Evaluation of the reliability and validity of the Italian version of the schema mode inventory for eating disorders: short form for adults with dysfunctional eating behaviors

Eat Weight Disord. 2020 Jun;25(3):553-565. doi: 10.1007/s40519-019-00644-5. Epub 2019 Feb 7.

Abstract

Purpose: To examine the psychometric properties and the factorial structure of the Italian version of the schema mode inventory for eating disorders-short form (SMI-ED-SF) for adults with dysfunctional eating patterns.

Methods: 649 participants (72.1% females) completed the 64-item Italian version of the SMI-ED-SF and the eating disorder examination questionnaire (EDE-Q) for measuring eating disorder symptoms. Psychometric testing included confirmatory factor analysis (CFA) and internal consistency. Multivariate analysis of covariance (MANCOVA) was also run to test statistical differences between the EDE-Q subscales on the SMI-ED-SF modes, while controlling for possible confounding variables.

Results: Factorial analysis confirmed the 16-factors structure for the SMI-ED-SF [S-Bχ2 (1832) = 3324.799; p < .001; RMSEA = 0.045; 90% CI 0.043-0.048; CFI = 0.880; SRMR = 0.066; χ2/df = 1.81; < 3]. Internal consistency was acceptable in all scales, with Cronbach's Alpha coefficients ranging from 0.635 to 0.873.

Conclusions: The SMI-ED-SF represents a reliable and valid alternative to the long-form SMI-ED for assessment and conceptualization of schema modes in Italian adults with disordered eating habits. Its use is recommended for clinical and research purposes.

Level of evidence: Level V, descriptive study.

Keywords: Eating disorders; Factorial structure; Modes; Psychometric properties; Schema therapy.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Feeding Behavior / psychology*
  • Feeding and Eating Disorders / diagnosis*
  • Feeding and Eating Disorders / psychology
  • Female
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Young Adult