ArticleEating and weight disorders : EWD2020
Validation of the Portuguese version of the Clinical Impairment Assessment (CIA) in eating disorders' patients.
Article in Eating and weight disorders : EWD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The Dutch clinical impairment assessment: factor analysis and psychometric properties in a clinical eating disorder sample.Eating and weight disorders : EWD · 2025Article
- The relationship between healthy eating obsessions, clinical eating disorder, and health anxiety: the dark side of the pursuit of healthy eating.Frontiers in psychology · 2025Article
- Quality of Life and Clinical Impairment in Spanish Adolescent Anorexia Nervosa Patients.European journal of investigation in health, psychology and education · 2024Article
- The validation of a Farsi version of the Clinical Impairment Assessment (F-CIA) among Iranian adolescent boys and girls.Eating and weight disorders : EWD · 2022Observational
- Severe and Enduring' Stage in Anorexia Nervosa: Comparing Eating Attitudes, Impairment and Associated Psychopathology.Frontiers in nutrition · 2022Article
- Impact of COVID-19 lockdown measures on a cohort of eating disorders patients.Journal of eating disorders · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeThe purpose of the study was to assess the psychometric properties of the Portuguese version of the Clinical Impairment Assessment (CIA) in eating disorders (ED) patients.
methodThe CIA is a 16-item brief self-reported instrument developed to assess psychosocial impairment secondary to EDs. The CIA was administered to a clinical sample of 237 women with EDs and a college sample of 196 women. The clinical sample completed the Eating Disorders Examination Questionnaire, the Beck Depression Inventory and the Outcome-45 Questionnaire. Reliability, confirmatory factor analysis, validity, and clinically significant change were calculated.
resultsConfirmatory factor analysis validated the original 3-factor structure showing an adequate model fit. CIA showed good psychometric properties with high internal consistency, good convergent validity with the EDE-Q, the OQ-45, and the BDI. For divergent validity, participants CIA scores in the clinical sample were significantly higher than in the non-clinical sample. ROC curve analysis provided a cutoff of 15. For known-groups validity participants' scoring above CIA cutoff reported significantly higher CIA scores. In addition, non-underweight participants and participants reporting the presence of dysfunctional ED behaviors had significantly higher CIA scores. Finally, for clinically significant change, a reliable change index of 5 points was obtained to consider a reliable change in the CIA global score.
conclusionsOur findings support the validity and clinical utility of the CIA as a good self-report measure to be used in both clinical and research settings. LEVEL OF EVIDENCE: Level V. Cross-sectional descriptive study.
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