FABIANA-checklist (N = 18) | N | M | M1 | SD | Adults | Adolescents | p | Item analysis | 25 items | 18 items | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
M | SD | M | SD | SK | KT | DIF | rtt | α | rtt | α | |||||||
1 | People from my social environment have never addressed my anorexia, or have done so too late.1 | 75 | 3.1 | 2.9 | 1.17 | 3.0 | 1.18 | 3.4 | 1.12 | .24 | − .63 | .47 | .06 | .71 | .15 | .77 | |
2 | There was at least one person in my social environment who understood at an early stage of the illness that I needed professional help (e.g. from a doctor, a psychotherapist or an counselling center) | 75 | 3.6 | 1.51 | 3.7 | 1.51 | 3.3 | 1.53 | − .633 | − 1.16 | .65 | .42 | .67 | .34 | .75 | ||
3 | It helped me to look at or read articles regarding the successful treatment of anorexia or the recovery of other people with anorexia (e.g. books, reports, social media) | 73 | 3.0 | 1.34 | 3.1 | 1.39 | 2.8 | 1.20 | − .08 | − 1.12 | .50 | .03 | .71 | .09 | .77 | ||
4 | My social environment often expressed concern about my anorexia | 75 | 4.2 | 1.02 | 4.1 | 1.01 | 4.3 | 1.06 | − 1.003 | .18 | .79 | .50 | .68 | .47 | .75 | ||
5 | At least one person from my social environment supported me practically in treatment initiation (e.g. arranged or accompanied me to medical appointments) | 75 | 4.1 | 1.41 | 4.1 | 1.41 | 4.1 | 1.46 | − 1.313 | .18 | .78 | .24 | .69 | .18 | .77 | ||
6 | My environment has encouraged me to take up treatment | 74 | 4.5 | .98 | 4.5 | .93 | 4.5 | 1.15 | − 2.203 | 4.78 | .86 | .50 | .68 | .44 | .75 | ||
7 | My relatives or persons I relate to closely informed themselves on the subject of anorexia (e.g. read books, researched on the internet, visited a counseling center or a doctor 2) | 75 | 2.7 | 1.59 | 3.3 | 1.40 | 4.1 | 1.11 | * | − .35 | − 1.18 | .63 | .31 | .69 | .26 | .76 | |
8 | I had a doctor2 who arranged that I received appropriate treatment | 75 | 3.2 | 1.46 | 3.2 | 1.44 | 3.2 | 1.55 | − .09 | − 1.38 | .55 | .50 | .67 | .53 | .74 | ||
9 | I had a doctor2 who recognized my anorexia at an early stage of the illness | 75 | 2.3 | 1.40 | 2.2 | 1.42 | 2.4 | 1.36 | .734 | − .77 | .31 | .47 | .67 | .55 | .74 | ||
10 | I had a doctor2 who told me unambiguously that I had anorexia | 75 | 3.1 | 1.63 | 3.1 | 1.61 | 3.0 | 1.72 | − .13 | − 1.60 | .51 | .34 | .68 | .45 | .75 | ||
11 | I had a doctor2 who dealt badly with my difficulties concerning food, body-shape or weight (e.g. did not take my complaints seriously or trivialized them).1 | 75 | 2.7 | 3.3 | 1.59 | 2.7 | 1.56 | 2.5 | 1.69 | − .38 | − 1.44 | .58 | .33 | .68 | .28 | .76 | |
12 | After my anorexia was recognized. I had regular appointments with a doctor2 | 74 | 3.3 | 1.43 | 3.2 | 1.40 | 3.8 | 1.45 | − .33 | − 1.22 | .58 | .39 | .68 | .40 | .75 | ||
13 | I had a doctor2 I trusted | 75 | 3.4 | 1.48 | 3.3 | 1.43 | 3.4 | 1.63 | − .39 | − 1.25 | .59 | .47 | .67 | .51 | .74 | ||
14 | I had a doctor2 with high competence in the field of eating disorders | 75 | 2.7 | 1.38 | 2.6 | 1.37 | 2.9 | 1.41 | .18 | − 1.24 | .41 | .49 | .67 | .55 | .74 | ||
15 | I had a doctor who collaborated well with my other practitioners2 | 74 | 2.5 | 1.45 | 2.5 | 1.42 | 2.4 | 1.57 | .604 | − .96 | .36 | .49 | .67 | .52 | .74 | ||
16 | It was difficult for me and/or my relatives or persons I relate to closely to find out whom I could consult best to get help.1 | 75 | 3.3 | 2.7 | 1.40 | 3.3 | 1.41 | 3.2 | 1.38 | .33 | − 1.16 | .42 | .20 | .70 | .22 | .76 | |
17 | I believed that undergoing psychotherapy was a sign of weakness.1 | 74 | 3.3 | 2.7 | 1.43 | 3.3 | 1.44 | 3.5 | 1.44 | .28 | − 1.25 | .42 | .11 | .70 | .14 | .77 | |
18 | By comparing with girls or women in the media (e.g. television. internet. social media) I considered a certain diet (e.g. a very restricted diet), a very slim figure or a very low weight to be normal so that I didn’t feel the need for treatment.1 | 75 | 3.8 | 2.2 | 1.32 | 3.8 | 1.31 | 3.7 | 1.35 | .684 | − .79 | .30 | .17 | .70 | .12 | .77 | |
Excluded items (N = 7) | |||||||||||||||||
a | My social environment did not understand my illness (e.g. "Just start eating again").1 | 74 | 3.7 | 2.3 | 1.03 | 3.7 | .98 | 3.7 | 1.17 | .45 | − .58 | .32 | .17 | .70 | |||
b | It helped me to exchange ideas with people who had already undergone psychotherapy | 73 | 2.8 | 1.61 | 2.8 | 1.65 | 2.8 | 1.54 | .12 | − 1.62 | .45 | − .08 | .72 | ||||
c | At least one person from my social environment has frequently blamed me for my anorexia nervosa.1 | 75 | 2.7 | 3.3 | 1.43 | 2.7 | 1.50 | 2.8 | 1.26 | − .26 | − 1.24 | .57 | .02 | .71 | |||
d | After my anorexia was diagnosed, I was in medical treatment for a long time without getting a clear recommendation for psychotherapy.1 | 73 | 1.8 | 4.2 | 1.09 | 1.7 | .97 | 2.1 | 1.35 | − 1.553 | 1.79 | .81 | .13 | .70 | |||
e | I was only ready for treatment as my (physical or mental) breaking point was reached | 74 | 4.0 | 1.18 | 4.1 | 1.18 | 3.8 | 1.20 | − 1.073 | .30 | .75 | − .15 | .72 | ||||
f | I was afraid that the treatment would not be compatible with other things important to me (e.g. school, job, children).1 | 75 | 4.4 | 1.6 | 1.06 | 4.4 | 1.14 | 4.3 | .86 | 1.614 | 1.72 | .16 | .08 | .70 | |||
g | Without my physical symptoms and complaints, I would not have undergone psychotherapy | 73 | 4.2 | 1.11 | 4.1 | 1.22 | 4.4 | .61 | − 1.443 | 1.37 | .80 | − .01 | .71 | ||||
Cronbach’s alpha (scale) | .70 | .77 |