The measurement of impairment due to eating disorder psychopathology
Open accessAbstract
Eating disorders have a profound and highly specific impact on psychosocial functioning. The aim of this research was to develop a measure of such secondary impairment. A 16-item, self-report instrument was developed, the Clinical Impairment Assessment (CIA), which was designed to measure such impairment overall and in three specific domains (personal, cognitive, social). The psychometric properties of the instrument were evaluated using data collected in the context of a transdiagnostic treatment trial. The findings consistently supported the utility of the instrument with the CIA being shown to have high levels of internal consistency, construct and discriminant validity, test-retest reliability, and sensitivity to change. The CIA should be of value to clinicians when assessing patients with eating disorders and their response to treatment. It should also help inform epidemiological research.
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The CIA has good psychometric properties.
“The CIA has good psychometric properties, and internal consistency of the CIA was good in the current study (Cronbach's α = .77, McDonalds ω = .79).”
From Effectiveness of web-based guided self-help cognitive behavioral therapy-enhanced for binge-eating disorder: An implementation study (2024) · cites this paper as Bohn et al., 2008
The increased prevalence of eating disorders during the COVID-19 pandemic has placed services for children and adolescents under immense pressure.
“Since the COVID-19 pandemic began, rates of eating disorders among children and adolescents have increased [1, 2] and publicly funded services in the UK have come under immense pressure [3].”
From Can CBT-E be delivered in an online group format? A pilot study of the Body Image module in a child and adolescent eating disorder service (2023) · cites this paper as [3]
Citation [3] is attached to the claim that publicly funded UK services came under immense pressure. The Introduction and Discussion address psychosocial impairment and the development of a measure for it, not service demand. Searches for UK service pressure and pandemic-related demand among children and adolescents found no relevant passage in our copy. (LLM, conf=0.78)
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- Authors
- Bohn, K., Doll, H. A., Cooper, Z., O'Connor, M., Palmer, R. L., & Fairburn, C. G.
- Affiliations
- Warneford Hospital (GB)
- Leicester General Hospital (GB)
- Corresponding author
- Bohn, Kristin
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 46
- Issue
- 10
- Pages
- 1105-1110
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC2764385
- OpenAlex
- W2049931513
- Cited by
- 527
- References
- 29
- Citations by year
- 2026: 50 · 2025: 65 · 2024: 47 · 2023: 41 · 2022: 37 · 2021: 37 · 2020: 44 · 2019: 28 · 2018: 23 · 2017: 26 · 2016: 28 · 2015: 28 · 2014: 18 · 2013: 19 · 2012: 9
- FWCI
- 10.00
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Behaviour Research and Therapy (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- Wellcome Trust (046386, 079113, 079113/Z/06/Z)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- eating disorders, psychosocial impairment, self-report instrument development, psychometric validation, transdiagnostic treatment, treatment response assessment, social functioning, cognitive function, personal functioning
- MeSH terms
- Adolescent, Adult, Aged, Anorexia Nervosa, Bulimia, Humans, Middle Aged, Psychometrics, Quality of Life, Surveys and Questionnaires, Self-Assessment, Sensitivity and Specificity, Sickness Impact Profile
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