Development and diagnostic validation of the Interpersonal Social Predictors of Eating Disorders Risk Questionnaire (ISP-EDR-15) on a sample of adolescent and young adult females

Objective. The article is devoted to the development and validation of a brief 15-item instrument designed to survey adolescent girls and young women. The tool assesses the behaviors and attitudes of microsocial environment subjects (mother, father, peers) that may influence the risk of developing eating disorders (ED) in the respondents themselves. Methods and materials. The study involved 148 female adolescents (mean age 15.36 ± 1.58 years) recruited from secondary educational institutions in Ryazan and Vologda, Russia. Validation was conducted against the EAT-26 cutoff score (≥ 20 points) using confirmatory factor analysis (CFA), odds ratio (OR) calculation, ROC analysis. Results. Stepwise CFA confirmed a four-factor structure of the questionnaire with high internal consistency across subscales: 1) Attitudes (anti-fat attitudes of the immediate environment); 2) Pressure/Criticism (direct weight-related pressure on the respondent); 3) Fitness Modeling (fitness activity of others as a behavioral model); 4) Dieting Modeling (restrictive eating behavior of others as a model). The 5-item “Pressure/criticism” subscale, when scores are aggregated across all three figures (mother + father + peers), demonstrated exceptional predictive power. Scoring in the top quartile of this cumulative indicator increases the odds of identifying ED risk by 99 times (OR = 99); the etiologic fraction (EFe|OR) is 98.9%. Conclusion. The ISP-EDR-15 questionnaire is a reliable tool for both research and diagnostic purposes. Cumulative score of the “Pressure/criticism” subscale is recommended for rapid and effective screening, enabling the identification of risk groups while accounting for family structure.

1. Kelina, M.Yu., Marenova, E.V., Meshkova, T.A. (2011). Body dissatisfaction and influence of parents and peers as risk factors for eating disorders among girls of adolescent and young age. Psychological Science and Education, 16(5), 44—51. (In Russ.). URL: https://psyjournals.ru/journals/pse/archive/2011_n5/48707 (viewed: 12.04.2026).
2. Meshkova, T.A., Mitina, O.V., Shelygin, K.V., Aleksandrova, R.V., Nikolaeva, N.O. (2023). The Eating Attitudes Test (EAT-26): Psychometric characteristics and factor structure in nonclinical sample of 876 female university students. Clinical Psychology and Special Education, 12(1), 66—103. (In Russ.). https://doi.org/10.17759/cpse.2023120104
3. Fitzsimmons-Craft, E.E., Bardone-Cone, A.M., Harney, M.B. (2012). Development and validation of the Body, Eating, and Exercise Comparison Orientation Measure (BEECOM) among college women. Body Image, 9(4), 476—487. https://doi.org/10.1016/j.bodyim.2012.07.007
4. Hanley, J.A., McNeil, B.J. (1982). The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology, 143(1), 29—36. https://doi.org/10.1148/radiology.143.1.7063747
5. Huang, H., Liu, Z., Xiong, H., Herold, F., Kuang, J., Chen, E., Taylor, A., Yeung, A., Sun, J., Hossain, M.M., Kramer, A., Guo, T., Zou, L. (2023). Validation of sociocultural attitudes towards appearance questionnaire and its associations with body-related outcomes and eating disorders among Chinese adolescents. Frontiers in Psychiatry, 14, art. 1088769. https://doi.org/10.3389/fpsyt.2023.1088769
6. Iannattone, S., Cerea, S., Lauriola, M., Ghisi, M., Bottesi, G. (2025). Behind the mirror: An exploration of the Tripartite Influence Model among Italian adolescent boys and girls. Body Image, 53(6), art. 101892. https://doi.org/10.1016/j.bodyim.2025.101892
7. Lie, S.Ø., Bastos, R.V.S., Sundgot-Borgen, C., Wisting, L., Dahlgren, C.L. (2024). Sociocultural attitudes towards appearance questionnaire-4-revised (SATAQ-4R): Validation in a community sample of Norwegian adolescents. Journal of Eating Disorders, 12(1), art. 195. https://doi.org/10.1186/s40337-024-01151-4
8. MacDonald, D.E., Dimitropoulos, G., Royal, S., Polanco, A., Dionne, M.M. (2015). The Family Fat Talk Questionnaire: Development and psychometric properties of a measure of fat talk behaviors within the family context. Body Image, 12, 44—52. https://doi.org/10.1016/j.bodyim.2014.10.001
9. Schaefer, L.M., Harriger, J.A., Heinberg, L.J., Soderberg, T., Thompson, J.A. (2017). Development and validation of the sociocultural attitudes towards appearance questionnaire-4-revised (SATAQ-4R). International Journal of Eating Disorders, 50(2), 104—117. https://doi.org/10.1002/eat.22590
10. Schaefer, L.M., Thompson, J.K. (2018). The development and validation of the Physical Appearance Comparison Scale-3 (PACS-3). Psychological Assessment, 30(10), 1330—1341. https://doi.org/10.1037/pas0000576