The Body Appreciation Scale: development and psychometric evaluation

Body image has been conceptualized and assessed almost exclusively in terms of its negative dimensions. Therefore, a measure reflecting body appreciation, an aspect of positive body image, was developed and evaluated via four independent samples of college women. Study 1 (N = 181) supported the Body Appreciation Scale's (BAS) unidimensionality and construct validity, as it was related as expected to body esteem, body surveillance, body shame, and psychological well-being. Study 2 (N = 327) cross-validated its unidimensionality. Study 3 (N = 424) further upheld the construct validity of the BAS, as it was: (a) related as expected to appearance evaluation, body preoccupation, body dissatisfaction, and eating disorder symptomatology and (b) unrelated to impression management. Studies 1 and 3 also indicated that the BAS predicted unique variance in psychological well-being above and beyond extant measures of body image. Study 4 (N = 177) demonstrated that its scores were stable over a 3-week period. All studies supported the internal consistency reliability of its scores. The BAS should prove useful for researchers and clinicians interested in positive body image assessment.     

Development and validation of the Male Body Talk Scale: A psychometric investigation

This paper details the development of the Male Body Talk (MBT) scale and five studies supporting the psychometric soundness of scores on this new measure. Participants were 18–65-year-old men recruited via Amazon's Mechanical Turk, introductory psychology courses, and snowball sampling. The MBT scale assesses the frequency with which men engage in negatively valenced body-related conversations with others. Two subscales were identified through a combination of exploratory and confirmatory factor analysis. The Muscle Talk subscale assesses men's tendency to express concerns regarding degree of muscularity and being too small. The Fat Talk subscale assesses men's tendency to express concerns regarding level of body fat and being overweight. Scores on the MBT scale demonstrated strong internal consistency and moderate test–retest reliability. Evidence of convergent, discriminant, and incremental validity of scores on the MBT scale is presented. This new measure is a useful tool for examining how often men engage in negative body talk.     

German translation and psychometric evaluation of the Body Appreciation Scale

This paper examined the psychometric properties of the German version of the Body Appreciation Scale (BAS), a novel scale for the assessment of positive body image. Based on a community sample of 156 women and 144 men in Austria, results showed good internal reliability and construct validity for the BAS scores, as well as a unidimensional factor structure for both women and men. Specifically, Cronbach's alpha was high for both women ( = .90) and men ( = .85), and the BAS was correlated with the body esteem scale and self-esteem. In addition, women with lower BMIs reported greater body appreciation, but no such association was found for men. Finally, there were small sex differences in BAS scores, with men scoring more positively than women (Cohen's d = 0.26). The German BAS, a useful indicator of positive body image among Austrian adults, should prove valuable for the assessment of body image in German-speaking countries.     

The Male Body Attitudes Scale: A confirmatory factor analysis with a sample of gay men

The Male Body Attitudes Scale (MBAS; Tylka, Bergeron, & Schwartz, 2005) is a recently created instrument which assesses males’ attitudes regarding their muscularity, body fat, and height. Although the MBAS was created via exploratory and confirmatory factor analyses, its factor structure has yet to be replicated with more diverse samples. The aim of the current study was to conduct a confirmatory factor analysis of the MBAS with a sample of gay men. Results from an online sample of 207 self-identified gay men revealed that the original three-factor structure of the MBAS, as well as a two-factor structure, consisting of muscularity and body fat, displayed strong factorial validity. These findings suggest that either a two- or three-factor structure may be used when assessing body image concerns in gay men.     

Gender Role Development and Body Image among Male and Female First Year College Students

In the current study we examined associations between gender role development and body image. Male and female first-semester college students (N = 434) who identified as African American, Latino/a American, and European American completed surveys about gendered personality traits (instrumentality/expressivity), gender role attitudes, and aspects of body image (e.g., satisfaction, orientation). Gendered traits were more frequently associated with body image than were gender role attitudes. In particular, individuals who were more instrumental and less inauthentic in their relationships felt more positive about their bodies. Gender role attitudes were also associated with body image, but sometimes in an unexpected direction. These findings highlight the importance of examining multiple components of gender role development and body image in both men and women.An earlier version of this paper was presented at the 2004 Biennial Meeting of the Society for Research on Adolescence, Baltimore, MD. This research was supported by grant R01 HD 41720 from the National Institute of Child Health and Human Development to Eva S. Lefkowitz.     

The (mis)measurement of body image: ten strategies to improve assessment for applied and research purposes

Body image is a multifaceted construct consisting of a variety of measured dimensions. Research in the area has mushroomed in recent years, a phenomenon paralleled by an explosion in the assessments developed to measure some aspect of the construct. Unfortunately, these developments have not always been guided by a clear-cut attention to measurement issues. Assessment errors specific to the field of body image and also germane to basic psychological measurement strategies have characterized much of the work in the area. This article outlines 10 such issues with accompanying examples and suggestions for avoiding such pitfalls. Attention to these seemingly minor methodological details should result in a more consistent conceptualization of body image, utilization of appropriate measures in specific contexts, and engender more valid comparisons of findings across disparate studies.     

Development and validation of the Body and Appearance Self-Conscious Emotions Scale (BASES)

The purpose of these studies was to develop a psychometrically sound measure of shame, guilt, authentic pride, and hubristic pride for use in body and appearance contexts. In Study 1, 41 potential items were developed and assessed for item quality and comprehension. In Study 2, a panel of experts (N = 8; M = 11, SD = 6.5 years of experience) reviewed the scale and items for evidence of content validity. Participants in Study 3 (n = 135 males, n = 300 females) completed the BASES and various body image, personality, and emotion scales. A separate sample (n = 155; 35.5% male) in Study 3 completed the BASES twice using a two-week time interval. The BASES subscale scores demonstrated evidence for internal consistency, item-total correlations, concurrent, convergent, incremental, and discriminant validity, and 2-week test–retest reliability. The 4-factor solution was a good fit in confirmatory factor analysis, reflecting body-related shame, guilt, authentic and hubristic pride subscales of the BASES. The development and validation of the BASES may help advance body image and self-conscious emotion research by providing a foundation to examine the unique antecedents and outcomes of these specific emotional experiences.     

Support for an expanded tripartite influence model with gay men

This study investigated whether an expanded tripartite influence model would represent gay men's experiences. This model was extended by adding partners and gay community involvement as sources of social influence and considering dual body image pathways (muscularity and body fat dissatisfaction) to muscularity enhancement and disordered eating behaviors. Latent variable structural equation modeling analyses upheld this model for 346 gay men. Dual body image pathways to body change behaviors were supported, although three unanticipated interrelationships emerged, suggesting that muscularity and body fat concerns and behaviors may be more integrated for gay men. Internalization of the mesomorphic ideal, appearance comparison, muscularity dissatisfaction, and body fat dissatisfaction were key mediators in the model. Of the sources of social influence, friend and media pressure to be lean, gay community involvement, and partner, friend, media, and family pressures to be muscular made incremental contributions. Unexpectedly, certain sources were directly connected to body change behaviors.     

Support for the uniqueness of body dissatisfaction from drive for muscularity among men

This study explored whether three dimensions of men's body dissatisfaction (muscularity, body fat, and height) are distinct from drive for muscularity (body image, behaviors, and attitudes) in a sample of 368 college men. If body dissatisfaction is a unique construct, then it will be associated with psychological well-being above and beyond the variance accounted for by drive for muscularity body image, behaviors, and attitudes. Findings revealed such incremental evidence, supporting body dissatisfaction's unique contribution to all five investigated indices of psychological well-being. Overall, body dissatisfaction and drive for muscularity are not completely parallel constructs, highlighting the need to assess men's dissatisfaction with their muscularity, body fat, and height for a more comprehensive picture of their body image.     

Validation and predictive utility of the Sociocultural Attitudes Toward Appearance Questionnaire for Eating Disorders (SATAQ-ED): internalization of sociocultural ideals predicts weight gain

A widely used measure of societal influences on body image and eating disturbances—the Sociocultural Attitudes Toward Appearance Questionnaire (SATAQ) was validated in women with eating disorders. The original SATAQ and measures of convergence and divergence were administered to 165 eating disordered inpatients. Factor analyses were conducted to determine the underlying structure of the SATAQ. Convergent validity, diagnostic category norms and the predictive utility of the revised SATAQ were examined. Factor analyses indicated three factors: Internalization, Awareness, and Success. Internalization significantly predicted treatment success after controlling for admission BMI and drive for thinness. The revised SATAQ-ED measures multiple aspects of societal influence, predicts short-term outcome, and can be a useful tool for evaluating potential outcome and treatment efficacy.     

Assessing body image in patients with systemic sclerosis (scleroderma): validation of the adapted Satisfaction with Appearance Scale

People with scleroderma often experience disfiguring appearance-related changes in socially visible and interpersonally salient areas. Although disfigurement can lead to body image dissatisfaction, this phenomenon has not been well investigated due to the lack of a disfigurement-specific measure. The Satisfaction With Appearance (SWAP) scale, previously developed in burn survivors, was adapted and administered to 254 participants with scleroderma to evaluate its psychometric integrity and its validity for use in a different medical population that experiences changes in appearance. Principal component analysis revealed two factors – Subjective Dissatisfaction and Perceived Social Impact – rather than the four found in burn victims. Excellent estimates of internal consistency and temporal stability and strong evidence for the reliability of the two-factor solution were found. The resulting factor structure in a scleroderma population suggests that differing medical conditions may create alternate constellations of BID, reflects the need for body image researchers to assess psychometrics across medical populations and may have clinical implications for BID interventions.     

Development of an eight-subtest short form of the WISC-IV and evaluation of its clinical utility in children with traumatic brain injury

This study evaluated the degree to which an 8-subtest short form of the Wechsler Intelligence Scale for Children—Fourth Edition would yield acceptable estimates of the long-form Full-Scale IQ index while clarifying the underlying factor structure in a sample of 100 children and adolescents with traumatic brain injury. The short-form Full-Scale IQ had sufficient (i.e., at least two thirds) nonerror covariance with its full-length counterpart. In addition, a sufficient proportion (i.e., > 80%) of these short-form estimates fell within the 90% confidence interval of the respective full-length scores. Importantly, the elimination of 2 subtests, and in particular the Picture Concepts subtest, resulted in a factor structure where each remaining subtest was fairly specifically associated with its intended scale. It is concluded that this short form can be used clinically in children with traumatic brain injury without sacrificing reliability and with more straightforward interpretability at the level of the factor index scores.     

Relations Between Body Image and Dieting Behaviors: An Examination of Gender Differences

Although links between body image and dieting behaviors have been established among women, little research is available to elucidate relations between these constructs among men. In the present study, we examined relations between men's and women's body image and healthy and unhealthy dieting behaviors. Two hundred and eight participants' (104 men, mean age = 25.88 years; 104 women, mean age = 23.87 years) body perceptions and body satisfaction were assessed using the Contour Drawing Rating Scale. Participants' dieting behaviors were assessed using the Weight Control Behavior Scale and weight status was assessed using body mass index (BMI). Analyses of relations among BMI, body satisfaction, and healthy dieting behaviors revealed a predictable pattern for both men and women; BMI was inversely related to body satisfaction and was positively related to healthy dieting behaviors. Body satisfaction was inversely related to both men's and women's healthy and unhealthy dieting behaviors. Further analyses of the relations between men's and women's body image and unhealthy dieting behaviors suggest different motives for men's and women's participation in these potentially health-compromising weight-management techniques. Results are discussed in terms of their contribution to researchers' understanding of the gendered nature of body image and dieting behaviors.     

Relationships between dissatisfaction with specific body characteristics and the Sociocultural Attitudes Toward Appearance Questionnaire-3 and Objectified Body Consciousness Scale

Body dissatisfaction was studied in 123 predominately European-American college women. Desired changes in body characteristics were associated with scores on the Sociocultural Attitudes Toward Appearance Questionnaire (SATAQ-3) and the Objectified Body Consciousness Scale (OBCS). All SATAQ-3 measures were associated with desired changes in bust size and height, but were not related to desired upper body size. In contrast, the OBCS Surveillance and Body Shame Scales were related to desired upper body size, but were not related to desired bust size or height. As hypothesized, the SATAQ-3 Pressure and Internalization-General Scales and the OBCS Surveillance and Body Shame Scales were related to desired weight and lower body size. Results indicate body dissatisfaction is a complex construct and different aspects of this construct are related to different dispositional measures. Results also indicate that the OBCS is a more narrowly focused measure than the SATAQ-3.     

Weight and muscularity concerns as longitudinal predictors of body image among early adolescent boys: a test of the dual pathways model

The purpose of this research was to examine the longitudinal contributions of weight loss and muscularity concerns as dual pathways to body image dissatisfaction among early adolescent boys. Study 1 included 67 boys who reported on weight loss concerns, internalized muscular ideal, BMI, and body dissatisfaction during 7th grade and 1 year later. In Study 2, 87 7th and 8th grade boys were assessed in the fall and spring of a school year. The results confirmed that although both weight and muscularity concerns were related to body dissatisfaction, concern with weight loss more strongly detracted from a positive body image than did muscularity concern. The findings are discussed in terms of potential developmental variations in the relative contribution of weight and muscularity to body dissatisfaction among adolescent boys.     

Measuring the validity and psychometric properties of a short form of the Hypomanic Personality Scale

The Hypomanic Personality Scale (HPS) is used to investigate hypomanic traits and risk for bipolar spectrum disorders; however, the length of the HPS (48 items) may be prohibitive for clinical research and screening purposes. Meads and Bentall (2008) developed a promising 20-item version of the HPS; however, the psychometric properties and validity of the short form have not been thoroughly examined. The present study investigated the construct validity and psychometric properties of the short HPS. A sample of 2713 non-clinically ascertained young adults was used to assess psychometric properties of the short form relative to the original scale. Two non-overlapping subsamples (n = 522; n = 145) were used to investigate the validity of the short HPS using personality and temperament questionnaires and clinical interviews of bipolar psychopathology and diagnoses. The short and original HPS generally had comparable correlations with measures of temperament, personality, impulsivity, borderline personality, grandiosity, psychosocial functioning, and alcohol use, and comparably predicted DSM bipolar and bipolar spectrum diagnoses. Overall, the short HPS was found to be both reliable and valid. However, the short HPS tended to be more strongly correlated with pathological components of hypomanic personality and less strongly correlated with exuberant and potentially adaptive aspects of the construct.     

Test-retest reliability and construct validity of Contour Drawing Rating Scale scores in a sample of early adolescent girls

Test–retest and construct validity of Contour Drawing Rating Scale (CDRS) scores were examined in 1056 Grades 7 and 8 girls. Questionnaires were completed four times, including retests at 2, 6 and 14 weeks. Test–retest reliability for current size, ideal size and current–ideal discrepancy mostly exceeded 0.70 (0.65–0.87, for the full sample, with higher rs for shorter retest periods). Ideal and current size ratings increased slightly over time. High correlations between perceived current figure and measured body mass index; moderate rs between current–ideal discrepancy and body dissatisfaction and restrained eating; and very low or no significant correlations with social desirability supported construct validity in this group. The study supported the use of the CDRS in early adolescent girls.     

Development and psychometric validation of a child Racial Attitudes Index (RAI)

The Racial Attitudes Index (RAI) measures a child’s racial attitudes. Designed for children aged 5–9 years, the RAI is delivered over the Internet using Audio Computer Assisted Self-Interviewing (ACASI). Unlike traditional binary forced-choice instruments, the RAI uses an expanded response format permitting a more nuanced understanding of patterns of children’s racial attitudes. In addition to establishing psychometric evidence of the RAI technical adequacy, hypotheses about RAI item response patterns were tested. The racial attitudes of 336 Black and White children in grades K–3 were assessed using a forced-choice instrument (Preschool Racial Attitudes Measure II) and the RAI. Findings from this study indicate measures obtained with the RAI are technically adequate, and the measure functions invariantly across racial groups. Also, patterns of children’s racial attitudes measured with the RAI are more nuanced than those obtained using the forced-choice response format.     

The Brunnsviken Brief Quality of Life Scale (BBQ): Development and Psychometric Evaluation

Measurements of subjective quality of life (QoL) are an important complement to symptom ratings in clinical research and practice. Despite there being several established QoL self-rating scales, we identified a need for a freely accessible, easy-to-use inventory, validated for use with both clinical and non-clinical samples, based on the overall life satisfaction conceptualization of QoL. The Brunnsviken Brief Quality of life scale (BBQ) was designed to meet these requirements. Items were selected by performing a factor analysis on a large data-set of QoL ratings collected previously. Six life areas (Leisure time, View on life, Creativity, Learning, Friends and Friendship, and View of self) were identified as important for overall QoL and were included in the BBQ. A psychometric evaluation was performed using two independent samples: healthy undergraduate students (n = 163), and a sample seeking treatment for social anxiety disorder (n = 568). Results suggested a unifactorial structure, with good concurrent and convergent validity, high internal and test-retest reliability, and accurate classification ability. We conclude that the BBQ is a valid and reliable measure of subjective QoL for use in clinical and research settings. The BBQ is presently available in 31 languages and can be freely downloaded from www.bbqscale.com.     

Characteristics and effectiveness of stand-alone body image treatments: a review of the empirical literature

This literature review examined the characteristics and effectiveness of treatments dedicated exclusively to body image. A total of 18 studies met selection criteria. All but one involved at least one cognitive-behavioural therapy (CBT) condition and only three compared CBT to another treatment approach. Twelve studies were conducted with non-clinical, body dissatisfied, participants and only one focussed on eating disordered women. Overall, the interventions were highly effective in improving body image and psychological variables and, to a lesser extent, eating attitude and behaviour. Changes were generally maintained at follow-up. Given their efficacy, more controlled trials of stand-alone body image treatments in clinical populations are needed. Investigating approaches other than CBT may open fruitful avenues of body image treatment.