Using the Chinese Version of the Screen for Disordered Eating to Assess Disordered Eating: Reliability, Validity and Correlates

Tin Yan Cherry Cheung; Ming Yu Claudia Wong; Chak Hei Ocean Huang; Stanley Kam Ki Lam; Kadir Uludag; Ming Sing Jessica Choi; Shan Yan Huang; Hong Wang Fung

doi:10.3390/healthcare13192458

Using the Chinese Version of the Screen for Disordered Eating to Assess Disordered Eating: Reliability, Validity and Correlates

Tin Yan Cherry Cheung
, Ming Yu Claudia Wong
, Chak Hei Ocean Huang
, Stanley Kam Ki Lam
, Kadir Uludag
, Ming Sing Jessica Choi
, Shan Yan Huang^*
, Hong Wang Fung^*

^*Corresponding author for this work

Academy of Wellness and Human Development

Research output: Contribution to journal › Journal article › peer-review

Abstract

Background/Objectives: This study evaluated the psychometric properties and correlates of the Screen for Disordered Eating (SDE) in the Chinese context. Eating and body image in Asian cultures differed from those in the Western context, elevating its importance in testing the validity of SDE in the Chinese context.

Methods: The reliability, validity and correlates of the SDE were examined in a sample of 766 university students in Taiwan.

Results: Convergent validity of the Chinese version of the SDE was demonstrated with high correlation (r = 0.664, p < 0.001) and satisfactory consistency (κ = 0.413, p < 0.001) with the Sick, Control, One Fat, and Food (SCOFF) questionnaire. Substantial factor loadings were suggested, with 52% of the variance in item responses, especially for SDE4 and SDE5. Significant correlates of disordered eating were found with sex, depressive symptoms, anxiety symptoms, and experiences of childhood trauma.

Conclusions: The SDE is a reliable and valid screening instrument for disordered eating. Health and social care practitioners can utilise the SDE to screen for disordered eating behaviours in the Chinese context, so that timely interventions can be provided.

Original language	English
Article number	2458
Number of pages	14
Journal	Healthcare (Switzerland)
Volume	13
Issue number	19
Early online date	28 Sept 2025
DOIs	https://doi.org/10.3390/healthcare13192458
Publication status	Published - 1 Oct 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

User-Defined Keywords

psychometric properties
reliability
screen for disordered eating
validity

Access to Document

10.3390/healthcare13192458

Cite this

@article{33eb523353df459cae49db9c7e7b837a,

title = "Using the Chinese Version of the Screen for Disordered Eating to Assess Disordered Eating: Reliability, Validity and Correlates",

abstract = "Background/Objectives: This study evaluated the psychometric properties and correlates of the Screen for Disordered Eating (SDE) in the Chinese context. Eating and body image in Asian cultures differed from those in the Western context, elevating its importance in testing the validity of SDE in the Chinese context.Methods: The reliability, validity and correlates of the SDE were examined in a sample of 766 university students in Taiwan. Results: Convergent validity of the Chinese version of the SDE was demonstrated with high correlation (r = 0.664, p < 0.001) and satisfactory consistency (κ = 0.413, p < 0.001) with the Sick, Control, One Fat, and Food (SCOFF) questionnaire. Substantial factor loadings were suggested, with 52\% of the variance in item responses, especially for SDE4 and SDE5. Significant correlates of disordered eating were found with sex, depressive symptoms, anxiety symptoms, and experiences of childhood trauma. Conclusions: The SDE is a reliable and valid screening instrument for disordered eating. Health and social care practitioners can utilise the SDE to screen for disordered eating behaviours in the Chinese context, so that timely interventions can be provided.",

keywords = "psychometric properties, reliability, screen for disordered eating, validity",

author = "Cheung, \{Tin Yan Cherry\} and Wong, \{Ming Yu Claudia\} and Huang, \{Chak Hei Ocean\} and Lam, \{Stanley Kam Ki\} and Kadir Uludag and Choi, \{Ming Sing Jessica\} and Huang, \{Shan Yan\} and Fung, \{Hong Wang\}",

note = "Publisher Copyright: {\textcopyright} 2025 by the authors.",

year = "2025",

month = oct,

day = "1",

doi = "10.3390/healthcare13192458",

language = "English",

volume = "13",

journal = "Healthcare (Switzerland)",

issn = "2227-9032",

publisher = "MDPI",

number = "19",

}

TY - JOUR

T1 - Using the Chinese Version of the Screen for Disordered Eating to Assess Disordered Eating

T2 - Reliability, Validity and Correlates

AU - Cheung, Tin Yan Cherry

AU - Wong, Ming Yu Claudia

AU - Huang, Chak Hei Ocean

AU - Lam, Stanley Kam Ki

AU - Uludag, Kadir

AU - Choi, Ming Sing Jessica

AU - Huang, Shan Yan

AU - Fung, Hong Wang

PY - 2025/10/1

Y1 - 2025/10/1

N2 - Background/Objectives: This study evaluated the psychometric properties and correlates of the Screen for Disordered Eating (SDE) in the Chinese context. Eating and body image in Asian cultures differed from those in the Western context, elevating its importance in testing the validity of SDE in the Chinese context.Methods: The reliability, validity and correlates of the SDE were examined in a sample of 766 university students in Taiwan. Results: Convergent validity of the Chinese version of the SDE was demonstrated with high correlation (r = 0.664, p < 0.001) and satisfactory consistency (κ = 0.413, p < 0.001) with the Sick, Control, One Fat, and Food (SCOFF) questionnaire. Substantial factor loadings were suggested, with 52% of the variance in item responses, especially for SDE4 and SDE5. Significant correlates of disordered eating were found with sex, depressive symptoms, anxiety symptoms, and experiences of childhood trauma. Conclusions: The SDE is a reliable and valid screening instrument for disordered eating. Health and social care practitioners can utilise the SDE to screen for disordered eating behaviours in the Chinese context, so that timely interventions can be provided.

AB - Background/Objectives: This study evaluated the psychometric properties and correlates of the Screen for Disordered Eating (SDE) in the Chinese context. Eating and body image in Asian cultures differed from those in the Western context, elevating its importance in testing the validity of SDE in the Chinese context.Methods: The reliability, validity and correlates of the SDE were examined in a sample of 766 university students in Taiwan. Results: Convergent validity of the Chinese version of the SDE was demonstrated with high correlation (r = 0.664, p < 0.001) and satisfactory consistency (κ = 0.413, p < 0.001) with the Sick, Control, One Fat, and Food (SCOFF) questionnaire. Substantial factor loadings were suggested, with 52% of the variance in item responses, especially for SDE4 and SDE5. Significant correlates of disordered eating were found with sex, depressive symptoms, anxiety symptoms, and experiences of childhood trauma. Conclusions: The SDE is a reliable and valid screening instrument for disordered eating. Health and social care practitioners can utilise the SDE to screen for disordered eating behaviours in the Chinese context, so that timely interventions can be provided.

KW - psychometric properties

KW - reliability

KW - screen for disordered eating

KW - validity

UR - https://www.scopus.com/pages/publications/105019191885

UR - https://www.mdpi.com/2227-9032/13/19/2458

U2 - 10.3390/healthcare13192458

DO - 10.3390/healthcare13192458

M3 - Journal article

AN - SCOPUS:105019191885

SN - 2227-9032

VL - 13

JO - Healthcare (Switzerland)

JF - Healthcare (Switzerland)

IS - 19

M1 - 2458

ER -

Using the Chinese Version of the Screen for Disordered Eating to Assess Disordered Eating: Reliability, Validity and Correlates

Abstract

UN SDGs

User-Defined Keywords

Access to Document

Other files and links

Fingerprint

Cite this