Early detection of eating disorders (EDs) is crucial for both prevention and treatment; however, few ED measures have been validated among older adults, men, and racially/ethnically diverse individuals, who may have varying symptom presentations. We examined the psychometric quality of three self-report ED measures within a diverse sample of U.S. military veterans, a population that may have elevated rates of EDs. Participants (N = 1,187) completed the Eating Disorder Diagnostic Scale-5 (EDDS-5), the Eating Disorder Examination-Questionnaire (EDE-Q), the SCOFF (Sick, Control, One, Fat, and Food) questionnaire, and measures of associated mental health symptoms. We examined proportions of probable EDs and reliability estimates, associations among ED measures, and their relationship with mental health measures for the sample as a whole and based on age, gender, and race/ethnicity. Proportions of probable EDs ranged from 9.9% to 27.7% and were comparable for White, Black, and Latinx participants. Participants aged 40-49 had significantly higher proportions of EDs compared to other age groups, whereas participants aged ≥60 had significantly lower proportions of EDs. Participants with obesity had significantly higher proportions of probable EDs compared to participants with healthy weight or overweight. There was fair to moderate agreement between the ED measures, with varying evidence for psychometric quality across demographic subsamples. Overall, the EDDS-5 performed best in this sample and yielded estimates of probable EDs consistent with expectations. These data add to the growing body of literature on the assessment of EDs and provide insight into measures that may be most useful in research and intervention efforts. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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退伍军人样本中的饮食失调测量：关注性别、年龄和种族/民族。

早期发现饮食失调（ED）对于预防和治疗都至关重要；然而，很少有 ED 措施在老年人、男性和不同种族/民族的个体中得到验证，这些人可能有不同的症状表现。我们在美国退伍军人的不同样本中检查了三种自我报告的 ED 测量的心理测量质量，这些退伍军人的 ED 发生率可能较高。参与者 (N = 1,187) 完成了饮食失调诊断量表 5 (EDDS-5)、饮食失调检查问卷 (EDE-Q)、SCOFF（生病、控制、一、脂肪和食物）问卷和测量相关的心理健康症状。我们根据年龄、性别和种族/民族，检查了可能 ED 的比例和可靠性估计、ED 测量之间的关联，以及它们与整个样本的心理健康测量的关系。可能患有 ED 的比例从 9.9% 到 27.7% 不等，白人、黑人和拉丁裔参与者的比例相当。与其他年龄组相比，40-49岁的参与者的ED比例显着较高，而年龄≥60岁的参与者的ED比例显着较低。与健康体重或超重的参与者相比，肥胖的参与者可能出现 ED 的比例明显更高。ED 测量之间存在中等至中等程度的一致性，不同人口子样本的心理测量质量证据各不相同。总体而言，EDDS-5 在此样本中表现最佳，并得出与预期一致的可能 ED 估计值。这些数据丰富了关于 ED 评估的文献，并提供了对研究和干预工作中最有用的措施的见解。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。