ArticleThe International journal of eating disorders2023
Investigating the factor structure and measurement invariance of the Eating Disorder Examination-Questionnaire (EDE-Q) in a community sample of gender minority adults from the United States.
Article in The International journal of eating disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- The Importance of Considering Personal Recovery for Eating Disorders.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Which EDE-Q items are structurally relevant in borderline personality disorder? An exploratory graph analysis.Borderline personality disorder and emotion dysregulation · 2026Article
- Geosocial networking apps and disordered eating among queer Asian American men: a serial mediation model of racial oppression.Journal of eating disorders · 2026Article
- Factor Structure, Internal Consistency, and Measurement Invariance of the Eating Pathology Symptoms Inventory (EPSI) in Transgender and Gender-Diverse Adults.The International journal of eating disorders · 2025Article
- Avoidant/restrictive food intake disorder (ARFID) symptoms in gender diverse adults and their relation to autistic traits, ADHD traits, and sensory sensitivities.Journal of eating disorders · 2025Article
- Associations Between Gender Diversity and Eating Disorder Symptoms in Early Adolescence.The International journal of eating disorders · 2025Article
- Factor structure and psychometric properties of the Muscle Dysmorphic Disorder Inventory (MDDI) among transgender women.Body image · 2024Article
- The association between gender-affirming care and disordered eating in transgender and gender diverse individuals: Exploring appearance congruence and gender-related motivating factors for weight loss.The International journal of eating disorders · 2024Article
- Eating Disorders in Sexual and Gender Minority Adolescents.Current psychiatry reports · 2024Review
- Investigating the factor structure and measurement invariance of the eating disorder examination questionnaire (EDE-Q) among cisgender gay men and lesbian women from the United States.Journal of eating disorders · 2023Article
- Experiences of discrimination in healthcare settings, trust in providers and disordered eating behaviors in LGBTQ+ college students.Eating disordersArticle
- The need for more inclusive measurement to advance equity in eating disorders prevention.Eating disordersArticle
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 2 countries.
Funding
Abstract
objectiveThe Eating Disorder Examination-Questionnaire (EDE-Q) is one of the most widely used self-report assessments of eating disorder symptoms. However, evidence indicates potential problems with its original factor structure and associated psychometric properties in a variety of populations, including gender minority populations. The aim of the current investigation was to explore several previously published EDE-Q factor structures and to examine internal consistency and measurement invariance of the best-fitting EDE-Q model in a large community sample of gender minority adults.
methodsData were drawn from 1567 adults (337 transgender men, 180 transgender women, and 1050 gender-expansive individuals) who participated in The PRIDE Study, a large-scale longitudinal cohort study of sexual and gender minorities from the United States. A series of confirmatory factor analyses (CFAs) were conducted to explore the fit of eight proposed EDE-Q models; internal consistency (Cronbach's alphas, Omega coefficients) and measurement invariance (multi-group CFA) were subsequently evaluated.
resultsA brief seven-item, three-factor (dietary restraint, shape/weight overvaluation, body dissatisfaction) model of the EDE-Q consistently evidenced the best fit across gender minority groups (transgender men, transgender women, gender-expansive individuals). The internal consistencies of the three subscales were adequate in all groups, and measurement invariance across the groups was supported. DISCUSSION: Taken together, these findings support the use of the seven-item, three-factor version of the EDE-Q for assessing eating disorder symptomatology in gender minority populations. Future studies can confirm the current findings in focused examinations of the seven-item, three-factor EDE-Q in diverse gender minority samples across race, ethnicity, socioeconomic status, and age ranges. PUBLIC SIGNIFICANCE STATEMENT: Although transgender individuals have greater risk of developing an eating disorder, the factor structure of the Eating Disorder Examination-Questionnaire, one of the most widely used eating disorder assessment measures, has not been explored in transgender adults. We found that a seven-item model including three factors of dietary restraint, shape and weight overvaluation, and body dissatisfaction had the best fit among transgender and nonbinary adults.
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