Lafrance Adele, Strahan Erin J, Stillar Amanda
Department of Rural and Northern Health, Laurentian University, Sudbury, Canada.
Department of Psychology, Wilfrid Laurier University, Brantford, Canada.
Eat Disord. 2022 Nov-Dec;30(6):670-685. doi: 10.1080/10640266.2021.1993706. Epub 2021 Nov 7.
As more caregivers of children (of any age) struggling with an eating disorder are recruited as partners in care, it is important to identify potential barriers to such involvement. The Caregiver Traps Scale for Eating Disorders (CTS-ED) was developed as a measure of caregiver fears with respect to treatment-engagement. The purpose of this study was to evaluate its psychometric properties. One hundred and twenty four parents of children with ED participated in the validation of this instrument. Data were analyzed through exploratory factor analysis. The exploratory factor analysis revealed one factor, accounting for 39% of the variance, with a mean of 3.99 (scale from 1 to 7), indicating that caregivers endorsed clinically significant fears relating to their involvement in their child's treatment. The scale yielded high internal consistency (α = .89). As expected, the CTS-ED was significantly positively correlated with a measure of accommodating and enabling of ED symptoms, and negatively correlated with a measure of parental self-efficacy. This scale shows promise as a measure for clinicians and researchers to identify parental fears that could potentially fuel accommodating, enabling or treatment-interfering behaviors. Suggestions for its utility as a clinical and supervision tool are also provided.Development of an assessment tool to identify caregiver fears with respect to therapy engagement in the context of family-oriented interventions for eating disordersTool has the potential to increase the positive involvement of caregivers to support their child (of any age) with an eating disorderTool can be used clinically and to support self-reflective practices to improve compassionate clinician engagement of caregivers struggling to support their child.
随着越来越多正在与饮食失调作斗争的儿童（任何年龄段）的照料者被招募为护理伙伴，识别这种参与的潜在障碍就变得很重要。饮食失调照料者陷阱量表（CTS-ED）是作为一种衡量照料者对治疗参与的恐惧的工具而开发的。本研究的目的是评估其心理测量特性。124名患有饮食失调症儿童的家长参与了该工具的验证。通过探索性因素分析对数据进行了分析。探索性因素分析揭示了一个因素，解释了39%的方差，均值为3.99（范围从1到7），这表明照料者认可与他们参与孩子治疗相关的具有临床意义的恐惧。该量表具有较高的内部一致性（α = 0.89）。正如预期的那样，CTS-ED与对饮食失调症状的迁就和助长程度的测量显著正相关，与父母自我效能感的测量显著负相关。作为一种工具，该量表有望帮助临床医生和研究人员识别那些可能助长迁就、助长或干扰治疗行为的父母恐惧。还提供了关于其作为临床和监督工具的效用的建议。开发一种评估工具，以识别在针对饮食失调的家庭导向干预背景下照料者对治疗参与的恐惧该工具有可能增加照料者的积极参与，以支持他们患有饮食失调症的孩子（任何年龄段）该工具可用于临床，并支持自我反思实践，以改善富有同情心的临床医生对努力支持孩子的照料者的参与。
