ArticleBioPsychoSocial medicine2025
Development of computer adaptive tests to assess the psychological status of individuals with an eating disorder or type 2 diabetes.
Article in BioPsychoSocial medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Smartphone App Using Reinforcement Learning for Obesity: Single-Arm Feasibility Study.JMIR human factors · 2026Article
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Abstract
backgroundIndividuals with type 2 diabetes and eating disorders must change their eating behaviors, which are often influenced by psychological factors like depression and anxiety. To efficiently assess daily psychological status, the present study aimed to develop computerized adaptive tests (CAT) based on item response theory (IRT).
methodsIndividuals with depression, anxiety disorders, eating disorders, type 2 diabetes, and healthy persons participated in the study. Participants completed six questionnaires, including momentary and most recent one-week depression, anxiety, and positive affect. We selected items meeting the IRT assumptions, applied a graded response model, and conducted CAT simulations.
resultsAcross all six questionnaires, the CAT simulations used a smaller number of items and exhibited substantial Pearson's correlation coefficients exceeding 0.95 between simulated and full item-set mood status estimates. These estimated mood scores demonstrated satisfactory concurrent validity with the Hospital Anxiety and Depression Scale and sufficient discriminant validity between the clinical group and healthy controls.
conclusionThese findings suggest that these scales offer efficient measurement of the mood status of individuals with an eating disorder or type 2 diabetes.
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