Nejati Babak, Fan Chia-Wei, Boone William J, Griffiths Mark D, Lin Chung-Ying, Pakpour Amir H
Hematology and Medical Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
*Babak Nejati, Chia-Wei Fan, and Amir H. Pakpour contributed equally to this work.
Eval Health Prof. 2021 Dec;44(4):385-394. doi: 10.1177/0163278720965688. Epub 2020 Oct 15.
Women with breast cancer are at risk of being overweight/obese which may consequently increase mortality. Intuitive eating is an adaptive eating behavior which might be beneficial for weight outcomes. The present study validated the Persian Intuitive Eating Scale-2 (IES-2) among overweight/obese Iranian females with breast cancer. Women who were overweight/obese with breast cancer (n = 762; mean ± SD age = 55.1 ± 5.7 years) completed the following questionnaires: IES-2, General Self-Efficacy Scale (GSE-6), Hospital Anxiety and Depression Scale (HADS), Short Form-12 (SF-12), Weight Bias Internalization Scale (WBIS), Body Appreciation Scale-2 (BAS-2), and Eating Attitudes Test (EAT-26). Confirmatory factor analysis (CFA) and Rasch analysis were applied to examine the psychometric properties of the IES-2. Associations between IES-2 score and other scale scores were assessed. CFA and Rasch analysis suggested that the Persian IES-2 had robust psychometric properties and all IES-2 items were meaningful in their embedded domains. The four-factor structure of the Persian IES-2 was confirmed. Concurrent validity was supported by the positive correlations between the IES-2 score and scores on the GSE-6, SF-12 mental component, and BAS-2. Negative correlations were found between the IES-2 score and the HADS (anxiety and depression subscales), WBIS, and EAT-26. The present study demonstrated that the Persian IES-2 is a well-designed instrument and is applicable for women who are overweight/obese with breast cancer.
乳腺癌女性有超重/肥胖的风险,这可能会增加死亡率。直觉饮食是一种适应性饮食行为,可能对体重结果有益。本研究在超重/肥胖的伊朗乳腺癌女性中验证了波斯语直觉饮食量表-2(IES-2)。超重/肥胖的乳腺癌女性(n = 762;平均±标准差年龄 = 55.1 ± 5.7岁)完成了以下问卷:IES-2、一般自我效能量表(GSE-6)、医院焦虑抑郁量表(HADS)、简明健康调查量表-12(SF-12)、体重偏见内化量表(WBIS)、身体欣赏量表-2(BAS-2)和饮食态度测试(EAT-26)。采用验证性因素分析(CFA)和拉施分析来检验IES-2的心理测量特性。评估了IES-2得分与其他量表得分之间的关联。CFA和拉施分析表明,波斯语IES-2具有稳健的心理测量特性,并且IES-2的所有项目在其嵌入领域中都有意义。波斯语IES-2的四因素结构得到了证实。IES-2得分与GSE-6、SF-12心理成分和BAS-2得分之间的正相关支持了同时效度。在IES-2得分与HADS(焦虑和抑郁子量表)、WBIS和EAT-26之间发现了负相关。本研究表明,波斯语IES-2是一种设计良好的工具,适用于超重/肥胖的乳腺癌女性。
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