği, uyum geçerliliği ve faktör yapısı incelenmiştir. EDDS'nin %8-20 arasında değişen oranlarda varyansı açıklayan dört faktörü olduğu saptanmıştır; (1) Beden Kaygısı, (2) Tıkınırcasına Yeme, (3) Kendinden Kaynaklı Telafi Edici Davranışlar ve (4) Aşırı Yeme Kaygısı. Ölçeğin iç güvenilirliği (α = .85) ve test-tekrar test güvenilirliği (ICC: .97 [.93 – .98]) yeterli bulunmuştur. Uyum geçerliliği açısından, EDDS semptom bileşik puanları ile EDE-Q toplam puanları arasındaki korelasyonel analiz sonuçları, anlamlı bir korelasyon göstermiştir (r = .61, p <.001). Bulgular, EDDS'nin Türk örneklemi için güvenilir ve geçerli bir araç olduğunu göstermektedir. Mevcut sonuçlar, yeme bozukluklarının somut göstergelerinin ötesinde daha karmaşık ve duygusal boyutlarını değerlendirmek üzere bu öz-bildirim ölçeğini klinik gözlemlerle birleştiren ek araçlar üretmenin önemine işaret etmektedir.

Anahtar Kelimeler

Yeme Bozuklukları Tanı Ölçeği-DSM-5 Versiyonu, yemek bozuklukları, adaptasyon

Kaynakça

• American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc.. https://doi.org/10.1176/appi.books.9780890425596
• Baceviciene, M., & Jankauskiene, R. (2021). Changes in sociocultural attitudes towards appearance, body image, eating attitudes and behaviours, physical activity, and quality of life in students before and during COVID-19 lockdown. Appetite, 166, 105452. https://doi.org/10.1016/j.appet.2021.105452
• Bryant-Waugh, R., Turner, H., East, P., Gamble, C., & Mehta, R. (2006). Misuse of laxatives among adult outpatients with eating disorders: prevalence and profiles. The International Journal of Eating Disorders, 39(5), 404–409. https://doi.org/10.1002/eat.20267
• Chia, J., Fuller-Tyszkiewicz, M., Buck, K., Chamari, K., Richardson, B., & Krug, I. (2018). An ecological momentary assessment of the effect of fasting during Ramadan on disordered eating behaviors. Appetite, 127, 44–51. https://doi.org/10.1016/j.appet.2018.04.017
• Cook, B. (2006). Examining recruitment methods for college women at-risk for eating disorders and the relationship between exercise and eating pathology [Unpublished master’s thesis]. University of Florida.
• Cortina, J. M. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78(1), 98. https://doi.org/10.1037/0021-9010.78.1.98
• Cronbach, L. J. (1951). Coefficient Alpha and the Internal Structure of Tests. Psychometrika, 16, 297- 334. https://doi.org/10.1007/BF02310555
• Çam, H. H. (2017). Ergenlerde yeme bozukluğu görülme sıklığı ve ruhsal semptomlarla ilişkisi Turk J Public Health, 15(2), 96-105. https://doi.org/10.20518/tjph.341162
• Duncan A. E., Ziobrowski, H. N., & Nicol G. (2017). The prevalence of past 12-month and lifetime DSM-IV eating disorders by BMI category in US men and women. European Eating Disorders Review, 25, 165–171. https://doi.org/10.1002/erv.2503
• Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: interview or self-report questionnaire? The International Journal of Eating Disorders, 16(4), 363–370. https://doi.org/10.1002/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#
• Fairburn, C. G., & Cooper, Z. (1993). The eating disorder examination (12th ed.). In C. G. Fairburn & G. T. Wilson (Eds.), Binge Eating: Nature, Assessment, and Treatment (pp. 317–360). Guilford Press.
• Geisinger, K. F., & McCormick, C. (2013). Testing and assessment in cross-cultural psychology. In J. R. Graham, J. A. Naglieri, & I. B. Weiner (Eds.), Handbook of Psychology: Assessment Psychology Volume 10 (pp. 114–139). John Wiley & Sons, Inc.
• Howard, M. C. (2016). A review of exploratory factor analysis decisions and overview of current practices: What we are doing and how can we improve? International Journal of Human-Computer Interaction, 32(1), 51–62. https://doi.org/10.1080/10447318.2015.1087664
• Jackson, T., & Chen, H. (2007). Identifying the eating disorder symptomatic in China: The role of sociocultural factors and culturally defined appearance concerns. Journal of Psychosomatic Research, 62, 241–249. https://doi.org/10.1016/j.jpsychores.2006.09.010
• Jolliffe, I. T., & Cadima, J. (2016). Principal component analysis: a review and recent developments. Philosophical Transactions of the Royal Society A, 374(2065). https://doi.org/10.1098/rsta.2015.0202
• Krabbenborg, M. A. A., Danner, U. N., Larsen, J. K., Van Der Veer, N., Van Elburg, A. A., De Ridder, D. T. D., Stice, E., & Engels, R. C. M. E. (2011). The Eating Disorder Diagnostic Scale: Psychometric features within a clinical population and a cut‐off point to differentiate clinical patients from healthy controls. European Eating Disorders Review, 20(4), 315-320. https://doi.org/10.1002/erv.1144
• Lee, S. W., Stewart, S. M., Striegel-Moore, R. H., Lee, S., Ho, S. Y., Lee, P. W., Katzman, M. A., & Lam, T. H. (2007). Validation of the eating disorder diagnostic scale for use with Hong Kong adolescents. The International Journal of Eating Disorders, 40(6), 569–574. https://doi.org/10.1002/eat.20413
• Lau, L. L. S., Lee, S., Lee, E., & Wong, W. (2006). Cross-cultural validity of the Eating Disorder Examination: a study of Chinese outpatients with eating disorders in Hong Kong. Hong Kong Journal of Psychiatry, 16(4), 132-136.
• Lewinsohn, P. M., Seeley, J. R., Moerk, K. C., & Striegel-Moore, R. H. (2002). Gender differences in eating disorder symptoms in young adults. The International Journal of Eating Disorders, 32(4), 426–440. https://doi.org/10.1002/eat.10103
• Nasser, M. (2009). Eating disorders across cultures. Psychiatry, 5, 392-395. https://doi.org/10.1053/j.mppsy.2006.08.008
• Perinetti, G. (2018). StaTips Part IV: selection, interpretation, and reporting of the intraclass correlation coefficient. South European Journal of Orthodontics and Dentofacial Research, 5(1), 3-5. http://doi.org/10.5937/sejodr5-17434
• Pinheiro, A. P., Bulik, C. M., Sullivan, P. F., & Machado, P. P. P. (2008). An empirical study of the typology of bulimic symptoms in young Portuguese women. International Journal of Eating Disorders, 41(3), 251–258.https://doi.org/10.1002/eat.20497
• Polivy, J., & Herman, C. P. (2002). Causes of eating disorders. Annual Review of Psychology, 53, 187–213. http://dx.doi.org/10.1146/annurev.psych.53.100901.135103
• Pritts, S. D., & Susman, J. (2003). Diagnosis of eating disorders in primary care. American Family Physician, 67(2), 297–304. Retrieved from https://www.aafp.org/pubs/afp/issues/2003/0115/p297.html
• Reba, L., Thornton, L., Tozzi, F., Klump, K. L., Brandt, H., Crawford, S., Crow, S., Fichter, M. M., Halmi, K. A., Johnson, C., Kaplan, A. S., Keel, P., LaVia, M., Mitchell, J., Strober, M., Woodside, D. B., Rotondo, A., Berrettini, W. H., Kaye, W. H., & Bulik, C. M. (2005). Relationships between features associated with vomiting in purging-type eating disorders. International Journal of Eating Disorders, 38(4), 287–294. https://doi.org/10.1002/eat.20189
• Sadeghirad, B., Motaghipisheh, S., Kolahdooz, F., Zahedi, M. J., & Haghdoost, A. A. (2014). Islamic fasting and weight loss: A systematic review and meta-analysis. Public Health Nutrition, 17(02), 396–406. http://dx.doi.org/10.1017/S1368980012005046
• Santos, I. F., Machado, P. P. P., & Esteves, F. (2018). Development and validation of the Portuguese version of the Eating Disorder Diagnostic Scale. Ansiedad Y Estres, 24(2–3), 81–89. https://doi.org/10.1016/j.anyes.2018.07.002
• Semiz, M., Kavakcı, Ö., Yağız, A., Yontar, G., & Kugu, N. (2013). Sivas İl Merkezinde Yeme Bozukluklarının Yaygınlığı ve Eşlik Eden Psikiyatrik Tanılar. Türk Psikiyatri Dergisi, 24(3), 149-157. Retrieved from https://www.turkpsikiyatri.com/PDF/C24S3/01-1236_sivas_ili.pdf
• Solmi, F. (2014). Eating disorders, behaviours, and diagnoses: epidemiology and comorbidity in the general population [Unpublished doctoral thesis]. University College London.
• Stice, E., Telch, C. L., & Rizvi, S. L. (2000). Development and validation of the Eating Disorder Diagnostic Scale: A brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12(3), 252-267. https://doi.org/10.1037/1040-3590.12.3.252
• Stice, E., Fisher, M., & Martinez, E. (2004). Eating Disorder Diagnostic Scale: Additional evidence of reliability and validity. Psychological Assessment, 16(1), 60–71. https://doi.org/10.1037/1040-3590.16.1.60
• Striegel-Moore, R. H., Rosselli, F., Perrin, N., DeBar, L., Wilson, G. T., May, A., & Kraemer, H. C. (2009). Gender difference in the prevalence of eating disorder symptoms. The International Journal of Eating Disorders, 42(5), 471–474. https://doi.org/10.1002/eat.20625
• Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Allyn & Bacon/Pearson Education.
• Thorsteinsdottir, G., & Ulfarsdottir, L. (2008). Eating disorders in college students in Iceland. The European Journal of Psychiatry, 22, 107–115. https://doi.org/10.4321/S0213-61632008000200007
• Vardar, M., & Erzengin, M. (2011). Ergenlerde yeme bozukluklarının yaygınlığı ve psikiyatrik eş tanıları iki aşamalı toplum merkezli bir çalışma. Türk Psikiyatri Dergisi, 22(4), 205-212. Retrieved from https://www.turkpsikiyatri.com/PDF/C22S4/205-212.pdf
• World Health Organization. (1992). The ICD‐10 classification of mental and behavioural disorders. World Health Organization.
• Wildes, J. E., & Marcus, M. D. (2013). Incorporating dimensions into the classification of eating disorders: three models and their implications for research and clinical practice. The International Journal of Eating Disorders, 46(5), 396–403. https://doi.org/10.1002/eat.22091
• Yong, A.G., & Pearce, S. (2013). A beginner's guide to factor analysis: Focusing on exploratory factor analysis. Tutorials in Quantitative Methods for Psychology, 9, 79-94. https://doi.org/10.20982/tqmp.09.2.p079
• Yücel, B. (2009). Estetik bir kaygıdan hastalığa uzanan yol: Yeme bozuklukları. Klinik Gelişim, 22(4), 39-44. Retrieved from https://www.klinikgelisim.org.tr/eskisayi/kg_22_4/7.pdf
• Yucel, B., Polat, A., Ikiz, T., Dusgor, B., Yavuz, A., & Berk, O. (2011). The Turkish Version of the Eating Disorder Examination Questionnaire: Reliability and validity in adolescents. European Eating Disorders Review, 19, 509-511. https://doi.org/10.1002/erv.1104