Development and Validation of the Resilience in Eating Disorders Scale (RED-5).
Background: A resilience scale tailored for individuals with eating disorders (EDs) could significantly enhance our understanding and treatment of EDs. Therefore, we developed and psychometrically evaluated a new Resilience in Eating Disorders scale (RED) following COnsensus-based Standards for the...
| Publicado en: | Actas Espanolas de Psiquiatria Vol. 54; no. 1; pp. 1 - 17 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Maria Lopez-Ibor
2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=192138252&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 192138252 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 11399287 IVZ jtl: Actas Espanolas de Psiquiatria issn: 11399287 maglogo: N pubinfo: dt: 2026 vid: 54 iid: 1 pid: 80014 pub: Maria Lopez-Ibor artinfo: ui: 192138252 10.62641/aep.v54i1.2008 ppf: 1 ppct: 16 formats: fmt: @attributes: type: P size: 2MB tig: atl: Development and Validation of the Resilience in Eating Disorders Scale (RED-5). aug: au: Las-Hayas, Carlota Hjemdal, Odin Muñoz, Pedro-José Acero, Jesús-Ángel Padierna Beato-Fernandez, Luis Gómez-del-Barrio, Andrés Pérez-Valencia, Diana M. Pikatza-Huerga, Amaia Almeida, Aitor affil: DeustoMED, Department of Medicine, Faculty of Health Sciences, University of Deusto, 48007 Bilbao, Spain Red de Investigación en Cronicidad, Atención Primaria y Prevención y Promoción de la Salud (RICAPPS), 08007 Barcelona, Spain Department of Psychology, Norwegian University of Sciences and Technology, 7034 Trondheim, Norway Psychiatry Service, Ortuella Mental Health Center, 48530 Bizkaia, Spain Psychiatry Service, Galdakao-Usansolo Hospital, 48960 Bizkaia, Spain Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), 48960 Bizkaia, Spain Eating Disorders Unit, General Hospital of Ciudad Real, 13005 Ciudad Real, Spain Valdecilla Biomedical Research Institute (IDIVAL), 39011 Santander, Spain Eating Disorders Unit, Department of Psychiatry, Hospital Universitario Marqués Valdecilla, 39002 Cantabria, Spain Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), 28029 Madrid, Spain DeustoTech, Faculty of Engineering, University of Deusto, 48007 Bizkaia, Spain su: Eating disorders Psychological resilience Anxiety Machine learning Quality of life Psychometrics Health outcome assessment sug: subj: Eating disorders Psychological resilience Anxiety Machine learning Quality of life Psychometrics Health outcome assessment keyword: eating disorders mental health psychometry recovery resilience ab: Background: A resilience scale tailored for individuals with eating disorders (EDs) could significantly enhance our understanding and treatment of EDs. Therefore, we developed and psychometrically evaluated a new Resilience in Eating Disorders scale (RED) following COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines. Method: Informed by prior qualitative interviews, the new RED scale underwent an initial pilot test among patients with EDs (n = 52) and field tests among patients with EDs (n = 169), ED-recovered individuals (n = 61), and a normative sample of the general population (n = 349), all aged between 27.9 and 29.8 years and residing in Spain. In this study, the participants completed the RED scale, Resilience Scale-25 (RS-25), Eating Attitudes Test-26 (EAT-26), World Health Organisation Quality of Life Scale -- Brief Version (WHOQOL-BREF), and Hospital Anxiety and Depression Scale (HADS). Data were collected at baseline and after 1 year. Alongside machine learning techniques, exploratory and confirmatory analyses were employed to evaluate the reliability, construct validity, convergent validity, known-groups validity, predictive validity and responsiveness of the RED scale. Results: The original 52-item version of the RED scale was refined to 44 items following the pilot phase, and ultimately reduced to a 5-item version (RED-5) after field testing and psychometric evaluation. The RED-5 demonstrated strong psychometric properties, with excellent model fit indices (Root Mean Square Error of Approximation (RMSEA) = 0.03, and Comparative Fit Index (CFI) = 0.99) and acceptable internal consistency (Cronbach's alpha = 0.71). Additionally, the RED-5 scale effectively predicted quality of life, anxiety, depression, and ED symptomatology over a 1-year period. Conclusions: The RED-5 is a concise, psychometrically robust scale specifically developed to assess resilience in patients with EDs. It significantly predicts ED symptoms and quality-of-life outcomes, making it a valuable tool for both clinical practice and research. The RED-5 allows for quick administration and easy scoring. It provides mental health professionals with a tool to guide resilience-informed assessment and more personalized treatment planning. and Depression Scale (HADS). Data were collected at baseline and after 1 year. Alongside machine learning techniques, exploratory and confirmatory analyses were employed to evaluate the reliability, construct validity, convergent validity, known-groups validity, predictive validity and responsiveness of the RED scale. Results: The original 52-item version of the RED scale was refined to 44 items following the pilot phase, and ultimately reduced to a 5-item version (RED-5) after field testing and psychometric evaluation. The RED-5 demonstrated strong psychometric properties, with excellent model fit indices (Root Mean Square Error of Approximation (RMSEA) = 0.03, and Comparative Fit Index (CFI) = 0.99) and acceptable internal consistency (Cronbach's alpha = 0.71). Additionally, the RED-5 scale effectively predicted quality of life, anxiety, depression, and ED symptomatology over a 1-year period. Conclusions: The RED-5 is a concise, psychometrically robust scale specifically developed to assess resilience in patients with EDs. It significantly predicts ED symptoms and quality-of-life outcomes, making it a valuable tool for both clinical practice and research. The RED-5 allows for quick administration and easy scoring. It provides mental health professionals with a tool to guide resilience-informed assessment and more personalized treatment planning. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Actas Espanolas de Psiquiatria holder: Maria Lopez-Ibor dt: @attributes: year: 2026 holdings: @attributes: islocal: N |
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