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Eating Disorders Inventory (EDI-2)

Brief Description:
• Garner (1991)
• Three versions: EDI developed by Garner and Olmsted in 1984. EDI-2 released by Psychological Assessment Resources Inc. in 1991, and the EDI-3 released in 2009 (few published studies on it at the present time).
• Widely used in diagnosis of anorexia, bulimia and eating disorders not otherwise specified (EDNOS)
• Made up of 11 scales assessing behaviour, symptoms and personality traits of those with eating disorders: Drive for thinness, Bulimia, Body dissatisfaction, Ineffectiveness, Perfectionism, Interpersonal distrust, Interceptive awareness, Maturity fears, Asceticism, Impulse regulation, and Social insecurity.

Versions:
• Arabic
• Dutch
• Japanese
• English
• Estonian
• French
• German
• Hebrew
• Italian
• Korean
• Norwegian
• Portuguese
• Russian
• Spanish

Type of Measure:
• Self-report
• Ninety-one items (originally 64)
• Six point Likert scale
• Takes around 20 minutes to complete

Target Population:
• Adults
• Females

Scoring:
• Responses are coded into four categories from zero to three. Zero is assigned to those answers farther away from the “symptomatic” direction.

Psychometrics:

Source Reference: 
Tasca et al., (2003): 144 outpatient females with Binge Eating Disorder (BED) and 152 outpatients with Bulimia Nervosa (BN).
• Reliability: Cronbach’s alpha = ranged from 0.56 to 0.90 for the BED sample and 0.55 to 0.91 (BN) sample; Inter-item reliability ranged from r = 0.13 to 0.48 for the BED sample and r = 0.12 to 0.52 for the BN sample

• Validity: Test-retest after 16 weeks ranged from r = 0.67 to 0.82; Positive correlations were found between subscales of theEDI-2 and the EDEQ (Eating Disorders Examination Questionnaire) and PAI (Personality Assessment Inventory)

• Two factor model

Nevonen, Clinton, & Norring, 2006: 978 patients with eating disorders, 106 outpatients and 602 normal controls; Swedish
• Reliability: Cronbach’s alpha across participants ranged from 0.62 to 0.90 (with the exception of Asceticism in normal control group: 0.43)

• Validity: Scales differ between patient and control groups

Ebrenz, & Gleavs (1994): 300 women seeking treatment for eating disorders at the Renfrew Center in Philadelphia and Florida
• Reliability: Cronbach’s alpha ranged from 0.65 to 0.91 across scales
• Validity: Inter-item correlations ranged from 0.22 (with the exception of one at 0.02) to 0.82 across scales
• Eight factor model

Utility for Prevalence Surveys:
• Poor

Research Applicability:
• Widely used

Copyright, Cost and Source Issues:
• At cost

Originals:
EDI
Garner, D. M., & Olmsted, M. P. (1984). The Eating Disorder Inventory manual. Odessa, FL: Psychological Assessment Resources.

EDI-2
Garner, D. M. (1991). Eating Disorder Inventory-2 professional manual. Odessa, FL: Psychological Assessment Resources.

Source References:
Tasca, G.A., Illing, V., Lybanon-Daigle, V., Bissada, H., & Balfour, L. (2003). Psychometric properties of the eating disorders inventory-2 among women seeking treatment for binge eating disorder. Assessment, 10(3), 228-236.

Supporting References:
Eberenz, K. P., & Gleaves, D. H. (1994). An examination of the internal consistency and factor structure of the Eating Disorder Inventory-2 in a clinical sample. International Journal of Eating Disorders, 16(4), 371-379.

Podar, I., & Allik, J. (2009). A cross-cultural comparison of the Eating Disorder Inventory. International Journal of Eating Disorders, 42(4), 346-355.

Nevonen, L., Clinton, D., & Norring, C. (2006). Validating the EDI-2 in three Swedish female samples: Eating disorders patients, psychiatric outpatients and normal controls. Nord J Psychiatry, 60(1), 44-50.

Strengths:
• Very widely used

Weaknesses:
• Combination of negative and positively keyed words use in the questions.
• Lengthy for use in prevalence surveys, although some investigators use selected subscales.