Cross-cultural validity of the eating disorder inventory: A study of Chinese patients with eating disorders in Hong Kong
Article first published online: 6 DEC 1998
Copyright © 1998 John Wiley & Sons, Inc.
International Journal of Eating Disorders
Volume 23, Issue 2, pages 177–188, March 1998
How to Cite
Lee, S., Lee, A. M. and Leung, T. (1998), Cross-cultural validity of the eating disorder inventory: A study of Chinese patients with eating disorders in Hong Kong. Int. J. Eat. Disord., 23: 177–188. doi: 10.1002/(SICI)1098-108X(199803)23:2<177::AID-EAT8>3.0.CO;2-H
- Issue published online: 6 DEC 1998
- Article first published online: 6 DEC 1998
- Manuscript Accepted: 5 SEP 1996
- Chinese EDI;
- eating disorders;
- fat and nonfat phobic subtypes
To evaluate the cross-cultural validity of the Chinese version of the Eating Disorder Inventory (EDI) in a clinical sample of patients with eating disorders in Hong Kong. Method: After comprehensive clinical assessment, a consecutive series (1990–1996) of Chinese patients with bulimia nervosa (N = 17) and broadly diagnosed anorexia nervosa (N = 26) completed the Chinese EDI. Results were compared with those of Chinese female undergraduates (N = 606) and Canadian patients with eating disorders. Results: The EDI profiles of bulimic and fat phobic anorectic patients were remarkably and modestly similar to those of their Canadian counterparts. The EDI meaningfully distinguished bulimic patients and fat phobic anorectic patients from local undergraduates, but exhibited deficient criterion-related validity in nonfat phobic anorectic patients. Discussion: The questionable validity of certain EDI subscales in nonfat phobic patients reflects the ethnospecific constructs upon which they are based, and weakens the efficacy of the EDI in screening for anorexia nervosa in Chinese populations. Apart from illustrating some of the conceptual and methodological issues that need to be tackled in the cross-cultural study of the eating disorders, this study furnishes empirical support for the syndromal homogeneity of bulimia nervosa, and the clinical grouping of anorexia nervosa into fat phobic and nonfat phobic subtypes. © 1998 by John Wiley & Sons, Inc. Int J Eat Disord 23:177–188, 1998.