Psychology Commons^™

Adaptation And Evaluation Of The Clinical Impairment Assessment To Assess Disordered Eating Related Distress In An Adolescent Female Ethnic Fijian Population, R H. Striegel, A E. Becker, J J. Thomas, A Bainivualiku, L Richards, K Navara, A L. Roberts, S E. Gilman

Ruth Striegel Weissman

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 …

Validity And Reliability Of A Fijian Translation And Adaptation Of The Eating Disorder Examination Questionnaire, R H. Striegel, A E. Becker, J J. Thomas, A Bainivualiku, L Richards, K Navara, A L. Roberts, S E. Gilman

Ruth Striegel Weissman

Objective:

Assessment of disordered eating has uncertain validity across culturally diverse populations. This study evaluated Eating Disorder Examination Questionnaire (EDE-Q) performance in an ethnic Fijian study population.

Method:

The EDE-Q was translated, adapted, and administered to school-going Fijian adolescent females (N = 523). A subsample (n = 81) completed it again within ~1 week. We assessed feasibility, internal consistency, and test-retest reliability; evaluated construct validity through factor analysis and correlation with similar constructs; and examined the marginal utility of an additional question on traditional purgative use.

Results:

Internal consistency reliability was adequate for the global scale and subscales (Cronbach's alpha …

Cost-Effectiveness Of Guided Self-Help Treatment For Recurrent Binge Eating, R H. Striegel, F L. Lynch, J F. Dickerson, N Perrin, L Debar, G T. Wilson, H C. Kraemer

Ruth Striegel Weissman

Objective

Adoption of effective treatments for recurrent binge-eating disorders depends on the balance of costs and benefits. Using data from a recent randomized controlled trial, we conducted an incremental cost-effectiveness analysis (CEA) of a cognitive behavioral therapy guided self-help intervention (CBT-GSH) to treat recurrent binge eating compared to treatment as usual (TAU).

Method

Participants were 123 adult members of an HMO (mean age = 37.2, 91.9% female, 96.7% non-Hispanic White) who met criteria for eating disorders involving binge eating as measured by the Eating Disorder Examination (EDE, Fairburn & Cooper, 1993). Participants were randomized either to treatment as usual (TAU) …

A Qualitative Study Of Perceived Social Barriers To Care For Eating Disorders: Perspectives From Ethnically Diverse Health Care Consumers, R H. Striegel, A E. Becker, A H. Arrindell, A Perloe, K Fay

Ruth Striegel Weissman

Objective:

The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample.

Method:

We conducted an exploratory secondary analysis of qualitative data comprising transcripts from semi-structured interviews with past and prospective consumers of eating disorder treatment (n = 32). Transcripts were inputted into NVivo 8 for coding, sorting, and quantifying thematic content of interest within strata defined by ethnic minority and non-minority participants. We then examined the influence of key social barriers—including stigma and social stereotypes—on perceived impact on care.

Results:

The majority of respondents (78%) endorsed …