Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries

Ateret Gewirtz Meydan; Zohar Spivak-Lavi; Shane W. Kraus; Léna Nagy; Mónika Koós; Zsolt Demetrovics; Marc N. Potenza; Rafael Ballester-Arnal; Dominik Batthyány; Sophie Bergeron; Joël Billieux; Peer Briken; Julius Burkauskas; Georgina Cárdenas López; Joana Carvalho; Jesús Castro-Calvo; Lijun Chen; Giacomo Ciocca; Ornella Corazza; Rita I. Csako; David P. Fernandez; Elaine F. Fernandez; Hironobu Fujiwara; Johannes Fuss; Roman Gabrhelík; Biljana Gjoneska; Mateusz Gola; Joshua B. Grubbs; Hashim T. Hashim; Md Saiful Islam; Mustafa Ismail; Martha C. Jiménez-Martínez; Tanja Jurin; Ondrej Kalina; Verena Klein; András Költő; Chih Ting Lee; Sang Kyu Lee; Karol Lewczuk; Chung Ying Lin; Christine Lochner; Silvia Lucía López Alvarado; Kateřina Lukavská; Percy Mayta-Tristán; Dan J. Miller; Oľga Orosová; Gábor Orosz; Hyein Chang; Kyeongwoo Park; Fernando P. Ponce Cisternas

doi:10.1002/eat.24365

Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries

Ateret Gewirtz Meydan (First Author)
, Zohar Spivak-Lavi
, Shane W. Kraus
, Léna Nagy
, Mónika Koós
, Zsolt Demetrovics
, Marc N. Potenza
, Rafael Ballester-Arnal
, Dominik Batthyány
, Sophie Bergeron
, Joël Billieux
, Peer Briken
, Julius Burkauskas
, Georgina Cárdenas López
, Joana Carvalho
, Jesús Castro-Calvo
, Lijun Chen
, Giacomo Ciocca
, Ornella Corazza
, Rita I. Csako

David P. Fernandez, Elaine F. Fernandez, Hironobu Fujiwara, Johannes Fuss, Roman Gabrhelík, Biljana Gjoneska, Mateusz Gola, Joshua B. Grubbs, Hashim T. Hashim, Md Saiful Islam, Mustafa Ismail, Martha C. Jiménez-Martínez, Tanja Jurin, Ondrej Kalina, Verena Klein, András Költő, Chih Ting Lee, Sang Kyu Lee, Karol Lewczuk, Chung Ying Lin, Christine Lochner, Silvia Lucía López Alvarado, Kateřina Lukavská, Percy Mayta-Tristán, Dan J. Miller, Oľga Orosová, Gábor Orosz, Hyein Chang, Kyeongwoo Park, Fernando P. Ponce Cisternas (Last Author)

Universidad de Cuenca

University of Haifa
Max Stern Academic College of Emek Yezreel
University of Nevada, Las Vegas
Eötvös Loránd University
University of Duisburg-Essen
University of Gibraltar
Yale University
Connecticut Council on Problem Gambling
Jaume I University
Sigmund Freud University Vienna
University of Montreal
University of Lausanne
University of Hamburg
Lithuanian University of Health Sciences
Universidad Nacional Autónoma de México
University of Aveiro
University of Valencia
Fuzhou University
University of Rome La Sapienza
University of Hertfordshire
University of Trento
Auckland University of Technology
Nottingham Trent University
HELP University
Kyoto University
RIKEN
Charles University
Macedonian Academy of Sciences and Arts
Polish Academy of Sciences
University of California at San Diego
University of New Mexico
University of Baghdad
University of Warith Alanbiyaa
Jahangirnagar University
Centre for Advanced Research Excellence in Public Health
Universidad Pedagógca y Tecnológica de Colombia
University of Zagreb
Pavol Jozef Šafárik University
University of Southampton
University of Galway
National Cheng Kung University
Hallym University
Chuncheon Addiction Management Center
Cardinal Stefan Wyszynski University
Stellenbosch University
Universidad Científica del Sur
James Cook University Queensland
Université d'Artois
Sungkyunkwan University
Universidad de Talca

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Objective: This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED. Method: The International Sex Survey, a cross-sectional online study, was conducted in 42 countries and 26 languages. A diverse community sample of 82,243 participants, aged 18 years or older, completed the BEDS-7 and measures of sexuality, mental health, substance use, and sociodemographic characteristics. Confirmatory factor analyses and tests of measurement invariance were employed to evaluate the reliability and validity of the BEDS-7 across languages, countries, genders, and sexual orientations. Results: The BEDS-7 demonstrated scalar factorial invariance across languages and countries, indicating consistent factor loadings and item intercepts. In contrast, the screener showed residual invariance across gender and sexual orientation groups, supporting its robustness across these demographics. Kruskal–Wallis tests revealed significant differences in BED symptoms across languages, countries, genders, and sexual orientations, with the highest BED scores observed among queer, pansexual, and gender-diverse individuals. The BEDS-7 also demonstrated adequate reliability (Cronbach's alpha > 0.80) and moderate criterion validity. Discussion: The findings provide further evidence of the reliability and validity of the BEDS-7 as a potential screening tool for identifying probable cases of BED globally, facilitating early intervention in primary care settings.

Original language	English
Pages (from-to)	926-938
Number of pages	13
Journal	International Journal of Eating Disorders
Volume	58
Issue number	5
DOIs	https://doi.org/10.1002/eat.24365
State	Published - May 2025

Keywords

BEDS-7
binge eating disorder (BED)
cross-cultural validation
impulsive behavior
screening tool

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10.1002/eat.24365

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Gewirtz Meydan, A., Spivak-Lavi, Z., Kraus, S. W., Nagy, L., Koós, M., Demetrovics, Z., Potenza, M. N., Ballester-Arnal, R., Batthyány, D., Bergeron, S., Billieux, J., Briken, P., Burkauskas, J., Cárdenas López, G., Carvalho, J., Castro-Calvo, J., Chen, L., Ciocca, G., Corazza, O., ... Ponce Cisternas, F. P. (2025). Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries. International Journal of Eating Disorders, 58(5), 926-938. https://doi.org/10.1002/eat.24365

@article{1ee670c121c74f909caecbdcf1bfc070,

title = "Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries",

abstract = "Objective: This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED. Method: The International Sex Survey, a cross-sectional online study, was conducted in 42 countries and 26 languages. A diverse community sample of 82,243 participants, aged 18 years or older, completed the BEDS-7 and measures of sexuality, mental health, substance use, and sociodemographic characteristics. Confirmatory factor analyses and tests of measurement invariance were employed to evaluate the reliability and validity of the BEDS-7 across languages, countries, genders, and sexual orientations. Results: The BEDS-7 demonstrated scalar factorial invariance across languages and countries, indicating consistent factor loadings and item intercepts. In contrast, the screener showed residual invariance across gender and sexual orientation groups, supporting its robustness across these demographics. Kruskal–Wallis tests revealed significant differences in BED symptoms across languages, countries, genders, and sexual orientations, with the highest BED scores observed among queer, pansexual, and gender-diverse individuals. The BEDS-7 also demonstrated adequate reliability (Cronbach's alpha > 0.80) and moderate criterion validity. Discussion: The findings provide further evidence of the reliability and validity of the BEDS-7 as a potential screening tool for identifying probable cases of BED globally, facilitating early intervention in primary care settings. ",

keywords = "BEDS-7, binge eating disorder (BED), cross-cultural validation, impulsive behavior, screening tool, BEDS-7, Binge eating disorder (BED), Cross-cultural validation, Impulsive behavior, Screening tool",

author = "\{Gewirtz Meydan\}, Ateret and Zohar Spivak-Lavi and Kraus, \{Shane W.\} and L{\'e}na Nagy and M{\'o}nika Ko{\'o}s and Zsolt Demetrovics and Potenza, \{Marc N.\} and Rafael Ballester-Arnal and Dominik Batthy{\'a}ny and Sophie Bergeron and Jo{\"e}l Billieux and Peer Briken and Julius Burkauskas and \{C{\'a}rdenas L{\'o}pez\}, Georgina and Joana Carvalho and Jes{\'u}s Castro-Calvo and Lijun Chen and Giacomo Ciocca and Ornella Corazza and Csako, \{Rita I.\} and Fernandez, \{David P.\} and Fernandez, \{Elaine F.\} and Hironobu Fujiwara and Johannes Fuss and Roman Gabrhel{\'i}k and Biljana Gjoneska and Mateusz Gola and Grubbs, \{Joshua B.\} and Hashim, \{Hashim T.\} and Islam, \{Md Saiful\} and Mustafa Ismail and Jim{\'e}nez-Mart{\'i}nez, \{Martha C.\} and Tanja Jurin and Ondrej Kalina and Verena Klein and Andr{\'a}s K{\"o}lt{\H o} and Lee, \{Chih Ting\} and Lee, \{Sang Kyu\} and Karol Lewczuk and Lin, \{Chung Ying\} and Christine Lochner and \{L{\'o}pez Alvarado\}, \{Silvia Luc{\'i}a\} and Kate{\v r}ina Lukavsk{\'a} and Percy Mayta-Trist{\'a}n and Miller, \{Dan J.\} and O{\v I}ga Orosov{\'a} and G{\'a}bor Orosz and Hyein Chang and Kyeongwoo Park and \{Ponce Cisternas\}, \{Fernando P.\}",

note = "Publisher Copyright: {\textcopyright} 2025 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC.",

year = "2025",

month = may,

doi = "10.1002/eat.24365",

language = "Ingl{\'e}s",

volume = "58",

pages = "926--938",

journal = "International Journal of Eating Disorders",

issn = "0276-3478",

number = "5",

}

Gewirtz Meydan, A, Spivak-Lavi, Z, Kraus, SW, Nagy, L, Koós, M, Demetrovics, Z, Potenza, MN, Ballester-Arnal, R, Batthyány, D, Bergeron, S, Billieux, J, Briken, P, Burkauskas, J, Cárdenas López, G, Carvalho, J, Castro-Calvo, J, Chen, L, Ciocca, G, Corazza, O, Csako, RI, Fernandez, DP, Fernandez, EF, Fujiwara, H, Fuss, J, Gabrhelík, R, Gjoneska, B, Gola, M, Grubbs, JB, Hashim, HT, Islam, MS, Ismail, M, Jiménez-Martínez, MC, Jurin, T, Kalina, O, Klein, V, Költő, A, Lee, CT, Lee, SK, Lewczuk, K, Lin, CY, Lochner, C, López Alvarado, SL, Lukavská, K, Mayta-Tristán, P, Miller, DJ, Orosová, O, Orosz, G, Chang, H, Park, K & Ponce Cisternas, FP 2025, 'Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries', International Journal of Eating Disorders, vol. 58, no. 5, pp. 926-938. https://doi.org/10.1002/eat.24365

TY - JOUR

T1 - Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries

AU - Gewirtz Meydan, Ateret

AU - Spivak-Lavi, Zohar

AU - Kraus, Shane W.

AU - Nagy, Léna

AU - Koós, Mónika

AU - Demetrovics, Zsolt

AU - Potenza, Marc N.

AU - Ballester-Arnal, Rafael

AU - Batthyány, Dominik

AU - Bergeron, Sophie

AU - Billieux, Joël

AU - Briken, Peer

AU - Burkauskas, Julius

AU - Cárdenas López, Georgina

AU - Carvalho, Joana

AU - Castro-Calvo, Jesús

AU - Chen, Lijun

AU - Ciocca, Giacomo

AU - Corazza, Ornella

AU - Csako, Rita I.

AU - Fernandez, David P.

AU - Fernandez, Elaine F.

AU - Fujiwara, Hironobu

AU - Fuss, Johannes

AU - Gabrhelík, Roman

AU - Gjoneska, Biljana

AU - Gola, Mateusz

AU - Grubbs, Joshua B.

AU - Hashim, Hashim T.

AU - Islam, Md Saiful

AU - Ismail, Mustafa

AU - Jiménez-Martínez, Martha C.

AU - Jurin, Tanja

AU - Kalina, Ondrej

AU - Klein, Verena

AU - Költő, András

AU - Lee, Chih Ting

AU - Lee, Sang Kyu

AU - Lewczuk, Karol

AU - Lin, Chung Ying

AU - Lochner, Christine

AU - López Alvarado, Silvia Lucía

AU - Lukavská, Kateřina

AU - Mayta-Tristán, Percy

AU - Miller, Dan J.

AU - Orosová, Oľga

AU - Orosz, Gábor

AU - Chang, Hyein

AU - Park, Kyeongwoo

AU - Ponce Cisternas, Fernando P.

PY - 2025/5

Y1 - 2025/5

N2 - Objective: This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED. Method: The International Sex Survey, a cross-sectional online study, was conducted in 42 countries and 26 languages. A diverse community sample of 82,243 participants, aged 18 years or older, completed the BEDS-7 and measures of sexuality, mental health, substance use, and sociodemographic characteristics. Confirmatory factor analyses and tests of measurement invariance were employed to evaluate the reliability and validity of the BEDS-7 across languages, countries, genders, and sexual orientations. Results: The BEDS-7 demonstrated scalar factorial invariance across languages and countries, indicating consistent factor loadings and item intercepts. In contrast, the screener showed residual invariance across gender and sexual orientation groups, supporting its robustness across these demographics. Kruskal–Wallis tests revealed significant differences in BED symptoms across languages, countries, genders, and sexual orientations, with the highest BED scores observed among queer, pansexual, and gender-diverse individuals. The BEDS-7 also demonstrated adequate reliability (Cronbach's alpha > 0.80) and moderate criterion validity. Discussion: The findings provide further evidence of the reliability and validity of the BEDS-7 as a potential screening tool for identifying probable cases of BED globally, facilitating early intervention in primary care settings.

AB - Objective: This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED. Method: The International Sex Survey, a cross-sectional online study, was conducted in 42 countries and 26 languages. A diverse community sample of 82,243 participants, aged 18 years or older, completed the BEDS-7 and measures of sexuality, mental health, substance use, and sociodemographic characteristics. Confirmatory factor analyses and tests of measurement invariance were employed to evaluate the reliability and validity of the BEDS-7 across languages, countries, genders, and sexual orientations. Results: The BEDS-7 demonstrated scalar factorial invariance across languages and countries, indicating consistent factor loadings and item intercepts. In contrast, the screener showed residual invariance across gender and sexual orientation groups, supporting its robustness across these demographics. Kruskal–Wallis tests revealed significant differences in BED symptoms across languages, countries, genders, and sexual orientations, with the highest BED scores observed among queer, pansexual, and gender-diverse individuals. The BEDS-7 also demonstrated adequate reliability (Cronbach's alpha > 0.80) and moderate criterion validity. Discussion: The findings provide further evidence of the reliability and validity of the BEDS-7 as a potential screening tool for identifying probable cases of BED globally, facilitating early intervention in primary care settings.

KW - BEDS-7

KW - binge eating disorder (BED)

KW - cross-cultural validation

KW - impulsive behavior

KW - screening tool

KW - BEDS-7

KW - Binge eating disorder (BED)

KW - Cross-cultural validation

KW - Impulsive behavior

KW - Screening tool

UR - https://www.scopus.com/pages/publications/105004919899

UR - https://pubmed.ncbi.nlm.nih.gov/40040591/

U2 - 10.1002/eat.24365

DO - 10.1002/eat.24365

M3 - Artículo

C2 - 40040591

AN - SCOPUS:105004919899

SN - 0276-3478

VL - 58

SP - 926

EP - 938

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

IS - 5

ER -

Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries

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Keywords

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