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Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries

  • Sungkyunkwan University’s Research Team
  • Sungkyunkwan University
  • School of Social Work
  • University of Haifa
  • Faculty of Social Work
  • Max Stern Academic College of Emek Yezreel
  • University of Nevada, Las Vegas
  • Doctoral School of Psychology
  • Eötvös Loránd University
  • Institute of Forensic Psychiatry and Sex Research
  • University of Duisburg-Essen
  • Centre of Excellence in Responsible Gaming
  • University of Gibraltar
  • Yale University
  • Connecticut Council on Problem Gambling
  • Departmento de Psicología Básica
  • Jaume I University
  • Institute for Behavioural Addictions
  • Sigmund Freud University Vienna
  • Département de Psychologie
  • University of Montreal
  • Institute of Psychology
  • University of Lausanne
  • Center for Excessive Gambling
  • Institute for Sex Research
  • University of Hamburg
  • Laboratory of Behavioral Medicine
  • Lithuanian University of Health Sciences
  • Virtual Teaching and Cyberpsychology Laboratory
  • Universidad Nacional Autónoma de México
  • William James Center for Research
  • University of Aveiro
  • Department of Personality
  • University of Valencia
  • Department of Psychology
  • Fuzhou University
  • Section of Sexual Psychopathology
  • University of Rome La Sapienza
  • Department of Clinical
  • University of Hertfordshire
  • Department of Psychology and Cognitive Science
  • University of Trento
  • Department of Psychology and Neuroscience
  • Auckland University of Technology
  • Nottingham Trent University
  • HELP University
  • Department of Neuropsychiatry
  • Kyoto University
  • RIKEN
  • First Faculty of Medicine
  • Charles University
  • Department of Addictology
  • Macedonian Academy of Sciences and Arts
  • Institute of Psychlogy
  • Polish Academy of Sciences
  • University of California at San Diego
  • Center on Alcohol
  • University of New Mexico
  • Department of Psychology
  • University of Baghdad
  • College of Medicine
  • University of Warith Alanbiyaa
  • Department of Public Health and Informatics
  • Jahangirnagar University
  • Centre for Advanced Research Excellence in Public Health
  • Universidad Pedagógca y Tecnológica de Colombia
  • Department of Psychology
  • University of Zagreb
  • Department of Educational Psychology and Psychology of Health
  • Pavol Jozef Šafárik University
  • University of Southampton
  • Health Promotion Research Centre
  • University of Galway
  • Department of Family Medicine
  • National Cheng Kung University
  • Department of Psychiatry
  • Hallym University
  • Chuncheon Addiction Management Center
  • Cardinal Stefan Wyszynski University
  • Institute of Allied Health Sciences
  • Biostatistics Consulting Center
  • Stellenbosch University
  • Faculty of Psychology
  • Universidad de Cuenca
  • Department of Psychology
  • Facultad de Medicina
  • Universidad Científica del Sur
  • College of Healthcare Sciences
  • James Cook University Queensland
  • Université d'Artois
  • Department of Psychology
  • Facultad de Psicología
  • Universidad de Talca
  • Departamento de Psicología y Filosofía
  • Universidad de Tarapacá
  • Florida State University
  • SENACYT
  • Facultad de Ciencias de la Salud
  • Universidad Privada del Norte
  • Leuven School for Mass Communication
  • KU Leuven
  • Department of Psychiatry
  • Western University
  • Department of Psychiatry
  • Universidade de São Paulo
  • Universidad Privada de Santa Cruz de la Sierra
  • Department of Psychiatry
  • All India Institute of Medical Sciences, New Delhi
  • Department of Psychology
  • Shardha University
  • Department of Health Services
  • Compassionate Inquiry
  • Faculty of Philosophy
  • SS Cyril and Methodius University in Skopje
  • SAMRC Unit on Risk & Resilience in Mental Disorders
  • University of Cape Town
  • Austrian Public Health Institute
  • Département de Psychologie
  • Université du Québec à Trois-Rivières
  • Public Health Institute
  • Liverpool John Moores University

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Objective: This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED. 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.

Original languageEnglish
Pages (from-to)926-938
Number of pages13
JournalInternational journal of eating disorders
Volume58
Issue number5
DOIs
Publication statusPublished - May 2025
Externally publishedYes

Keywords

  • BEDS-7
  • binge eating disorder (BED)
  • cross-cultural validation
  • impulsive behavior
  • screening tool

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