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Validating the Persian Intuitive Eating Scale-2 Among Breast Cancer Survivors Who Are Overweight/Obese
Hematology and Medical Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Occupational Therapy, Advent Health University, Orlando, FL, United States.
Department of Educational Psychology, Miami University, Oxford, OH, United States.
International Gaming Research Unit, Psychology Department, Nottingham Trent University, United Kingdom.
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2021 (English)In: Evaluation & the Health Professions, ISSN 0163-2787, E-ISSN 1552-3918, Vol. 44, no 4, p. 385-394Article in journal (Refereed) Published
Abstract [en]

Women with breast cancer are at risk of being overweight/obese which may consequently increase mortality. Intuitive eating is an adaptive eating behavior which might be beneficial for weight outcomes. The present study validated the Persian Intuitive Eating Scale-2 (IES-2) among overweight/obese Iranian females with breast cancer. Women who were overweight/obese with breast cancer (n = 762; mean ± SD age = 55.1 ± 5.7 years) completed the following questionnaires: IES-2, General Self-Efficacy Scale (GSE-6), Hospital Anxiety and Depression Scale (HADS), Short Form-12 (SF-12), Weight Bias Internalization Scale (WBIS), Body Appreciation Scale-2 (BAS-2), and Eating Attitudes Test (EAT-26). Confirmatory factor analysis (CFA) and Rasch analysis were applied to examine the psychometric properties of the IES-2. Associations between IES-2 score and other scale scores were assessed. CFA and Rasch analysis suggested that the Persian IES-2 had robust psychometric properties and all IES-2 items were meaningful in their embedded domains. The four-factor structure of the Persian IES-2 was confirmed. Concurrent validity was supported by the positive correlations between the IES-2 score and scores on the GSE-6, SF-12 mental component, and BAS-2. Negative correlations were found between the IES-2 score and the HADS (anxiety and depression subscales), WBIS, and EAT-26. The present study demonstrated that the Persian IES-2 is a well-designed instrument and is applicable for women who are overweight/obese with breast cancer.

Place, publisher, year, edition, pages
Sage Publications, 2021. Vol. 44, no 4, p. 385-394
Keywords [en]
breast cancer, classical test theory, intuitive eating, obesity, overweight, Rasch model
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-50895DOI: 10.1177/0163278720965688ISI: 000578595000001PubMedID: 33054372Scopus ID: 2-s2.0-85092587942Local ID: ;intsam;1484288OAI: oai:DiVA.org:hj-50895DiVA, id: diva2:1484288
Available from: 2020-10-28 Created: 2020-10-28 Last updated: 2021-12-13Bibliographically approved

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Pakpour, Amir H.

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