Giles Sarah, Hughes Elizabeth K, Fuller-Tyszkiewicz Matthew, Kiropoulos Litza, Donnelly Brooke, Russell Janice, Krug Isabel
University of Melbourne, Melbourne School of Psychological Sciences, Melbourne, Australia.
University of Melbourne, Department of Paediatrics, Melbourne, Australia.
Eur Eat Disord Rev. 2024 Jan;32(1):32-45. doi: 10.1002/erv.3014. Epub 2023 Aug 7.
To validate the original and a shortened version of the Detail and Flexibility (DFlex) Questionnaire.
Confirmatory factor analyses, internal consistency, and discriminant validity estimates were conducted within individuals with a diagnosis of an eating disorder (ED) (n = 124), an anxiety disorder and/or depression (n = 219), and a community sample (n = 852) (Part 1). Convergent validity of the DFlex through comparisons with the Autism Spectrum Quotient, Wisconsin Card Sorting Task, and Group Embedded Figures Task was undertaken within a combined ED and community sample (N = 68). Test-retest reliability of the DFlex was also examined across 2 years in a community sample (N = 85) (Part 2).
The original factor structure of the DFlex was not supported. Hence, a shortened version, the DFlex-Revised, was developed. Good discriminant validity was obtained for the DFlex and DFlex-Revised, however, support for convergent validity was mixed. Finally, the 2-year test-retest reliability for the two DFlex versions was found to be low, suggesting potential malleability in construct over this timeframe.
Further research is needed to validate the DFlex in clinical and non-clinical populations using different neurocognitive tests. Test-retest, using varied time intervals, should also be assessed.
验证详细性与灵活性(DFlex)问卷的原始版本和缩短版。
对诊断为饮食失调(ED)的个体(n = 124)、焦虑症和/或抑郁症患者(n = 219)以及社区样本(n = 852)进行验证性因素分析、内部一致性分析和区分效度估计(第1部分)。在合并的ED和社区样本(N = 68)中,通过与自闭症谱系商数、威斯康星卡片分类任务和团体镶嵌图形测试进行比较,对DFlex的聚合效度进行了研究。还在一个社区样本(N = 85)中,对DFlex进行了为期两年的重测信度检验(第2部分)。
DFlex的原始因素结构未得到支持。因此,开发了一个缩短版,即DFlex修订版。DFlex和DFlex修订版获得了良好的区分效度,然而,对聚合效度的支持参差不齐。最后,发现两个DFlex版本的两年重测信度较低,表明在此时间范围内该结构可能具有可塑性。
需要进一步研究,使用不同的神经认知测试在临床和非临床人群中验证DFlex。还应评估使用不同时间间隔的重测情况。