Validation of the Chinese Version of the Body Image Concern Inventory

Author:

Wang Kui12ORCID,Yu Xin-yang12ORCID,Yu Chao-ran12,Liu Ya-fei3ORCID,Chu Min-yi3,Zhang Rui-ting12,Liang Rui12,Chen Jue4,Littleton Heather L.5,Shum David H. K.167,Chan Raymond C. K.123

Affiliation:

1. Neuropsychology and Applied Cognitive Neuroscience Laboratory, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China

2. Department of Psychology, University of Chinese Academy of Sciences, Beijing, China

3. Translational Neuropsychology and Applied Cognitive Neuroscience Laboratory, Shanghai Mental Health Centre, Shanghai Jiao Tong University School of Medicine, Shanghai, China

4. Psychosomatic Unit, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China

5. Department of Psychology, East Carolina University, Greenville, NC, USA

6. School of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China

7. Menzies Health Institute of Queensland, Griffith University, Gold Coast, Australia

Abstract

The Body Image Concern Inventory (BICI) was developed to assess dysmorphic appearance concern and has been found to be a reliable and valid instrument in Western societies. To examine the psychometric properties of a new Chinese BICI, the BICI was administered to 1,231 Chinese young adults (Study 1) and 47 female patients with eating disorders and 56 matched controls (ED; Study 2). In study 1, Cronbach’s alpha of .92 and test-retest reliability of .73 over a 6-month interval was observed for the total scale. Confirmatory factor analysis supported a 3-factor model for the BICI: avoidant behaviors (AB), safety behaviors against perceived flaws (SB), and negative appearance evaluation (NE). In study 2, ED patients scored significantly higher on the BICI total and three subscale scores than controls. In addition, AB best differentiated ED patients and matched controls (Cohen’s d = 1.52); SB best differentiated between the non-clinical female and male groups (Cohen’s d = 0.75); NE was most closely associated with level of negative affect and subjective well-being (inverse relationship) in both clinical and non-clinical groups. In conclusion, the Chinese BICI is a reliable and valid tool for evaluating dysmorphic appearance concern among Chinese speakers.

Funder

Institute of Psychology, Chinese Academy of Sciences

Publisher

SAGE Publications

Subject

Health Policy

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