ArticleBMC psychology2024
A psychometric examination of the cognitive flexibility scale and its association with Orthorexia Nervosa.
Article in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Why Do Victimized Youth Feel Lonely? Cognitive Flexibility as a Mediator and Social Support as a Contextual Moderator.The Journal of school health · 2026Article
- Assessing the psychometric properties of Hindi-translated dispositional resilience (hardiness) scale and cognitive flexibility scale among police personnel.BMC psychology · 2026Article
- Physical Activity Enjoyment and Orthorexic Eating Behaviours in Turkish Adults: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Orthorexic Tendencies Are Associated with Autistic Traits in Patients with Borderline Personality Disorder.Journal of clinical medicine · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundThe Cognitive Flexibility Scale (CFS) is a 12-item self-report questionnaire designed to assess cognitive flexibility. Despite its widespread use, its psychometric properties have yet to be evaluated in the Italian context. Furthermore, while cognitive flexibility has emerged as a central correlate in Feeding and Eating Disorders, only a limited number of studies have investigated its association with Orthorexia Nervosa (ON), a clinical condition characterized by a pathological fixation with healthy eating. The present study aimed to fill these two knowledge gaps.
methodsA total of 803 participants (M
resultsConfirmatory factor analysis revealed a global dimension of cognitive flexibility, alongside a method factor accounting for covariance arising by reverse-worded items. The CFS, which was factorially invariant across genders, yielded a reliable total score (ω = 0.834) and provided evidence of convergent and criterion-related validity. Importantly, structural equation modelling showed that cognitive flexibility was negatively associated with emotional distress resulting from violations of orthorexic dietary rules (β = -0.279, p < .001).
conclusionsThe CFS demonstrated to be a psychometrically robust instrument in the Italian context. Moreover, cognitive flexibility may be an important treatment target for mitigating the distress derived from ON symptoms, informing the development of future therapeutic approaches.
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