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This study of the reliability and validity of scales from the Child's Report of Parental Behavior (CRPBI) presents data on the utility of aggregating the ratings of multiple observers. Subjects were 680 individuals from 170 families. The participants in each family were a college freshman student, the mother, the father, and 1 sibling. The results revealed moderate internal consistency (M = .71) for all rater types on the 18 subscales of the CRPBI, but low interrater agreement (M = .30). The same factor structure was observed across the 4 rater types; however, aggregation within raters across salient scales to form estimated factor scores did not improve rater convergence appreciably (M = .36). Aggregation of factor scores across 2 raters yields much higher convergence (M = .51), and the 4-rater aggregates yielded impressive generalizability coefficients (M = .69). These and other analyses suggested that the responses of each family member contained a small proportion of true variance and a substantial proportion of factor-specific systematic error. The latter can be greatly reduced by aggregating scores across multiple raters.

This study of the reliability and validity of scales from the Child's Report of Parental Behavior (CRPBI) presents data on the utility of aggregating the ratings of multiple observers. Subjects were 680 individuals from 170 families. The participants in each family were a college freshman student, the mother, the father, and 1 sibling. The results revealed moderate internal consistency (M = .71) for all rater types on the 18 subscales of the CRPBI, but low interrater agreement (M = .30). The same factor structure was observed across the 4 rater types; however, aggregation within raters across salient scales to form estimated factor scores did not improve rater convergence appreciably (M = .36). Aggregation of factor scores across 2 raters yields much higher convergence (M = .51), and the 4-rater aggregates yielded impressive generalizability coefficients (M = .69). These and other analyses suggested that the responses of each family member contained a small proportion of true variance and a substantial proportion of factor-specific systematic error. The latter can be greatly reduced by aggregating scores across multiple raters.

Abdominoplasty is an increasingly common aesthetic surgery procedure that has yet to be evaluated using the most recently developed and psychometrically sophisticated measures of body image and quality-of-life outcomes. This study prospectively evaluated 30 consecutive female abdominoplasty patients, preoperatively and postoperatively, using measures of body image, psychological investment in appearance, and general psychosocial functioning. One-way repeated-measures (pretest versus posttest) analyses of variance revealed significant positive postsurgical changes on the Appearance Evaluation subscale of the Multidimensional Body-Self Relations Questionnaire. Mean scores for the questionnaire's Body Areas Satisfaction Scale improved postoperatively (p < 0.001). Scores for the Body Exposure and Sexual Relations Questionnaire also improved significantly (p < 0.001) postoperatively. These findings indicate significant improvements in body image outcome, including positive changes in patients' evaluations of their overall appearance, their average body image dissatisfaction, and their experiences of self-consciousness and avoidance of body exposure during sexual activities. As predicted, no changes were seen on any measure of psychological investment in appearance or on patients' reports of general psychosocial functioning (self-esteem, satisfaction with life, or social anxiety).

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Plastic surgery reality television plays a significant role in cosmetic surgery patient perceptions and decision making. Patients who regularly watched one or more reality television show reported a greater influence from television and media to pursue cosmetic surgery, felt more knowledgeable about cosmetic surgery in general, and felt that plastic surgery reality television was more similar to real life than did low-intensity viewers.

This study evaluated the social and psychologic impact of facial trauma on previously healthy individuals. Inclusion criteria for the study included 18- to 45-year-old individuals who had a facial laceration of 3 cm or greater and/or a fractured facial bone requiring operative intervention within 6 months to 2 years prior to participation in the study. Retrospective analysis of patients at Yale New Haven Hospital Emergency Department was done between May 1997 and December 1998. When compared with a control population, the study group showed a statistically significant lower satisfaction with life, more negative perception of body image, higher incidence of posttraumatic stress disorder, higher incidence of alcoholism, and an increase in depression. Also, among the study group there was a significantly higher incidence of posttrauma unemployment, marital problems, binge drinking, jail, and lower attractiveness scores. In conclusion, in this preliminary study, it appears that the result of facial scarring/trauma includes a significantly decreased satisfaction with life, an altered perception of body image, a higher incidence of posttraumatic stress disorder, a higher incidence of alcoholism, and increased posttrauma jail, unemployment, binge drinking, and marital problems. Thus, it appears that there is significant negative social and functional impact related to facial trauma and scarring.

This paper reviews four major topics related to the long-term psychosocial rehabilitation for burn survivors; (1) Body image adjustment process; (2) Social functioning challenges; (3) Interventions designed to address psychosocial rehabilitation challenges; and (4) Current policy developments in the USA and the UK that focus on raising the rehabilitation standards for psychosocial care for burn survivors. While acknowledging the close relationship between body image distress and social functioning, these two areas are reviewed separately with the goal of addressing two specific questions. First, what does current empirical research and clinical experience teach us about each of these areas, and second, what are the most important gaps in current knowledge about body image and social functioning, respectively? The final section of the paper specifically addresses the question of what can be done, from a practical and a health policy perspective, to ensure that existing body image and social difficulties are appropriately addressed.