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Barnhart WR, Kalantzis M, Gaggiano C, Braden AL. The relation between questionnaire-measured self-reported emotional eating and disordered eating behaviors: A meta-analysis of nearly three decades of research. Appetite 2024; 198:107343. [PMID: 38604382 DOI: 10.1016/j.appet.2024.107343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 03/15/2024] [Accepted: 04/04/2024] [Indexed: 04/13/2024]
Abstract
Extensive research exists on the association between self-reported emotional eating (EE) and disordered eating (DE) behaviors. Heterogeneity exists by type (e.g., unidimensional vs. multidimensional) and valence (e.g., negative vs. positive) of self-reported EE, and no previous meta-analyses have examined the association between self-reported EE and DE behaviors. A total of 67 studies (N = 26,289; 43 reporting relations in one model, and 24 reporting relations in more than one model) met inclusion criteria; ranges for age and publication date were 18.0-61.8 years old and 1995 to 2022. Five models quantified relations between DE behaviors and 1) broad negative EE, 2) EE in response to depression, 3) EE in response to anger and anxiety, 4) EE in response to boredom, and 5) EE in response to positive emotions. Using random-effects models, pooled Cohen's d effect sizes suggested small, positive relations between DE behaviors and self-reported broad negative EE (d = 0.40, p < 0.001), EE-depression (d = 0.41, p < 0.001), EE-anger/anxiety (d = 0.35, p < 0.001), and EE-boredom (d = 0.38, p < 0.001). A significant, but very small, positive relation was observed between DE behaviors and self-reported EE-positive (d = 0.08, p = 0.01). Subgroup analyses suggested a medium, positive relation between self-reported broad negative EE and binge eating (d = 0.53, p < 0.001) and a small, positive relation between self-reported broad negative EE and dietary restraint (d = 0.20, p < 0.001). Significant heterogeneity was identified across all models except for the EE-boredom and DE behaviors model. Higher BMI, but not age, clinical status, or type of DE behavior strengthened the positive relation between self-reported broad negative EE and DE behaviors. Findings support previous research suggesting that negative and positive EE are distinct constructs, with negatively valenced EE being more closely associated with DE behaviors, especially binge eating.
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Affiliation(s)
- Wesley R Barnhart
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA.
| | - Maria Kalantzis
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
| | - Christina Gaggiano
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
| | - Abby L Braden
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
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Fernandes S, Costa C, Nakamura IS, Poínhos R, Oliveira BMPM. Risk of Eating Disorders and Social Desirability among Higher Education Students: Comparison of Nutrition Students with Other Courses. Healthcare (Basel) 2024; 12:744. [PMID: 38610165 PMCID: PMC11011845 DOI: 10.3390/healthcare12070744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 03/17/2024] [Accepted: 03/26/2024] [Indexed: 04/14/2024] Open
Abstract
The transition to college is a period of higher risk of the development of eating disorders, with nutrition/dietetics students representing a group of particular vulnerability. Hence, it is interesting to assess eating disorders, taking into consideration potential sources of bias, including social desirability. Our aims were to compare the risk of eating disorders between students of nutrition/dietetics and those attending other courses and to study potential social desirability biases. A total of 799 higher education students (81.7% females) aged 18 to 27 years old completed a questionnaire assessing the risk of eating disorders (EAT-26) and social desirability (composite version of the Marlowe-Crowne Social Desirability Scale). The proportion of students with a high risk of eating disorders was higher among females (14.5% vs. 8.2%, p = 0.044). Nutrition/dietetics students did not differ from those attending other courses regarding the risk of eating disorders. The social desirability bias when assessing the risk of eating disorders was overall low (EAT-26 total score: r = -0.080, p = 0.024). Social desirability correlated negatively with the Diet (r = -0.129, p < 0.001) and Bulimia and food preoccupation subscales (r = -0.180, p < 0.001) and positively with Oral self-control (r = 0.139, p < 0.001).
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Affiliation(s)
- Sandra Fernandes
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal; (S.F.); (C.C.); (I.S.N.); (R.P.)
| | - Carolina Costa
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal; (S.F.); (C.C.); (I.S.N.); (R.P.)
| | - Ingrid Sayumi Nakamura
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal; (S.F.); (C.C.); (I.S.N.); (R.P.)
| | - Rui Poínhos
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal; (S.F.); (C.C.); (I.S.N.); (R.P.)
| | - Bruno M. P. M. Oliveira
- Faculty of Nutrition and Food Sciences, University of Porto, Rua do Campo Alegre, 823, 4150-180 Porto, Portugal; (S.F.); (C.C.); (I.S.N.); (R.P.)
- Laboratory of Artificial Intelligence and Decision Support, Institute for Systems and Computer Engineering—Technology and Science, University of Porto, 4200-465 Porto, Portugal
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Boulanger B, Bédard A, Carbonneau É, Pelletier L, Robitaille J, Lamarche B, Lemieux S. Social desirability, dietary intakes, and variables related to attitudes and behaviours towards eating among French-speaking adults from Quebec, Canada: The PREDISE study. Appl Physiol Nutr Metab 2024; 49:167-178. [PMID: 37929824 DOI: 10.1139/apnm-2023-0261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Abstract
The primary objective of this study was to examine how social desirability is associated with self-reported measures of dietary intakes and variables related to attitudes and behaviours towards eating. This analysis was conducted in 1083 adults (50.0% women) from the PREDISE study. Social desirability was assessed using the Balanced Inventory of Desirable Responding (BIDR) questionnaire, which includes two subscales: (1) self-deceptive enhancement (SDE), i.e., having an overly positive self-image and (2) impression management (IM), i.e., intentional response distortion to please. BIDR total score and IM subscore were positively associated with the Canadian Healthy Eating Index (C-HEI) (ß = 0.24 and ß = 0.50; p ≤ 0.0003), calculated using data from three self-administered 24 h food recalls. All BIDR scores were positively associated with self-determined motivation for eating regulation (0.03 ≤ ß ≤ 0.06; p < 0.0001), measured by the Regulation of Eating Behavior Scale, and with the intuitive eating score (0.02 ≤ ß ≤ 0.05; p < 0.0001). Also, all BIDR scores were negatively associated with hunger and disinhibition scores measured by the Three-Factor Eating Questionnaire (-0.17 ≤ ß ≤ -0.09; p < 0.0001). All these associations were adjusted for age, sex, BMI, and the education level. Furthermore, controlling for both dimensions of social desirability did not impact the magnitude of the association between self-determined motivation (the strongest predictor of healthy eating in the PREDISE study) and C-HEI. According to our results, associations are observed with diet quality, as well as with attitudes and behaviours towards eating; therefore, a measurement of social desirability responding would be pertinent in studies using those or related variables.
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Affiliation(s)
- Benoît Boulanger
- Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, 2440 boulevard Hochelaga, Québec, QC G1V 0A6, Canada
- School of Nutrition, Université Laval, 2425 rue de l'Agriculture, Québec, QC G1V 0A6, Canada
| | - Alexandra Bédard
- Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, 2440 boulevard Hochelaga, Québec, QC G1V 0A6, Canada
| | - Élise Carbonneau
- Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, 2440 boulevard Hochelaga, Québec, QC G1V 0A6, Canada
- School of Nutrition, Université Laval, 2425 rue de l'Agriculture, Québec, QC G1V 0A6, Canada
| | - Luc Pelletier
- School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier, Vanier Hall, Ottawa, ON K1N 6N5, Canada
| | - Julie Robitaille
- Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, 2440 boulevard Hochelaga, Québec, QC G1V 0A6, Canada
- School of Nutrition, Université Laval, 2425 rue de l'Agriculture, Québec, QC G1V 0A6, Canada
| | - Benoît Lamarche
- Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, 2440 boulevard Hochelaga, Québec, QC G1V 0A6, Canada
- School of Nutrition, Université Laval, 2425 rue de l'Agriculture, Québec, QC G1V 0A6, Canada
| | - Simone Lemieux
- Centre Nutrition, santé et société (NUTRISS), Institut sur la nutrition et les aliments fonctionnels (INAF), Université Laval, 2440 boulevard Hochelaga, Québec, QC G1V 0A6, Canada
- School of Nutrition, Université Laval, 2425 rue de l'Agriculture, Québec, QC G1V 0A6, Canada
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Canova L, Bobbio A, Benincà A, Manganelli AM. Italian validation of a short version of the Dutch eating behavior questionnaire: Psychometric properties and relationships with self-esteem, eating self-efficacy, and snacking habits in university students. Health Psychol Open 2024; 11:20551029241262665. [PMID: 38898885 PMCID: PMC11186392 DOI: 10.1177/20551029241262665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2024] Open
Abstract
Background: The Dutch Eating Behavior Questionnaire (DEBQ) is a widely used self-report measure of eating styles, i.e., emotional, restrained, and external. A short and reliable version is useful for screening, routine assessments, and multipurpose surveys. Objective: The short version of the DEBQ by Bailly et al. (2012) was validated in the Italian context in two studies. Concurrent criterion validity was tested by considering gender, body mass index, self-esteem, eating self-efficacy, and snacking habits. Method: Data were collected via online questionnaires administered to two convenience samples of university students (n = 613, n = 856). Results: The three-factor structure of the short version of the DEBQ was supported and was invariant across genders. Correlations among the three eating styles, gender, body mass index, self-esteem, eating self-efficacy, and snacking habits followed the expected pattern. Conclusion: The short form of the DEBQ is psychometrically sound and can be used to investigate eating styles among Italian university students.
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Rachubińska K, Cybulska AM, Schneider-Matyka D, Panczyk M, Kupcewicz E, Kamińska M, Grochans E. Personality traits and risk of eating disorders among Polish women: the moderating role of self-esteem. Front Psychiatry 2023; 14:1281898. [PMID: 38025422 PMCID: PMC10644397 DOI: 10.3389/fpsyt.2023.1281898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 10/12/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives Personality traits should be taken into account when diagnosing individuals with disordered eating behaviors in the hope of better understanding their etiology and symptom progression and when planning treatment. The objective of this study was to attempt to determine the moderating role of self-esteem in the relationships between personality traits included in the Big Five model among Polish women and estimated risk of eating disorders. Methods The study was conducted among 556 Polish women from Zachodniopomorskie Voivodeship. The average age of the women under study was 34 years. A diagnostic survey was used as the research method, and the empirical data were collected using the following research tools: The NEO Five-Factor Inventory (NEO-FFI), Rosenberg Self-Esteem Scale (SES), ORTO - 15 Questionnaire, The Three-Factor Eating Questionnaire (TFEQ-13), and the authors' original questionnaire. A multivariate linear regression analysis was conducted to examine the influence of selected independent variables. The assumptions for the linear regression model were satisfied, as indicated by the Ramsey Regression Equation Specification Error Test, White's test, and the Jarque-Bera test. Results Only the personality trait of neuroticism exhibits a statistically significant effect on the "Cognitive Restraint of Eating," "Uncontrolled Eating," and "Emotional Eating" scores (p < 0.001). The moderation effect was demonstrated between self-esteem and the personality trait of conscientiousness on the "Cognitive Restraint of Eating" scale score. There is a moderation effect between self-esteem and the personality trait of extraversion on the "Uncontrolled Eating" subscale score. There is a moderation effect between self-esteem and the personality trait of conscientiousness on the "Uncontrolled Eating" scale score. Conclusion Self-esteem was not a predictor of the occurrence of risk of eating disorders while playing a moderating role in the relationship between certain personality traits and estimated risk of eating disorders. A higher level of neuroticism was identified as an important predictor of higher results for orthorexia, Cognitive Restraint of Eating, Uncontrolled Eating, and Emotional Eating. It was also demonstrated that the orthorexia risk index decreased with increased extraversion and openness to experience. The results of this study suggest that eating behaviors and psychological factors should be included in psychological interventions in the treatment of eating disorders. The clinical goal can be considered to be an improvement in non-normative eating behaviors, such as a reduction in overeating episodes or eating less frequently in the absence of a hunger feeling. In order to assist these individuals in their attempts to achieve healthy behaviors, variables related to mental functioning can be then identified as important goals to support individuals in their efforts to change health behaviors by achieving better mental well-being.
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Affiliation(s)
- Kamila Rachubińska
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Anna Maria Cybulska
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Daria Schneider-Matyka
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Mariusz Panczyk
- Department of Education and Research in Health Sciences, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Ewa Kupcewicz
- Department of Nursing, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Magdalena Kamińska
- Subdepartment of Long-Term Care and Palliative Medicine, Department of Social Medicine, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Elżbieta Grochans
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Szczecin, Poland
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Oikarinen N, Jokelainen T, Heikkilä L, Nurkkala M, Hukkanen J, Salonurmi T, Savolainen MJ, Teeriniemi AM. Low eating self-efficacy is associated with unfavorable eating behavior tendencies among individuals with overweight and obesity. Sci Rep 2023; 13:7730. [PMID: 37173366 PMCID: PMC10182077 DOI: 10.1038/s41598-023-34513-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 05/03/2023] [Indexed: 05/15/2023] Open
Abstract
Success in long-term weight management depends partly on psychological and behavioral aspects. Understanding the links between psychological factors and eating behavior tendencies is needed to develop more effective weight management methods. This population-based cross-sectional study examined whether eating self-efficacy (ESE) is associated with cognitive restraint (CR), uncontrolled eating (UE), emotional eating (EE), and binge eating (BE). The hypothesis was that individuals with low ESE have more unfavorable eating behavior tendencies than individuals with high ESE. Participants were classified as low ESE and high ESE by the Weight-Related Self-Efficacy questionnaire (WEL) median cut-off point. Eating behavior tendencies were assessed with Three Factor Eating Questionnaire R-18 and Binge Eating Scale, and additionally, by the number of difficulties in weight management. The difficulties were low CR, high UE, high EE, and moderate or severe BE. Five hundred and thirty-two volunteers with overweight and obesity were included in the study. Participants with low ESE had lower CR (p < 0.03) and higher UE, EE, and BE (p < 0.001) than participants with high ESE. Thirty-nine percent of men with low ESE had at least two difficulties in successful weight control while this percentage was only 8% in men with high ESE. In women, the corresponding figures were 56% and 10%. The risk of low ESE was increased by high UE [OR 5.37 (95% CI 1.99-14.51)], high EE [OR 6.05 (95% CI 2.07-17.66)], or moderate or severe BE [OR 12.31 (95% CI 1.52-99.84)] in men, and by low CR [OR 5.19 (95% CI 2.22-12.18)], high UE [OR 7.20 (95% CI 2.41-19.22)], or high EE [OR 23.66 (95% CI 4.79-116.77)] in women. Low ESE was associated with unfavorable eating behavior tendencies and multiple concomitant difficulties in successful weight loss promotion. These eating behavior tendencies should be considered when counseling patients with overweight and obesity.
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Affiliation(s)
- Noora Oikarinen
- Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland
| | | | - Laura Heikkilä
- Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Oulu, Finland
- Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Marjukka Nurkkala
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Oulu, Finland
- Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Janne Hukkanen
- Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- Biocenter Oulu, Oulu, Finland
| | - Tuire Salonurmi
- Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- Research Unit of Health Sciences and Technology (HST), Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Markku J Savolainen
- Research Unit of Biomedicine and Internal Medicine, University of Oulu, Oulu, Finland
- Department of Medicine, Oulu University Hospital, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Anna-Maria Teeriniemi
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
- Department of Medicine, Endocrinology and Clinical Nutrition, Kuopio University Hospital, Kuopio, Finland.
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Bober J, Wiśniewska K, Okręglicka K. Eating Behaviours of Polish and Portuguese Adults-Cross-Sectional Surveys. Nutrients 2023; 15:nu15081934. [PMID: 37111153 PMCID: PMC10143936 DOI: 10.3390/nu15081934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 04/13/2023] [Accepted: 04/14/2023] [Indexed: 04/29/2023] Open
Abstract
Eating behaviours affect energy intake through the types and amounts of foods chosen and decisions about the beginning and ending of the eating process. This study aims to determine and compare the eating behaviours of Polish and Portuguese adults and, in addition, to establish the correlations between daily behaviours, food-approaches and food-avoidance behaviours, and BMI in both populations. The study was conducted between January 2023 and March 2023. Participants from Poland and Portugal responded to the AEBQ questionnaire and questions on eating habits and body-image self-perception. The research tool was a website-based survey questionnaire with single-choice questions. No significant differences related to BMI levels were found between the Polish and Portuguese adults in terms of their eating behaviours. Both groups were characterised by the increased intensity of their food-approach behaviours, which was directly correlated with increases in BMI. Greater snacking intensity and binge drinking were associated with higher BMI. The study revealed an increased prevalence of binge drinking in the Polish sample. The study also confirmed a higher frequency of food-approach behaviours in overweight and/or obese individuals and uncontrolled calorie intake in participants imposing dietary restrictions for weight loss. Nutrition education is needed to improve eating habits and food choices, as well as to prevent overweight and obesity in adults.
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Affiliation(s)
- Julia Bober
- Student Scientific Association of Hygiene and Prevention, Department of Social Medicine and Public Health, Medical University of Warsaw, 02-007 Warsaw, Poland
| | - Klaudia Wiśniewska
- Department of Social Medicine and Public Health, Medical University of Warsaw, 02-007 Warsaw, Poland
| | - Katarzyna Okręglicka
- Department of Social Medicine and Public Health, Medical University of Warsaw, 02-007 Warsaw, Poland
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Papini NM, Jung M, Cook A, Lopez NV, Ptomey LT, Herrmann SD, Kang M. Psychometric properties of the 26-item eating attitudes test (EAT-26): an application of rasch analysis. J Eat Disord 2022; 10:62. [PMID: 35509106 PMCID: PMC9069796 DOI: 10.1186/s40337-022-00580-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 04/15/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The 26-item Eating Attitudes Test (EAT-26) is a commonly used tool to assess eating disorder risk. The purpose of this study was to examine the psychometric properties of the EAT-26 with a combined sample: (1) of adults with overweight and obesity enrolled in a behavioral weight loss program and (2) general adult sample (n = 469; age = 36.17 ± 17.83 years; female = 72.5%; white = 66.3%; obese BMI category = 58%). METHODS Rasch modeling was used to assess model-data fit, create an item-person map to evaluate relative distribution items and persons, item difficulty, and person's eating disorder (ED) risk level of the EAT-26. Differential item functioning (DIF) and rating scale functioning of the EAT-26 were also evaluated using Rasch analysis. RESULTS A total of 7 misfit items were removed from the final analysis due to unacceptable Infit and Outfit mean square residual values. The item-person map showed that the items were biased toward participants with moderate to high levels of ED risk and did not cover those who had low risk for having an ED (< - 1 logits). The DIF analyses results showed that none of the items functioned differently across sex, but 5 items were flagged based on obesity status. The six-category Likert-type rating scale did not function well indicating a different response format may be needed. CONCLUSION Several concerns were identified with the psychometric evaluation of the EAT-26 that may question its utility in assessing ED risk in individuals at low risk for ED, within samples of people who have overweight and obesity seeking weight loss treatment. The 26-item Eating Attitudes Test is a self-rated measure of eating attitudes that measures symptoms and concerns of eating disorders (ED). Very little is known about how this instrument performs differently based on individual factors like body mass index (BMI) and sex (male/female). We used an advanced measurement theory (i.e., Rasch analysis) to determine if the EAT-26 is an adequate measure to detect disordered eating in men and women of different BMIs. Results indicated that the EAT-26 was biased toward participants with moderate to high levels of disordered eating risk and did not adequately detect individuals at low risk for disordered eating. The EAT-26 did not function differently based on sex (male/female). However, five questions did function differently based on obesity status (those without obesity/ those with obesity). Finally, we observed the six-category rating scale did not function appropriately and that a new response format may be warranted. In sum, there were several issues (e.g., poor rating scale and different item functioning) with the EAT-26 and future work should develop screening tools that detect low risk of disordered eating as well as function well in adults with overweight and obesity.
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Affiliation(s)
- Natalie M Papini
- Department of Health Sciences, Northern Arizona University, 1100 S. Beaver St., Flagstaff, AZ, 86001, USA.
| | - Myungjin Jung
- Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, MS, USA
| | - Amanda Cook
- Volunteer Behavioral Health Care System, Murfreesboro, TN, USA
| | - Nanette V Lopez
- Department of Health Sciences, Northern Arizona University, 1100 S. Beaver St., Flagstaff, AZ, 86001, USA
| | - Lauren T Ptomey
- Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA
| | | | - Minsoo Kang
- Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, MS, USA
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Eating Behaviour among University Students: Relationships with Age, Socioeconomic Status, Physical Activity, Body Mass Index, Waist-to-Height Ratio and Social Desirability. Nutrients 2021; 13:nu13103622. [PMID: 34684623 PMCID: PMC8541155 DOI: 10.3390/nu13103622] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 10/11/2021] [Accepted: 10/13/2021] [Indexed: 01/23/2023] Open
Abstract
Eating behaviour is of particular interest for research focusing on body weight status. However, little is known about the relationships of certain factors, especially social desirability, with self-reported eating behaviour such as cognitive restraint, uncontrolled eating, and emotional eating among young adult males and females. This study aimed to evaluate the relationships between eating behaviour and age, socioeconomic status (SES), physical activity (PA), body mass index (BMI), waist-to-height ratio (WHtR), and social desirability among university students. A cross-sectional study was conducted among 353 university students (59.2% females). Eating behaviour was assessed using the 13-item Three-Factor Eating Questionnaire (TFEQ-13). SES and PA were determined using self-reporting, and the Marlowe–Crowne Social Desirability Scale assessed social desirability. BMI and WHtR were calculated based on measured parameters. Associations between self-reported eating behaviour and other variables were assessed using Pearson’s correlation coefficient and multivariate general linear models. Cognitive restraint was positively correlated with BMI and WHtR in both males (r = 0.174, P = 0.036 and r = 0.194, P = 0.020, respectively) and females (r = 0.239, P < 0.001 and r = 0.165, P = 0.017, respectively), and emotional eating was positively correlated with BMI among females (r = 0.184, P = 0.008). Social desirability was negatively correlated with uncontrolled eating (r = −0.287, P < 0.001) and emotional eating (r = −0.301, P < 0.001) among females. There were no significant correlations between eating behaviour and age or socioeconomic status (P > 0.05). Multivariate analysis showed that, among males, PA had a main effect on emotional eating (ηp2 = 0.044, F = 6.276, P = 0.013). Among females, cognitive restraint was positively associated with PA (ηp2 = 0.034, F = 7.127, P = 0.008) and BMI (ηp2 = 0.038, F = 7.959, P = 0.005), and emotional eating with BMI (ηp2 = 0.032, F = 6.638, P = 0.011). Social desirability had the highest main effect on eating behaviour among females, being negatively associated with uncontrolled eating (ηp2 = 0.077, F = 16.754, P < 0.001) and emotional eating (ηp2 = 0.082, F = 18.046, P < 0.001). This study showed that PA, BMI, WHtR, and social desirability were associated with self-reported eating behaviour among university students. Social desirability bias should be considered when evaluating uncontrolled eating and emotional eating among females.
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Praxedes DRS, Pureza IROM, Vasconcelos LGL, Silva Júnior AE, Macena MDL, Florêncio TMDMT, Melo ISVD, Bueno NB. Association between energy intake under‐reporting and previous professional nutritional counselling in low‐income women with obesity: A cross‐sectional study. NUTR BULL 2021. [DOI: 10.1111/nbu.12513] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Development of a Food-Based Diet Quality Score from a Short FFQ and Associations with Obesity Measures, Eating Styles and Nutrient Intakes in Finnish Twins. Nutrients 2019; 11:nu11112561. [PMID: 31652865 PMCID: PMC6893528 DOI: 10.3390/nu11112561] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 10/03/2019] [Accepted: 10/16/2019] [Indexed: 11/29/2022] Open
Abstract
We constructed a food-based diet quality score (DQS) and examined its association with obesity measures, eating styles and nutrient intakes. Participants were 3592 individuals (764 dizygotic [DZ] and 430 monozygotic [MZ] twin pairs) from the FinnTwin16 study. The DQS (0–12 points) was constructed from a short 14 item food frequency questionnaire. Anthropometric measures and eating styles were self-reported. Nutrient intakes were calculated from food diaries completed in a subsample of 249 individuals (45 same-sex DZ and 60 MZ twin pairs). Twins were analyzed both as individuals and as twin pairs. The DQS was inversely associated with body mass index (β = −0.12, per one-unit increase in DQS, p < 0.001), waist circumference (β = −0.34, p < 0.001), obesity (odds ratio [OR]: 0.95, p = 0.004) and abdominal obesity (OR: 0.88, p < 0.001), independent of sex, age, physical activity and education. A higher DQS was associated with health-conscious eating, having breakfast, less snacking, fewer evening meals, and a higher frequency and regularity of eating. The DQS was positively correlated with the intakes of protein, fiber and magnesium and negatively correlated with the intakes of total fat, saturated fat and sucrose. Within twin pairs, most of the associations between the DQS with eating styles and some nutrients remained, but the DQS was not associated with obesity measures within twin pairs. The DQS is an easy-to-use tool for ranking adults according to diet quality and shows an association with obesity measures, eating styles and key nutrients in the expected direction.
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12
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Heriseanu AI, Hay P, Touyz S. The short inventory of grazing (SIG): development and validation of a new brief measure of a common eating behaviour with a compulsive dimension. J Eat Disord 2019; 7:4. [PMID: 30774954 PMCID: PMC6366119 DOI: 10.1186/s40337-019-0234-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2018] [Accepted: 01/11/2019] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Grazing, the repetitious and unplanned eating of small amounts of food with or without a sense of loss of control (LOC), is an eating pattern of recent interest which is highly prevalent in eating disorders and obesity. The current study aimed to (1) assess psychometric properties of a short inventory of grazing (SIG), consisting of a "grazing in general" item and a "compulsive/LOC grazing" item and (2) examine associations between compulsive and non-compulsive grazing and body mass index (BMI), eating disorder psychopathology, distress and health-related quality of life. METHODS Participants recruited from a university and the community (n = 227; 75.3% female; age = 25.00 (9.88; 17.58-57.17) years; BMI = 23.24 (4.91, 14.20-46.06) kg/m2) completed an online test battery including the SIG. Parametric and non-parametric statistics were computed to assess internal consistency, test-retest reliability and construct validity, to test associations between the SIG and the other study variables, and to examine between-group differences. RESULTS The SIG demonstrated appropriate psychometric properties. Results indicated that both grazing in general and low-frequency LOC grazing are common; however, LOC grazing of moderate-severe frequency and/or associated with marked distress is unusual. Frequency of LOC grazing, but not grazing in general, was significantly associated with higher BMI, psychological distress, compensatory behaviours and lower mental health-related quality of life. The presence of compulsive grazing was also associated with eating disorder caseness and binge-type eating disorder diagnostic groups. CONCLUSIONS Results support the positioning of "compulsive" LOC grazing on a continuum of problematic eating. The SIG is a parsimonious measure of this eating pattern of emergent interest.
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Affiliation(s)
- Andreea I Heriseanu
- 1School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, 2751 NSW Australia.,2School of Psychology, University of Sydney, Level 3, Building M02F, 94 Mallett St, Camperdown, 2050 NSW Australia
| | - Phillipa Hay
- 2School of Psychology, University of Sydney, Level 3, Building M02F, 94 Mallett St, Camperdown, 2050 NSW Australia
| | - Stephen Touyz
- 1School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, 2751 NSW Australia
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13
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King BM, Cespedes VM, Burden GK, Brady SK, Clement LR, Abbott EM, Baughman KS, Joyner SE, Clark MM, Pury CLS. Extreme under-reporting of body weight by young adults with obesity: relation to social desirability. Obes Sci Pract 2018; 4:129-133. [PMID: 29670750 PMCID: PMC5893466 DOI: 10.1002/osp4.153] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 12/19/2017] [Accepted: 12/20/2017] [Indexed: 11/12/2022] Open
Abstract
Objective The objective of this study was to determine whether there is an association between under‐reporting of body weight and social desirability as is found with self‐reports of energy intake. Methods Twenty‐seven lean individuals (mean body mass index ± standard deviation = 21.6 ± 2.0 kg m−2) and 26 individuals with obesity (mean body mass index = 35.4 ± 4.8 kg m−2) were e‐mailed a questionnaire on which they had to state their body weight and conduct a home food inventory. The next day, research team members went to their homes to weigh the participants, conduct their own food inventory and administer the Marlowe–Crowne scale for social desirability. Results Among individuals with obesity, lower social desirability scores were associated with a greater degree of under‐reporting body weight (r = +0.48, p < 0.02). Among lean individuals, the correlation was negative but statistically non‐significant (p = −0.22, p > 0.10). Nine individuals with obesity were extreme under‐reporters (2.27 kg or more), and eight of these had social desirability scores in the bottom half of the Marlowe–Crowne scale (p < 0.01). Six under‐reported on the home food inventory by three or more items. Conclusions Individuals with obesity and low social desirability scores are more likely than others to be extreme under‐reporters of body weight, possibly due to a lack of awareness of their own weight.
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Affiliation(s)
- B M King
- Department of Psychology Clemson University Clemson South Carolina USA
| | - V M Cespedes
- Department of Psychology Clemson University Clemson South Carolina USA
| | - G K Burden
- Department of Psychology Clemson University Clemson South Carolina USA
| | - S K Brady
- Department of Psychology Clemson University Clemson South Carolina USA
| | - L R Clement
- Department of Psychology Clemson University Clemson South Carolina USA
| | - E M Abbott
- Department of Psychology Clemson University Clemson South Carolina USA
| | - K S Baughman
- Department of Psychology Clemson University Clemson South Carolina USA
| | - S E Joyner
- Department of Psychology Clemson University Clemson South Carolina USA
| | - M M Clark
- Department of Psychology Clemson University Clemson South Carolina USA
| | - C L S Pury
- Department of Psychology Clemson University Clemson South Carolina USA
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14
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Wang YF, Chuang HL, Chang CW, Zauszniewski JA. Translation and Psychometric Analysis of the Chinese Version of the Dutch Eating Behavior Questionnaire for Children (DEBQ-C) in Taiwanese Preadolescents. J Pediatr Nurs 2018; 39:e30-e37. [PMID: 29366527 DOI: 10.1016/j.pedn.2018.01.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 12/18/2017] [Accepted: 01/10/2018] [Indexed: 11/17/2022]
Abstract
PURPOSE This study aimed to translate and evaluate the psychometric properties of a Chinese version of the (DEBQ-C) among Taiwanese preadolescents. DESIGN AND METHODS The DEBQ-C was translated into Mandarin Chinese (CDEBQ-C) using established translation and back-translation methods and reviewed by an expert panel for cultural equivalence. A convenience sample of 349 preadolescents was randomly split to conduct exploratory factor analysis (EFA) on the first half and confirmatory factor analysis (CFA) on the second. Internal consistency estimates for subscales were evaluated using Cronbach's alpha. Construct validation with academic stress, a theoretically related construct, was also examined. RESULTS The theoretical dimensions of the original DEBQ-C were supported with an EFA that revealed the presence of three factors with 41.23% variance explained, and model fit was confirmed by CFA. Construct validation was supported by positive correlations with academic stress. Each subscale of the CDEBQ-C demonstrated satisfactory internal consistency (Cronbach's alpha = 0.72-0.86). Overweight/obese preadolescents scored significantly higher on restrained eating compared to other weight groups. CONCLUSIONS The findings suggest that the CDEBQ-C is a psychometrically valid and reliable instrument for assessing overeating tendencies with Taiwanese preadolescents. Replication studies with greater diversity in age, ethnicity, and weight are needed to provide further evidence of construct validity for the CDEBQ-C. PRACTICE IMPLICATIONS Clinicians and researchers can use the CDEBQ-C to assess or expand the knowledge of children's overeating. At-risk preadolescents can be identified at an early stage and effective and individualized intervention programs may be designed and facilitated.
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Affiliation(s)
- Ya-Fen Wang
- College of Nursing, Kent State University, Kent, OH, USA.
| | - Hsiao-Ling Chuang
- School of Nursing, Chung Shan Medical University, Taichung, Taiwan; Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Chi-Wen Chang
- School of Nursing, Chang Gung University, Taoyuan, Taiwan; Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Jaclene A Zauszniewski
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
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15
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Wang YF, Ha S, Zauszniewski JA, Ross R. Psychometric properties of the Chinese version of the Dutch Eating Behavior Questionnaire in a sample of Taiwanese parents. Obes Res Clin Pract 2017; 12:129-132. [PMID: 29217141 DOI: 10.1016/j.orcp.2017.11.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Revised: 11/18/2017] [Accepted: 11/20/2017] [Indexed: 11/18/2022]
Abstract
The Dutch Eating Behavior Questionnaire (DEBQ) appraises overeating styles that may contribute to weight gain in adults. The purpose of this analysis was to assess the psychometric properties of a Chinese version of the DEBQ (C-DEBQ) in a sample of parents of school-age children in Taiwan. The C-DEBQ encompassing three subscales that including emotional eating, external eating, and restrained eating. Each subscale's reliability was assessed with Cronbach's alpha internal consistency. Confirmatory factor analysis (CFA) was conducted to validate the model fit. A total of 340 normal weight and overweight parents of school-age children from various geographical locations in Taiwan participated in the study. Each subscale, emotional, external, and restrained eating, displayed good-to-excellent internal consistency (Cronbach's alphas: .94, .81, and .89, respectively). CFA showed that the three-factor solution had close goodness-of-fit to the data for supporting the factorial validity (x2=1239.03, df=488, p<.001, x2/df=2.54, root mean square error of approximation=.067, comparative fit index=.879, Tucker-Lewis index=.869). Findings suggest that the C-DEBQ is a psychometrically reliable and valid instrument with the potential to assess overeating styles in Taiwanese parents of school-age children. Replication studies with more age- and gender-diverse populations are needed to provide further evidence of construct validity for the Chinese version of the DEBQ.
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Affiliation(s)
- Ya-Fen Wang
- College of Nursing, Kent State University, Kent, OH, USA; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA; School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA.
| | - Soonyoung Ha
- College of Nursing, Kent State University, Kent, OH, USA; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA; School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA
| | - Jaclene A Zauszniewski
- College of Nursing, Kent State University, Kent, OH, USA; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA; School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA
| | - Ratchneewan Ross
- College of Nursing, Kent State University, Kent, OH, USA; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA; School of Nursing, University of North Carolina at Greensboro, Greensboro, NC, USA
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Auld G, Baker S, McGirr K, Osborn KS, Skaff P. Confirming the Reliability and Validity of Others' Evaluation Tools Before Adopting for Your Programs. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:441-450.e1. [PMID: 28495042 DOI: 10.1016/j.jneb.2017.02.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Revised: 02/07/2017] [Accepted: 02/09/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To confirm the reliability and validity of a previously validated evaluation instrument in a new context. METHODS In a cross-sectional study, the processes and results of testing Cooking Matters' (CM) use of the Expanded Food and Nutrition Education Program's Behavior Checklist as a retrospective pretest/posttest were described. The researchers determined reliability, face and content validity, and response-shift bias with 95 CM participants. RESULTS Most items had acceptable face validity and moderate reliability; other items lacked reliability, or face or content validity (were unrelated to the CM curriculum). CONCLUSIONS AND IMPLICATIONS Proper match between evaluation tools and curricula is needed for appropriate program assessment without which outcome data can be misleading or potentially invalid. Confirmation of validity is essential when adopting others' evaluation tools in new contexts, particularly for programs with widespread use such as federally funded programs and national nonprofit organizations.
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Affiliation(s)
- Garry Auld
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO.
| | - Susan Baker
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | - Kathryn McGirr
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | | | - Philip Skaff
- Nutrition Department, Metropolitan State College of Denver, Denver, CO
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Freitas D, Oliveira BM, Correia F, Pinhão S, Poínhos R. Eating behaviour among nutrition students and social desirability as a confounder. Appetite 2017; 113:187-192. [PMID: 28242313 DOI: 10.1016/j.appet.2017.02.036] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2016] [Revised: 02/20/2017] [Accepted: 02/23/2017] [Indexed: 10/20/2022]
Abstract
INTRODUCTION The study of eating behaviour should consider the presence of potential sources of bias, including social desirability. This is particularly relevant among students of Nutrition Sciences, since they have a higher risk of eating disorders. OBJECTIVE To analyse the effect of social desirability in the assessment of eating behaviour dimensions among nutrition students. METHODS In this cross-sectional study, we analysed data from 149 students of Nutrition Sciences. Participants completed a questionnaire assessing social desirability and eating behaviour dimensions (emotional, external and binge eating, flexible and rigid control, and eating self-efficacy). RESULTS Among males, social desirability had a negative association with binge eating, while among women it had a negative association with emotional, external and binge eating and a positive association with eating self-efficacy. In both subsamples, social desirability showed no significant association with any of the two types of dietary restraint (rigid and flexible control). DISCUSSION Overall, the association between social desirability and eating behaviour dimensions among students of Nutrition Sciences occurs in the same direction as found in students from other areas. However, alongside these similarities, there is a stronger association between social desirability and binge eating among male students of Nutrition Sciences. We hypothesize that this may be related with the different knowledge of students from different areas, and the way they perceive and face the treatment of eating disorders. CONCLUSION Our study shows that social desirability should be considered while assessing eating behaviour among nutrition students, particularly when studying external eating, binge eating and eating self-efficacy. Moreover, when tailoring interventions to reduce the possible effects of eating behaviour on nutritionists and dieticians' practice, we should consider the influence of social desirability.
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Affiliation(s)
- Dóris Freitas
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, R. Dr. Roberto Frias, 4200-465 Porto, Portugal.
| | - Bruno Mpm Oliveira
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, R. Dr. Roberto Frias, 4200-465 Porto, Portugal.
| | - Flora Correia
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, R. Dr. Roberto Frias, 4200-465 Porto, Portugal.
| | - Sílvia Pinhão
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, R. Dr. Roberto Frias, 4200-465 Porto, Portugal.
| | - Rui Poínhos
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, R. Dr. Roberto Frias, 4200-465 Porto, Portugal.
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Perinelli E, Gremigni P. Use of Social Desirability Scales in Clinical Psychology: A Systematic Review. J Clin Psychol 2016; 72:534-51. [PMID: 26970350 DOI: 10.1002/jclp.22284] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE There is still an open debate about the utility of social desirability indicators. This report systematically reviewed the use of social desirability scales in studies addressing social desirability in clinical psychology. METHOD A systematic review (January 2010-March 2015) was conducted, including 35 studies meeting the inclusion criteria of being published in peer-reviewed journals and describing quantitative findings about an association of social desirability with clinical psychology variables using a cross-sectional or longitudinal design. RESULTS Social desirability was associated with self-reports of various clinical-psychological dimensions. Most of the included studies treated social desirability as a 1-dimensional variable and only 10 of 35 disentangled the impression management and self-deception components. Although theoretical literature does not consider social desirability a mere response bias, only 4 of the reviewed articles controlled for the possible suppressor effect of personality variables on social desirability, while the majority focused upon the stylistic (response bias) rather than the substantive (personality) nature of this construct. CONCLUSION The present review highlighted some limitations in the use of social desirability scales in recent clinical psychology research and tried to offer a few suggestions for handling this issue.
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