Article2014

The Development of the Brief Eating Disorder in Athletes Questionnaire

Marianne Martinsen · Ingar Holme · Anne Marte Pensgaard · Monica Klungland Torstveit · Jorunn Kaiander Sundgot-Borgen

136 citations0/0 files storedMedicine & Science in Sports & Exercise

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

PURPOSE: The objective of this study is to design and validate a brief questionnaire able to discriminate between female elite athletes with and without an eating disorder (ED). METHODS: In phase I, 221 (89.5%) adolescent athletes participated in a screening including the Eating Disorder Inventory-2 (EDI-2) and questions related to ED. All athletes reporting symptoms associated with ED (n = 96, 94.1%) and a random sample without symptoms (n = 88, 86.3%) attended the ED Examination Interview. On the basis of the screening, we extracted items with good predictive abilities for an ED diagnosis to the Brief ED in Athletes Questionnaire (BEDA-Q) versions 1 and 2. Version 1 consisted of seven items from the EDI-Body dissatisfaction, EDI-Drive for thinness, and questions regarding dieting. In version 2, two items from the EDI-Perfectionism subscale were added. In phase II, external predictive validity of version 1 was tested involving 54 age-matched elite athletes from an external data set. In phase III, predictive ability of posttest assessments was determined among athletes with no ED at pretest (n = 53, 100%). Logistic regression analyses were performed to identify predictors of ED. RESULTS: Version 2 showed higher discriminative accuracy than version 1 in distinguishing athletes with and without an ED with a receiver operating characteristics area of 0.86 (95% confidence interval (CI), 0.78-0.93) compared with 0.83 (95% CI, 0.74-0.92). In phase II, the accuracy of version 1 was 0.77 (95% CI, 0.63-0.91). In predicting new cases, version 2 showed higher diagnostic accuracy than version 1 with a receiver operating characteristic area of 0.73 (98% CI, 0.52-0.93) compared with 0.70 (95% CI, 0.48-0.92). CONCLUSION: The BEDA-Q containing nine items reveals good ability to distinguish between female elite athletes with and without an ED. The BEDA-Q's predictive ability should be tested in larger samples.

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References

2003Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)2002Risk and maintenance factors for eating pathology: A meta-analytic review.2006Positive Conceptions of Perfectionism: Approaches, Evidence, Challenges 2002Psychological Characteristics and Their Development in Olympic Champions 2004Prevalence of Eating Disorders in Elite Athletes Is Higher Than in the General Population 1994Risk and trigger factors for the development of eating disorders in female elite athletes 2004Eating disorder NOS (EDNOS): an example of the troublesome “not otherwise specified” (NOS) category in DSM-IV 2002Perfectionism in children and their parents: A developmental analysis.

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