荷兰临床损害评估：临床饮食失调样本中的因素分析和心理测量特性

The Dutch clinical impairment assessment: factor analysis and psychometric properties in a clinical eating disorder sample.

作者信息

Schlochtermeier Daniela, Blankers Matthijs, Peen Jaap, van den Berg Elske, van Beers Ella, Melisse Bernou, Koenders Jitske, Goudriaan Anna E, de Jonge Margo, Dekker Jack, de Beurs Edwin

机构信息

Novarum Center for Eating Disorders & Obesity, Amstelveen, The Netherlands.

Arkin Mental Health Institute, Amsterdam, The Netherlands.

出版信息

Eat Weight Disord. 2025 Jul 21;30(1):56. doi: 10.1007/s40519-025-01767-8.

DOI:10.1007/s40519-025-01767-8

PMID:40690077

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12279594/

Abstract

PURPOSE

The present study reports on the psychometric properties of the Dutch translation of the clinical impairment assessment (CIA) questionnaire in female patients with eating disorders. The aim of this study was to determine the factor structure of the CIA as there are conflicting studies supporting a three-factor, bifactor, and single-factor model with a general factor and three specific factors.

METHODS

The CIA was translated and administered to 321 female patients with various eating disorders receiving treatment in a specialized eating disorder center. Its factor structure, internal consistency, convergent validity, and sensitivity to change were investigated.

RESULTS

Confirmatory factor analyses showed the best fit was a bifactor model with one strong general factor and three less strong specific factors for personal, social, and cognitive impairment. Furthermore, good internal consistency (Cronbach's α = 0.91), good convergent validity between CIA global score and eating disorder examination questionnaire global score (r = 0.58; p < 0.001) and good sensitivity to change (t (115) = 13.76, p < 0.001) were found.

CONCLUSIONS

The Dutch CIA is a reliable and valid instrument to measure impairment secondary to eating disorder symptoms, but interpretations made from subscales scores should be used with caution.

LEVEL OF EVIDENCE

Level III, validation study.

摘要

目的

本研究报告了临床损害评估（CIA）问卷荷兰语翻译版在女性饮食失调患者中的心理测量特性。本研究的目的是确定CIA的因子结构，因为存在相互矛盾的研究支持三因素、双因素和单因素模型，其中单因素模型包含一个一般因素和三个特定因素。

方法

对在一家专门的饮食失调中心接受治疗的321名患有各种饮食失调的女性患者进行了CIA问卷的翻译和施测。研究了其因子结构、内部一致性、收敛效度和对变化的敏感性。

结果

验证性因素分析表明，最佳拟合模型是双因素模型，其中一个强大的一般因素和三个较弱的个人、社会和认知损害特定因素。此外，还发现了良好的内部一致性（Cronbach'sα=0.91）、CIA总分与饮食失调检查问卷总分之间良好的收敛效度（r=0.58；p<0.001）以及对变化的良好敏感性（t(115)=13.76，p<0.001）。