Cristina Vintró-Alcaraz1,2, Gemma Mestre-Bach1,2, Trevor Steward1,2, María Lozano-Madrid1,2, Zaida Agüera1,2, Susana Jiménez-Murcia1,2,3, Anna M Pedraza4, Eduardo Serrano-Troncoso5,6, Ana E Ortiz García7, Teresa Rangil8,9, Eulalia Lorán8,9, Jose Soriano-Pacheco10, Laura Medrano-Puigdollers11, Sara Bujalance-Arguijo11, Gina Badia12, Maria Luque13, Gloria Tràfach14, Osane Gómez15, Joan Peña15, Carme Fabra15, Maria Teresa Plana16, Reyes Raspall17, Isabel Sánchez2, Nadine Riesco2, Roser Granero1,18, Cristina Carretero-Jardí19, Janet Treasure20, Fernando Fernández-Aranda1,2,3. 1. CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain. 2. Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Spain. 3. Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Spain. 4. EAP Reus IV, Institut Català de la Salut, Spain. 5. Children and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Déu, Spain. 6. Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu of Barcelona, Spain. 7. Unitat de Mitja Estada per a tractament TCA. Numància Salut Mental, Parc Sanitari Sant Joan de Déu, Spain. 8. Department of Psychiatry, Germans Trias i Pujol, University Hospital-IGTP, Spain. 9. Department of Psychiatry and Legal Medicine, Universitat Autonòma de Barcelona, Spain. 10. Department of Psychiatry, Hospital de Sant Pau, Spain. 11. Associació Contra l'Anorèxia i la Bulímia (ACAB), Spain. 12. Departament de Psiquiatria, Hospital Universitari Santa Maria de Lleida, Spain. 13. Departament de Psiquiatria, Hospital Universitari Mútua Terrassa, Spain. 14. Departament de Salut Mental, Hospital Santa Caterina, Spain. 15. Departament de Psiquiatria, Hospital Joan XXIII, Spain. 16. Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences, Hospital Clínic Universitari of Barcelona, Spain. 17. Servicio Especializado en Trastornos de la Conducta Alimentaria (SETCA), Spain. 18. Departament de Psicologia Clínica, Universitat Autònoma de Barcelona, Spain. 19. Centro ABB, Spain and ITA Especialistas en Salud Mental, Barcelona, Spain. 20. Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Abstract
OBJECTIVE: The aim of this study was to validate a Spanish version of the Caregiver Skills scale (CASK) in a sample of eating disorder (ED) caregivers. A further aim was to examine the concordance/discrepancy between them (namely, between the mothers and fathers of ED patients). METHOD: Two hundred sixty-five ED caregivers were recruited from ED centers in Catalonia, Spain. Confirmatory factor analyses was used to test the factorial structure of the CASK scale. Cronbach's α was used to measure internal consistency of the CASK scales. A comparison of the CASK measures between respondents (mothers and fathers) was conducted using generalized estimating equations. RESULTS: Confirmatory factor analysis of the Spanish version of the CASK corroborated the strong factorial validity of the 6 factors of the original CASK questionnaire. Mothers and fathers did not differ significantly on CASK overall and subscale scores. There was however less concordance between parents on the bigger picture (ICC = 0.28) and biting your tongue (ICC = 0.08) subscales. CONCLUSIONS: The CASK is a valid tool to assess ED-related attitudes in Spanish-speaking caregivers. Furthermore, caregivers and patients alike could stand to benefit from interventions focused on improving areas such as ED beliefs, effective communication, quality of life, and emotional distancing.
OBJECTIVE: The aim of this study was to validate a Spanish version of the Caregiver Skills scale (CASK) in a sample of eating disorder (ED) caregivers. A further aim was to examine the concordance/discrepancy between them (namely, between the mothers and fathers of ED patients). METHOD: Two hundred sixty-five ED caregivers were recruited from ED centers in Catalonia, Spain. Confirmatory factor analyses was used to test the factorial structure of the CASK scale. Cronbach's α was used to measure internal consistency of the CASK scales. A comparison of the CASK measures between respondents (mothers and fathers) was conducted using generalized estimating equations. RESULTS: Confirmatory factor analysis of the Spanish version of the CASK corroborated the strong factorial validity of the 6 factors of the original CASK questionnaire. Mothers and fathers did not differ significantly on CASK overall and subscale scores. There was however less concordance between parents on the bigger picture (ICC = 0.28) and biting your tongue (ICC = 0.08) subscales. CONCLUSIONS: The CASK is a valid tool to assess ED-related attitudes in Spanish-speaking caregivers. Furthermore, caregivers and patients alike could stand to benefit from interventions focused on improving areas such as ED beliefs, effective communication, quality of life, and emotional distancing.
Authors: Fernando Fernández-Aranda; Lucero Munguía; Gemma Mestre-Bach; Trevor Steward; Mikel Etxandi; Isabel Baenas; Roser Granero; Isabel Sánchez; Emilio Ortega; Alba Andreu; Violeta L Moize; Jose M Fernández-Real; Francisco J Tinahones; Carlos Diegüez; Gema Frühbeck; Daniel Le Grange; Kate Tchanturia; Andreas Karwautz; Michael Zeiler; Angela Favaro; Laurence Claes; Koen Luyckx; Ia Shekriladze; Eduardo Serrano-Troncoso; Teresa Rangil; Maria Eulalia Loran Meler; Jose Soriano-Pacheco; Mar Carceller-Sindreu; Sara Bujalance-Arguijo; Meritxell Lozano; Raquel Linares; Carlota Gudiol; Jordi Carratala; Jessica Sanchez-Gonzalez; Paulo Pp Machado; Anders Håkansson; Ferenc Túry; Bea Pászthy; Daniel Stein; Hana Papezová; Brigita Bax; Mikhail F Borisenkov; Sergey V Popov; Youl-Ri Kim; Michiko Nakazato; Nathalie Godart; Robert van Voren; Tetiana Ilnytska; Jue Chen; Katie Rowlands; Janet Treasure; Susana Jiménez-Murcia Journal: Eur Eat Disord Rev Date: 2020-09-20