{"doi":"10.1002/eat.23978","title":"Investigating the factor structure and measurement invariance of the <scp>Eating Disorder Examination‐Questionnaire</scp> (<scp>EDE‐Q</scp>) in a community sample of gender minority adults from the <scp>United States</scp>","abstract":"OBJECTIVE: The Eating Disorder Examination-Questionnaire (EDE-Q) is one of the most widely used self-report assessments of eating disorder symptoms. However, evidence indicates potential problems with its original factor structure and associated psychometric properties in a variety of populations, including gender minority populations. The aim of the current investigation was to explore several previously published EDE-Q factor structures and to examine internal consistency and measurement invariance of the best-fitting EDE-Q model in a large community sample of gender minority adults. METHODS: Data were drawn from 1567 adults (337 transgender men, 180 transgender women, and 1050 gender-expansive individuals) who participated in The PRIDE Study, a large-scale longitudinal cohort study of sexual and gender minorities from the United States. A series of confirmatory factor analyses (CFAs) were conducted to explore the fit of eight proposed EDE-Q models; internal consistency (Cronbach's alphas, Omega coefficients) and measurement invariance (multi-group CFA) were subsequently evaluated. RESULTS: A brief seven-item, three-factor (dietary restraint, shape/weight overvaluation, body dissatisfaction) model of the EDE-Q consistently evidenced the best fit across gender minority groups (transgender men, transgender women, gender-expansive individuals). The internal consistencies of the three subscales were adequate in all groups, and measurement invariance across the groups was supported. DISCUSSION: Taken together, these findings support the use of the seven-item, three-factor version of the EDE-Q for assessing eating disorder symptomatology in gender minority populations. Future studies can confirm the current findings in focused examinations of the seven-item, three-factor EDE-Q in diverse gender minority samples across race, ethnicity, socioeconomic status, and age ranges. PUBLIC SIGNIFICANCE STATEMENT: Although transgender individuals have greater risk of developing an eating disorder, the factor structure of the Eating Disorder Examination-Questionnaire, one of the most widely used eating disorder assessment measures, has not been explored in transgender adults. We found that a seven-item model including three factors of dietary restraint, shape and weight overvaluation, and body dissatisfaction had the best fit among transgender and nonbinary adults.","journal":"International Journal of Eating Disorders","year":2023,"id":326886,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":27,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9484,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":259487,"name":"Emilio J. Compte","orcid":"0000-0002-6803-5950","position":1,"is_corresponding":false},{"id":709026,"name":"F. Hunter McGuire","orcid":"0000-0003-0522-2748","position":2,"is_corresponding":false},{"id":686501,"name":"Tiffany A. Brown","orcid":"0000-0002-7349-7228","position":3,"is_corresponding":false},{"id":306825,"name":"Jason M. Lavender","orcid":"0000-0001-9853-2280","position":4,"is_corresponding":false},{"id":259486,"name":"Stuart B. Murray","orcid":"0000-0002-5588-2915","position":5,"is_corresponding":false},{"id":259489,"name":"Matthew R. Capriotti","orcid":"0000-0003-0825-2926","position":6,"is_corresponding":false},{"id":259488,"name":"Annesa Flentje","orcid":"0000-0002-1964-4151","position":7,"is_corresponding":false},{"id":259490,"name":"Micah E. Lubensky","orcid":"0000-0001-8882-0967","position":8,"is_corresponding":false},{"id":284861,"name":"Mitchell R. Lunn","orcid":"0000-0002-0068-0814","position":9,"is_corresponding":false},{"id":259491,"name":"Juno Obedin‐Maliver","orcid":"0000-0002-0945-2842","position":10,"is_corresponding":false},{"id":259485,"name":"Jason M. Nagata","orcid":"0000-0002-6541-0604","position":0,"is_corresponding":true}],"reference_count":53,"raw_metadata":null,"created_at":"2026-07-19T01:08:37.840107Z","pmid":"37163420","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}