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

Sungkyunkwan University's Research Team; 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 López‐Alvarado; Kateřina Lukavská; Percy Mayta‐Tristán; Dan J. Miller; Oľga Orosová; Gábor Orosz; Hyein Chang; Kyeongwoo Park; Fernando P. Ponce

doi:10.1002/eat.24365

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

Sungkyunkwan University's Research Team, 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 CorazzaRita 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 López‐Alvarado, Kateřina Lukavská, Percy Mayta‐Tristán, Dan J. Miller, Oľga Orosová, Gábor Orosz, Hyein Chang, Kyeongwoo Park, Fernando P. Ponce

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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
Article number	eat.24365
Pages (from-to)	1-13
Number of pages	13
Journal	International Journal of Eating Disorders
Early online date	5 Mar 2025
DOIs	https://doi.org/10.1002/eat.24365
Publication status	E-pub ahead of print - 5 Mar 2025

Keywords

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

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© 2025 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC. This is an open access article under the Creative Commons Attribution Non-Commercial No-Derivatives CC BY-NC-ND licence, https://creativecommons.org/licenses/by-nc-nd/4.0/
Final published version, 1.65 MBLicence: CC BY-NC-ND

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Sungkyunkwan University's Research Team, 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., ... Ponce, F. P. (2025). Cross‐Cultural Validation of the Binge Eating Disorder Screener‐7 ( BEDS ‐7) Across 42 Countries. International Journal of Eating Disorders, 1-13. Article eat.24365. Advance online publication. https://doi.org/10.1002/eat.24365

@article{4b61b76acdfa429b9e3449529c7ddf5a,

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 = "binge eating disorder (BED), impulsive behavior, BEDS‐7, screening tool, cross‐cultural validation",

author = "{Sungkyunkwan University's Research Team} and Ateret Gewirtz‐Meydan 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 Georgina C{\'a}rdenas‐L{\'o}pez 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 Chih‐Ting Lee and Sang‐Kyu Lee and Karol Lewczuk and Chung‐Ying Lin and Christine Lochner and Silvia L{\'o}pez‐Alvarado 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, {Fernando P.}",

note = "{\textcopyright} 2025 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC. This is an open access article under the Creative Commons Attribution Non-Commercial No-Derivatives CC BY-NC-ND licence, https://creativecommons.org/licenses/by-nc-nd/4.0/ ",

year = "2025",

month = mar,

day = "5",

doi = "10.1002/eat.24365",

language = "English",

pages = "1--13",

journal = "International Journal of Eating Disorders",

issn = "0276-3478",

publisher = "Wiley",

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Sungkyunkwan University's Research Team, 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, S, Lukavská, K, Mayta‐Tristán, P, Miller, DJ, Orosová, O, Orosz, G, Chang, H, Park, K & Ponce, FP 2025, 'Cross‐Cultural Validation of the Binge Eating Disorder Screener‐7 ( BEDS ‐7) Across 42 Countries', International Journal of Eating Disorders, pp. 1-13. 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 - Sungkyunkwan University's Research Team

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

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, Fernando P.

N1 - © 2025 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC. This is an open access article under the Creative Commons Attribution Non-Commercial No-Derivatives CC BY-NC-ND licence, https://creativecommons.org/licenses/by-nc-nd/4.0/

PY - 2025/3/5

Y1 - 2025/3/5

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 - binge eating disorder (BED)

KW - impulsive behavior

KW - BEDS‐7

KW - screening tool

KW - cross‐cultural validation

U2 - 10.1002/eat.24365

DO - 10.1002/eat.24365

M3 - Article

SN - 0276-3478

SP - 1

EP - 13

JO - International Journal of Eating Disorders

JF - International Journal of Eating Disorders

M1 - eat.24365

ER -

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

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