Psychometric properties of the clinical impairment assessment: Norms for young adult women

Reas, Deborah L.; Rø, Øyvind; Kapstad, Hilde; Lask, Bryan

doi:10.1002/eat.20653

Cited by 78 publications

(77 citation statements)

References 12 publications

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“…In the present sample, all ED groups had very elevated CIA scores compared to previously reported population norms: Young adult women in Sweden: M = 8.3, SD = 9.4 [28], adolescent Fijian girls: M = 11.6, SD = 10.9) [36], young adult female Norwegian University students; M = 6.4, SD = 7.5 [37]. There were no differences in CIA scores between diagnostic groups (AN, BN, EDNOS).…”

Section: Discussionsupporting

confidence: 47%

“…Across ED diagnoses, CIA scores were very high compared to reported population norms [28,36,37], which suggests that individuals with EDs are severely impaired by their disorder and are very aware of the impairment they experience as a result of their ED. A focus on functional impairment in treatment may therefore help to increase motivation and readiness to change by highlighting the benefits of making changes to current eating behaviours.…”

Section: Discussionmentioning

confidence: 87%

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Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified

et al. 2013

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BackgroundThis study aimed to assess differences in Quality of Life (QoL) across eating disorder (ED) diagnoses, and to examine the relationship of QoL to specific clinical features.Results199 patients with a diagnosed ED completed the Clinical Impairment Assessment (CIA) [Cognitive Behavior Therapy and Eating Disorders, 315–318, 2008] and the Eating Disorders Examination (EDE) [Int J Eat Disord 6:1–8]. Differences between diagnostic groups were examined, as were differences between restrictive and binge-purge subtypes.CIA scores and EDE scores were positively correlated and higher in groups with binge-purge behaviours. CIA scores were not correlated with BMI, illness duration or frequency of bingeing/purging behaviours, except in the binge-purge AN group, where CIA scores negatively correlated with BMI.ConclusionsPatients with EDs have poor QoL and impairment increases with illness severity. Patients with binge/purge diagnoses are particularly impaired. It remains unclear which clinical features best predict the degree of impairment experienced by patients with EDs.

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Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 87%

Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified

et al. 2013

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“…The Clinical Impairment Assessment 3.0 (CIA) is a 16-item, self-report questionnaire that measures psychosocial impairment in the past 28 days across multiple domains (mood and self-perception; cognitive functioning; interpersonal functioning and work performance) due to ED features (Bohn et al, 2008). The CIA has demonstrated high levels of internal consistency, test-retest reliability, sensitivity to change, construct validity, and discriminant validity (Becker et al, 2010; Bohn et al, 2008; Reas, Rø, Kapstad, & Lask, 2010). The Diet Aids Checklist (DACL) is a comprehensive list of 53 diet aids currently available to the public, which assesses lifetime endorsement of each diet aid and frequency of use over the past six months.…”

Section: 2 Materials and Methodsmentioning

confidence: 99%

Psychiatric co-morbidity in women presenting across the continuum of disordered eating

et al. 2014

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Objective To compare the prevalence and correlates of psychiatric co-morbidity across a large sample of college women without an eating disorder, those at high risk for an eating disorder and women diagnosed using DSM-5 criteria for an eating disorder. Participants 549 college age women aged 18–25. Methods Data from the Eating Disorder Examination, the Structured Clinical Interview for DSM-IV Axis I disorders and self-report questionnaires were analyzed using logistic regression for categorical data and ANCOVA for continuous measures. Results Eating disordered symptomatology was strongly associated with anxiety disorders, mood disorders and insomnia. These co-morbidities (type and severity) tend to increase with eating disorder symptom severity. Conclusions Prevention and treatment programs for eating disorders need to address the high levels of mood, anxiety and sleep problems in this population. The findings on insomnia are novel and suggest that sleep disturbance may play an integral role in eating-related difficulties.

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“…Cronbach’s alpha for the present sample was 0.92. The CIA has shown good psychometric properties in clinical [36,37], high risk [38] and community samples [39]. …”

Section: Methodsmentioning

confidence: 99%

Clinical characteristics and distinctiveness of DSM-5 eating disorder diagnoses: findings from a large naturalistic clinical database

et al. 2013

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BackgroundDSM-IV eating disorder (ED) diagnoses have been criticized for lack of clinical utility, diagnostic instability, and over-inclusiveness of the residual category “ED not otherwise specified” (EDNOS). Revisions made in DSM-5 attempt to generate a more scientifically valid and clinically relevant system of ED classification. The aim with the present study was to examine clinical characteristics and distinctiveness of the new DSM-5 ED diagnoses, especially concerning purging disorder (PD). MethodsUsing a large naturalistic Swedish ED database, 2233 adult women were diagnosed using DSM-5. Initial and 1-year follow-up psychopathology data were analyzed. Measures included the Eating Disorder Examination Questionnaire, Structural Eating Disorder Interview, Clinical Impairment Assessment, Structural Analysis of Social Behavior, Comprehensive Psychiatric Rating Scale, and Structured Clinical Interview for DSM-IV Axis I Disorders.ResultsFew meaningful differences emerged between anorexia nervosa binge/purge subtype (ANB/P), PD, and bulimia nervosa (BN). Unspecified Feeding and Eating Disorders (UFED) showed significantly less severity compared to other groups.ConclusionsPD does not appear to constitute a distinct diagnosis, the distinction between atypical AN and PD requires clarification, and minimum inclusion criteria for UFED are needed. Further sub-classification is unlikely to improve clinical utility. Instead, better delineation of commonalities is important.

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Psychometric properties of the clinical impairment assessment: Norms for young adult women

Abstract: Results demonstrated satisfactory psychometric properties of the CIA among a sample of young adult women, suggesting the utility of the CIA to measure impairment due to eating disorder features in nonclinical samples.

Cited by 78 publications

References 12 publications

Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified

Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified

Psychiatric co-morbidity in women presenting across the continuum of disordered eating

Clinical characteristics and distinctiveness of DSM-5 eating disorder diagnoses: findings from a large naturalistic clinical database

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