A brief session-by-session measure of eating disorder psychopathology for children and adolescents: Development and psychometric properties of the Eating Disorder-15 for Youth (ED-15-Y).
A brief session-by-session measure of eating disorder psychopathology for children and adolescents: Development and psychometric properties of the Eating Disorder-15 for Youth (ED-15-Y).
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DOI：
10.1002/eat.23449
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Waller G
中科院分区：
文献类型：
--
作者：
Accurso EC;Waller G
尽管有证据支持使用措施来跟踪治疗的持续进展和结果，但相对缺乏适用于青少年饮食失调的措施。本研究旨在探讨青少年饮食失调-15（艾德-15-Y）量表的心理测量学特性，包括其检测短期变化的能力。青少年（N = 203）年龄8至18岁完成自我报告问卷和半结构化的诊断访谈后，首次提出的门诊进食障碍评估在学术医疗中心。艾德-15-Y表现出良好的可靠性（内部一致性，分半可靠性）和对治疗早期变化的高敏感性（从第1阶段到第8阶段的变化，调整基线评分）。此外，这些数据表明，艾德-15-Y有很好的收敛效度，高度相关的一个良好的测试，饮食失调心理病理学的长期措施-饮食失调检查问卷（EDE-Q）。这些数据也支持良好的判别和并行有效性，区分没有饮食失调或患有ARFID的青年和患有涉及体重和形状问题的饮食失调的青年（例如，神经性厌食症、神经性贪食症）。艾德-15-Y可能是一个有用的工具，以简要评估进食障碍的精神病理学在年轻的8岁。它对治疗早期变化的敏感性表明，它有可能被用作治疗背景下的常规结局指标。
Despite evidence supporting the use of measures to track ongoing progress and outcome in treatment, there is a relative absence of measures that are appropriate for this purpose in youth with eating disorders. This study examined the psychometric properties of the Eating Disorder-15 for Youth (ED-15-Y) scale, including its ability to detect short-term change in symptomatology. Youth (N = 203) ages 8 to 18 years completed self-report questionnaires and semi-structured diagnostic interviews upon initial presentation for an outpatient eating disorders assessment at an academic medical center. The ED-15-Y demonstrated excellent reliability (internal consistency, split-half reliability) and high sensitivity to change early in treatment (change from sessions 1 to 8, adjusting for baseline score). Further, these data demonstrate that the ED-15-Y has excellent convergent validity, being highly correlated with a well-tested, longer measure of eating disorders psychopathology—the Eating Disorders Examination-Questionnaire (EDE-Q). These data also support good discriminant and concurrent validity, differentiating between youth without an eating disorder or with ARFID and youth with eating disorders involving weight and shape concerns (e.g., anorexia nervosa, bulimia nervosa). The ED-15-Y may be a useful tool to briefly assess eating disorder psychopathology in youth as young as 8 years old. Its sensitivity to change very early in treatment suggests that it has the potential to be used as a routine outcome measure in the context of treatment.
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