Factor structure and psychometric properties of the Spanish version of the Body Image Avoidance Questionnaire (BIAQ)

Cristina Senín-Calderón1, José L. Santos-Morocho2, Juan F. Rodríguez-Testal3
1Department of Psychology, University of Cádiz, Cádiz, Spain
2Department of Psychology, University of Cuenca, Cuenca, Ecuador
3Personality, Evaluation and Psychological Treatment Department, University of Seville, Seville, Spain

Tóm tắt

The main objective of this study was to analyse the factor structure and psychometric properties of a Spanish validation of the Body Image Avoidance Questionnaire (BIAQ) in a community sample of adolescents. A total of 4283 people (55.9% girls, aged 12–18) participated. Confirmatory factor analysis corroborated four first-order factors related to a second-order factor including the total BIAQ score, with excellent fit and invariance across sex. The total internal consistency of the questionnaire was adequate, although two factors showed low reliability. Strong relationships were found with scales evaluating preoccupation with weight and dysmorphic concerns, and moderate correlations with dissatisfaction and investment in appearance. It was found that 24.06% of adolescents with body image disturbance could be at risk of developing a body image disorder. The results of this study support the use of the Spanish translation of the BIAQ for assessing behavioural characteristic of body image disturbance. V, cross-sectional descriptive study.

Tài liệu tham khảo

Dion J, Blackburn M-E, Auclair J et al (2015) Development and aetiology of body dissatisfaction in adolescent boys and girls. Int J Adolesc Youth 20:151–166. https://doi.org/10.1080/02673843.2014.985320 Almeida S, Severo M, Araújo J et al (2012) Body image and depressive symptoms in 13-year-old adolescents. J Paediatr Child Health 48:165–171. https://doi.org/10.1111/j.1440-1754.2012.02576.x Griffiths S, Hay P, Mitchison D et al (2016) Sex differences in the relationships between body dissatisfaction, quality of life and psychological distress. Aust N Z J Public Health 40:518–522. https://doi.org/10.1111/1753-6405.12538 Neumark-Sztainer D, Paxton SJ, Hannan PJ et al (2006) Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Heal 39:244–251. https://doi.org/10.1016/j.jadohealth.2005.12.001 Stice E, Gau JM, Rohde P, Shaw H (2017) Risk factors that predict future onset of each DSM-5 eating disorder: predictive specificity in high-risk adolescent females. J Abnorm Psychol 126:35–51. https://doi.org/10.1037/abn0000219 Mountford VA, Koskina A (2017) Body Image. In: Wade T (ed) Encyclopedia of feeding and eating disorders. Springer, Singapure, pp 76–81 Phillipou A, Castle DJ, Rossell SL (2017) Anorexia nervosa: eating disorder or body image disorder? Aust New Zeal J Psychiatry 52:13–14. https://doi.org/10.1177/0004867417722640 Reas DL, Grilo CM (2004) Cognitive-behavioral assessment of body image disturbances. J Psychiatr Pract 10:314–322. https://doi.org/10.1097/00131746-200409000-00005 Cash TF (2002) A “negative body image”: Evaluating epidemiological evidence. In: Cash TF, Pruzinsky T (eds) Body image: a handbook of theory, research, and clinical practice. Guilford Press, New York, pp 38–46 Shafran R, Fairburn CG, Robinson P, Lask B (2004) Body checking and its avoidance in eating disorders. Int J Eat Disord 35:93–101. https://doi.org/10.1002/eat.10228 Hrabosky JI, Cash TF, Veale D et al (2009) Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: a multisite study. Body Image 6:155–163. https://doi.org/10.1016/j.bodyim.2009.03.001 Nikodijevic B, Buck K, Fuller-Tyszkiewicz M et al (2018) Body checking and body avoidance in eating disorders: systematic review and meta-analysis. Eur Eat Disord Rev 26:159–185. https://doi.org/10.1002/erv.2585 Mitchison D, Crino R, Hay PJ (2013) The presence, predictive utility, and clinical significance of body dysmorphic symptoms in women with eating disorders. J Eat Disord 1:1–10. https://doi.org/10.1186/2050-2974-1-20 American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM 5). APA, Arlington Cerea S, Bottesi G, Grisham JR, Ghisia M (2018) Non-weight-related body image concerns and Body Dysmorphic Disorder prevalence in patients with Anorexia Nervosa. Psychiatry Res 267:120–125. https://doi.org/10.1016/j.psychres.2018.05.068 Phillipou A, Castle DJ, Rossell SL (2018) Response: anorexia nervosa: eating disorder or body image disorder? Aust N Z J Psychiatry 52:384–385. https://doi.org/10.1177/0004867417722640 McKay D, Abramowitz J, Taylor S (2007) Discussion: the obsessive-compulsive spectrum. In: McKay D, Taylor S (eds) Obsessive-compulsive disorder: subtypes and spectrum conditions. Elsevier, pp 287–300 Blakey SM, Abramowitz JS, Mahaffey BL (2016) Do obsessive beliefs predict body image disturbance? J Obsessive Compuls Relat Disord 11:96–100. https://doi.org/10.1016/j.jocrd.2016.08.007 Naylor H, Mountford V, Brown G (2011) Beliefs about excessive exercise in eating disorders: The role of obsessions and compulsions. Eur Eat Disord Rev 19:226–236. https://doi.org/10.1002/erv.1110 Haase AM, Mountford V, Waller G (2011) Associations between body checking and disordered eating behaviors in nonclinical women. Int J Eat Disord 44:465–468. https://doi.org/10.1002/eat.20837 Kachani AT, Barroso LP, Brasiliano S et al (2014) Body checking and obsessive-compulsive symptoms in Brazilian outpatients with eating disorders. Eat Weight Disord 19:177–182. https://doi.org/10.1007/s40519-014-0111-x Pollack LO, Forbush KT (2013) Why do eating disorders and obsessive-compulsive disorder co-occur? Eat Behav 14:211–215. https://doi.org/10.1016/j.eatbeh.2013.01.004 Rosen JC, Srebnik D, Saltzberg E, Wendt S (1991) Development of a Body Image Avoidance Questionnaire. Psychol Assess 3:32–37. https://doi.org/10.1037/1040-3590.3.1.32 Walker DC, White EK, Srinivasan VJ (2018) A meta-analysis of the relationships between body checking, body image avoidance, body image dissatisfaction, mood, and disordered eating. Int J Eat Disord 1–26. https://doi.org/10.1002/eat.22867 Riva G, Molinari E (1998) Replicated factor analysis of the Italian Version of the Body Image Avoidance Questionnaire. Percept Mot Skills 86:1071–1074. https://doi.org/10.2466/pms.1998.86.3.1071 Legenbauer T, Vocks S, Schütt-Strömel S (2007) Validierung einer deutschsprachigen Version des Body Image Avoidance Questionnaire BIAQ. Diagnostica 53:218–225. https://doi.org/10.1026/0012-1924.53.4.218 Steinfeld B, Waldorf M, Bauer A et al (2018) Assessment of Body-Related Avoidance Behaviour: Validation of the German Version of the Body Image Avoidance Questionnaire (BIAQ) in Adolescents with Anorexia and Bulimia Nervosa and Healthy Controls. Psychother Psychosom Medizinische Psychol 68:126–136. https://doi.org/10.1055/s-0043-116848 Maïano C, Morin AJS, Monthuy-Blanc J, Garbarino JM (2009) The body image avoidance questionnaire: Assessment of its construct validity in a community sample of French adolescents. Int J Behav Med 16:125–135. https://doi.org/10.1007/s12529-009-9035-7 Campana ANN, Fernandes D, Silva D, Diogo M (2009) Translation and validation of the Body Image Avoidance Questionnaire (BIAQ) for the Portuguese language in Brazil. Behav Res Methods 41:236–243. https://doi.org/10.3758/BRM.41.1.236 Brytek-Matera A, Rogoza R (2016) The Polish version of the Body Image Avoidance Questionnaire: an exploratory structural equation modeling approach. Eat Weight Disord 21:65–72. https://doi.org/10.1007/s40519-015-0206-z Lydecker JA, Cotter EW, Mazzeo SE (2014) Body checking and body image avoidance: Construct validity and norms for college women. Eat Behav 15:13–16. https://doi.org/10.1016/j.eatbeh.2013.10.009 Fernandez-Vitores D (2016) El español una lengua viva [Spanish a living language]. Instituto Cervantes, Spain Hollingshead AB (1975) Four factor index of social status. Yale J Sociol 8:21–52 Oosthuizen P, Lambert T, Castle DJ (1998) Dysmorphic concern: prevalence and associations with clinical variables. Aust N Z J Psychiatry 32:129–132. https://doi.org/10.1046/j.1440-1614.1998.00377.x Senín-Calderón C, Valdés-Díaz M, Benítez-Hernández MM et al (2017) Validation of Spanish language evaluation instruments for body dysmorphic disorder and the dysmorphic concern construct. Front Psychol. https://doi.org/10.3389/fpsyg.2017.01107 Kovacs M (1992) Children’s depression inventory CDI manual. New York Multi-Health Syst pp 1–800 Del Barrio, Carrasco MÁC (2004) CDI: inventario de depresión infantil : manual. TEA Ediciones, Madrid Cash TF (2000) User´s manual for the Multidimensional Body-Self Relations Questionnaire. Norfolk, VA: Old Dominion University [On-line]. Available from the author at www.body-images.com Roncero M, Perpiñá C, Marco JH, Sanchez-Reales S (2015) Confirmatory factor analysis and psychometric properties of the Spanish version of the Multidimensional Body-Self Relations Questionnaire-Appearance Scales. Body Image 14:47–53. https://doi.org/10.1016/j.bodyim.2017.01.003 Baumgartner H, Homburg C (1996) Applications of structural equation modeling in marketing and consumer research: a review. Int J Res Mark 13:139–161. https://doi.org/10.1016/0167-8116(95)00038-0 Schermelleh-Engel K, Moosbrugger H, Müller H (2003) Evaluating the fit of structural equation models: tests of significance and descriptive goodness-of-fit measures. Methods Psychol Res Online 8:23–74. https://doi.org/10.1002/0470010940 Chen FF (2007) Sensitivity of goodness of fit indexes to lack of measurement invariance. Struct Equ Model 14:464–504. https://doi.org/10.1080/10705510701301834 Tabachnick BG, Fidell LS (2007) Using multivariate statistics. Pearson Education, Boston Pellizzer ML, Tiggemann M, Waller G, Wade TD (2018) Measures of body image: confirmatory factor analysis and association with disordered eating. Psychol Assess 30:143–153. https://doi.org/10.1037/pas0000461 Senín-Calderón C, Rodríguez-Testal JF, Perona-Garcelán S, Perpiñá C (2017) Body image and adolescence: a behavioral impairment model. Psychiatry Res 248:121–126. https://doi.org/10.1016/j.psychres.2016.12.003