测试改良体重偏差内化量表挪威语译本的有效性。

IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Journal of Eating Disorders Pub Date : 2024-08-15 DOI:10.1186/s40337-024-01067-z
Tiffany Lussier, Jon Harald Quindao Tangen, Trine Tetlie Eik-Nes, Håvard R Karlsen, Kjersti Hognes Berg, Charlotte Fiskum
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引用次数: 0

摘要

背景:体重较重(超重或肥胖)的人可能会因体重而遭受社会鄙视。体重成见可能会内化,对健康产生不利影响。内化的体重成见与不同的体重类别相关,但目前在挪威还没有经过验证的体重中性测量方法来衡量内化的体重偏见。本研究旨在检验挪威语翻译的 "修正体重偏见内化量表 "的有效性:对挪威成人样本(样本数=315人,其中251人为女性)中自称 "体重非常轻 "到 "体重非常重 "的体重偏差内化量表(WBIS-M)的挪威语译本进行了测试:对WBIS-M原有的11个项目中的11个项目进行了确认性因素分析。根据以往对该量表进行的因子分析,我们预计该量表将采用单因子模型。其中一个与能力有关的项目显示出模型拟合度较差,在研究的中途,我们对可能存在的项目模糊性提出了担忧。因此,我们对该项目的两个版本进行了测试,结果均不符合模型要求。排除该项目后,结果显示其余 10 个项目在一个因子上的载荷较高,内部一致性较高(α = 0.94)。通过观察WBIS-M上的答案、自我感觉体重以及总体健康和心理/情绪状态项目之间的关系,我们得出了收敛有效性的结论:由10个项目组成的挪威语版WBIS-M显示出良好的心理测量特性,可用于以体重中立的方式测量挪威语人群的内化体重偏差。内化体重偏差与心理/情绪状态和总体健康状况相关,那些报告内化体重偏差较多的人也报告说他们感觉更糟。在我们的样本中,女性的这种关系比男性更强,而且部分取决于体重。女性也比男性表现出更高的内化体重偏差。未来的研究应该包括更多的男性参与者,并探索与能力有关的缺失项目的其他版本。
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Testing the validity of the Norwegian translation of the modified weight bias internalization scale.

Background: Individuals with higher weight (overweight or obesity) may experience social stigma due to their weight. Weight stigma can be internalized with adverse health effects. Internalized weight stigma is relevant across different weight categories, but no validated weight-neutral measure of internalized weight bias currently exists in Norway. The current study aimed to examine the validity of a Norwegian translation of the Modified Weight Bias Internalization Scale.

Methods: A Norwegian translation of the Modified Weight Bias Internalization Scale (WBIS-M) was administered in an adult Norwegian sample (N = 315, of which 251 women) ranging from self-reported "very underweight" to "very overweight".

Results: A confirmatory factor analysis was conducted on 11 of the original 11 items in the WBIS-M. Based on previous factor analyses with this scale, we expected a one-factor model. One of the items related to competence showed poor model fit, and concern was raised around possible item ambiguity partway through the study. Two versions of this item were therefore tested, neither of which yielded an acceptable fit. After exclusion of this item, the results showed high loadings for the remaining 10 items on one factor with a high internal consistency (α = 0.94). Convergent validity was approached by looking at the relationship between answers on the WBIS-M, self-perceived weight, and items on overall health and psychological/emotional state.

Conclusion: The 10-item Norwegian version of the WBIS-M shows sound psychometric properties and can be used to measure internalized weight bias in a weight-neutral fashion in a Norwegian-speaking population. Internalized weight bias was correlated with psychological/emotional state and overall health, with those reporting more internalized weight bias also reporting that they felt worse. This relationship was stronger for women than men in our sample and was partially dependent on weight. The women also showed higher internalized weight bias than the men. Future studies should include more male participants and explore alternative versions of the missing item related to competence.

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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
期刊最新文献
From fixing to connecting: parents' experiences supporting adult children with eating disorders. Growing up in a larger body: youth- and parent-reported triggers for illness and barriers to recovery from anorexia nervosa. Correction: The role of impulsivity and binge eating in outpatients with overweight or obesity: an EEG temporal discounting study. Muscularity-oriented disordered eating: investigating body image concerns and the moderating role of emotion dysregulation in cyclists. Neurodivergence, intersectionality, and eating disorders: a lived experience-led narrative review.
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