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Psychometric properties and gender invariance of the simplified Chinese version of Night Eating Questionnaire in a large sample of mainland Chinese college students

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

The Night Eating Questionnaire (NEQ) is the most frequently used instrument for assessing night eating syndrome (NES), and it has been translated to many languages, including a traditional Chinese version in Taiwan. However, significant differences exist in the social, linguistic, and cultural contexts between mainland China and Taiwan. For its use in mainland China, a simplified Chinese version is needed and its psychometric properties should be further evaluated. Thus, the current study aimed to obtain a simplified Chinese NEQ (SC-NEQ) and validate its psychometric properties.

Methods

According to standard procedures, the SC-NEQ was obtained by language transformation from the traditional Chinese version of NEQ. The SC-NEQ was then administered to 1273 mainland Chinese college students recruited from three provinces in mainland China.

Results

The four-factor structure of the original English NEQ (morning anorexia, evening hyperphagia, mood/sleep, and nocturnal ingestions) was confirmed in the current sample. Moreover, a second-order model also fitted the data well. The SC-NEQ showed good reliability with a Cronbach’s alpha and omega of 0.70 and 0.83, respectively. The total score of the SC-NEQ was significantly and moderately correlated with eating pathology (r = .35, p < .01). Strong measurement invariance across gender groups was also supported.

Conclusions

These findings suggest that the SC-NEQ can be a useful tool to assess NES in mainland China.

Level of evidence

V, descriptive (cross-sectional) study.

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References

  1. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Publishing, New York

    Book  Google Scholar 

  2. Runfola CD, Allison KC, Hardy KK, Lock J, Peebles R (2014) Prevalence and clinical significance of night eating syndrome in university students. J Adolesc Health 55(1):41–48. https://doi.org/10.1016/j.jadohealth.2013.11.012

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lundgren JD, Allison KC, Crow S, O’Reardon JP, Berg KC, Galbraith J, Martino NS, Stunkard AJ (2006) Prevalence of the night eating syndrome in a psychiatric population. Am J Psychiatry 163(1):156–158. https://doi.org/10.1176/appi.ajp.163.1.156

    Article  PubMed  Google Scholar 

  4. Sevincer GM, Ince E, Taymur I, Konuk N (2016) Night eating syndrome frequency in university students: association with impulsivity, depression, and anxiety. Bull Clin Psychopharmacol 26(3):238–247. https://doi.org/10.5455/bcp.20160322093750

    Article  Google Scholar 

  5. He J, Huang F, Yan J, Wu W, Cai Z, Fan X (2018) Prevalence, demographic correlates, and association with psychological distress of night eating syndrome among Chinese college students. Psychol Health Med 23(5):578–584. https://doi.org/10.1080/13548506.2017.1400669

    Article  PubMed  Google Scholar 

  6. Colles SL, Dixon J, O’brien P (2007) Night eating syndrome and nocturnal snacking: association with obesity, binge eating and psychological distress. Int J Obes 31(11):1722–1730. https://doi.org/10.1038/sj.ijo.0803664

    Article  CAS  Google Scholar 

  7. Must A, Eliasziw M, Phillips SM, Curtin C, Kral TV, Segal M, Sherwood NE, Sikich L, Stanish HI, Bandini LG (2017) The effect of age on the prevalence of obesity among US Youth with autism spectrum disorder. Child Obes 13(1):25–35. https://doi.org/10.1089/chi.2016.0079

    Article  PubMed  PubMed Central  Google Scholar 

  8. Striegel-Moore RH, Rosselli F, Wilson GT, Perrin N, Harvey K, DeBar L (2010) Nocturnal eating: association with binge eating, obesity, and psychological distress. Int J Eat Disord 43(6):520–526. https://doi.org/10.1002/eat.20735

    Article  PubMed  PubMed Central  Google Scholar 

  9. Meule A, Allison KC, Platte P (2014) A German version of the Night Eating Questionnaire (NEQ): psychometric properties and correlates in a student sample. Eat Behav 15(4):523–527. https://doi.org/10.1016/j.eatbeh.2014.07.002

    Article  PubMed  Google Scholar 

  10. Tu C-Y, Tseng M-CM, Chang C-H, Lin C-C (2017) Comparative validity of the Internet and paper-and-pencil versions of the Night Eating Questionnaire. Compr Psychiatry 75:53–61. https://doi.org/10.1016/j.comppsych.2017.03.001

    Article  PubMed  Google Scholar 

  11. Allison KC (2015) Night Eating Syndrome History Inventory (NESHI)/Night Eating Questionnaire (NEQ). Encyclop Feed Eat Disord. https://doi.org/10.1007/978-981-287-087-2_87-1

    Article  Google Scholar 

  12. Nolan LJ, Geliebter A (2017) Validation of the Night Eating Diagnostic Questionnaire (NEDQ) and its relationship with depression, sleep quality,“food addiction”, and body mass index. Appetite 111:86–95. https://doi.org/10.1016/j.appet.2016.12.027

    Article  PubMed  Google Scholar 

  13. Allison KC, Lundgren JD, O’Reardon JP, Martino NS, Sarwer DB, Wadden TA, Crosby RD, Engel SG, Stunkard AJ (2008) The Night Eating Questionnaire (NEQ): psychometric properties of a measure of severity of the night eating syndrome. Eat Behav 9(1):62–72. https://doi.org/10.1016/j.eatbeh.2007.03.007

    Article  PubMed  Google Scholar 

  14. Elsadek AM, Hamid MS, Allison KC (2014) Psychometric characteristics of the Night Eating Questionnaire in a Middle East population. Int J Eat Disord 47(6):660–665. https://doi.org/10.1002/eat.22285

    Article  PubMed  Google Scholar 

  15. Latzer Y, Tzischinsky O, Hason MR, Allison K (2014) Reliability and cross-validation of the Night Eating Questionnaire (NEQ): Hebrew version. Isr J Psychiatry Relat Sci 51(1):68–73

    PubMed  Google Scholar 

  16. Aloi M, Rania M, De Fazio P, Vinai P, Tagliabue A, Allison KC, Segura-Garcia C (2017) Validation of the Italian version of the Night Eating Questionnaire (I-NEQ). J Psychopathol 23:137–144

    Google Scholar 

  17. Kim B, Kim I, Choi H (2016) Psychometric properties and item evaluation of Korean version of Night Eating Questionnaire (KNEQ). J Korean Acad Nurs 46(1):109–117. https://doi.org/10.4040/jkan.2016.46.1.109

    Article  PubMed  Google Scholar 

  18. Moizé V, Gluck ME, Torres F, Andreu A, Vidal J, Allison K (2012) Transcultural adaptation of the Night Eating Questionnaire (NEQ) for its use in the Spanish population. Eat Behav 13(3):260–263. https://doi.org/10.1016/j.eatbeh.2012.02.005

    Article  PubMed  Google Scholar 

  19. Atasoy N, Saraçlı Ö, Konuk N, Ankaralı H, Güriz SO, Akdemir A, Sevinçer GM, Atik L (2014) The reliability and validity of Turkish version of The Night Eating Questionnaire in psychiatric outpatient population. Anatol J Psychiatry 15(3):238–247. https://doi.org/10.5455/apd.39829

    Article  Google Scholar 

  20. Dantas GM, Pinto TF, Pereira EDB, Magalhã RM, Bruin VMSD, Bruin PFCD (2012) Validation of a new Brazilian version of the. Sleep Sci 5 (1):7–13

    Google Scholar 

  21. Luce KH, Crowther JH (1999) The reliability of the eating disorder examination—self-report questionnaire version (EDE-Q). Int J Eat Disord 25(3):349–351. https://doi.org/10.1002/(SICI)1098-108X(199904)25:3<349::AID-EAT15>3.0.CO;2-M

    Article  CAS  Google Scholar 

  22. Tao Y, Hung K (2014) Comparing the differences between Taiwan and China in business simulation game learning. Int Works Learn Technol Educ Cloud. https://doi.org/10.1007/978-3-319-10671-7_18

    Article  Google Scholar 

  23. Wang W, Lopez V, Thompson D (2006) A Chinese Mandarin translation and validation of the Myocardial Infarction Dimensional Assessment Scale (MIDAS). Qual Life Res 15(7):1243–1249. https://doi.org/10.1007/s11136-006-0065-1

    Article  CAS  PubMed  Google Scholar 

  24. Cen C, Liang Y, Chen Q, Chen K, Deng H, Chen B, Zou X (2017) Investigating the validation of the Chinese mandarin version of the Social Responsiveness Scale in a Mainland China child population. BMC Psychiatry 17(1):17–51. https://doi.org/10.1186/s12888-016-1185-y

    Article  Google Scholar 

  25. Li M, Wang C, Gu S, He S, Zhu X, Zhao Y, Zhang J (2009) Adapted simplified Chinese (Mainland) version of Scoliosis Research Society-22 Questionnaire. Spine 34(12):1321–1324. https://doi.org/10.1097/BRS.0b013e31819812b7

    Article  PubMed  Google Scholar 

  26. Colles SL, Dixon JB, O’Brien PE (2007) Night eating syndrome and nocturnal snacking: association with obesity, binge eating and psychological distress. Int J Obes 31(11):1722–1730. https://doi.org/10.1038/sj.ijo.0803664

    Article  CAS  Google Scholar 

  27. Aronoff NJ, Geliebter A, Zammit G (2001) Gender and body mass index as related to the night-eating syndrome in obese outpatients. J Acad Nutr Diet 101(1):102–104. https://doi.org/10.1016/s0002-8223(01)00022-0

    Article  CAS  Google Scholar 

  28. Milfont TL, Fischer R (2010) Testing measurement invariance across groups: applications in crosscultural research. Int J Psychol Res 3(1):111–121. https://doi.org/10.21500/20112084.857

    Article  Google Scholar 

  29. Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord 2(2):15–34. https://doi.org/10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6

    Article  Google Scholar 

  30. Lee S, Lee AM, Leung T, Yu H (1997) Psychometric properties of the eating disorders inventory (EDI-1) in a nonclinical Chinese population in Hong Kong. Int J Eat Disord 21(2):187–194. https://doi.org/10.1002/(SICI)1098-108X(199703)21:2<187::AID-EAT10>3.0.CO;2-#

    Article  CAS  Google Scholar 

  31. Kaiser HF (1960) The application of electronic computers to factor analysis. Educ Psychol Meas 20(1):141–151

    Article  Google Scholar 

  32. Horn JL (1965) A rationale and test for the number of factors in factor analysis. Psychometrika 30(2):179–185

    Article  CAS  Google Scholar 

  33. Bandalos DL (2014) Relative performance of categorical diagonally weighted least squares and robust maximum likelihood estimation. Struct Equ Model Multidiscip J 21(1):102–116. https://doi.org/10.1080/10705511.2014.859510

    Article  Google Scholar 

  34. Lubke G, Muthén B (2004) Factor-analyzing Likert scale data under the assumption of multivariate normality complicates a meaningful comparison of observed groups or latent classes. Struct Equ Model 11:514–534

    Article  Google Scholar 

  35. Flora DB, Curran PJ (2004) An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychol Methods 9(4):466–491. https://doi.org/10.1037/1082-989X.9.4.466

    Article  PubMed  PubMed Central  Google Scholar 

  36. Brown TA (2014) Confirmatory factor analysis for applied research. The Guilford Press, New York

    Google Scholar 

  37. DiStefano C, Liu J, Jiang N, Shi D (2018) Examination of the weighted root mean square residual: evidence for trustworthiness?. Struct Equ Model Multidiscip J 25(3), 453–466. https://doi.org/10.1080/10705511.2017.1390394

    Article  Google Scholar 

  38. Hu L, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model Multidiscip J 6(1):1–55. https://doi.org/10.1080/10705519909540118

    Article  Google Scholar 

  39. Santos JRA (1999) Cronbach’s alpha: a tool for assessing the reliability of scales. J Extens 37(2):1–5

    Google Scholar 

  40. McDonald RP (2013) Test theory: a unified treatment. Psychology Press, Routledge

    Book  Google Scholar 

  41. Dunn TJ, Baguley T, Brunsden V (2014) From alpha to omega: a practical solution to the pervasive problem of internal consistency estimation. Br J Psychol 105(3):399–412. https://doi.org/10.1111/bjop.12046

    Article  PubMed  Google Scholar 

  42. Cheung GW, Rensvold RB (2002) Evaluating goodness-of-fit indexes for testing measurement invariance. Struct Equ Model 9(2):233–255. https://doi.org/10.1207/S15328007SEM0902_5

    Article  Google Scholar 

  43. Chen FF (2007) Sensitivity of goodness of fit indexes to lack of measurement invariance. Struct Equ Model 14(3):464–504. https://doi.org/10.1080/10705510701301834

    Article  Google Scholar 

  44. Revelle WR (2017) psych: procedures for personality and psychological research

  45. Zhou B (2002) Predictive values of body mass index and waist circumference to risk factors of related diseases in Chinese adult population. Zhonghua liu xing bing xue za zhi 23 (1):5–10

    PubMed  Google Scholar 

  46. Poncet A, Courvoisier DS, Combescure C, Perneger TV (2016) Normality and sample size do not matter for the selection of an appropriate statistical test for two-group comparisons. Methodology 12:61–71. https://doi.org/10.1027/1614-2241/a000110

    Article  Google Scholar 

  47. Costello AB, Osborne JW (2005) Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. Pract Assess Res Eval 10(7):1–9

    Google Scholar 

  48. Nevitt J, Hancock GR (2000) Improving the root mean square error of approximation for nonnormal conditions in structural equation modeling. J Exp Educ 68(3):251–268. https://doi.org/10.1080/00220970009600095

    Article  Google Scholar 

  49. Ainur A, Sayang M, Jannoo Z, Yap B (2017) Sample size and non-normality effects on goodness of fit measures in structural equation models. Pertanika J Sci Technol 25(2):575–586

    Google Scholar 

  50. Allison KC, Engel SG, Crosby RD, de Zwaan M, O’Reardon JP, Wonderlich SA, Mitchell JE, West DS, Wadden TA, Stunkard AJ (2008) Evaluation of diagnostic criteria for night eating syndrome using item response theory analysis. Eat Behav 9(4):398–407. https://doi.org/10.1016/j.eatbeh.2008.04.004

    Article  PubMed  PubMed Central  Google Scholar 

  51. Allison KC, Lundgren JD, O’reardon JP, Geliebter A, Gluck ME, Vinai P, Mitchell JE, Schenck CH, Howell MJ, Crow SJ (2010) Proposed diagnostic criteria for night eating syndrome. Int J Eat Disord 43(3):241–247. https://doi.org/10.1002/eat.20693

    Article  PubMed  PubMed Central  Google Scholar 

  52. Uher I, Bukova A, Hancova M, Rimárová K (2013) The night-eating syndrome, physical activity and BMI relationship in university students. Prace Naukowe Akademii im Jana Długosza w Częstochowie Kultura Fizyczna 12(2):225–233

    Google Scholar 

  53. Nolan LJ, Geliebter A (2012) Night eating is associated with emotional and external eating in college students. Eat Behav 13(3):202–206. https://doi.org/10.1016/j.eatbeh.2012.02.002

    Article  PubMed  PubMed Central  Google Scholar 

  54. Striegel-Moore RH, Franko DL, Thompson D, Affenito S, Kraemer HC (2006) Night eating: prevalence and demographic correlates. Obesity 14(1):139–147. https://doi.org/10.1038/oby.2006.17

    Article  PubMed  Google Scholar 

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Correspondence to Jinbo He.

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The study protocol was approved by the research office in Hunan Institute of Technology that is responsible for research ethics, and all procedures in this study were in accordance with the 1964 Helsinki declaration and later amendments.

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Written consent forms were obtained from all participants.

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This article is part of the topical collection on Sleep and Obesity.

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He, J., Ji, F., Zhang, X. et al. Psychometric properties and gender invariance of the simplified Chinese version of Night Eating Questionnaire in a large sample of mainland Chinese college students. Eat Weight Disord 24, 57–66 (2019). https://doi.org/10.1007/s40519-018-0553-7

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