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儿童饮食失调检查(ChEDE)访谈及儿童饮食失调调查问卷(ChEDE-Q):意大利语版本的心理测量特性

Child eating disorder examination (ChEDE) interview and child eating disorder examination questionnaire (ChEDE-Q): psychometric properties of the Italian versions.

作者信息

Bonvini Lucilla, Taddei Silvia, Caini Saverio, Calugi Simona, Bugli Giulia, Tarchi Livio, Chiari Sara, Galli Ilaria, Giunti Ilenia, Marino Claudia, Tavano Simone, Castellini Giovanni, Ricca Valdo, Lucarelli Stefano, Dalle Grave Riccardo, Pisano Tiziana

机构信息

Child and Adolescent Psychiatric Unit, Neuroscience and Human Genetics Department, Meyer Children's Hospital IRCCS, Florence, Italy.

Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention, and Clinical Network (ISPRO), Via Cosimo Il Vecchio 2, 50139, Florence, Italy.

出版信息

Eat Weight Disord. 2025 Mar 17;30(1):26. doi: 10.1007/s40519-025-01737-0.

DOI:10.1007/s40519-025-01737-0
PMID:40097864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11914358/
Abstract

PURPOSE

To examine the psychometric characteristics of the Italian language versions of the child eating disorder examination (ChEDE) interview and child eating disorder examination questionnaire (ChEDE-Q).

METHODS

ChEDE (from EDE 17th edition) and ChEDE-Q were first translated, and then administered to 147 patients with eating disorders under the age of 18, along with 80 age-matched controls. Their internal consistency (Cronbach alpha), inter-rater reliability (Spearman rho), short-term (7-23 days) test-retest reliability (Spearman rho), and criterion validity (group differences by Mann-Whitney U) were evaluated.

RESULTS

Patients with eating disorders displayed significantly higher ChEDE/ChEDE-Q scores than age-matched controls, demonstrating the adequate criterion validity of the instrument (all subscales and global scores significant at p < 0.001). Internal consistency was high for all original ChEDE/ChEDE-Q subscales (minimum Cronbach alpha 0.752), apart from Eating Concerns (minimum Cronbach alpha 0.591). Inter-rater reliability was excellent for global ChEDE/ChEDE-Q scores and each subscale (minimum Spearman rho 0.999). Test-retest reliability was excellent for global ChEDE/ChEDE-Q scores and each subscale (minimum Spearman rho 0.791).

CONCLUSIONS

The Italian versions of the ChEDE interview and ChEDE-Q exhibited excellent psychometric properties and may, therefore, be recommended for the assessment of Italian patients with eating disorders less than 18 years old, both in clinical practice and research settings. Level of evidence III evidence obtained from cohort or case-control analytic studies.

摘要

目的

检验儿童饮食失调检查访谈(ChEDE)和儿童饮食失调调查问卷(ChEDE-Q)意大利语版本的心理测量学特征。

方法

首先翻译ChEDE(源自EDE第17版)和ChEDE-Q,然后将其施用于147名18岁以下的饮食失调患者以及80名年龄匹配的对照者。评估它们的内部一致性(克朗巴哈α系数)、评分者间信度(斯皮尔曼等级相关系数rho)、短期(7 - 23天)重测信度(斯皮尔曼等级相关系数rho)以及效标效度(曼-惠特尼U检验的组间差异)。

结果

饮食失调患者的ChEDE/ChEDE-Q得分显著高于年龄匹配的对照者,表明该工具具有足够的效标效度(所有子量表和总体得分在p < 0.001时具有显著性)。除饮食关注子量表(最低克朗巴哈α系数为0.591)外,所有原始ChEDE/ChEDE-Q子量表的内部一致性都很高(最低克朗巴哈α系数为0.752)。ChEDE/ChEDE-Q总体得分和每个子量表的评分者间信度都非常好(最低斯皮尔曼等级相关系数rho为0.999)。ChEDE/ChEDE-Q总体得分和每个子量表的重测信度都非常好(最低斯皮尔曼等级相关系数rho为0.791)。

结论

ChEDE访谈和ChEDE-Q的意大利语版本表现出优异的心理测量学特性,因此,无论是在临床实践还是研究环境中,都可推荐用于评估18岁以下的意大利饮食失调患者。证据水平:从队列或病例对照分析研究中获得的III级证据。

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