Evidence mapPaperPMID 40813951Full record

ArticleEating and weight disorders : EWD2025

Children's eating attitudes test (ChEAT): reliability and validation in German children and adolescents based on clinical data.

Lena Nonnast, Laura Maria Derks, Natalie Deux, Martin Holtmann, Tanja Legenbauer

Abstract readValidation Study
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Article in Eating and weight disorders : EWD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Lena NonnastLWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic, Ruhr-University Bochum, Hamm, Germany.
Laura Maria DerksLWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic, Ruhr-University Bochum, Hamm, Germany.ORCID http://orcid.org/0000-0001-5333-0618
Natalie DeuxLWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic, Ruhr-University Bochum, Hamm, Germany.
Martin HoltmannLWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic, Ruhr-University Bochum, Hamm, Germany.ORCID http://orcid.org/0000-0003-2644-6601
Tanja LegenbauerLWL University Hospital Hamm for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic, Ruhr-University Bochum, Hamm, Germany. tanja.legenbauer@lwl.org.ORCID http://orcid.org/0000-0002-1580-9991

Funding

Bundesministerium für Bildung und Forschung BMBF 01GI1329
6 · The paper itself

Abstract

purposeThe objective of this study is to assess the validity of the German version of the Children's Eating Attitudes Test (ChEAT), an internationally used tool for the detection of eating disorder (ED) symptoms, in a clinical sample.

methodsThe ChEAT self-report questionnaire, comprising 26 items, was employed to examine eating behaviors of a clinical sample of 342 adolescents (aged 12-18 years) undergoing inpatient treatment at a child and adolescent psychiatric clinic in Germany. The ChEAT was validated through an exploratory factor analysis (EFA), followed by a confirmatory factor analysis (CFA) and an examination of internal consistency. Subsequent analyses were conducted to identify differences associated with participant characteristics, including age, gender, body mass index (BMI), and diagnosis. Furthermore, additional eating behaviors, depression, and anxiety symptoms were documented via supplementary questionnaires and correlated to the ChEAT to evaluate the convergent and discriminant validity.

resultsThe factorial validity of the ChEAT was confirmed through EFA and CFA, resulting in a five-factor structure with the following dimensions: 'Body and Weight Concern,' 'Dieting,' 'Social Pressure,' 'Purging and Binge Eating,' and 'Food Preoccupation'. The 24-item model showed high internal consistency and demonstrated an acceptable fit to the data. Convergent and discriminant validity of the ChEAT was supported by significant correlations with other self-report questionnaires. Higher ChEAT average scores were observed in females and those with a history of eating or depressive disorders, whereas age or BMI showed no correlation.

conclusionThe data demonstrate that the German version of the ChEAT appears to be a reliable and valid instrument for identifying ED symptoms in clinical samples. However, further studies are necessary to evaluate the factor structure and validity. LEVEL OF EVIDENCE: V, cross-sectional, descriptive study.

Indexed as

Feeding and Eating DisordersFeeding BehaviorAdolescentBody Mass IndexChildFactor Analysis, StatisticalFemaleGermanyHumansMalePsychometricsReproducibility of ResultsSelf ReportSurveys and QuestionnairesChEATChildren's eating attitudes testEating disordersGerman children and adolescentsPsychometric characteristics

Identifiers

PMID40813951
PMCPMC12354608

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