The BULIT-R: Its reliability and clinical validity as a screening tool for DSM-III-R bulimia nervosa in a female tertiary education population

Abstract

The Bulimia Test (BULIT) has been updated to accommodate the DSM‐III‐R criteria for bulimia nervosa. Therefore, in this study, we evaluated the psychometric properties of the BULIT‐R using a sample of young women at a tertiary educational institute. The results showed all 28 BULIT‐R items correlated highly with the total test score (average = .59) and (he internal reliability was high (.92). In terms of its concurrent validity, the BULIT‐R correlated highly (.90) with the Bulimia Investigatory Test Edinburgh (BITE), a screening measure argued to detect bulimia nervosa. In terms of criterion‐related validity, the optimal cutoff for the BULIT‐R as a screening measure was 98 with this sample, using a semistructured DIS‐III R interview administered by experienced clinicians who specialize in eating disorders. At this cutoff, the sensitivity was 100%, the specificity 99.0%, the negative predictive value 700%, and the positive predictive value 77.3%. © 1993 by John Wiley & Sons, Inc.

The point prevalence of bulimic disorders from 1990 to 2004

“…The BULIT and BULIT-R are reliable and valid measures 32 that successfully discriminate individuals with BN from clinical and non-clinical populations and normal controls. 28,29,33 The kappa value for agreement between the EDQ and BULIT/BULIT-R diagnoses was 0.68 for the present sample.…”

The point prevalence of bulimic disorders from 1990 to 2004

“…The BULIT and BULIT-R are reliable and valid measures 32 that successfully discriminate individuals with BN from clinical and non-clinical populations and normal controls. 28,29,33 The kappa value for agreement between the EDQ and BULIT/BULIT-R diagnoses was 0.68 for the present sample.…”

Psychometric evaluation of self‐report measures of binge‐eating symptoms and related psychopathology: A systematic review of the literature

“…Questionnaire-Eating Disorders (TAQ-ED-R), 36 Thoughts Questionnaire (TQ), 37 Yale-Brown-Cornell Eating Disorders Scale Self Report Questionnaire (SR-YBC-ED); 38 10 that were primarily general or diagnostic measures of eating disorder symptoms: Behaviors Questionnaire (BQ), 37 Disordered Eating Attitude Scale (DEAS), 39 Eating Disorder Assessment for Men (EDAM), 40 Eating Disorder Diagnostic Scale (EDDS), [41][42][43] Eating Disorder Examination Questionnaire (EDE-Q), 7,[44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] Eating Disorder Inventory-3 (EDI-3), 40 Eating Pathology Symptoms Inventory (EPSI), 63,64 Multiaxial Assessment of Eating Disorder Symptoms (MAEDS), 65,66 Questionnaire for Eating Disorder Diagnosis (Q-EDD), 67 Stirling Eating Disorders Scale (SEDS), 68,69 and seven screening questionnaires: Binge Eating Disorder Test (BEDT), 60 Bulimia Test-Revised (BULIT-R), 10,60,[70][71][72] Bulimic Investigatory Test-Edinburgh (BITE),…”

“…A total of 29 measures were identified, comprising 12 specific symptom measures: Binge Eating Scale (BES), Binge Scale, Bulimia Cognitive Distortions Scale (BCDS), Dutch Eating Disorders Behaviors Questionnaire (DEBQ), Eating Disorder Belief Questionnaire (EDBQ), Eating Disorder Core Belief Questionnaire (ED‐CBQ), Eating Loss of Control Scale (ELoCS), Loss of Control over Eating Scale (LOCES), Three Factor Eating Questionnaire (TFEQ), Testable Assumption Questionnaire—Eating Disorders (TAQ‐ED‐R), Thoughts Questionnaire (TQ), Yale‐Brown‐Cornell Eating Disorders Scale Self Report Questionnaire (SR‐YBC‐ED); 10 that were primarily general or diagnostic measures of eating disorder symptoms: Behaviors Questionnaire (BQ), Disordered Eating Attitude Scale (DEAS), Eating Disorder Assessment for Men (EDAM), Eating Disorder Diagnostic Scale (EDDS), Eating Disorder Examination Questionnaire (EDE‐Q), Eating Disorder Inventory‐3 (EDI‐3), Eating Pathology Symptoms Inventory (EPSI), Multiaxial Assessment of Eating Disorder Symptoms (MAEDS), Questionnaire for Eating Disorder Diagnosis (Q‐EDD), Stirling Eating Disorders Scale (SEDS), and seven screening questionnaires: Binge Eating Disorder Test (BEDT), Bulimia Test—Revised (BULIT‐R), Bulimic Investigatory Test—Edinburgh (BITE), Eating Attitudes Test‐26 (EAT‐26), Questionnaire on Eating and Weight Patterns—Revised (QEWP‐R), SCOFF, and the Short Evaluation of Eating Disorders (SEED) . Category groups are based on the description of the measure and recommendations for use provided in the development article by the original authors, some of the measures also fit other categories, for example some of the screening questionnaires could also be considered a general measure of eating disorders such as the EAT‐26 an...…”

Association of anger with bulimic and other impulsive behaviours among non‐clinical women and men

“…Such research might use other measures of bulimic behaviours (e.g. BULIT-R- Welch, Thompson, & Hall, 1993) or measures of a broader range of eating characteristics (e.g. EDE-Q- Luce & Crowther, 1999).…”

The point prevalence of bulimic disorders from 1990 to 2004

“…The BULIT and BULIT-R are reliable and valid measures 32 that successfully discriminate individuals with BN from clinical and non-clinical populations and normal controls. 28,29,33 The kappa value for agreement between the EDQ and BULIT/BULIT-R diagnoses was 0.68 for the present sample.…”

Psychometric evaluation of self‐report measures of binge‐eating symptoms and related psychopathology: A systematic review of the literature

“…Questionnaire-Eating Disorders (TAQ-ED-R), 36 Thoughts Questionnaire (TQ), 37 Yale-Brown-Cornell Eating Disorders Scale Self Report Questionnaire (SR-YBC-ED); 38 10 that were primarily general or diagnostic measures of eating disorder symptoms: Behaviors Questionnaire (BQ), 37 Disordered Eating Attitude Scale (DEAS), 39 Eating Disorder Assessment for Men (EDAM), 40 Eating Disorder Diagnostic Scale (EDDS), [41][42][43] Eating Disorder Examination Questionnaire (EDE-Q), 7,[44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] Eating Disorder Inventory-3 (EDI-3), 40 Eating Pathology Symptoms Inventory (EPSI), 63,64 Multiaxial Assessment of Eating Disorder Symptoms (MAEDS), 65,66 Questionnaire for Eating Disorder Diagnosis (Q-EDD), 67 Stirling Eating Disorders Scale (SEDS), 68,69 and seven screening questionnaires: Binge Eating Disorder Test (BEDT), 60 Bulimia Test-Revised (BULIT-R), 10,60,[70][71][72] Bulimic Investigatory Test-Edinburgh (BITE),…”

“…A total of 29 measures were identified, comprising 12 specific symptom measures: Binge Eating Scale (BES), Binge Scale, Bulimia Cognitive Distortions Scale (BCDS), Dutch Eating Disorders Behaviors Questionnaire (DEBQ), Eating Disorder Belief Questionnaire (EDBQ), Eating Disorder Core Belief Questionnaire (ED‐CBQ), Eating Loss of Control Scale (ELoCS), Loss of Control over Eating Scale (LOCES), Three Factor Eating Questionnaire (TFEQ), Testable Assumption Questionnaire—Eating Disorders (TAQ‐ED‐R), Thoughts Questionnaire (TQ), Yale‐Brown‐Cornell Eating Disorders Scale Self Report Questionnaire (SR‐YBC‐ED); 10 that were primarily general or diagnostic measures of eating disorder symptoms: Behaviors Questionnaire (BQ), Disordered Eating Attitude Scale (DEAS), Eating Disorder Assessment for Men (EDAM), Eating Disorder Diagnostic Scale (EDDS), Eating Disorder Examination Questionnaire (EDE‐Q), Eating Disorder Inventory‐3 (EDI‐3), Eating Pathology Symptoms Inventory (EPSI), Multiaxial Assessment of Eating Disorder Symptoms (MAEDS), Questionnaire for Eating Disorder Diagnosis (Q‐EDD), Stirling Eating Disorders Scale (SEDS), and seven screening questionnaires: Binge Eating Disorder Test (BEDT), Bulimia Test—Revised (BULIT‐R), Bulimic Investigatory Test—Edinburgh (BITE), Eating Attitudes Test‐26 (EAT‐26), Questionnaire on Eating and Weight Patterns—Revised (QEWP‐R), SCOFF, and the Short Evaluation of Eating Disorders (SEED) . Category groups are based on the description of the measure and recommendations for use provided in the development article by the original authors, some of the measures also fit other categories, for example some of the screening questionnaires could also be considered a general measure of eating disorders such as the EAT‐26 an...…”

Association of anger with bulimic and other impulsive behaviours among non‐clinical women and men

“…Such research might use other measures of bulimic behaviours (e.g. BULIT-R- Welch, Thompson, & Hall, 1993) or measures of a broader range of eating characteristics (e.g. EDE-Q- Luce & Crowther, 1999).…”

The point prevalence of bulimic disorders from 1990 to 2004

“…The BULIT and BULIT-R are reliable and valid measures 32 that successfully discriminate individuals with BN from clinical and non-clinical populations and normal controls. 28,29,33 The kappa value for agreement between the EDQ and BULIT/BULIT-R diagnoses was 0.68 for the present sample.…”

Psychometric evaluation of self‐report measures of binge‐eating symptoms and related psychopathology: A systematic review of the literature

“…Questionnaire-Eating Disorders (TAQ-ED-R), 36 Thoughts Questionnaire (TQ), 37 Yale-Brown-Cornell Eating Disorders Scale Self Report Questionnaire (SR-YBC-ED); 38 10 that were primarily general or diagnostic measures of eating disorder symptoms: Behaviors Questionnaire (BQ), 37 Disordered Eating Attitude Scale (DEAS), 39 Eating Disorder Assessment for Men (EDAM), 40 Eating Disorder Diagnostic Scale (EDDS), [41][42][43] Eating Disorder Examination Questionnaire (EDE-Q), 7,[44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] Eating Disorder Inventory-3 (EDI-3), 40 Eating Pathology Symptoms Inventory (EPSI), 63,64 Multiaxial Assessment of Eating Disorder Symptoms (MAEDS), 65,66 Questionnaire for Eating Disorder Diagnosis (Q-EDD), 67 Stirling Eating Disorders Scale (SEDS), 68,69 and seven screening questionnaires: Binge Eating Disorder Test (BEDT), 60 Bulimia Test-Revised (BULIT-R), 10,60,[70][71][72] Bulimic Investigatory Test-Edinburgh (BITE),…”

“…A total of 29 measures were identified, comprising 12 specific symptom measures: Binge Eating Scale (BES), Binge Scale, Bulimia Cognitive Distortions Scale (BCDS), Dutch Eating Disorders Behaviors Questionnaire (DEBQ), Eating Disorder Belief Questionnaire (EDBQ), Eating Disorder Core Belief Questionnaire (ED‐CBQ), Eating Loss of Control Scale (ELoCS), Loss of Control over Eating Scale (LOCES), Three Factor Eating Questionnaire (TFEQ), Testable Assumption Questionnaire—Eating Disorders (TAQ‐ED‐R), Thoughts Questionnaire (TQ), Yale‐Brown‐Cornell Eating Disorders Scale Self Report Questionnaire (SR‐YBC‐ED); 10 that were primarily general or diagnostic measures of eating disorder symptoms: Behaviors Questionnaire (BQ), Disordered Eating Attitude Scale (DEAS), Eating Disorder Assessment for Men (EDAM), Eating Disorder Diagnostic Scale (EDDS), Eating Disorder Examination Questionnaire (EDE‐Q), Eating Disorder Inventory‐3 (EDI‐3), Eating Pathology Symptoms Inventory (EPSI), Multiaxial Assessment of Eating Disorder Symptoms (MAEDS), Questionnaire for Eating Disorder Diagnosis (Q‐EDD), Stirling Eating Disorders Scale (SEDS), and seven screening questionnaires: Binge Eating Disorder Test (BEDT), Bulimia Test—Revised (BULIT‐R), Bulimic Investigatory Test—Edinburgh (BITE), Eating Attitudes Test‐26 (EAT‐26), Questionnaire on Eating and Weight Patterns—Revised (QEWP‐R), SCOFF, and the Short Evaluation of Eating Disorders (SEED) . Category groups are based on the description of the measure and recommendations for use provided in the development article by the original authors, some of the measures also fit other categories, for example some of the screening questionnaires could also be considered a general measure of eating disorders such as the EAT‐26 an...…”

Association of anger with bulimic and other impulsive behaviours among non‐clinical women and men

“…Such research might use other measures of bulimic behaviours (e.g. BULIT-R- Welch, Thompson, & Hall, 1993) or measures of a broader range of eating characteristics (e.g. EDE-Q- Luce & Crowther, 1999).…”