EAT 26 量表简介_eat26量表简介

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The Eating Attitudes Test(EAT-26)is probably the most widely used standardized self-report measure of symptoms and concerns characteristic of eating disorders.The EAT-26 is a refinement of the original EAT-40 that was first published in 1979 and used in one of the first studies to examine socio-cultural factors in the development and maintenance of eating

disorders.Since that time, the test has been translated into many different languages and used in hundreds of studies.The original publication(Garner, D.M.& Garfinkel, P.E., 1979, Psychological Medicine, 9, 273-279.)and the subsequent publication describing the refinement of the test(Garner et al., 1982, Psychological Medicine, 12, 871-878)are the 3rd and 4th on the list of the 10 most cited articles in the history of the journal Psychological Medicine.This journal was founded more than 40 years ago.Thus, the Eating Attitudes Test has had a huge impact in the field of eating disorders。

在饮食行为紊乱的相关症状评测方面，饮食态度评价问卷（简称EAT 26）是世界上最通用的标准化自我评价问卷，EAT 26的前身EAT 40早在1979年第一次出版，是最早用于评价与饮食紊乱发生发展过程有关的社会文化因素的自测问卷，而EAT 26是它的优化版。自此之后，此问卷被翻译成多种语言并被众多研究采纳。EAT 40及优化版EAT 26在心理医学杂志历史上被引用最多次文献及量表的十强排名中分别位列第三名、第四名。心理医学四十多年前创刊。因此，饮食态度评价问卷在饮食紊乱的研究领域中有着举足轻重的作用。

The EAT-26 can be used in a non-clinical as well as a clinical setting not specifically focused on eating disorders.It can be administered in group or individual settings and is designed to be administered by mental health profeionals, school counselors, coaches, camp counselors, and others with interest in gathering information to determine if an individual should be referred to a specialist for evaluation for an eating disorder.It is ideally suited for school settings, athletic programs, fitne centers, infertility clinics, pediatric practices, general practice settings, and outpatient psychiatric departments.It is intended primarily for adolescents and adults.EAT-26在非临床以及临床环境都可以使用，由精神卫生专业人员，学校辅导员，教练，营地辅导员与其他有兴趣收集相关方面信息的人给予团体或个人进行自评，并可借此来判断相关个人是否需要求助于相关科室的专业临床医生。它非常适合于在学校环境，运动项目，健身中心，不孕不育门诊，小儿门诊，一般门诊设置和门诊精神病部门内使用。主要针对青少年和成人。

The EAT-26 is not designed to make a diagnosis of an eating disorder or to take the place of a profeional diagnosis or consultation.The EAT-26 alone does not yield a specific diagnosis of an eating disorder.Neither the EAT-26, nor any other screening instrument, has been established as highly efficient as the sole means for identifying eating disorders.EAT 26并不能直接用于判定饮食紊乱与否，也不能取代相关专家的诊断及建议。EAT-26本身并不产生一种饮食失调症的具体诊断。无论是EAT-26或是任何其他筛查仪，都不能作为确定饮食紊乱的唯一手段

The EAT-26 has been particularly useful a screening tool to ae “eating disorder risk” in high school, college and other special risk samples such as athletes.Screening for eating disorders is based on the aumption that early identification can lead to earlier treatment, thereby

reducing serious physical and psychological complications or even death.The EAT-26 should be used as the first step in a two-stage screening proce.according to this methodology,individuals who score 20 or more on the test should be interviewed by a qualified profeional to determine if they meet the diagnostic criteria for an eating disorder.If you have a low score on the EAT-26(below 20), you still could have a serious eating problem, so do not let the results deter you from seeking help.For example, some individuals with Binge Eating Disorder(BED)score low on the EAT-26 but may have a serious eating disorder.EAT 26对于评估在高中，大学和其他特殊风险的样本如运动员中的饮食紊乱风险是一个特别有用的筛查工具。对饮食紊乱进行筛查其理论依据基于早发现早治疗可以降低生理心理并发症发作甚至于死亡的风险，EAT 26是两步筛查步骤的第一步。根据其方法理论论述，在自评中得分大于等于20分的个人必须接受有资质的专家的约谈，来判定是否符合饮食紊乱的诊断标准。如果个人在自评中得分较低（少于20分），仍不能排除在饮食方面存在问题的可能，所以仍需要向相关人士寻求帮助。比如某些患过胖暴食症的人群得分可能相对较低但是仍存在饮食方面的问题。

Completing the EAT-26 yields a “referral index” based on three criteria: 1)the total score based on the answers to the EAT-26 questions;2)answers to the behavioral questions related to eating symptoms and weight lo, and 3)the individual’s body ma index(BMI)calculated from their height and weight.Generally a referral is recommended if a respondent scores

“positively” or meets the “cut off” scores or threshold on one or more criteria.Regardle of the score, if a respondent feels that they are suffering from feelings that are intervering with daily functioning, they should seen an evaluation from a trained mental health profeional.通过完成EAT 26产生的“参照指数”是基于三个标准：1.全部得分基于对问卷所有问题的回答。2有关行为的问题的回答和饮食症状以及减重有关 3.个人BMI指数通过其体重与身高计算得来。大体来说，如果个人相应的的得分为“阳性”，或是满足切断分数亦或是阈值高于一个或多个诊断标准，那么将会被建议转诊。如果受访者感觉存在不适并对日常起居及生理造成影响，那么不论其分数多少，必须接受专业的心理专家的相关评估。

Referral can also be based on collateral information from friends, family or medical

profeionals.转诊建议同样基于测试者身边朋友、家庭、或是医学专家提供的附属信息。

The EAT-26 has been widely used and has been translated into many different languages over the past 30 years.It became a Current Contents Citation Claic in 1993 and since that time

papers describing the test's development and validation have been some of the most cited papers in the scientific literature on eating disorders.EAT 26在过去的三十年中已经被广泛使用并被翻译为多种文字。于1993年成为现今引用经典。至此之后，描述问卷发展与证实其可靠性的文章在饮食紊乱相关的科学文献中被引用的最多。