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Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population

OBJECTIVE: Measurement of disease-related impairment and distress is central to diagnostic, therapeutic, and health policy considerations for eating disorders across diverse populations. This study evaluates psychometric properties of a translated and adapted version of the Clinical Impairment Asses...

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Main Authors: Becker, Anne E, Thomas, Jennifer J, Bainivualiku, Asenaca, Richards, Lauren, Navara, Kesaia, Roberts, Andrea L, Gilman, Stephen E, Striegel-Moore, Ruth H
Format: Text
Language:English
Published: Wiley Subscription Services, Inc., A Wiley Company 2010
Subjects:
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2896728/
https://www.ncbi.nlm.nih.gov/pubmed/19308992
http://dx.doi.org/10.1002/eat.20665
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author Becker, Anne E
Thomas, Jennifer J
Bainivualiku, Asenaca
Richards, Lauren
Navara, Kesaia
Roberts, Andrea L
Gilman, Stephen E
Striegel-Moore, Ruth H
author_facet Becker, Anne E
Thomas, Jennifer J
Bainivualiku, Asenaca
Richards, Lauren
Navara, Kesaia
Roberts, Andrea L
Gilman, Stephen E
Striegel-Moore, Ruth H
author_sort Becker, Anne E
collection PubMed
description OBJECTIVE: Measurement of disease-related impairment and distress is central to diagnostic, therapeutic, and health policy considerations for eating disorders across diverse populations. This study evaluates psychometric properties of a translated and adapted version of the Clinical Impairment Assessment (CIA) in an ethnic Fijian population. METHOD: The adapted CIA was administered to ethnic Fijian adolescent schoolgirls (N = 215). We calculated Cronbach's α to assess the internal consistency, examined the association between indicators of eating disorder symptom severity and the CIA to assess construct and criterion validity, and compared the strength of relation between the CIA and measures of disordered eating versus with measures of generalized distress. RESULTS: The Fijian version of the CIA is feasible to administer as an investigator-based interview. It has excellent internal consistency (α = 0.93). Both construct and criterion validity were supported by the data, and regression models indicated that the CIA predicts eating disorder severity, even when controlling for generalized distress and psychopathology. DISCUSSION: The adapted CIA has excellent psychometric properties in this Fijian study population. Findings suggest that the CIA can be successfully adapted for use in a non-Western study population and that at least some associated distress and impairment transcends cultural differences. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord, 2010
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spelling pubmed-28967282010-07-07 Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population Becker, Anne E Thomas, Jennifer J Bainivualiku, Asenaca Richards, Lauren Navara, Kesaia Roberts, Andrea L Gilman, Stephen E Striegel-Moore, Ruth H Int J Eat Disord Regular Article OBJECTIVE: Measurement of disease-related impairment and distress is central to diagnostic, therapeutic, and health policy considerations for eating disorders across diverse populations. This study evaluates psychometric properties of a translated and adapted version of the Clinical Impairment Assessment (CIA) in an ethnic Fijian population. METHOD: The adapted CIA was administered to ethnic Fijian adolescent schoolgirls (N = 215). We calculated Cronbach's α to assess the internal consistency, examined the association between indicators of eating disorder symptom severity and the CIA to assess construct and criterion validity, and compared the strength of relation between the CIA and measures of disordered eating versus with measures of generalized distress. RESULTS: The Fijian version of the CIA is feasible to administer as an investigator-based interview. It has excellent internal consistency (α = 0.93). Both construct and criterion validity were supported by the data, and regression models indicated that the CIA predicts eating disorder severity, even when controlling for generalized distress and psychopathology. DISCUSSION: The adapted CIA has excellent psychometric properties in this Fijian study population. Findings suggest that the CIA can be successfully adapted for use in a non-Western study population and that at least some associated distress and impairment transcends cultural differences. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord, 2010 Wiley Subscription Services, Inc., A Wiley Company 2010-03 /pmc/articles/PMC2896728/ /pubmed/19308992 http://dx.doi.org/10.1002/eat.20665 Text en Copyright © 2010 Wiley Periodicals, Inc., A Wiley Company http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation.
spellingShingle Regular Article
Becker, Anne E
Thomas, Jennifer J
Bainivualiku, Asenaca
Richards, Lauren
Navara, Kesaia
Roberts, Andrea L
Gilman, Stephen E
Striegel-Moore, Ruth H
Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population
title Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population
title_full Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population
title_fullStr Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population
title_full_unstemmed Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population
title_short Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population
title_sort adaptation and evaluation of the clinical impairment assessment to assess disordered eating related distress in an adolescent female ethnic fijian population
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2896728/
https://www.ncbi.nlm.nih.gov/pubmed/19308992
http://dx.doi.org/10.1002/eat.20665
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