Validation of a childhood eating disorder outcome scale

BioPsychoSocial Medicine

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[1] 0000 0001 0691 0855, grid.263171.0, Department of Pediatrics, School of Medicine, Sapporo Medical University, Sapporo, Japan;Mental and Developmental Clinic for Children “ELM TREE”, Sapporo, Japan;0000 0001 0706 0776, grid.410781.b, Biostatistics Center, Kurume University, Kurume, Japan;0000 0001 0706 0776, grid.410781.b, Department of Neuropsychiatry, Kurume University School of Medicine, Kurume, Japan;0000 0001 0706 0776, grid.410781.b, Department of Pediatrics and Child Health, Kurume University School of Medicine, 67 Asahi-machi, Kurume, 830-0011, Fukuoka, Japan;0000 0001 1017 9540, grid.411582.b, Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan;0000 0001 1302 4472, grid.261356.5, Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan;0000 0004 0467 0255, grid.415020.2, Child Development and Psychosomatic Medicine Center, Dokkyo Medical University Saitama Medical Center, Saitama, Japan;0000 0004 0631 9477, grid.412342.2, Department of Pediatrics, Okayama University Hospital, Okayama, Japan;0000 0004 1764 9914, grid.417084.e, Psychosomatic Medicine, Tokyo Metropolitan Children’s Medical Center, Tokyo, Japan;Department of Pediatrics Hoshigaoka Maternity Hospital, Nagoya, Japan;Department of Pediatrics, National Hospital Organization Mie National Hospital, Mie, Japan;Himeji City Center for the Disabled, Himeji, Japan;Nagasaki Prefectural Center of Medicine and Welfare for Children, Nagasaki, Japan;grid.416289.0, Psychiatry Department, Kobe City Nishi-Kobe Medical Center, Kobe, Japan;Takamiya Medical Clinic, Akashi, Japan;grid.416823.a, Department of Pediatrics, Tachikawa Hospital, Tachikawa, Japan;

关键词: Eating disorders;    Anorexia nervosa;    Outcome;    Children;   

DOI  :  10.1186/s13030-019-0162-3

来源: publisher

【 摘 要 】

We developed and validated a childhood eating disorder outcome scale based on outcomes associated with body mass index standard deviation score (BMI-SDS). This prospective observational study included 131 children with eating disorders (aged 5–15 years). Participants’ outcomes scales were completed at the first visit and at 1, 3, 6, and 12 months. The scale evaluated 12 outcomes: body weight change (BW), eating attitude (EA), fear of being fat (FF), body image distortion (BD), menstruation (ME), perceived physical condition (PC), attending school (AS), disease recognition by school (RS), family function (FA), disease recognition by parent (RP), social adaptation (SA), and relationships with friends (RF). Responses to all items were on a four-point Likert scale. Exploratory factor analysis was used to determine the number of factors based on the 12 outcomes. The relation between outcome scale scores and BMI-SDS over the 12-month follow-up period was analyzed. Two types of factors were extracted: disease-specific factors (EA, FF, BD) and biopsychosocial factors (BW, PC, AS, FA, SA, RF). Three items (ME, RS, RP) were excluded because they showed no significant loading effect. There was a significant negative correlation between the outcome scale and BMI-SDS, and changes in outcome scale scores from baseline to 12 months were significantly associated with improvement in BMI-SDS. We developed a childhood eating disorder outcome scale characterized by disease-specific and biopsychosocial factors. Biopsychosocial management combined with a therapeutic approach for disease-specific symptoms may support body weight recovery for children with eating disorders.

【 授权许可】

CC BY