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

Sungkyunkwan University’s research team

doi:10.1002/eat.24365

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

Sungkyunkwan University’s research team

University of Haifa
Max Stern Yezreel Valley College
University of Nevada
ELTE Eötvös Loránd University
University Duisburg-Essen
Yale University School of Medicine
University Jaume I of Castellón
Sigmund Freud University Vienna
Département de Psychologie
University of Lausanne
University Medical Centre Hamburg-Eppendorf
Lithuanian University of Health Sciences
National Autonomous University of Mexico
William James Center for Research
University of Valencia
Fuzhou University
Sapienza University of Rome
University of Hertfordshire
Auckland University of Technology
Nottingham Trent University
HELP University
Kyoto University
Charles University
Macedonian Academy of Sciences and Arts
Polish Academy of Sciences
Addictions University of New Mexico
University of Baghdad
Jahangirnagar University
Universidad Pedagógca y Tecnológica de Colombia
University of Zagreb
Pavol Jozef Safarik University in Kosice
University of Southampton
College of Medicine
Hallym University Chuncheon Sacred Heart Hospital
Cardinal Stefan Wyszynski University in Warsaw
National Cheng Kung University
Stellenbosch University
University of Cuenca
Facultad de Medicina
James Cook University
Artois University
Sungkyunkwan University
Facultad de Psicología
Departamento de Psicología y Filosofía
Florida State University
Facultad de Ciencias de la Salud
Leuven School for Mass Communication
Western University
Universidad Privada de Santa Cruz de la Sierra
All India Institute of Medical Sciences
Shardha University
Compassionate Inquiry
Ss. Cyril and Methodius University in Skopje
University of Cape Town
Austrian Public Health Institute
Liverpool John Moores University

Research output: Contribution to a Journal (Peer & Non Peer) › Article › peer-review

4 Citations (Scopus)

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 language	English
Journal	International Journal of Eating Disorders
DOIs	https://doi.org/10.1002/eat.24365
Publication status	E-pub ahead of print - 5 Mar 2025

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10.1002/eat.24365Licence: CC BY

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

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.",

author = "\{Sungkyunkwan University{\textquoteright}s research team\} and Ateret Gewirtz-Meydan and Zohar Spivak-Lavi and Kraus, \{Shane W\} and L{\'e}na Nagy and M{\'o}nika Ko{\'o}s and Zsolt Demetrovics and Potenza, \{Marc N\} and Rafael Ballester-Arnal and Dominik Batthy{\'a}ny and Sophie Bergeron and Jo{\"e}l Billieux and Peer Briken and Julius Burkauskas and Georgina C{\'a}rdenas-L{\'o}pez and Joana Carvalho and Jes{\'u}s Castro-Calvo and Lijun Chen and Giacomo Ciocca and Ornella Corazza and Csako, \{Rita I\} and Fernandez, \{David P\} and Fernandez, \{Elaine F\} and Hironobu Fujiwara and Johannes Fuss and Roman Gabrhel{\'i}k and Biljana Gjoneska and Mateusz Gola and Grubbs, \{Joshua B\} and Hashim, \{Hashim T\} and Islam, \{Md Saiful\} and Mustafa Ismail and Jim{\'e}nez-Mart{\'i}nez, \{Martha C\} and Tanja Jurin and Ondrej Kalina and Verena Klein and Andr{\'a}s K{\"o}lt{\H o} and Chih-Ting Lee and Sang-Kyu Lee and Karol Lewczuk and Chung-Ying Lin and Christine Lochner and Silvia L{\'o}pez-Alvarado and Kate{\v r}ina Lukavsk{\'a} and Percy Mayta-Trist{\'a}n and Miller, \{Dan J\} and O{\v I}ga Orosov{\'a} and G{\'a}bor Orosz and Hyein Chang and Kyeongwoo Park and Ponce, \{Fernando P\} and Quintana, \{Gonzalo R\} and \{Quintero Garzola\}, \{Gabriel C\} and Jano Ramos-Diaz and K{\'e}vin Rigaud and Ann Rousseau and Scanavino, \{Marco De Tubino\} and Schulmeyer, \{Marion K\} and Pratap Sharan and Mami Shibata and Sheikh Shoib and Vera Sigre-Leir{\'o}s and Luke Sniewski and Ognen Spasovski and Vesta Steibliene and Stein, \{Dan J\} and Julian Strizek and {\"U}nsal, \{Berk C\} and Marie-Pier Vaillancourt-Morel and \{Van Hout\}, \{Marie Claire\} and Be{\'a}ta B{\H o}the",

note = "{\textcopyright} 2025 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC.",

year = "2025",

month = mar,

day = "5",

doi = "10.1002/eat.24365",

language = "English",

journal = "International Journal of Eating Disorders",

issn = "0276-3478",

publisher = "John Wiley and Sons Inc",

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TY - JOUR

T1 - Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries

AU - Sungkyunkwan University’s research team

AU - Gewirtz-Meydan, Ateret

AU - Spivak-Lavi, Zohar

AU - Kraus, Shane W

AU - Nagy, Léna

AU - Koós, Mónika

AU - Demetrovics, Zsolt

AU - Potenza, Marc N

AU - Ballester-Arnal, Rafael

AU - Batthyány, Dominik

AU - Bergeron, Sophie

AU - Billieux, Joël

AU - Briken, Peer

AU - Burkauskas, Julius

AU - Cárdenas-López, Georgina

AU - Carvalho, Joana

AU - Castro-Calvo, Jesús

AU - Chen, Lijun

AU - Ciocca, Giacomo

AU - Corazza, Ornella

AU - Csako, Rita I

AU - Fernandez, David P

AU - Fernandez, Elaine F

AU - Fujiwara, Hironobu

AU - Fuss, Johannes

AU - Gabrhelík, Roman

AU - Gjoneska, Biljana

AU - Gola, Mateusz

AU - Grubbs, Joshua B

AU - Hashim, Hashim T

AU - Islam, Md Saiful

AU - Ismail, Mustafa

AU - Jiménez-Martínez, Martha C

AU - Jurin, Tanja

AU - Kalina, Ondrej

AU - Klein, Verena

AU - Költő, András

AU - Lee, Chih-Ting

AU - Lee, Sang-Kyu

AU - Lewczuk, Karol

AU - Lin, Chung-Ying

AU - Lochner, Christine

AU - López-Alvarado, Silvia

AU - Lukavská, Kateřina

AU - Mayta-Tristán, Percy

AU - Miller, Dan J

AU - Orosová, Oľga

AU - Orosz, Gábor

AU - Chang, Hyein

AU - Park, Kyeongwoo

AU - Ponce, Fernando P

AU - Quintana, Gonzalo R

AU - Quintero Garzola, Gabriel C

AU - Ramos-Diaz, Jano

AU - Rigaud, Kévin

AU - Rousseau, Ann

AU - Scanavino, Marco De Tubino

AU - Schulmeyer, Marion K

AU - Sharan, Pratap

AU - Shibata, Mami

AU - Shoib, Sheikh

AU - Sigre-Leirós, Vera

AU - Sniewski, Luke

AU - Spasovski, Ognen

AU - Steibliene, Vesta

AU - Stein, Dan J

AU - Strizek, Julian

AU - Ünsal, Berk C

AU - Vaillancourt-Morel, Marie-Pier

AU - Van Hout, Marie Claire

AU - Bőthe, Beáta

PY - 2025/3/5

Y1 - 2025/3/5

N2 - 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.

AB - 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.

U2 - 10.1002/eat.24365

DO - 10.1002/eat.24365

M3 - Article

C2 - 40040591

SN - 0276-3478

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

ER -

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

Abstract

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