Validation of the Flexible and Rigid Cognitive Restraint Scales in a General French Population

Int J Environ Res Public Health. 2022 Sep 30;19(19):12519. doi: 10.3390/ijerph191912519.

Abstract

Distinguishing between flexible and rigid cognitive restraint (CR) may be useful for understanding the role of CR in dietary behavior and weight status. This study aimed to translate and adapt the flexible and rigid CR scales to the French context and test their psychometric properties. Construct validity, internal consistency, and test-retest reliability were examined in a sample of 620 individuals. Confirmatory factor analysis of the scales found a two-factor structure (flexible CR: 12 items; rigid CR: 15 items) that provided a good fit and supported the initial solution (χ2 = 584.7, df = 322, CFI = 0.96, RMSEA = 0.052 [0.045, 0.059], TLI = 0.95). Higher flexible and rigid CR were associated with higher CR overall, emotional eating (TFEQ-R21) and eating disorders (SCOFF), and lower intuitive eating (IES-2). In addition, higher flexible CR was associated with lower impulsivity (BIS-11) while higher rigid CR was associated with higher uncontrolled eating (TFEQ-R21) and lower self-esteem (RSES), satisfaction with life (SWLS), and optimism (LOT-R). Flexible and rigid CR internal consistency was satisfactory (McDonald ω = 0.77 and 0.74, respectively) and test-retest reliability was good (ICC = 0.81 and 0.79, respectively). This study validated a flexible and rigid CR tool in a French population and confirmed that these two types of CR represent distinct eating behaviors.

Trial registration: ClinicalTrials.gov NCT03335644.

Keywords: Three-Factor Eating Questionnaire; dietary restraint; eating behavior; psychometrics; validation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Mass Index
  • Cognition*
  • Feeding Behavior* / psychology
  • Humans
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires

Associated data

  • ClinicalTrials.gov/NCT03335644

Grants and funding

The NutriNet-Santé Study is supported by the French Ministry of Health (DGS), the Santé Publique France agency, the French National Institute for Health and Medical Research (INSERM), the French National Institute for Agriculture, Food and Environment (INRAE), the National Conservatory for Arts and Crafts (CNAM), the Medical Research Foundation (FRM), and the University Sorbonne Paris Nord.