中文译文：开发一种用于评估囊性纤维化患者饮食态度和行为的方法。
Developing a measure of eating attitudes and behaviours in cystic fibrosis.
机构信息
Department of Clinical Psychology, Royal Holloway University of London, Egham, Surrey, United Kingdom.
出版信息
J Cyst Fibros. 2013 Jan;12(1):15-21. doi: 10.1016/j.jcf.2012.05.005. Epub 2012 Jun 20.
BACKGROUND
Eating disorders or disturbed eating attitudes and behaviours (EABs) may contribute to poor nutritional status in Cystic Fibrosis (CF). Existing measures of disturbed EABs can have different meanings in this population and do not assess CF-related EABs. A self-report measure of EABs in CF was developed to highlight areas of eating disturbance.
METHODS
The content validity of a draft measure was evaluated via expert evaluation and literature review and an amended measure piloted with 8 CF patients using cognitive interviewing. A further amended measure was administered to 155 CF patients (11-62 years) attending CF clinics.
RESULTS
Principal components analyses revealed a three-factor structure ('Desire for thinness and weight loss', 'Disturbed EABs', and 'Appetite') with good internal consistencies for subscales and the 21-item whole measure.
CONCLUSIONS
The measure looks promising as a tool to highlight EAB disturbance in CF. Further work will establish its construct validity and clarify interpretation of subscales.
背景
饮食失调或饮食态度和行为障碍（EAB）可能导致囊性纤维化（CF）患者营养状况不佳。现有的 EAB 紊乱评估方法在该人群中可能具有不同的含义，并且不能评估与 CF 相关的 EAB。本研究开发了一种 CF 中 EAB 的自我报告测量方法，以突出饮食障碍的领域。
方法
通过专家评估和文献回顾评估了草案测量的内容效度，并使用认知访谈对 8 名 CF 患者进行了修订测量的试点研究。进一步修订的测量方法在 155 名 CF 患者（11-62 岁）中进行了测试。
结果
主成分分析显示，该测量方法具有三个因子结构（“渴望变瘦和减肥”、“饮食失调行为”和“食欲”），分量表和 21 项全量表的内部一致性良好。
结论
该方法作为一种突出 CF 中 EAB 紊乱的工具具有很大的潜力。进一步的研究将确定其结构效度，并澄清分量表的解释。
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