Chiba Hiromi, Nagamitsu Shinichiro, Sakurai Rieko, Mukai Takayo, Shintou Hiroko, Koyanagi Kenshi, Yamashita Yushiro, Kakuma Tatsuyuki, Uchimura Naohisa, Matsuishi Toyojiro
Department of Pediatrics and Child Health, Kurume University School of Medicine, Fukuoka, Japan; Department of Neuropsychiatry, Kurume University School of Medicine, Fukuoka, Japan.
Department of Pediatrics and Child Health, Kurume University School of Medicine, Fukuoka, Japan.
Eat Behav. 2016 Dec;23:120-125. doi: 10.1016/j.eatbeh.2016.09.001. Epub 2016 Sep 10.
Eating disorders (ED) are serious psychosomatic disorders that commonly occur in girls during adolescence. An increase in earlier onset ED has recently been suggested. Therefore, accurate assessment of eating attitudes in children is a necessary part of school mental health. The 26-item Children's Eating Attitudes Test (ChEAT-26) is widely used internationally to assess abnormal eating attitudes. The present study aimed to validate the Japanese version of the ChEAT-26. Participants were 7076 school children (aged 10-15years) from large, medium-sized, and small cities, and 44 children with anorexia nervosa. We examined the average ChEAT-26 score by participant attributes, including sex, age, geographical region, and school style. Factor analysis of the ChEAT-26 content was performed with varimax rotation. The optimal cut-off point was evaluated using receiver operating characteristic (ROC) analysis. The mean ChEAT-26 score was 7.94 for girls and 5.86 for boys. The mean score was significantly higher in children from larger cities than small cities, and was higher with increasing age, and private schools. Five factors explained 31.4% of the variance. The Cronbach's alpha was 0.81 for the scale. The area under the ROC curve was 0.83; sensitivity was 0.69 and specificity was 0.93 for a cut-off score of 18. The Japanese version of the ChEAT-26 is a reliable and valid psychometric tool that may be useful in the triage and assessment of children with anorexia nervosa.
饮食失调（ED）是严重的身心疾病，常见于青春期女孩。最近有研究表明，饮食失调的发病年龄有提前趋势。因此，准确评估儿童的饮食态度是学校心理健康的必要组成部分。26项儿童饮食态度测试（ChEAT - 26）在国际上被广泛用于评估异常饮食态度。本研究旨在验证ChEAT - 26的日语版本。参与者包括来自大、中、小城市的7076名学龄儿童（10 - 15岁）以及44名神经性厌食症儿童。我们根据参与者的属性，包括性别、年龄、地理区域和学校类型，对ChEAT - 26的平均得分进行了分析。采用方差最大化旋转对ChEAT - 26的内容进行了因子分析。使用受试者工作特征（ROC）分析评估了最佳截断点。女孩的ChEAT - 26平均得分为7.94，男孩为5.86。大城市儿童的平均得分显著高于小城市儿童，且随着年龄增长和私立学校就读情况得分更高。五个因素解释了31.4%的方差。该量表的Cronbach's alpha系数为0.81。ROC曲线下面积为0.83；截断分数为18时，敏感性为0.69，特异性为0.93。ChEAT - 26日语版是一种可靠且有效的心理测量工具，可能有助于神经性厌食症儿童的分诊和评估。
