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Validating the Persian Intuitive Eating Scale-2 Among Breast Cancer Survivors Who Are Overweight/Obese.

Abstract
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.
AuthorsBabak Nejati, Chia-Wei Fan, William J Boone, Mark D Griffiths, Chung-Ying Lin, Amir H Pakpour
JournalEvaluation & the health professions (Eval Health Prof) Vol. 44 Issue 4 Pg. 385-394 (12 2021) ISSN: 1552-3918 [Electronic] United States
PMID33054372 (Publication Type: Journal Article)
Topics
  • Breast Neoplasms (complications)
  • Cancer Survivors
  • Female
  • Humans
  • Intuition
  • Iran
  • Middle Aged
  • Obesity
  • Overweight
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires

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