暴饮暴食症患者的荷兰体形问卷:完整版(BSQ34)和简易版(BSQ8C)的心理测量学和标准。

IF 2.9 3区 医学 Q2 PSYCHIATRY
Bernou Melisse, Liselotte de Mooij, Margo de Jonge, Daniela Schlochtermeier, Edwin de Beurs
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引用次数: 0

摘要

目的:本研究考察了荷兰体形问卷(BSQ34)及其简版 BSQ8C 在暴饮暴食症患者中的心理测量特性,并提供了常模数据:方法:对接受治疗的暴饮暴食症患者(155 人)和社区样本(333 人)进行了两种版本的 BSQ 测试。BSQ的翻译和回译分别由具有和不具有进食障碍专业知识的翻译人员完成。测试结果包括内部一致性、并发效度、重测效度、增量效度和对变化的敏感度。接受者操作特征曲线分析用于确定标准相关效度,其中使用了进食障碍检查--形状关注子量表。通过确认性因子分析研究了该工具的单维性。确定了常模(基于人群的 T 分数和临床百分位数分数):结果:BSQ 的心理测量特性令人满意。BSQ34对暴饮暴食症患者和社区样本之间的体形不满意度有很好的区分度(曲线下面积值=0.91-0.98),并具有单维因子结构。对两个样本的结构不变性进行比较后发现,标度不变性不成立,这表明暴饮暴食症患者和社区受试者对项目的解释可能不同。对 BSQ8C 进行了重复分析,结果类似:结果表明,两个版本的 BSQ 似乎都适合筛查暴饮暴食症患者对体形的不满。BSQ34提供了关于受访者各种担忧的宝贵信息,这对临床治疗至关重要;建议将BSQ8C作为一种简短的筛查工具:III级:从设计良好的队列或病例对照分析研究中获得的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Dutch Body Shape Questionnaire among patients with binge-eating disorder: psychometrics and norms of the full version (BSQ34) and the short version (BSQ8C).

Purpose: This study examined the psychometric properties and provided normative data of the Dutch Body Shape Questionnaire (BSQ34) and its shortened BSQ8C among patients with binge-eating disorder.

Methods: The two versions of the BSQ were administered to patients with binge-eating disorder (N = 155) enrolled for treatment, and to a community sample (N = 333). The translation and back-translation of the BSQ were performed by translators with and without eating-disorder expertise. Internal consistency, concurrent validity, test-retest reliability, incremental validity, and sensitivity to change were determined. A receiver-operating-characteristic curve-analysis was used to establish criterion-related validity, for which the Eating Disorder Examination-Shape concern subscale, was used. Uni-dimensionality of the instrument was investigated with confirmatory factor analysis. Norms (population-based T-scores and clinical percentile-scores) were determined.

Results: The psychometric properties of the BSQs were satisfactory. The BSQ34 discriminated well in body-shape dissatisfaction between patients with binge-eating disorder and the community sample (area-under-the-curve value = 0.91-0.98) and had a unidimensional factor structure. Comparing structural invariance between both samples revealed that scaler invariance was not supported, indicating that items may be interpreted differently by patients with binge-eating disorder and subjects from the community. Analyses were repeated for the BSQ8C, which yielded similar results.

Conclusion: The results indicated that both versions of the BSQ appeared suitable to screen for body-shape dissatisfaction among patients with binge-eating disorder. The BSQ34 supplies valuable information on the various types of concerns respondents have, which are critical to consider in clinical settings; the BSQ8C is recommended as a short screening tool.

Level of evidence: Level III: Evidence obtained from well-designed cohort or case-control analytic studies.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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