Validation of the Chinese Version of the Body Image Acceptance and Action Questionnaire and the Mediating Role of Body Image Flexibility in the Relationship Between Body Dissatisfaction and Psychological Distress

He, Jinbo; Cai, Zhihui; Chen, Xinjie; Lu, Tom; Fan, Xitao

doi:10.1016/j.beth.2020.07.003

Cited by 31 publications

(20 citation statements)

References 65 publications

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“…Therefore, a higher AAQ score indicates a lower level of psychological flexibility. Prior research has found the psychometric properties of the AAQ to be satisfactory [25][26][27]. Additionally, the AAQ internal consistency in the present sample was excellent (Cronbach's α = 0.92).…”

Section: Measures Used For Concurrent Validity Of the Somisupporting

confidence: 50%

Measurement Invariance of the Sexual Orientation Microaggression Inventory across LGB Males and Females in Taiwan: Bifactor Structure Fits the Best

Hsieh

Chen

Lin

et al. 2021

IJERPH

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The present study examined the factor structure and concurrent validity of the traditional Chinese version of the Sexual Orientation Microaggression Inventory (SOMI) among lesbian, gay, and bisexual (LGB) individuals in Taiwan. In total, 1000 self-identified LGB individuals completed the SOMI, HIV and Homosexuality Related Stigma Scale (HHRSS), and Acceptance and Action Questionnaire-II (AAQ). Different factor structures (including one-factor, four-factor, bifactor, and higher-order factor structures) were evaluated using confirmatory factor analysis. The bifactor structure significantly outperformed all others on the SOMI. The bifactor structure with one general factor and four trait factors was found to be measurement invariant across biological sex with satisfactory fit indices. The SOMI general factor was significantly associated with HHRSS-Homosexuality score and AAQ score. The findings indicate that the SOMI is a psychometrically sound instrument for Taiwan sexual minority groups. More specifically, SOMI can be used to accurately assess microaggression among LGB individuals. The measure on microaggression may also provide insights for healthcare providers about LGB individuals’ sexuality-related stigma. Moreover, healthcare providers and relevant stakeholders can use the SOMI to understand how LGB individuals perceive and feel microaggression.

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Section: Measures Used For Concurrent Validity Of the Somisupporting

confidence: 50%

Measurement Invariance of the Sexual Orientation Microaggression Inventory across LGB Males and Females in Taiwan: Bifactor Structure Fits the Best

Hsieh

Chen

Lin

et al. 2021

IJERPH

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“…Except for the SCS-BF [2] , the measures used in the current sample were the same as in Study 1. In the current sample, the Cronbach's was .95, .95, .90, .85, .91 for the BAS-2 [58], the EDI-BD [31], the BI-AAQ-5 [35], the K6 [37], and the EDE-QS [39], respectively.…”

Section: Methodsmentioning

confidence: 88%

“…The 5-item Body Image-Acceptance and Action Questionnaire [BI-AAQ-5; 34] was used to assess body image in exibility. The BI-AAQ-5 exhibited good internal consistency reliability, testretest reliability, and convergent validity in Chinese young adults [35]. The items were rated on a 7-point Likert-type scale ranging from 1 (never true) to 7 (always true).…”

Section: Methodsmentioning

confidence: 99%

“…Except for the SCS-SF [1] , the measures used in Study 1 were also used in Study 2. For other measures (see Study 1 for descriptions of these measures), the Cronbach's was .90 for the BAS-2 [58], .88 for the EDI-BD [31], .86 for the BI-AAQ-5 [35], .85 for the K6 [37], and .88 for the EDE-QS [39]. BMI was also obtained with self-reported height and weight.…”

Section: Methodsmentioning

confidence: 99%

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The Chinese version of the Functionality Appreciation Scale: Psychometric properties and measurement invariance across sex and age

Cui

Barnhart

et al. 2022

Preprint

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Purpose The present work examined the psychometric properties of the Functionality Appreciation Scale (FAS) among four Chinese samples of different ages. The invariance of the FAS across sex and age was also tested. Methods Exploratory and confirmatory factor analyses (EFA and CFA) were conducted to confirm the factorial structure of the FAS among the four Chinese samples of different ages, including middle school adolescents (n = 894, Mage = 12.17 years), high school adolescents (n = 1347, Mage = 15.07 years), young adults (n = 473, Mage = 21.95 years), and older adults (n = 313, Mage = 67.90 years), and the invariance of the FAS across sex and age. Cronbach’s α was used to measure internal consistency, while correlations with theoretically related measures were employed to assess construct validity. Results The FAS had a unidimensional structure and was invariant across sex and age groups. The FAS presented sound psychometric properties in all age groups by sex, with good internal consistency reliability [e.g., high Cronbach’s α values (.91 ~ .97)] and good construct validity. Moreover, group comparisons showed minimal sex differences in functionality appreciation. However, significant age differences were found in functionality appreciation, with older ages generally associated with higher functionality appreciation. Conclusion Overall, the FAS proved to be a sound instrument to be used in the Chinese context; and functionality appreciation was found to be higher in older adults than adolescents or young adults, suggesting the potentially important role of aging in functionality appreciation. Level of Evidence: Level V, cross-sectional descriptive study

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“…The BI-AAQ was used to measure body image flexibility [35]. In this study, we used the Chinese version of the BI-AAQ provided and validated by He and Colleagues [55]. This one-dimensional scale includes 12 items (e.g., "worrying about my weight makes it difficult for me to live a life that I value").…”

Section: Body Image Acceptance and Action Questionnaire (Bi-aaq)mentioning

confidence: 99%

The Contribution of BMI, Body Image Inflexibility, and Generalized Anxiety to Symptoms of Eating Disorders and Exercise Dependence in Exercisers

Zou¹,

Yang²,

Herold³

et al. 2022

International Journal of Mental Health Promotion

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1) Background: The common factors which potentially contribute to the development of eating disorders and exercise dependence during early adulthood are still relatively unclear. The present study aimed to examine the role of BMI, body image inflexibility, and generalized anxiety in these two behavioral problems in a sample of college students. 2) Methods: In total, 878 habitual exercisers (58.1% male with BMI = 22.12 ± 2.39; 41.9% female with BMI = 20.55 ± 2.21) with age of 20.09 ± 1.76 years participated in this study. The main outcomes of interest are exercise dependence symptoms, eating disorders symptoms, body image inflexibility, and symptoms of generalized anxiety (as measured by Exercise Dependence Scale-Revised, Eating Disorder Examination-Questionnaire-Short Form, Body Image Acceptance and Action Questionnaire, and Generalized Anxiety Disorder-7, respectively). Pearson correlation, path analysis, and model fit information were tested. 3) Results: After controlling for age, gender, and field of study, lower BMI was linked to more exercise dependence symptoms but this association was not statistically significant, while a greater BMI was significantly associated with a higher risk of developing eating disorders (β = −0.08, p < 0.001). Moreover, higher body image inflexibility significantly and positively contributed to severe exercise dependence (β = 0.26, p < 0.001) as well as abnormal eating attitudes and behaviors (β = 0.74, p < 0.001). Furthermore, generalized anxiety is a significant contributor to exercise dependence symptoms (β = 0.14, p < 0.001) but not eating disorders symptoms. 4) Conclusion: Based on our finding that body image inflexibility is a common risk factor for the development of exercise dependence and eating disorders, the prevention and treatment of these two disorders should involve the improvement of psychological flexibility. In addition, the individual with a higher BMI is more vulnerable to developing eating disorders, while those who have severer generalized anxiety symptoms should be given more attention when screening for exercise dependence.

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Validation of the Chinese Version of the Body Image Acceptance and Action Questionnaire and the Mediating Role of Body Image Flexibility in the Relationship Between Body Dissatisfaction and Psychological Distress

Cited by 31 publications

References 65 publications

Measurement Invariance of the Sexual Orientation Microaggression Inventory across LGB Males and Females in Taiwan: Bifactor Structure Fits the Best

Measurement Invariance of the Sexual Orientation Microaggression Inventory across LGB Males and Females in Taiwan: Bifactor Structure Fits the Best

The Chinese version of the Functionality Appreciation Scale: Psychometric properties and measurement invariance across sex and age

The Contribution of BMI, Body Image Inflexibility, and Generalized Anxiety to Symptoms of Eating Disorders and Exercise Dependence in Exercisers

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