Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population

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Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population

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dc.contributor.author Bainivualiku, Asenaca
dc.contributor.author Richards, Lauren
dc.contributor.author Navara, Kesaia
dc.contributor.author Roberts, Andrea L
dc.contributor.author Striegel-Moore, Ruth H
dc.contributor.author Becker, Anne Edith
dc.contributor.author Thomas, Jennifer Joanne
dc.contributor.author Gilman, Stephen Edward
dc.date.accessioned 2012-01-22T01:38:12Z
dc.date.issued 2010
dc.identifier.citation Becker, Anne E., Jennifer J. Thomas, Asenaca Bainivualiku, Lauren Richards, Kesaia Navara, Andrea L. Roberts, Stephen E. Gilman, and Ruth H. Striegel-Moore. 2010. Adaptation and evaluation of the clinical impairment assessment to assess disordered eating related distress in an adolescent female ethnic Fijian population. International Journal of Eating Disorders 43(2): 179-186. en_US
dc.identifier.issn 0276-3478 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:8000920
dc.description.abstract 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 versus with measures of generalized distress. Results: The Fijian version of the CIA is feasible to administer as an investigator-based interview. It has excellent internal consistency (α = 0.93). Both construct and criterion validity were supported by the data, and regression models indicated that the CIA predicts eating disorder severity, even when controlling for generalized distress and psychopathology. Discussion: The adapted CIA has excellent psychometric properties in this Fijian study population. Findings suggest that the CIA can be successfully adapted for use in a non-Western study population and that at least some associated distress and impairment transcends cultural differences. en_US
dc.language.iso en_US en_US
dc.publisher John Wiley and Sons en_US
dc.relation.isversionof doi:10.1002/eat.20665 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2896728/pdf/ en_US
dash.license LAA
dc.subject eating disorder en_US
dc.subject clinical impairment assessment en_US
dc.subject distress en_US
dc.subject crosscultural en_US
dc.subject Fiji en_US
dc.title Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal International Journal of Eating Disorders en_US
dash.depositing.author Becker, Anne Edith
dc.date.available 2012-01-22T01:38:12Z
dash.affiliation.other HMS^Global Health and Social Medicine en_US
dash.affiliation.other HMS^Psychiatry-Massachusetts General Hospital en_US
dash.affiliation.other HMS^M.D. Ph.D. Program en_US
dash.affiliation.other SPH^Society Human Development and Health en_US

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