青少年九项规避性/限制性食物摄入障碍查的验证
Marley G Billman Miller1, Hana F Zickgraf2, Helen Burton Murray3
1Department of Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania, USA.
概括
青少年9项避免/限制性食物摄入障碍 (ARFID) 屏幕 (Y-NIAS) 显示,患有饮食障碍的青少年具有强烈的因数有效性. 然而,它将ARFID与其他饮食障碍区分开来的能力需要进一步研究.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 临床心理学 临床心理学
- 饮食障碍研究 饮食障碍研究
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 在儿童群体中越来越多地被认可.
- 准确的查工具对于早期识别和干预ARFID至关重要.
- 青少年9项避免/限制性食物摄入障碍 (ARFID) 屏幕 (Y-NIAS) 是评估ARFID症状的潜在工具.
研究的目的:
- 评估Y-NIAS的因数,分歧和与标准相关的有效性.
- 在接受饮食障碍评估的年轻人临床样本中评估Y-NIAS的有效性.
- 确定Y-NIAS在区分ARFID与其他饮食障碍方面的有用性.
主要方法:
- 确认因素分析 (CFA) 用于检查Y-NIAS的三因素结构.
- 差异分析 (ANOVA) 对不同饮食障碍诊断的Y-NIAS得分进行了比较.
- 接收器操作特征 (ROC) 曲线分析和后勤回归评估了诊断准确性和标准有效性.
主要成果:
- CFA证实了Y-NIAS的原始三因素结构,证明了卓越的因数有效性.
- 在大多数诊断组中发现Y-NIAS得分升高,除了过度饮食障碍.
- 单靠Y-NIAS分级无法可靠地将ARFID与其他饮食障碍区分开来;然而",挑性饮食"和"恐惧"分级的具体切割分数被确定.
结论:
- 在儿童饮食障碍样本中,Y-NIAS表现出强大的因数有效性和内部一致性.
- 虽然有希望,但Y-NIAS目前的子尺度在区分ARFID与其他饮食障碍方面存在局限性.
- 与EDE-Q相结合,Y-NIAS显示了ARFID的中等分类准确性.
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