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Concurrent and convergent validity of the eating in the absence of hunger questionnaire and behavioral paradigm in overweight children

Authors

  • Jennifer Madowitz BA,

    Corresponding author
    1. San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California
    • Correspondence to: Jennifer Madowitz; San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California. E-mail: jmadowitz@ucsd.edu

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  • June Liang PhD,

    1. Department of Pediatrics, University of California, La Jolla, California
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  • Carol B. Peterson PhD,

    1. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota
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  • Sarah Rydell MPH,

    1. Department of Public Health, University of Minnesota, Minneapolis, Minnesota
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  • Nancy L. Zucker PhD,

    1. Department of Psychiatry, Duke University, Durham, North Carolina
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  • Marian Tanofsky-Kraff PhD,

    1. Department of Medical and Clinical Psychology Uniformed Services University of the Health Sciences (USUHS), Bethesda, Maryland
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  • Lisa Harnack DrPH, MPH,

    1. Department of Public Health, University of Minnesota, Minneapolis, Minnesota
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  • Kerri N. Boutelle PhD

    1. San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California
    2. Department of Pediatrics, University of California, La Jolla, California
    3. Department of Psychiatry, University of California, La Jolla, California
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  • Supported by a Faculty Development Grant from the University of Minnesota (to K.B. and L. H.)

ABSTRACT

Objective

This study aimed to assess the concurrent and convergent validity of the Eating in the Absence of Hunger (EAH) questionnaire parent report of child (EAH-PC) and child self-report (EAH-C) with the EAH behavioral paradigm (EAH%) and usual dietary intake.

Method

Data were obtained at baseline assessment for 117 treatment-seeking overweight and obese (BMI > 85th percentile) 8- to 12-year old children (53% female, 54% white) and their parents. Children participated in the EAH free access paradigm after a standardized ad libitum meal. Parents and children completed EAH questionnaires, and the children completed three 24 h recalls. EAH External Eating subscale and total scores were assessed.

Results

EAH% was inversely associated with the EAH-PC total score (p < .04), however, it was not associated with the EAH-PC External Eating scale, EAH-C total score or EAH-C External Eating scale. Daily caloric intake was positively related to both the EAH-C total score (p < .02) and External Eating subscale (p < .007). Daily caloric intake was inversely related to EAH-PC total score (p < .05), but was not related to EAH-PC External Eating subscale or EAH%.

Discussion

Concurrent validity was not supported for EAH questionnaires, but convergent validity was supported for EAH-C and child daily caloric intake. Further research is warranted to assess whether EAH questionnaires and paradigm are measuring different aspects of EAH in treatment-seeking children. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:287–295)

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