中国心理卫生杂志

目的:介绍保定市城区中学生进食行为问题及相关因素调查的设计与实施方案。方法:依据多阶段分层整群抽样方法,抽取来自保定市3个城区,6所中学在校生5 165名。运用在线填写电子问卷的方法进行现况调查,采用一般情况调查问卷、简式父母教养方式问卷、患者健康问卷、广泛性焦虑量表、自尊量表、匹兹堡睡眠质量指数量表、童年期创伤问卷-简版、进食行为问题筛查表评估中学生父母教养方式、抑郁症状、焦虑症状、睡眠问题、童年创伤以及进食行为问题。进食行为问题筛查表除了针对神经性厌食、神经性贪食症状之外,还进一步扩充了对暴食、异食癖、反刍及回避性/限制性摄食症状的评估,同时评估进食行为问题筛查表的信效度。结果:本调查回收有效问卷5 148份,问卷有效率为99.70%。进食行为问题筛查表包含12个条目,各条目内容效度指数(I-CVI)≥0.780,量表内容效度指数(S-CVI)≥0.900。探索性因子分析提取2个因子,累计贡献率为57.80%。本量表的Cronbachα系数为0.73,重测信度为0.83。结论:本调查采用多级抽样方法,对保定市城区中学生具有代表性。进食行为问题筛查表信效度良好,对中学生进食行为问题筛查具有适用性。该研究可为后续进食行为问题流行病学调查提供经验与方法。

Objective:To describe the design and implementation of a survey investigating eating behavior problem and associated factors in urban middle school students in Baoding City.Methods:Using a multi-stage,stratified cluster sampling method,5 165 registered students were recruited from 6 secondary schools in 3 urban districts of Baoding.A cross-sectional survey was conducted using online self-administered questionnaires.Assessment tools included a general information questionnaire,the s-Brief Parental Bonding Instrument,Patient Health Questionnaire-9,Generalized Anxiety Disorder-7,Rosenberg Self-Esteem Scale,Pittsburgh Sleep Quality Index,Childhood Trauma Questionnaire-Short Form,and Disordered Eating Behaviors Screening Scale(DEBSS).Beside assessing symptoms of anorexia nervosa and bulimia nervosa,DEBSS was expanded to evaluate binge eating,pica,rumination disorder,and avoidant/restrictive food intake disorder.Validity and reliability of the DEBSS were also evaluated.Results:A total of 5 148 valid questionnaires were returned,yielding a response rate of 99.70%.The DEBSS comprised 12 items.All item-level content validity indices≥0.780 and the scale-level content validity index≥0.900.Exploratory factor analysis extracted two common factors,cumulatively accounting for 57.80% of the total variance.Confirmatory factor analysis indicated acceptable model fit.The Cronbach's alpha was 0.73 and the test-retest reliability was 0.83.Conclusion:The survey employed a multi-stage sampling method and achieved a representative sample of middle school students in urban Baoding.The DEBSS demonstrates good validity and reliability,supporting its applicability for screening disordered eating behaviors in this demographic.This study provides valuable methodological insights and a foundation for subsequent epidemiological research on eating behavior problems.