饮食失调认知自我报告测量的心理测量特性：一项系统综述。
Psychometric properties of self-report measures of eating disorder cognitions: a systematic review.
作者信息
Hatoum Amaani H, Burton Amy L, Berry Sophie L, Abbott Maree J
机构信息
School of Psychology, The University of Sydney, Level 2, 94 Mallet Street, Camperdown, Sydney, NSW, 2006, Australia.
Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia.
出版信息
J Eat Disord. 2023 Dec 20;11(1):233. doi: 10.1186/s40337-023-00947-0.
BACKGROUND
Although eating disorder (ED) models display some differences in theory and treatment approach, cognitive-behavioural, schema-focused, and disorder-specific models all highlight the fundamental nature of cognitions as key factors in ED development and maintenance processes. As such, it is vital that ED cognitions continue to be assessed and monitored as therapeutic targets and treatment outcomes as well as being examined as constructs in empirical research. This review aimed to systematically identify and evaluate the psychometric properties of existing self-report measures of ED cognitions.
METHODS
A systematic review protocol was registered using the international prospective register of systematic reviews (PROSPERO; CRD42023440840). Included studies described the development, validation and/or the psychometric evaluation of a measure (or subscale) that was specifically developed to solely assess ED cognitions (that is thoughts, expectations, assumptions, or beliefs), in English-speaking, adult populations. The search was conducted using three electronic databases: PsycINFO, MedLine, and Embase. Two independent reviewers conducted screening, selection and evaluation of the psychometric properties of relevant measures using a standardised, well-established quality appraisal tool.
RESULTS
Of the initial search of 7581 potential studies, 59 met inclusion criteria and described the psychometric evaluation of 31 measures (or subscales) of ED cognitions. The findings from the current review indicate that of the included measures, none currently meet all nine criteria of adequate psychometric properties. The Eating Beliefs Questionnaire (EBQ; and EBQ-18), and the Eating Disorder Inventory Body Dissatisfaction subscale (EDI [BD]) currently possess the most evidence supporting their validity, reliability, and clinical utility.
CONCLUSIONS
The findings of the current systematic review provide guidance for future researchers to focus efforts on improving evidence for the validity, reliability and utility of self-report measures of ED cognitions. Overall, the present study has provided a detailed and systematic evaluation to support researchers and clinicians in future selection of measures of ED cognitions dependent on the specific aims of their research and treatment.
背景
尽管饮食失调（ED）模型在理论和治疗方法上存在一些差异，但认知行为模型、图式聚焦模型和特定障碍模型都强调认知的基本性质是饮食失调发展和维持过程中的关键因素。因此，至关重要的是，饮食失调认知应继续作为治疗靶点和治疗结果进行评估和监测，并作为实证研究中的结构进行检验。本综述旨在系统地识别和评估现有的饮食失调认知自我报告测量工具的心理测量特性。
方法
使用国际系统评价前瞻性注册库（PROSPERO；CRD42023440840）注册了一项系统评价方案。纳入的研究描述了专门为仅评估英语成年人群体的饮食失调认知（即想法、期望、假设或信念）而开发的测量工具（或子量表）的开发、验证和/或心理测量评估。使用三个电子数据库进行检索：PsycINFO、MedLine和Embase。两名独立评审员使用标准化的、成熟的质量评估工具对相关测量工具的心理测量特性进行筛选、选择和评估。
结果
在对7581项潜在研究的初步检索中，59项符合纳入标准，并描述了对31种饮食失调认知测量工具（或子量表）的心理测量评估。本次综述的结果表明，在所纳入的测量工具中，目前没有一个完全符合心理测量特性的所有九项标准。饮食信念问卷（EBQ；和EBQ - 18）以及饮食失调量表身体不满子量表（EDI [BD]）目前拥有最多支持其有效性、可靠性和临床实用性的证据。
结论
本次系统评价的结果为未来研究人员提供了指导，使其能够集中精力提高饮食失调认知自我报告测量工具的有效性、可靠性和实用性的证据。总体而言，本研究提供了详细而系统的评估，以支持研究人员和临床医生在未来根据其研究和治疗的特定目标选择饮食失调认知测量工具。
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