美国现役女军人妊娠期食物渴望量表（FCI-P）的开发和初步验证。

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2024-09-15 DOI:10.1016/j.appet.2024.107677

Katherine Thompson , Marney A. White , Ruby Schrag , Jason M. Lavender , Viviana Bauman , Autumn Mains , Stephanie Rioux , Holly Spinner , Isabel Thorstad , David Klein , Mark Haigney , Marian Tanofsky-Kraff

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引用次数: 0

摘要

怀孕期间对食物的渴望非常普遍，但目前还没有一种针对孕妇的渴望测量方法经过验证。本研究评估了孕期食物渴望量表（FCI）的心理测量特性。研究人员从社区招募了妊娠 12-27 周的美军现役女兵（192 人；29.5+3.8 岁；陆军 44%、空军 36%、海军 15%、海军陆战队 4%）。受试者完成了针对暴饮暴食症成人验证的 FCI 修订版，其中包括 13 个额外的评估项目，用于评估妇女在妊娠期间通常报告的对食物的渴望（如腌黄瓜、酸奶油、辣鸡翅或辣鸡翅）。附加测量还评估了抑制性进食行为（即失控进食和情绪化进食）。我们进行了一系列确认性因素分析，以检验以下四因素结构的模型拟合度：（1）针对暴饮暴食症验证的 FCI（不包括以妊娠为导向的食物项目）；（2）针对妊娠修改的 FCI（增加了以妊娠为导向的食物项目）。之前针对暴饮暴食症验证过的 FCI 四因素结构在目前的孕妇样本中显示出了较差的模型拟合度。在研究了针对孕期修改的 FCI 结构后，由于多个分量表之间的交叉负荷较高，因此删除了几个项目。最终得到的 16 个项目、四因素（脂肪、甜食、碳水化合物、辛辣/刺激性食物）的妊娠期 FCI（FCI-P）显示出总体良好的模型拟合度（CFI = .95、TLI = 94、SRMR = .04、RMSEA = .09）和良好到卓越的内部一致性（克朗巴赫积分：.83-.96）。FCI-P得分与抑制性进食行为得分之间存在显著相关性（ps < .001），从而证明了其收敛有效性。研究结果凸显了对孕期饮食相关测量进行心理计量学评估的重要性，以适当捕捉围产期潜在的独特体验。

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Development and preliminary validation of a modified Food Craving Inventory for Pregnancy (FCI-P) in U.S. military active-duty Service women

Food cravings during pregnancy are highly common, yet no measure of cravings has been validated among pregnant women. The current study evaluated the psychometric properties of the Food Craving Inventory (FCI) for use during pregnancy. U.S. military active-duty Service women (N = 192; 29.5 ± 3.8 years old; 44% Army, 36% Air Force, 15% Navy, and 4% Marine Corps) were recruited from the community at 12–27 weeks' gestation. Participants completed a modified version of the FCI validated for adults with binge-eating disorder, which included 13 additional items assessing cravings for foods that women commonly report experiencing during pregnancy (e.g., pickles, sour cream, hot or spicy wings). Additional measures also assessed disinhibited eating behaviors (i.e., loss of control eating and emotional eating). A series of confirmatory factor analyses were conducted to examine model fit for a four-factor structure of: (1) the FCI validated for binge-eating disorder (excluding the pregnancy-oriented food items) and (2) the FCI modified for pregnancy (with the pregnancy-oriented food items added). The previously validated four-factor structure of the FCI for binge-eating disorder demonstrated poor model fit in the current sample of pregnant women. After examining the structure of the FCI modified for pregnancy, several items were removed due to high cross-loading across multiple subscales. The resulting 16-item, four-factor (Fats, Sweets, Carbohydrates, Spicy/Strong foods) FCI for pregnancy (FCI-P) demonstrated generally good model fit (CFI = .95, TLI = .94, SRMR = .04, RMSEA = .09) and good-to-excellent internal consistency (Cronbach's alphas: .83-.96). Convergent validity was supported by significant correlations between the FCI-P scores and the disinhibited eating behavior scores (ps < .001). Results highlight the importance of psychometrically evaluating eating-related measures for use during pregnancy to appropriately capture the potentially unique experiences of the perinatal period.

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.