Chinese translation of the Clinical Impairment Assessment (CIA 3.0): Psychometric properties and measurement invariance across sex and age in adolescents, young adults, and adult men

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Objective: An extensive literature has documented the deleterious effects of weight bias internalization (WBI) on biopsychosocial health outcomes. Still, this research is largely confined to the Western context. Furthermore, few studies have explored associations between WBI and biopsychosocial health outcomes, including in non-Western adolescent populations.Method: The present study explored the longitudinal relationships between WBI and body dissatisfaction, disordered eating, psychosocial impairment related to eating disorder features, and psychological and physical well-being in a sample (N = 1549; aged 11-18 years at baseline) of Chinese adolescents. Relationships between study variables were examined between two waves of data measurement (Time 1, baseline, and Time 2, 6-month). Cross-lagged and multivariate models were used to explore prospective relationships between WBI and biopsychosocial correlates.Results: Bidirectional relationships were observed between WBI and biopsychosocial correlates in Chinese adolescents. Adjusting for covariates and other predictor variables, higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 1 predicted higher WBI at Time 2. Furthermore, higher WBI at Time 1 predicted higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 2.Discussion: Weight bias internalization and psychosocial correlates were interrelated across time in Chinese adolescents. Improving WBI might be promising in the prevention of eating and body image disturbances and diminished psychosocial well-being.Similarly, reducing eating and body image disturbances and improving psychosocial well-being might be useful prevention targets in reducing WBI in Chinese adolescents.

Section: Methodsmentioning

confidence: 78%

Section: Methodsmentioning

confidence: 99%

Relationships between weight bias internalization and biopsychosocial health outcomes: A prospective study in Chinese adolescents

Barnhart

Cui

et al. 2023

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“…In addition, one participant aged 75 years of age was further removed in post hoc data cleaning, as all other participants were aged from 18 to 59 years. To evaluate the 2‐week test–retest reliability of the MOET, as in previous studies (e.g., He, Brytek‐Matera, et al, 2022; Polnay et al, 2021), a second survey was conducted. Specifically, we recruited 250 new participants in the second survey by not allowing those in the first survey to participate in the second survey.…”

Section: Methodsmentioning

confidence: 99%

“…All items were summed to get a total score, and higher scores indicated greater psychosocial impairment due to eating disorder symptomatology. The CIA 3.0 has been translated and validated in the Chinese context, and the CIA 3.0 showed good internal consistency reliability ( α = .96), test–retest reliability, known‐group validity, and convergent validity in Chinese young adult men and women (He, Brytek‐Matera, et al, 2022). In the current study, the CIA 3.0 had a Cronbach's α of .91 and a McDonald's ω of .91.…”

Section: Methodsmentioning

confidence: 99%

Validation of the muscularity‐oriented eating test in adult women in China

Cui

Barnhart

et al. 2023

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Objective Research on muscularity‐oriented disordered eating has grown in recent years. However, the bulk of this research has focused on men and Western populations. Limited research is available in non‐Western populations of women (e.g., China) which is likely due to the lack of valid instruments in these populations. Thus, the current study aimed to describe the validity and reliability of the Muscularity‐Oriented Eating Test (MOET) in Chinese women. Method Two online surveys (survey one: n = 599, Mage = 29.49, SD = 7.36; survey two: n = 201, Mage = 28.42, SD = 7.76) were conducted to explore the psychometric properties of the MOET in Chinese women. In survey one, the factor structure of the MOET was examined via exploratory and confirmatory factor analyses (EFA and CFA). Internal consistency reliability and convergent and incremental validity of the MOET were also assessed. In survey two, test–retest reliability across a 2‐week interval was examined. Results EFA and CFA provided support for the unidimensional factor structure of the MOET in Chinese adult women. The MOET presented good internal consistency and test–retest reliability and convergent validity via large, positive associations with theoretically related constructs (e.g., thinness‐oriented disordered eating, drive for muscularity, and psychosocial impairment). Finally, muscularity‐oriented disordered eating described unique variance in psychosocial impairment, providing support for the incremental validity of the MOET. Discussion The sound psychometric structure of the MOET was supported in Chinese women. Continued research is needed to describe muscularity‐oriented disordered eating in Chinese women to contribute to this significant gap in the literature. Public Significance The Muscularity‐Oriented Eating Test (MOET) is a measure specifically developed for assessing muscularity‐oriented disordered eating. This study examined the validity and reliability of the MOET in Chinese women. The results showed that the MOET had sound validity and reliability in Chinese women. Thus, the MOET is a valuable tool for advancing the understanding of the muscularity‐oriented disordered eating of women from the Chinese context.

“…The Chinese version of the 16‐item Clinical Impairment Assessment 3.0 (CIA 3.0; Bohn & Fairburn, 2008; He et al, 2022) was used to evaluate psychosocial functioning due to eating disorder symptomatology. Items are rated on a 4‐point Likert scale, from 0 (Not at all) to 3 (A lot).…”

Section: Methodsmentioning

confidence: 99%

Picky eating is associated with lower life satisfaction and elevated psychological distress and psychosocial impairment in Chinese pregnant women

He,

Zhang,

Barnhart

et al. 2023

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ObjectiveThis study assessed picky eating in pregnant women by exploring whether picky eating is associated with pregnant women's well‐being, including life satisfaction, psychological distress, and psychosocial impairment.MethodData collected were from 345 Chinese pregnant women ( = 29.95 years, SD = 5.58). Pearson correlation analyses were conducted to examine zero‐order correlations between picky eating and well‐being variables (i.e., life satisfaction, psychological distress, and psychosocial impairment). Hierarchical multiple regressions were conducted to examine the unique associations of picky eating with well‐being variables, adjusting for demographic and pregnancy‐related characteristics and thinness‐oriented disordered eating.ResultsPicky eating was significantly and negatively correlated with life satisfaction (r = −.24, p < .001) and positively correlated with psychological distress (r = .37, p < .001) and psychosocial impairment (r = .50, p < .001). When adjusting for covariates and thinness‐oriented disordered eating, picky eating was still significantly associated with lower life satisfaction, higher psychological distress, and higher psychosocial impairment.DiscussionThe findings suggest that picky eating may be a significant correlate of pregnant women's poorer well‐being. Future research with longitudinal designs is warranted to further examine the temporal associations between picky eating and pregnant women's well‐being.Public SignificancePicky eating behaviors are poorly understood in pregnant women. Our results revealed that higher picky eating behaviors were associated with lower life satisfaction and higher psychological distress and psychosocial impairment in Chinese pregnant women. Researchers and clinicians may consider picky eating in the assessment and treatment of mental health and disordered eating in pregnant women.