Adaptation and validation of the Child Eating Disorder Examination Questionnaire (ChEDE-Q) for use in English among adolescents in Urban India

Ahuja, Latika; Diedrichs, Phillippa C.; Garbett, Kirsty M.; Chaudhry, Anshula; Hasan, Farheen; Uglik-Marucha, Nora; Vitoratou, Silia; Dhillon, Megha; Shroff, Hemal; Lewis-Smith, Helena

Abstract

Eating pathology is increasingly common among Indian adolescents. However, brief validated measures of disordered eating in Indian contexts are scarce. This study adapted and validated a culturally appropriate English language version of the Child Eating Disorder Examination Questionnaire (ChEDE-Q) among 385 adolescents (mean age = 13.42 years; 47.3% girls) in urban India. Confirmatory factor analysis indicated that a two-factor eight-item solution had an acceptable fit to the data across gender: an ‘Eating Concerns and Restraint’ subscale and a ‘Weight and Shape Concerns’ subscale. Further, the questionnaire can be utilised as both a unidimensional and multidimensional tool. This allows for the computation of a total score on the primary factor of ‘Child Eating Pathology’, as well as the two subscales. Internal consistency of the ‘Weight and Shape Concerns’ subscale (α = 0.825) and ‘Eating Concerns and Restraint’ subscale (α = 0.649) was satisfactory. Concurrent validity was established through medium significant correlations with measures of body image and broader mental health. The results support the use of the ChEDE-Q for assessing disordered eating among urban Indian adolescents, thus providing the research community and practitioners with a measure to investigate the nature and scale of disordered eating among adolescents in India.

• Journal Article Type: Article
• Acceptance Date: Aug 31, 2023
• Online Publication Date: Sep 2, 2023
• Publication Date: Sep 2, 2023
• Deposit Date: Sep 29, 2023
• Publicly Available Date: Oct 3, 2023
• Journal: Nutrients
• Electronic ISSN: 2072-6643
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 15
• Issue: 17
• Article Number: 3836
• DOI: https://doi.org/10.3390/nu15173836
• Keywords: Food Science, Nutrition and Dietetics
• Public URL: https://uwe-repository.worktribe.com/output/11116984