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Psychometric properties of the Chinese version of the Eating Attitudes Test (EAT-26) in young female patients with eating disorders in mainland China

Kang, Qing; Chan, Raymond C.K.; Li, Xiaoping; Arcelus, Jon; Yue, Ling; Huang, Jiabin; Gu, Lian; Fan, Qing; Zhang, Haiyin; Xiao, Zeping; Chen, Jue

Psychometric properties of the Chinese version of the Eating Attitudes Test (EAT-26) in young female patients with eating disorders in mainland China Thumbnail


Qing Kang

Raymond C.K. Chan

Xiaoping Li

Jon Arcelus

Ling Yue

Jiabin Huang

Lian Gu

Qing Fan

Haiyin Zhang

Zeping Xiao

Jue Chen


The study aimed to investigate the reliability and validity of the Chinese version of the eating attitudes test (EAT-26) among female adolescents and young adults in Mainland China. This scale was administered to 396 female eating disorder patients and 406 noneating disorder healthy controls, in addition 35 healthy controls completed a retest after a 4-week intervals. Tests for reliability, convergent validity and receiver operating characteristic analysis were performed to detect the psychometric properties. The EAT-26 demonstrated good internal consistency (Cronbach's alpha = 0.822–0.922), test–retest reliability (interclass correlation coefficient = 0.817) and convergent validity(r = 0.450–0.750). The receiver operating characteristic analysis showed that the cut-off 14 for anorexia nervosa and 15 for bulimia nervosa represented good compromises with approximate sensitivity (0.66–0.68) and specificity (0.85–0.86). Our findings provided evidence that the Chinese version of the EAT-26 was a psychometrically reliable and valid self-rating instrument for identifying people suffering from an eating disorder in Mainland China. A clinical cut-off range between 14 and 15 could be used, but caution should be exercised because of the low sensitivity of the tool.

Journal Article Type Article
Acceptance Date Sep 9, 2017
Online Publication Date Oct 9, 2017
Deposit Date Sep 21, 2017
Publicly Available Date Oct 9, 2017
Journal European Eating Disorders Review
Print ISSN 1072-4133
Electronic ISSN 1099-0968
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 25
Issue 6
Keywords EAT-26; eating disorder; psychometric properties; cutoff;
Mainland China
Public URL
Publisher URL
Additional Information This is the peer reviewed version of the following article: Kang, Q., Chan, R. C. K., Li, X., Arcelus, J., Yue, L., Huang, J., Gu, L., Fan, Q., Zhang, H., Xiao, Z., and Chen, J. (2017) Psychometric Properties of the Chinese Version of the Eating Attitudes Test in Young Female Patients with Eating Disorders in Mainland China. Eur. Eat. Disorders Rev., doi: 10.1002/erv.2560. which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.


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