Steinsbekk Silje, Sveen Trude Hamre, Fildes Alison, Llewellyn Clare, Wichstrøm Lars
Department of Psychology, Norwegian University of Science and Technology (NTNU) Social Science, Dragvoll, 7491, Trondheim, Norway.
School of Psychology, University of Leeds, Leeds, LS2 9JT, UK.
Int J Behav Nutr Phys Act. 2017 Jan 7;14(1):2. doi: 10.1186/s12966-016-0458-7.
Picky eating is prevalent in childhood and is associated with negative health outcomes. Therefore early detection of pickiness is pertinent. Because no psychometric measure of picky/fussy eating has been validated, we aimed to examine the screening efficiency of the 6-item 'Food Fussiness' (FF) scale from the Children's Eating Behavior Questionnaire using structured psychiatric interviews (the Preschool Age Psychiatric Interview), providing meaningful cut-off values based on a large, representative sample of Norwegian 6 year olds (n = 752). Screening efficiency was evaluated using receiver operating characteristic curve analysis, revealing excellent discrimination. The cut-point maximizing the sum of sensitivity and specificity for the scale was found at a score of 3.33 for severe cases and 3.00 when both moderate and severe pickiness were included. The results suggest that the FF scale may provide a tool for identification of clinically significant picky eating, although further assessment may be needed to separate moderate from severe cases.
挑食在儿童时期很普遍，并且与负面健康结果相关。因此，早期发现挑食问题很有必要。由于尚未有经过验证的挑食/偏食心理测量方法，我们旨在使用结构化精神病学访谈（学龄前儿童精神病学访谈）来检验儿童饮食行为问卷中6项“食物挑剔”（FF）量表的筛查效率，基于挪威6岁儿童的大型代表性样本（n = 752）提供有意义的临界值。使用受试者工作特征曲线分析评估筛查效率，结果显示具有出色的区分能力。发现该量表在严重病例中得分为3.33时灵敏度和特异度之和最大，当包括中度和重度挑食时，得分为3.00时灵敏度和特异度之和最大。结果表明，FF量表可能为识别具有临床意义的挑食提供一种工具，不过可能需要进一步评估以区分中度和重度病例。
