The norms and stability of new measures of the multidimensional body image construct

The measurement of the body image construct has become increasingly multidimensional. New assessments are available to measure various facets of body image functioning: The Body Image Disturbance Questionnaire, Appearance Schemas Inventory-Revised, Body Image Coping Strategies Inventory, and Body Image Quality of Life Inventory. The present article reports normative data and acceptable internal reliabilities across seven completed investigations using these measures with female and male college students. Sex differences were examined and found, as expected, for most of the measures. In addition, a study evaluated an undetermined but essential psychometric property of these facets of the construct—their test–retest reliability. In a sample of 107 college students, the 2-week stability of these measures was found to be acceptable. Several directions for future research with these assessments are identified.     

The Body Image Quality of Life Inventory: further validation with college men and women

The Body Image Quality of Life Inventory (BIQLI) was recently developed to quantify both the positive and negative effects of body image on one’s psychosocial quality of life. The current study was conducted to further validate the measure with both men and women and to evaluate its psychometric reliability and validity among college students (N=603). Results confirmed that the 19-item measure was an internally consistent and unidimensional measure for both sexes. A significantly more favorable body image quality of life was reported by men than women, by African American than White women, and by women with lower body mass indices. Significant body image correlates included body image evaluation, investment, and situational dysphoria. A better body image quality of life was also related to higher self-esteem, optimism, and social support for both sexes and to less eating disturbance among women. The potential utility of this construct and unique instrument in further research, especially with medical populations, is discussed.     

Validation of self-ideal body size discrepancy as a measure of body dissatisfaction

Recently, body dissatisfaction has been conceptualized as the discrepancy between self and ideal body size estimates. This study evaluated the validity of this conceptualization using three methods for estimating actual and ideal body size: (a) the Body Image Assessment, (b) the Body Image Testing System, and (c) the Body Image Detection Device. The three body image assessment procedures were concurrently administered to a sample of 110 women diagnosed: bulimia nervosa (n=18),obese (n=34),and non-eating disorder (n=58).The Eating Disorder Inventory Body Dissatisfaction scale was also used to measure body dissatisfaction. Measures of self-ideal body size discrepancy were found to correlate more highly with measures of body dissatisfaction than were measures of current body size perception, ideal body size, body size estimation accuracy, or indices based on actual body size. Estimation of both current and ideal body size were found to significantly predict overall body dissatisfaction; thus, both self and ideal body size measures were found to be significant components in determining body size dissatisfaction. These data were interpreted as supportive of the conceptualization of body dissatisfaction as the discrepancy between self and ideal body size estimates.     

Gender-based differential item functioning in common measures of body dissatisfaction

Many widely used measures of body image were developed using all-female samples and thus may not adequately capture the male experience of body dissatisfaction. The current study examined differential item functioning (DIF) in three commonly-used measures of body image: The Body Shape Questionnaire (N = 590, 39.7% male), the Body Dissatisfaction subscale of the Eating Disorders Inventory (N = 529, 44.6% male), and the Shape and Weight Concern subscales of the Eating Disorders Examination Questionnaire (N = 1116, 43.5% male). Participants completed a series of measures evaluating body image and eating pathology. Results evidenced statistically significant DIF in several of the items; one item met criteria for clinically significant DIF. While most items did not evidence clinically elevated levels of DIF, additional evaluation is necessary in order to determine overall quality of the measures in terms of capturing the experience of male body image concerns.     

Body Image Assessment Software: Psychometric data

The aim of the present study was to analyze the psychometric characteristics of the Body Image Assessment Software (BIAS), an innovative interactive computer program developed to assess body image disturbances. The program was tested on 252 psychology students at the University of Barcelona and 51 patients with an eating disorder (ED). The subjects filled in the Eating Attitudes Test-26, the Body Shape Questionnaire, the body dissatisfaction scale of the Eating Disorders Inventory-2, and the Body Image Assessment-Revised (a test of silhouettes). Results showed good validity and very high reliability. Furthermore, BIAS was able to discriminate between people who were at risk of an ED and those who were not, as well as between people with and without a history of an ED. Those at risk of having an ED and those with a current ED showed more body image distortion (overestimation of body size) and higher levels of body image dissatisfaction.     

Measuring "negative body image": validation of the Body Image Disturbance Questionnaire in a nonclinical population

Despite numerous measures of facets of the body image construct, no single assessment broadly measures a continuum of body image disturbance. Accordingly, this study developed the Body Image Disturbance Questionnaire (BIDQ), derived from the Body Dysmorphic Disorder Questionnaire. Participants were 220 college women and 75 college men who completed an online survey containing this new assessment and established measures of body image and psychosocial functioning. Results confirmed that the Body Image Disturbance Questionnaire was internally consistent and free of impression-management response bias. For both sexes, the measure converged appropriately with other body image indices (evaluation, affect, investment, and impact), was positively correlated with depression, social anxiety, and eating disturbance. Scores on this assessment also predicted psychosocial functioning above and beyond body dissatisfaction as a predictor. Greater body image disturbance was observed among women than men, among heavier than lighter women, and among White than African American women. Limitations and future research implications are discussed.     

The reliability and validity of a group-administered version of the body image assessment

The Body Image Assessment (BIA) is a simple measure of body image disturbance. However, it has currently only been used with an individual administration format and only to assess ratings of current body size, ideal body size, and body dissatisfaction. It has also only been validated for use with women. In the current two studies, the reliability and validity of a group-administered version of the BIA procedure for both men and women that also assessed ratings of the ideal opposite sex and predictions about what the opposite sex would prefer as most attractive was examined. In the first study, results indicated good test-retest reliability for the group version for current and ideal body size and good concurrent validity with the individual administration format of the BIA. The results of the second study supported the construct and predictive validity of the group administered BIA, suggesting that it is a time-efficient alternative to the original, individually administered assessment.     

An evaluation of the construct of body image

The two studies reported in this paper were designed to evaluate the efficacy of a multidimensional model of body image that incorporated the dimensions of perception, affect, cognition, and behavior. Study 1 selected items from established measures that were judged to reflect these four dimensions. This four-factor model was then tested in Study 2. The participants for Study 2 were 175 females. The results did not support the hypothesized four-factor model. An exploratory factor analysis revealed a model that consisted of three factors: Cognitions and Affect Regarding Body, Body Importance and Dieting Behavior, and Perceptual Body Image. Below-average-weight respondents rated the Cognitions and Affect Regarding Body factor as more important than did above-average-weight respondents. Below-average-weight respondents overestimated their body size, whereas average-weight and above-average-weight respondents made underestimates, with above-average-weight respondents underestimating their body size to a greater extent than average-weight respondents. The results highlight the multidimensionality of the body image construct and the difficulty in attempting to simplify this construct. Implications of these findings for better understanding problems among people with disturbed body image are discussed.     

Measuring Health-Related Quality of Life After Stroke: A Brief Tool

Routine assessment of health-related quality of life (HRQoL) can be time consuming and burdensome for a person with stroke. Therefore the aim of this study was to develop and test a brief instrument for assessing HRQoL among people with stroke. The Quality of Life after Stroke Scale (QLASS) was constructed from items within the Quality of Life Index-Stroke Version and the Chronic Respiratory Disease Questionnaire. It was administered to 92 people with stroke at three points in time: immediately after discharge from hospital, 6 months and 12 months later. Results suggest that the QLASS has 19 items which represent three factors: emotional functioning, mastery and fatigue which correlate with valid measures of health status and activities of daily living. The QLASS is proposed as a brief, valid HRQoL tool for use among people with stroke.     

Dimensions of cancer locus of control scale as predictors of psychological adjustment and survival in breast cancer patients

The Cancer Locus of Control Scale, to investigate specific beliefs of control in cancer patients, was validated previously with an English-speaking population. This study tested the construct and concurrent validity of a 17-item French version of the scale and explored its relations with psychological adjustment and with adaptation assessed two years later. In a sample of 157 women diagnosed with a first breast cancer, the French version was administered along with the Body Image Questionnaire, the State-Trait Anxiety Inventory, the Perceived Stress Scale, the Social Support Questionnaire, and the Ways of Coping Checklist. A factor analysis performed on scores identified the three original factors: internal causal attribution, control over the course of the illness, and religious control. Internal causal attribution was associated with high scores for state and trait anxiety, negative body image, emotion-focused coping, and problem-focused coping. Control over the course of the cancer was positively associated with scores on both problem- and emotion-focused coping. Religious control was negatively associated with perceived stress. Emotional adjustment and quality of life were assessed in 59 of the 157 breast cancer patients two years after diagnosis and original testing. Hierarchical regression analyses indicated that internal causal attribution significantly predicted 38.1% of the variance in rated state anxiety. None of the dimensions of the Cancer Locus of Control Scale predicted the duration of survival measured two years later in 75 of the 157 patients.     

Body Image of Greek Breast Cancer Patients Treated with Mastectomy or Breast Conserving Surgery

The aim of this study was to assess and compare the body image of breast cancer patients (n = 70) whom underwent breast conserving surgery or mastectomy, as well as to compare patients’ scores with that of a sample of healthy control women (n = 70). A secondary objective of this study was to examine the reliability and validity of the 10-item Greek version of the Body Image Scale, a multidimensional measure of body image changes and concerns. Exploratory and confirmatory factor analyses on the items of this scale resulted in a two factor solution, indicating perceived attractiveness, and body and appearance satisfaction. Comparison of the two surgical groups revealed that women treated with mastectomy felt less attractive and more self-conscious, did not like their overall appearance, were dissatisfied with their scar, and avoided contact with people. Hierarchical regression analysis showed that more general body image concerns were associated with belonging to the mastectomy group, compared to the cancer-free group of women. Implications for clinical practice and recommendations for future investigations are discussed.     

术后乳腺癌患者体象对创伤后应激障碍和创伤后成长的影响：反刍的中介作用

为探讨乳腺癌患者反刍这一认知情绪调节方式在体象和创伤后应激障碍（PTSD）、创伤后成长（PTG）之间的中介作用,采用体象量表（BIS）、认知情绪调节问卷中文版（CERQ-C）、创伤后应激障碍量表（PSS）和创伤后成长问卷（PTGI）对150名乳腺癌术后患者进行研究。结果发现：（1）乳腺癌患者的体象可以正向预测PTSD和PTG;（2）乳腺癌患者的反刍在体象和PTSD的闯入性症状、回避性症状中起中介作用,在体象与PTG中的中介作用不显著。结果表明,体象既可以正向预测乳腺癌患者的PTSD和PTG,也可以通过反刍的中介作用影响PTSD。     

Body image ups and downs: prediction of intra-individual level and variability of women's daily body image experiences

This investigation assessed body image states in the context of everyday life among 108 college women. Participants initially completed measures of body image traits and eating attitudes and subsequently called an automated telephonic response system twice daily for 6 days to convey current body image experiences on the Body Image States Scale. The research examined the extent to which selected pretest variables predicted the level and variability of body image states. As hypothesized, less favorable body image state levels were associated with lower trait body image satisfaction, more body image dysphoria, more dysfunctional investment in appearance, more disturbed eating attitudes, and the use of less adaptive and more maladaptive body image coping strategies. Also as expected, body image variability was predicted by psychological investment in one's appearance, disturbed eating attitudes, and appearance-fixing coping strategies. Implications of the results and future research directions are discussed.     

Structure of the Objectified Body Consciousness Scale: Reevaluated 20 Years later

The Objectified Body Consciousness Scale (OBCS) is a prominent measure of key constructs in the body image literature. Despite the impact and popularity of the OBCS, however, investigations of its factor structure have been limited. To our knowledge, the present study is the first since the instrument’s development 20 years ago to provide a detailed evaluation of the replicability of the factor structure of OBCS data in a sample of U.S. college women, the population for which the measure was originally developed and is used most frequently. Specifically, we used confirmatory factor analyses to evaluate the structure of OBCS data and identify areas for measure refinement. Internal consistency reliability and convergent validity were also examined. A sample of 368 U.S. college women completed the OBCS along with measures of body esteem and thin-ideal internalization as convergent validity indicators. Findings revealed that OBCS Control Beliefs items were poor indicators of the factor. A two-factor structure composed of Body Surveillance and Body Shame was supported. Support for internal consistency reliability and convergent validity was also garnered. Additionally, abbreviated versions of the Body Surveillance and Body Shame subscales produced good model-data fit without sacrificing reliability or validity. These results support the use of the OBCS Body Surveillance and Body Shame subscales to assess critical aspects of body image in research and practice contexts; the abbreviated versions of these subscales can address demands for brevity in these contexts.     

Single-item vs multiple-item measures of health-related quality of life

Many survey instruments measure health-related quality of life. Researchers can choose from instruments ranging in length from one to several hundred items. A small sample of 35 chronically ill adults self-administered the Short-form General Health Survey of the Medical Outcomes Study, a 20-item health-related quality-of-life measure with established reliability and validity. One specific item on the MOS questionnaire can serve as a single-item measure of health-related quality of life. This one item correlated positively and significantly with the over-all score for health-related quality of life. The results of this analysis support the use of this single-item measure of health-related quality of life when multiple-item instruments are not suitable due to limitations of resources or sample size.     

Depression Moderates the Relationship between Body Image and Health-Related Quality of Life in Adolescent Girls

Body image can predict health-related quality of life (HRQoL) in adolescent girls through self-esteem and psychological well-being. Additionally, depression is a significant predictor of adolescents’ HRQoL and is associated with body image. Therefore, we investigated whether the relationship between body image and HRQoL in adolescent girls is moderated by depression. In this cross-sectional study, adolescent girls’ body image, depression, and HRQoL (n?=?385, age: 12–15 years) were measured through self-report questionnaires. Multiple regression and simple slope analyses were conducted to examine the moderating effect of depression. Body image was positively correlated with HRQoL, whereas depression was negatively correlated with body image and HRQoL. Body image, depression, and their interaction explained 44.9% of the variance in HRQoL. Simple slope analysis showed that a more positive body image was associated with higher HRQoL among adolescent girls without depressive symptoms, but was not significantly related to HRQoL for adolescents with depressive symptoms. The moderating effect of depression was confirmed. In conclusion, screening for depression is recommended for adolescent girls prior to implementing body image interventions in schools and the community that are aimed at improving HRQoL. Furthermore, health care providers in schools and the community should provide psychological support for depression along with body image interventions to improve the HRQoL of girls in schools and the community. In particular, for girls with depressive symptoms, depression management should be conducted beforehand.     

Body image disturbance in patients with borderline personality disorder: Impact of eating disorders and perceived childhood sexual abuse

Body image disturbances occur in women with borderline personality disorder (BPD). Systematic research on these characteristics in well-defined BPD groups is lacking. It is unknown, if the disturbances are related to eating disorders and childhood sexual abuse (CSA), which frequently co-occur in patients with BPD. In the present study, cognitive-affective and behavioral components of body image for 89 female patients with BPD (49 with lifetime eating disorders) and 41 healthy participants were assessed via Body Image Avoidance Questionnaire (BIAQ) and Multidimensional Body-Self Relations Questionnaire (MBSRQ). Within the BPD group, 43 patients reported a history of CSA. Compared to healthy controls, BPD patients reported significantly more negative scores in the BIAQ and the MBSRQ. Both a history of CSA and a comorbid eating disorder were independently associated with an even more negative body image. Results suggest a disturbance of cognitive-affective and behavioral components of body image in female BPD patients.     

Sociocultural influences on body image and body changes among adolescent boys and girls

In 2 studies, the authors evaluated the role of parents, peers, and the media in body image and body-change strategies among adolescent boys and girls. The respondents for Study 1 (423 boys and 377 girls) completed the Body Image and Body Change Inventory (L. A. Ricciardelli & M. P. McCabe, 2002) and the Perceived Sociocultural Influences on Body Image and Body Change Questionnaire (M. P. McCabe & L. A. Ricciardelli, 2001b). Body mass index and age were also included in the analyses. Regression analyses demonstrated that sociocultural influences and feedback from the participant's best male friend were important predictors for all body-change strategies among boys. For girls, sociocultural influences and feedback from the participant's best female friend and mother were important predictors for body-change strategies. The most consistent predictor of weight loss, weight gain, and strategies to increase muscles was body-image importance. In Study 2, the authors examined the influence of the same sociocultural variables, as well as negative affect and puberty on body image and body-change strategies among a second group of 199 boys and 267 girls. The results demonstrated that a broad range of sociocultural influences predicted body-change strategies for boys and girls, with negative affect also having a unique influence for boys but not for girls. Puberty played a minor role, once other sociocultural variables were entered into the regression equation. The implications of these findings are discussed.     

The Body Grid as an Assessment Tool for Body Image

The aim of this study was to analyze the body grid (BG) as an assessment tool for body image in a sample of patients with breast cancer, after surgery. We explored two measures of cognitive structure, percentage of variance accounted for by the first factor (PVAFF) and polarization, and we compared measures of body image and body self-esteem obtained by means of the BG with those obtained via a validated body image questionnaire. Our sample was composed of 23 patients (12 subjected to radical mastectomy, 11 subjected to conserving surgery) and 24 healthy controls. Participants were administered the BG and the Multidimensional Body Self Relations Questionnaire (MBSRQ). We analyzed the similarities between instruments using correlations and nonparametric tests. We have also provided two case studies to exemplify the use of the BG.

?We found statistical differences in cognitive structure between patients and healthy controls. There were no differences between women subjected to mastectomy and women with breast conserving surgery in the level of PVAFF, but there were significant differences between them in the level of polarization. We found significant correlations between body image indices of both instruments, especially self-evaluated attractiveness (MBSRQ) and distance between real and ideal body (BG). We found similar distributions of these indices in all of the samples. We concluded that the BG provides useful information about body image. The results show that both instruments assess similar constructs. This suggests that the BG is a valid instrument for body image assessment.     

Measurement invariance of the appearance schemas inventory-revised and the body image quality of life inventory across age and gender

The majority of body image measures have largely been developed with younger female samples. Before these measures can be applied to men, and to middle-aged and older women, and used to make gender and age comparisons, they must exhibit adequate cross-group measurement invariance. This study examined the age and gender cross-group measurement invariance of the Appearance Schemas Inventory-Revised (ASI-R) and the Body Image Quality of Life Inventory (BIQLI), with a sample of 1,262 adults (422 men and 840 women) aged 18 to 98 years. For the ASI-R, all groups met requirements for configural and metric invariance. Scalar invariance was found only for the three age groups, which indicated that mean comparisons may be conducted across gender for young, middle-aged, and older adults but should not be conducted across age groups within either gender. Results for the BIQLI indicated that observed mean comparisons may be conducted across all age and gender groups.