{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:05:04Z","timestamp":1792083904608,"version":"4.4.0"},"reference-count":49,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82071545"],"award-info":[{"award-number":["82071545"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to evaluate the cross\u2010cultural validity and utility of the Chinese version of the Eating Disorder Examination Questionnaire 6.0 (EDE\u2010Q 6.0) as a screening and assessment tool for eating disorders (EDs) among Chinese females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants included 652 female patients diagnosed with EDs and 311 healthy female controls, with data collected from five separate research projects conducted between 2018 and 2024. Receiver operating characteristic (ROC) curve analysis determined diagnostic accuracy and optimal cut\u2010off scores. Correlation analyses, Wilcoxon signed\u2010rank tests, and regression analyses were used to evaluate the relationship between changes in EDE\u2010Q 6.0 scores and other clinical measures following treatment in 55 patients with anorexia nervosa (AN) and 74 patients with bulimia nervosa (BN).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Chinese version of the EDE\u2010Q 6.0 demonstrated strong diagnostic accuracy in distinguishing EDs from the healthy population, with an optimal cut\u2010off global score of 2.54 (area under ROC curve\u2009=\u200988.5%, sensitivity\u2009=\u200977.5%, specificity\u2009=\u200991.8%), significantly higher than in previous reports. Changes in EDE\u2010Q 6.0 scores significantly correlated with clinical measures such as BMI, binge\u2010eating frequency, Beck Depression Inventory, Beck Anxiety Inventory, and Eating Disorder Inventory subscales in both patients with AN and patients with BN (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Wilcoxon tests and stepwise regression confirmed its validity in reflecting clinical changes, capturing symptom variability related to BMI and depression in AN (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and binge\u2010eating frequency and body dissatisfaction in BN (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Chinese version of the EDE\u2010Q 6.0 is a valid and effective screening and assessment tool for EDs in Chinese females. The updated cut\u2010off score, now closer to international standards, reflects progress in the cultural adaptation of the tool and a potential shift in acceptance to report psychological problems among Chinese patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24439","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T12:17:18Z","timestamp":1748348238000},"page":"1319-1331","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Cross\u2010Cultural Validation and Application of the <scp>EDE<\/scp>\u2010Q 6.0 for Screening and Assessment of Eating Disorders in Chinese Females"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3699-8250","authenticated-orcid":false,"given":"Lian","family":"Gu","sequence":"first","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8302-0622","authenticated-orcid":false,"given":"Bubu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Psychology The University of Hong Kong  Pokfulam Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2680-9687","authenticated-orcid":false,"given":"Sufang","family":"Peng","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Chen","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Kang","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9924-2573","authenticated-orcid":false,"given":"Jue","family":"Chen","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2012.09.002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1836"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_5_1","volume-title":"Beck Depression Inventory\u2010Second Edition: Manual","author":"Beck A.","year":"1996"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.6.893"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010080921\u2010074125"},{"key":"e_1_2_11_9_1","first-page":"193","volume-title":"Eating Disorders and Obesity: A Comprehensive Handbook","author":"Bulik C. M.","year":"2002"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000703"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-97416-9_15-1"},{"issue":"1","key":"e_1_2_11_12_1","first-page":"4","article-title":"A Study of Psychometric Properties, Normative Scores, and Factor Structure of the Beck Anxiety Inventory\u2014The Chinese Version","volume":"10","author":"Cheng S. K.\u2010W.","year":"2002","journal-title":"Chinese Journal of Clinical Psychology"},{"key":"e_1_2_11_13_1","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. G.","year":"2008"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_11_15_1","unstructured":"Gao Y. M.2020.\u201cPsychosocial Risk Factors for Eating Behavior Problems in College Students.\u201dUnpublished doctoral dissertation Shanghai Jiaotong University School of Medicine."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6"},{"issue":"5","key":"e_1_2_11_17_1","first-page":"350","article-title":"Validity and Reliability of the Chinese Version of the Eating Disorder Examination Questionnaire 6.0 in Female Patients With Eating Disorders","volume":"31","author":"Gu L.","year":"2017","journal-title":"Chinese Mental Health Journal"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41430\u2010020\u20100674\u20108"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2020.03.008"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23721"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/ipm.2015.35"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20364"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103999(03)00506\u20103"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2318"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.03.022"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13030\u2010017\u20100094\u20108"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22237"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107967(03)00161\u2010X"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000911"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22208"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0083245"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010015\u20100070\u20102"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20065"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2003.03.004"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010021\u201001162\u2010z"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/gpsych\u20102019\u2010100053"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010013\u20100015\u20101"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191117738046"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2372"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602523"},{"issue":"1","key":"e_1_2_11_41_1","first-page":"30","article-title":"Clinical Reliability and Validity of the Chinese Version of the Mini International Neuropsychiatric Interview","volume":"23","author":"Si T.","year":"2009","journal-title":"Chinese Mental Health Journal"},{"issue":"3","key":"e_1_2_11_42_1","first-page":"78","article-title":"Usefulness of the Eating Disorder Inventory\u20102 Japanese Version in Patients With Eating Disorders","volume":"32","author":"Tachi T.","year":"2007","journal-title":"Tokai Journal of Experimental and Clinical Medicine"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2021.101533"},{"key":"e_1_2_11_44_1","first-page":"1","volume-title":"Guidelines for Prevention and Treatment of Eating Disorders in China","author":"Wang X.","year":"2015"},{"issue":"6","key":"e_1_2_11_45_1","first-page":"476","article-title":"Reliability and Validity of the Chinese Version of Beck Depression Inventory\u2010II Among Depression Patients","volume":"25","author":"Wang Z.","year":"2011","journal-title":"Chinese Mental Health Journal"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2334"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720002706"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20100979.2005.00364.x"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23409"},{"key":"e_1_2_11_50_1","first-page":"596","article-title":"Psychological Characteristics of Patients With Eating Disorders","volume":"20","author":"Zhang W. H.","year":"2006","journal-title":"Chinese Mental Health Journal"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24439","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T11:08:26Z","timestamp":1751627306000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,16]]},"references-count":49,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/eat.24439"],"URL":"https:\/\/doi.org\/10.1002\/eat.24439","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,16]]},"assertion":[{"value":"2024-11-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}