CIA 3.0: Clinical Impairment Assessment. Reflect on the past 28 days and rate how much your eating habits, shape, or weight have affected your life.
Past 4 Weeks Assessment (0/16)
1. Eating habits made you feel unhappy
2. Eating habits made it difficult to concentrate
3. Eating habits made you feel ashamed
4. Weight/shape made you feel unhappy
5. Weight/shape made it difficult to concentrate
6. Weight/shape made you feel ashamed
7. Weight/shape made you feel isolated
8. Weight/shape interfered with your work/education
9. Eating habits interfered with your work/education
10. Eating habits made you feel isolated
11. Weight/shape made you feel worthless
12. Weight/shape made it difficult to enjoy social activities
13. Eating habits made it difficult to enjoy social activities
14. Weight/shape made it difficult to spend time with people
15. Weight/shape interfered with your relationships
16. Eating habits interfered with your relationships
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Assessment of psychosocial impairment related to eating disorder psychopathology
Differential evaluation of impairment in Personal, Social, and Cognitive domains
Complimenting symptom-based measures (e.g., EDE-Q) to understand functional impact
Monitoring recovery and return-to-function in eating disorder clinics
Section 2
Formula & Logic
Scoring Logic
The CIA consists of 16 items focusing on the past 28 days. Each item is rated from 0 (Not at all) to 3 (A lot). Total score ranges from 0 to 48. Higher scores indicate greater levels of clinical impairment.
Clinical Ranges
≥ 16 points
Clinically significant impairment
Personal Domain
Items 1, 2, 3, 4, 11, 15, 16
Social Domain
Items 5, 6, 7, 10, 14
Cognitive Domain
Items 8, 9, 12, 13
Section 3
Evidence Appraisal
Validation
The Measurement of Impairment Due to Eating Disorder Psychopathology.
Bohn K et al. • Behav Res Ther.. 2008;46(10):1105-10. Original derivation and validation of the CIA as a robust transdiagnostic measure.
The Clinical Impairment Assessment (CIA): Measurement invariance and clinical utility.
Vannucci A et al. • Int J Eat Disord.. 2012;Confirmed the ≥16 cut-off for identifying significant distress in treatment-seeking populations.
