The Need for the CIA
The clinical impairment assessment (CIA) was developed in the mid-2000s to fill a gap in the assessment of eating disorder psychopathology. While there were measures of the range and severity of eating disorder features, there were no measures of the impact of these features on the person’s psychosocial functioning. This was a significant omission for at least three reasons: first, it is often impairment that leads people to seek help; second, the presence of clinically significant distress or impairment is required to make a diagnosis of mental disorder; and third, the reduction of impairment is a major goal of treatment.
There were, at that time, generic measures of psychosocial functioning, but these were unlikely to detect the very specific forms of impairment seen in patients with eating disorders. For example, these patients’ overevaluation of shape and weight, and its expressions, has a marked impact on their ability to socialize with others and, in...
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References and Further Reading
Bohn, K., & Fairburn, C. G. (2008). Clinical Impairment Assessment Questionnaire (CIA 3.0). In C. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 315–317). New York: Guilford Press.
Bohn, K., Doll, H. a., Cooper, Z., O’Connor, M., Palmer, R. L., & Fairburn, C. G. (2008). The measurement of impairment due to eating disorder psychopathology. Behaviour Research and Therapy, 46, 1105–1110.
DeJong, H., Oldershaw, A., Sternheim, L., Samarawickrema, N., Kenyon, M. D., Broadbent, H., … Schmidt, U. (2013). Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified. Journal of Eating Disorders, 1, 43.
Fairburn, C. G., Bailey-Straebler, S., Basden, S., Doll, H. A., Jones, R., Murphy, R., … Cooper, Z. (2015). A transdiagnostic comparison of cognitive behaviour therapy and interpersonal psychotherapy in the treatment of eating disorders. Behaviour Research and Therapy, 70, 64–71.
Hovrud, L., & De Young, K. P. (2015). Unique contributions of individual eating disorder symptoms to eating disorder-related impairment. Eating Behaviors, 18, 103–106.
Rø, Ø., Bang, L., Reas, D. L., & Rosenvinge, J. H. (2012). The impact of age and BMI on impairment due to disordered eating in a large female community sample. Eating Behaviors, 13, 342–346.
Turner, H., Marshall, E., Stopa, L., & Waller, G. (2015). Cognitive-behavioural therapy for outpatients with eating disorders: Effectiveness for a transdiagnostic group in a routine clinical setting. Behaviour Research and Therapy, 68, 70–75.
Vannucci, A., Kass, A. E., Sinton, M. M., Aspen, V., Weisman, H., Bailey, J. O., … Taylor, C. B. (2012). An examination of the Clinical Impairment Assessment among women at high risk for eating disorder onset. Behaviour Research and Therapy, 50, 407–414.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Crown Copyright
About this entry
Cite this entry
Bohn, K. (2017). Clinical Impairment Assessment Questionnaire (CIA). In: Wade, T. (eds) Encyclopedia of Feeding and Eating Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-287-104-6_85
Download citation
DOI: https://doi.org/10.1007/978-981-287-104-6_85
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-287-103-9
Online ISBN: 978-981-287-104-6
eBook Packages: MedicineReference Module Medicine