关键词: ARFID Adolescent Avoidant/restrictive food intake disorder NIAS Validation

来  源:   DOI:10.1186/s40337-024-01066-0   PDF(Pubmed)

Abstract:
BACKGROUND: This study evaluates the psychometric properties of the Turkish version of the Nine-Item Avoidant/Restrictive Food Intake Disorder Screen (NIAS) in a population of Turkish adolescents.
METHODS: The NIAS, designed to screen for ARFID symptoms, including picky eating, fear-related eating behaviors, and low appetite, was administered to secondary school students between 13 and 18 ages in Muğla, Turkiye.
RESULTS: Based on a sample of 268 adolescents, the NIAS\'s reliability and validity in this demographic are supported. The research utilized confirmatory factor analysis to verify its three-factor structure and various reliability tests, including Cronbach\'s alpha and test-retest reliability, confirming the scale\'s internal consistency and temporal stability. The descriptive analysis highlighted significant differences in NIAS scores across BMI categories, with underweight adolescents scoring higher, suggesting a potential link between ARFID symptoms and lower body weight. Criterion validity was supported by significant correlations between NIAS subscales and measures of anxiety, depression, and eating behaviors, indicating the scale\'s effectiveness in reflecting relevant psychopathological features.
CONCLUSIONS: Overall, the study establishes the Turkish NIAS as a useful tool for identifying ARFID in Turkish adolescents, aiding early detection and intervention in this at-risk age group. Further research is recommended to explore the scale\'s utility across different clinical settings and refine its diagnostic accuracy, enhancing our understanding of ARFID\'s impact on youth mental health and nutritional status.
Cross-culturally reliable tools for assessing symptoms of Avoidant/Restrictive Food Intake Disorder (ARFID) in young people are crucial, especially during adolescence, a critical period for the emergence of various eating and feeding disorders. The Nine Item Avoidant/Restrictive Food Intake Disorder Screen (NIAS) is a brief and practical instrument designed to assess and rate symptoms across three phenotypes associated with ARFID: ‘picky eating,’ ‘fear,’ and ‘appetite,’ which can lead to restricted food volume or variety. This study, focusing on a sample of Turkish adolescents, validates the reliability and accuracy of the NIAS in this particular demographic. The findings offer a foundational understanding of the ARFID profile among Turkish adolescents. The psychometric robustness of the NIAS in self-reporting among adolescents is demonstrated by significant correlations between its subscales and other measures of anxiety, depression, and eating behaviors, indicating that the scale effectively captures related psychopathological traits.
摘要:
背景:这项研究评估了土耳其版九项避免性/限制性食物摄入障碍筛查(NIAS)在土耳其青少年人群中的心理测量特性。
方法:NIAS,旨在筛选ARFID症状,包括挑食,与恐惧相关的饮食行为,食欲不振,被管理给13到18岁之间的中学生在穆拉,Turkiye.
结果:基于268名青少年的样本,NIAS在此人口统计中的信度和效度得到支持。本研究利用验证性因子分析来验证其三因素结构和各种可靠性测试,包括Cronbach的alpha和重测可靠性,确认量表的内部一致性和时间稳定性。描述性分析强调了不同BMI类别的NIAS得分的显著差异,体重过轻的青少年得分更高,提示ARFID症状与较低体重之间存在潜在联系。NIAS分量表和焦虑测量之间的显着相关性支持了标准有效性,抑郁症,和饮食行为,表明量表在反映相关精神病理学特征方面的有效性。
结论:总体而言,该研究将土耳其NIAS确立为识别土耳其青少年ARFID的有用工具,在这个高危年龄组帮助早期发现和干预。建议进一步研究,以探索该量表在不同临床环境中的实用性,并完善其诊断准确性,加强我们对ARFID对青少年心理健康和营养状况的影响的理解。
跨文化可靠的工具,用于评估年轻人的回避性/限制性食品摄入障碍(ARFID)的症状至关重要,尤其是在青春期,出现各种饮食和喂养障碍的关键时期。九项回避/限制性食物摄入障碍筛查(NIAS)是一种简短实用的工具,旨在评估和评估与ARFID相关的三种表型的症状:“挑食,''恐惧,和“食欲,这可能导致食物数量或品种受到限制。这项研究,关注土耳其青少年的样本,验证了NIAS在这一特定人口统计中的可靠性和准确性。这些发现为土耳其青少年的ARFID概况提供了基础理解。NIAS在青少年自我报告中的心理测量稳健性通过其分量表与其他焦虑指标之间的显着相关性来证明,抑郁症,和饮食行为,表明该量表有效地捕获了相关的精神病理学特征。
公众号