Alghamdi Nouf A, Aldhwayan Madhawi M, Albassam Reem S, Asseri Rana F, Alyousef Aljouhara F, Naaman Reem K, Alzuman Manar A, Almukhlifi Aseel J, Alquraishi Mohammed I
Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia.
Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Madinah 42353, Saudi Arabia.
Sports (Basel). 2024 Jun 26;12(7):176. doi: 10.3390/sports12070176.
Compulsive exercise is a condition characterized by uncontrollable exercise behaviour that may lead to severe and harmful physical and psychological consequences. Indeed, compulsive exercise is among the early symptoms of eating disorders that may affect different age groups. Globally and among Arab countries, compulsive exercise is common, while the screening methods used to assess compulsive exercise are limited. Thus, the Compulsive Exercise Test (CET) has emerged as a tool to assess cognitive, behavioural, and emotional factors related to compulsive exercise. The CET is a self-report, Likert-type scale comprising five distinct subscales. The increase in the CET scores is more likely associated with worsened pathology. Since the Arab countries lack such an assessment tool, we aimed to translate the CET into Arabic, validate the translated version, confirm the factor structures, and assess the internal consistency of the different subscales. Herein, we used the forward-backward translation method as recommended by the World Health Organization (WHO). The overall validity index of the translated version showed a score higher than 0.78, while the scale-level content validity index based on the average calculating method (S-CVI/Ave) and the agreement method (S-CVI/UA) were 0.91 and 0.58, respectively. Moreover, we recruited 399 Arabs living in Saudi to measure the internal consistency, and the value of the substantive internal consistency with Cronbach's α was 0.81. Subsequently, four of the Arabic-CET subscales had substantive internal consistency with Cronbach's α values higher than or equal to 0.70. Furthermore, the exploratory factor analysis results supported the substantial use of the five-subscale model. Taken together, our study supports using the Arabic-CET version to measure exercise compulsiveness among Arabs.
强迫性运动是一种以无法控制的运动行为为特征的状况，可能会导致严重且有害的身体和心理后果。事实上，强迫性运动是饮食失调的早期症状之一，可能影响不同年龄组。在全球范围内以及阿拉伯国家中，强迫性运动很常见，而用于评估强迫性运动的筛查方法有限。因此，强迫性运动测试（CET）已成为一种评估与强迫性运动相关的认知、行为和情感因素的工具。CET是一种自我报告的李克特式量表，由五个不同的子量表组成。CET分数的增加更有可能与病情恶化相关。由于阿拉伯国家缺乏这样一种评估工具，我们旨在将CET翻译成阿拉伯语，验证翻译版本，确认因子结构，并评估不同子量表的内部一致性。在此，我们采用了世界卫生组织（WHO）推荐的前后翻译法。翻译版本的整体效度指数得分高于0.78，而基于平均计算方法（S-CVI/Ave）和一致方法（S-CVI/UA）的量表水平内容效度指数分别为0.91和0.58。此外，我们招募了399名居住在沙特的阿拉伯人来测量内部一致性，克朗巴哈α系数的实质内部一致性值为0.81。随后，阿拉伯语CET的四个子量表具有实质内部一致性，克朗巴哈α系数值高于或等于0.70。此外，探索性因子分析结果支持五分量表模型的大量使用。综上所述，我们的研究支持使用阿拉伯语CET版本来测量阿拉伯人中的运动强迫性。
