Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries.
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Gewirtz-Meydan Ateret, Spivak-Lavi Zohar, Kraus Shane W, Nagy Léna, Koós Mónika, Demetrovics Zsolt, Potenza Marc N, Ballester-Arnal Rafael, Batthyány Dominik, Bergeron Sophie, Billieux Joël, Briken Peer, Burkauskas Julius, Cárdenas-López Georgina, Carvalho Joana, Castro-Calvo Jesús, Chen Lijun, Ciocca Giacomo, Corazza Ornella, Csako Rita I, Fernandez David P, Fernandez Elaine F, Fujiwara Hironobu, Fuss Johannes, Gabrhelík Roman, Gjoneska Biljana, Gola Mateusz, Grubbs Joshua B, Hashim Hashim T, Islam Md Saiful, Ismail Mustafa, Jiménez-Martínez Martha C, Jurin Tanja, Kalina Ondrej, Klein Verena, Költő András, Lee Chih-Ting, Lee Sang-Kyu, Lewczuk Karol, Lin Chung-Ying, Lochner Christine, López-Alvarado Silvia, Lukavská Kateřina, Mayta-Tristán Percy, Miller Dan J, Orosová Oľga, Orosz Gábor, Sungkyunkwan University's Research Team, Chang Hyein, Park Kyeongwoo, Ponce Fernando P, Quintana Gonzalo R, Quintero Garzola Gabriel C, Ramos-Diaz Jano, Rigaud Kévin, Rousseau Ann, Scanavino Marco De Tubino, Schulmeyer Marion K, Sharan Pratap, Shibata Mami, Shoib Sheikh, Sigre-Leirós Vera, Sniewski Luke, Spasovski Ognen, Steibliene Vesta, Stein Dan J, Strizek Julian, Ünsal Berk C, Vaillancourt-Morel Marie-Pier, Van Hout Marie Claire, Bőthe Beáta
Аннотация
METHOD: 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.
RESULTS: 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.
DISCUSSION: 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.