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Children's eating attitudes test: Validation in a sample of Spanish schoolchildren

Authors

  • Luis Rojo-Moreno MD, PhD,

    Corresponding author
    1. Department of Medicine, University of Valencia, Spain
    2. Psychiatry Unit, La Fe University Hospital, Valencia, Spain
    3. Research Group CIBER CB06/02/0045 CIBER actions—Epidemiology and Public Health, University of Valencia, Spain
    • Psychiatry Unit, Maternity Ward, 11th floor, La Fe University Hospital, Avda, Campanar 21, 46009 Valencia, Spain
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  • Isabel García-Miralles MD,

    1. Psychiatry Unit, La Fe University Hospital, Valencia, Spain
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  • Javier Plumed MD, PhD,

    1. Psychiatry Unit, La Fe University Hospital, Valencia, Spain
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  • María Barberá MD, PhD,

    1. Psychiatry Unit, La Fe University Hospital, Valencia, Spain
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  • María M. Morales MD, PhD,

    1. Psychiatry Unit, La Fe University Hospital, Valencia, Spain
    2. Department of Preventive Medicine and Public Health, University of Valencia, Spain
    3. Research Foundation, “Dr. Peset” University Hospital, Valencia, Spain
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  • Elías Ruiz PhD,

    1. Directorate-General for Public Health, Valencian Regional Government, Valencia, Spain
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  • Lorenzo Livianos MD, PhD

    1. Department of Medicine, University of Valencia, Spain
    2. Psychiatry Unit, La Fe University Hospital, Valencia, Spain
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Abstract

Objective:

To validate the Spanish version of the Children's Eating Attitudes Test (ChEAT).

Method:

The factor structure and other psychometric characteristics of the questionnaire were examined using the answers of 38,554 schoolchildren. Diagnostic efficiency was based on a standardized clinical interview of 968 schoolchildren who had previously completed the questionnaire.

Results:

Five factors (“preoccupation with thinness,” “dieting,” “social pressure to eat,” “purging,” and “preoccupation with food and oral control”) explained 46% of the variance. Cronbach's α was .858 for the total scale. The area under the receiver operating characteristic curve was .851. Sensitivity (SE) was 27% and specificity (SP) 96% for a cut-off of 20. A more appropriate cut-off was 15, where SE and SP were 62% and 90% respectively, and the positive and negative predictive values 27 and 98%.

Discussion:

The ChEAT psychometric characteristics are adequate. The questionnaire is valid. A cut-off point of 15 is recommended for adolescents. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2011)

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