The Fear of Food Measure (FOFM) was developed to assess eating-related anxiety and evaluate outcomes of food exposure treatment. The FOFM scores in adult community and clinical samples have demonstrated good factor structure, reliability, and validity, but the FOFM has yet to be evaluated in adolescents, despite eating disorders (EDs) being extremely prevalent during adolescence. The current research evaluated the psychometric properties of the FOFM in three independent child and adolescent samples ages 11-18: patients at two separate intensive treatment programs for EDs (N = 688, N = 151) and students in an all-girl high school (N = 310). The revised adolescent version of FOFM (FOFM-A) consists of 10 items and three subscales: Anxiety About Eating, Food Anxiety Rules, and Social Eating Anxiety. We also found support for the use of a global FOFM-A score in an adolescent population. The FOFM-A scores evidenced good internal consistency as well as convergent, discriminant, and incremental validity across all samples. FOFM-A subscales strongly correlated with other measures of ED symptoms and moderately to strongly correlated with measures of anxiety and depression. Adolescents diagnosed with EDs scored significantly higher on all subscales of FOFM-A compared to a community high school sample without ED diagnoses. We identified that a total FOFM-A cutoff score of 1.93 best differentiates between those with and without ED diagnoses. The FOFM-A may be useful in the assessment and treatment of eating-related anxiety and avoidance in adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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评估三个独立样本中青少年对食物恐惧的心理测量特性。

食物恐惧测量 (FOFM) 旨在评估与饮食相关的焦虑并评估食物暴露治疗的结果。成人社区和临床样本中的 FOFM 评分已表现出良好的因子结构、可靠性和有效性，但 FOFM 尚未在青少年中进行评估，尽管饮食失调 (ED) 在青春期极为普遍。目前的研究评估了 FOFM 在三个独立的 11-18 岁儿童和青少年样本中的心理测量特性：接受两个单独的 ED 强化治疗计划的患者 (N = 688，N = 151) 和一所女子高中的学生 ( N = 310）。修订后的青少年版 FOFM (FOFM-A) 由 10 个项目和 3 个分量表组成：饮食焦虑、食物焦虑规则和社交饮食焦虑。我们还发现支持在青少年群体中使用全球 FOFM-A 评分。FOFM-A 分数证明了所有样本具有良好的内部一致性以及收敛效度、判别效度和增量效度。FOFM-A 分量表与 ED 症状的其他测量值密切相关，与焦虑和抑郁的测量值中度至强相关。与没有诊断为 ED 的社区高中样本相比，诊断为 ED 的青少年在 FOFM-A 所有分量表上的得分均显着更高。我们发现 FOFM-A 总分值为 1.93，可以最好地区分患有 ED 诊断的患者和未诊断为 ED 的患者。FOFM-A 可能有助于评估和治疗青少年与饮食相关的焦虑和回避。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。