Medina-Tepal Karla Areli, Vazquez-Arevalo Rosalia, Trujillo-ChiVacuán Eva María, Zickgraf Hana F, Mancilla-Díaz Juan Manuel
Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Estado de México, Mexico.
Grupo de Investigación en Nutrición, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Tlalnepantla, Estado de México, Mexico.
Int J Eat Disord. 2023 Apr;56(4):721-726. doi: 10.1002/eat.23832. Epub 2022 Oct 21.
UNLABELLED: Avoidant/Restrictive Food Intake Disorder (ARFID) is defined by limited volume or variety of food intake motivated by the sensory properties of food, fear of aversive consequences, or lack of interest in food or eating associated with medical, nutritional, and psychosocial impairment. Currently, two of the most widely validated measures are The Eating Disturbances in Youth-Questionnaire (EDY-Q) and the Nine Item ARFID Screen (NIAS). The latter has proven valid and reliable for assessing this disorder. OBJECTIVE: To validate a culturally sensitive adaptation of the NIAS instrument and evaluate its psychometric properties in Mexican youths. METHOD: The sample consisted of 800 participants aged 12-30 (M = 18.56, SD = 3.52) from Mexico City and Hidalgo public educational institutions. RESULTS: The S-NIAS obtained a Cronbach's alpha of 0.84, adequate construct validity adjustment rates: CMIN = 1.88; GFI = 0.97; AGFI = 0.94; CFI = 0.98; RMR = 0.050; and RMSEA = 0.047. Measurement invariance by gender, age, and survey administration which show that construct is understood in the same way across both groups and despite the change from paper-and-pencil to online survey administration. CONCLUSION: The psychometric properties of the Spanish Nine Item ARFID Screen (S-NIAS) indicate that it is a valid and reliable instrument for evaluating symptoms associated with ARFID in this sample of youths. PUBLIC SIGNIFICANCE: Although there are advances in studying ARFID, their epidemiological data comes mainly from a few countries. Furthermore, these data are scarcer due to the lack of validated screening and assessment instruments available in a variety of world languages; having instruments for the evaluation of ARFID symptoms is essential because it could function as an auxiliary means for the detection and prevention of people at risk.
未标注:回避/限制性食物摄入障碍(ARFID)的定义是,由于食物的感官特性、对不良后果的恐惧,或对食物或进食缺乏兴趣,导致食物摄入量有限或种类单一,并伴有医学、营养和心理社会功能损害。目前,两个最广泛验证的测量工具是青少年饮食障碍问卷(EDY-Q)和九项ARFID筛查量表(NIAS)。后者已被证明在评估这种障碍方面有效且可靠。 目的:验证NIAS工具的文化敏感适应性,并评估其在墨西哥青少年中的心理测量特性。 方法:样本包括来自墨西哥城和伊达尔戈公立教育机构的800名12至30岁的参与者(M = 18.56,SD = 3.52)。 结果:西班牙语九项ARFID筛查量表(S-NIAS)的Cronbach's alpha为0.84,具有足够的结构效度调整率:CMIN = 1.88;GFI = 0.97;AGFI = 0.94;CFI = 0.98;RMR = 0.050;RMSEA = 0.047。性别、年龄和调查管理方式的测量不变性表明,两组对结构的理解相同,尽管从纸笔调查改为在线调查。 结论:西班牙语九项ARFID筛查量表(S-NIAS)的心理测量特性表明,它是评估该青少年样本中与ARFID相关症状的有效且可靠的工具。 公共意义:尽管在ARFID研究方面取得了进展,但其流行病学数据主要来自少数几个国家。此外,由于缺乏多种世界语言的经过验证的筛查和评估工具,这些数据更加稀少;拥有评估ARFID症状的工具至关重要,因为它可以作为检测和预防高危人群的辅助手段。
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