Cited by 527Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNutrition, Health and Food Behavior

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The measurement of impairment due to eating disorder psychopathology

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Bohn, Kristin, Doll, Helen A., Cooper, Zafra, O'Connor, Marianne, Palmer, Robert L., Fairburn, Christopher G.·2008·Behaviour Research and Therapy

DOI 10.1016/j.brat.2008.06.012PMC PMC2764385

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Abstract

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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“Abbreviations: 3 m FU = Three month follow-up; BL = Baseline; CIA = Clinical Impairment Assessment; EDE-A = Adolescent version of the Eating Disorder Examination Questionnaire, EOT = End of Treatment, N = Number of participants; SD = Standard deviation”
MethodInfluential
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Barnhart, W. R., Han, J., Zhang, Y., Luo, W., Li, Y., & He, J. (2024) · Archives of Sexual Behavior · doi:10.1007/s10508-024-02962-x · Cited by 7
Psychological Assessment and Psychosocial Outcomes in Bariatric Surgery Candidates: A Retrospective Study
Magurano, M. R., Napolitano, D., Bozzetti, M., Cascio, A. L., Oppo, L., Tayupanta, L. A. F., Ferrazzoli, S., Lopasso, L., Rellini, E., Raffaelli, M., et al. (2025) · Healthcare · doi:10.3390/healthcare13111294 · Cited by 8
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Wilson, D., Krishnamoorthy, G., Mendes, R. A., Withington, T., Dalton, M., & Loxton, N. J. (2025) · European Eating Disorders Review · doi:10.1002/erv.70014 · Cited by 7
Evaluating the predictive validity of purging disorder by comparison to bulimia nervosa at long‐term follow‐up
Forney, K. J., Brown, T. A., Crosby, R. D., Klein, K. M., & Keel, P. K. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23712 · Cited by 7

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
ORCID: Bohn, Kristin
Doll, Helen A.
Cooper, Zafra
O'Connor, Marianne
Fairburn, Christopher G.
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2008-10
Volume: 46
Issue: 10
Pages: 1105-1110
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2008.06.012
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: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by/3.0/ (vor, 230 d)
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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