Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries.

Journal: The International journal of eating disorders

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Affiliated Institutions:  School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel. Faculty of Social Work, Max Stern Yezreel Valley College, Yezreel Valley, Israel. Department of Psychology, University of Nevada, Las Vegas, Nevada, USA. Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary. Institute of Forensic Psychiatry and Sex Research, University of Duisburg-Essen, Essen, Germany. Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary. Yale University School of Medicine, New Haven, Connecticut, USA. Departmento de Psicología Básica, Clínica y Psicobiología, University Jaume I of Castellón, Castellón, Spain. Institute for Behavioural Addictions, Sigmund Freud University, Vienna, Austria. Département de Psychologie, Université de Montréal, Montréal, Canada. Institute of Psychology, University of Lausanne, Lausanne, Switzerland. Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry; University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania. Virtual Teaching and Cyberpsychology Laboratory, School of Psychology, National Autonomous University of Mexico, Mexico City, Mexico. William James Center for Research, Departamento de Educação e Psicologia, Universidade de Aveiro, Aveiro, Portugal. Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Valencia, Spain. Department of Psychology, College of Humanity and Social Science, Fuzhou University, Fuzhou, China. Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy. Department of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire, Hatfield, UK. Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand. Nottingham Trent University, Nottingham, UK. HELP University, Kuala Lumpur, Malaysia. Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan. Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany. Department of Addictology, Charles University, First Faculty of Medicine, Prague, Czech Republic. Macedonian Academy of Sciences and Arts, Skopje, Republic of North Macedonia. Institute of Psychlogy, Polish Academy of Sciences, Warsaw, Poland. Center on Alcohol, Substance Use, and Addictions University of New Mexico, Albuquerque, New Mexico, USA. University of Baghdad, College of Medicine, Baghdad, Iraq. Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh. Universidad Pedagógca y Tecnológica de Colombia, Tunja, Colombia. Department of Psychology, Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia. Department of Educational Psychology and Psychology of Health, Pavol Jozef Safarik University in Kosice, Košice, Slovakia. School of Psychology, University of Southampton, Southampton, UK. Health Promotion Research Centre, University of Galway, Galway, Ireland. Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Department of Psychiatry, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, South Korea. Institute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, Poland. Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan. SAMRC Unit on Risk & Resilience in Mental Disorders, Stellenbosch University, Stellenbosch, South Africa. Faculty of Psychology, University of Cuenca, Cuenca, Ecuador. Facultad de Medicina, Universidad Científica del Sur, Lima, Peru. College of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia. Artois University, Arras, France. Department of Psychology, Sungkyunkwan University, Seoul, South Korea. Facultad de Psicología, Universidad de Talca, Talca, Chile. Departamento de Psicología y Filosofía, Facultad de Ciencias Sociales, Universidad de Tarapacá, Arica y Parinacota, Chile. Florida State University, Panama City, Republic of Panama. Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Peru. Leuven School for Mass Communication, KU Leuven, Leuven, Belgium. Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London Health Sciences Centre and St. Joseph's Health Care London, London, Ontario, Canada. Universidad Privada de Santa Cruz de la Sierra, Santa Cruz de la Sierra, Bolivia. Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India. Department of Psychology, Shardha University, Greater Noida, Uttar Pradesh, India. Compassionate Inquiry, Canada. Faculty of Philosophy, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia. SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa. Austrian Public Health Institute, Vienna, Austria. Département de Psychologie, Université du Québec à Trois-Rivières, Trois-Rivières, Canada. Public Health Institute, Faculty of Health, Liverpool John Moores University, Liverpool, UK.

Abstract summary 

This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED.The International Sex Survey, a cross-sectional online study, was conducted in 42 countries and 26 languages. A diverse community sample of 82,243 participants, aged 18 years or older, completed the BEDS-7 and measures of sexuality, mental health, substance use, and sociodemographic characteristics. Confirmatory factor analyses and tests of measurement invariance were employed to evaluate the reliability and validity of the BEDS-7 across languages, countries, genders, and sexual orientations.The BEDS-7 demonstrated scalar factorial invariance across languages and countries, indicating consistent factor loadings and item intercepts. In contrast, the screener showed residual invariance across gender and sexual orientation groups, supporting its robustness across these demographics. Kruskal-Wallis tests revealed significant differences in BED symptoms across languages, countries, genders, and sexual orientations, with the highest BED scores observed among queer, pansexual, and gender-diverse individuals. The BEDS-7 also demonstrated adequate reliability (Cronbach's alpha > 0.80) and moderate criterion validity.The findings provide further evidence of the reliability and validity of the BEDS-7 as a potential screening tool for identifying probable cases of BED globally, facilitating early intervention in primary care settings.

Authors & Co-authors:  Gewirtz-Meydan Ateret A Spivak-Lavi Zohar Z Kraus Shane W SW Nagy Léna L Koós Mónika M Demetrovics Zsolt Z Potenza Marc N MN Ballester-Arnal Rafael R Batthyány Dominik D Bergeron Sophie S Billieux Joël J Briken Peer P Burkauskas Julius J Cárdenas-López Georgina G Carvalho Joana J Castro-Calvo Jesús J Chen Lijun L Ciocca Giacomo G Corazza Ornella O Csako Rita I RI Fernandez David P DP Fernandez Elaine F EF Fujiwara Hironobu H Fuss Johannes J Gabrhelík Roman R Gjoneska Biljana B Gola Mateusz M Grubbs Joshua B JB Hashim Hashim T HT Islam Md Saiful MS Ismail Mustafa M Jiménez-Martínez Martha C MC Jurin Tanja T Kalina Ondrej O Klein Verena V Költő András A Lee Chih-Ting CT Lee Sang-Kyu SK Lewczuk Karol K Lin Chung-Ying CY Lochner Christine C López-Alvarado Silvia S Lukavská Kateřina K Mayta-Tristán Percy P Miller Dan J DJ Orosová Oľga O Orosz Gábor G Chang Hyein H Park Kyeongwoo K Ponce Fernando P FP Quintana Gonzalo R GR Quintero Garzola Gabriel C GC Ramos-Diaz Jano J Rigaud Kévin K Rousseau Ann A Scanavino Marco De Tubino MT Schulmeyer Marion K MK Sharan Pratap P Shibata Mami M Shoib Sheikh S Sigre-Leirós Vera V Sniewski Luke L Spasovski Ognen O Steibliene Vesta V Stein Dan J DJ Strizek Julian J Ünsal Berk C BC Vaillancourt-Morel Marie-Pier MP Van Hout Marie Claire MC Bőthe Beáta B

Study Outcome 

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Citations :  Acle, A., B. J. Cook, N. Siegfried, and T. Beasley. 2021. “Cultural Considerations in the Treatment of Eating Disorders Among Racial/Ethnic Minorities: A Systematic Review.” Journal of Cross‐Cultural Psychology 52, no. 5: 468–488. https://doi.org/10.1177/00220221211017664.
Authors :  71
Identifiers
Doi : 10.1002/eat.24365
SSN : 1098-108X
Study Population
Male,Female
Mesh Terms
Other Terms
BEDS‐7;binge eating disorder (BED);cross‐cultural validation;impulsive behavior;screening tool
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States