The purpose of this study was to develop a self-report measure of deliberate denial of disordered eating behaviors (i.e., conscious omission, concealment, or misrepresentation of behavior related to an eating disorder). Study 1 involved item generation and review by focus groups composed of women with subclinical disordered eating (N = 13) and an expert panel of five eating disorder researchers and clinicians. In Study 2, the scale and validity measures were administered to 311 undergraduate women with subclinical disordered eating via an online survey. Initial items were refined based on focus group and expert panel feedback, resulting in an 18-item scale. In Study 2, a series of exploratory factor analyses were conducted, resulting in a 12-item Deliberate Denial of Disordered Eating Behaviors scale (DDEBS-12) with a unidimensional total score. A parallel analysis confirmed the single-factor structure. In Study 3, a separate sample of 362 undergraduate women with subclinical disordered eating completed the DDEBS-12, and the factor structure was subsequently confirmed via a confirmatory factor analysis. The DDEBS-12 possessed excellent internal consistency, and was correlated as expected with measures of concealment, disordered eating, body dissatisfaction, disclosure, and social desirability, suggesting criterion, convergent, and discriminant validity. This novel scale can be used to examine the role of denial in the onset and maintenance of disordered eating behaviors, and address denial in the identification and prevention of disordered eating.

中文翻译：

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故意否认饮食失调行为量表：亚临床饮食失调的年轻女性的发展和初步验证

这项研究的目的是开发一种自我报告的措施，以故意否认饮食失调行为（即与饮食失调有关的行为的有意识的遗漏，隐瞒或虚假陈述）。研究1涉及项目的产生和由亚临床饮食失调妇女组成的焦点小组的审查（N = 13）和五个饮食失调研究人员和临床医生组成的专家小组。在研究2中，通过在线调查对311名患有亚临床饮食失调的女大学生进行了量表和效度测量。根据焦点小组和专家小组的反馈意见，对初始项目进行了细化，最终得出18个项目的规模。在研究2中，进行了一系列探索性因素分析，得出了12个项目的故意拒绝饮食失调行为量表（DDEBS-12），一维总分。平行分析证实了单因素结构。在研究3中，另外362名患有亚临床饮食失调的女大学生样本完成了DDEBS-12，随后通过验证性因子分析确定了因子结构。DDEBS-12具有出色的内部一致性，并与预期的隐蔽性，饮食失调，身体不满，披露和社会期望度相关，暗示了标准，收敛性和判别力。这种新颖的量表可用于检查否认在饮食失调行为的发作和维持中的作用，并解决否认在识别和预防饮食失调中的作用。