Abstract
Purpose
This study was aimed to examine the psychometric proprieties of the Body Image Quality of Life Inventory (BIQLI) among Brazilian, Portuguese, Mozambican, and Italian college students.
Methods
A total of 1630 subjects (Brazilians = 446; Portuguese = 480, Mozambicans = 360, and Italians = 344) completed the Portuguese (Brazilian, Portuguese, and Mozambican students) and the Italian versions (Italian students) of the BIQLI for measuring the effects of body image on one’s quality of life. Psychometric testing included confirmatory factor analysis (CFA), discriminant and convergent validity, internal consistency, and composite reliability. The cross-national invariance of the BIQLI was assessed by multi-group analysis using ΔCFI. Moreover, the global score of the BIQLI for all countries was calculated by an algorithm and compared using the Welch’s ANOVA and the Games–Howell post-test (α = 5%).
Results
CFA showed an inadequate fit of unifactorial model of the BIQLI. Therefore, an alternative model comprising nine first-order factors and one second-order factor was proposed and evaluated. This new model showed adequate fit in all samples, despite some limitations that were found with respect to its convergent and discriminant validity. The alternative BIQLI model was invariant among countries. Global scores for the influence of body image on quality of life were significantly different across countries, with the Italians presenting the lowest scores.
Conclusions
The BIQLI factorial model found in this study represents a reliable and valid alternative to its original structure for the assessment of the effect of body image on college students’ perceived quality of life. This model must be further tested in other populations.
Level of evidence
Level V, cross-sectional descriptive study.
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References
Cash TF, Smolak L (2011) Body image: a handbook of science, practice, and prevention, vol 2. Guilford Press, New York, USA
Heron KE, Mason TB, Sutton TG, Myers TA (2015) Evaluating the real-world predictive validity of the Body Image Quality of Life Inventory using ecological momentary assessment. Body Image 15:105–108. https://doi.org/10.1016/j.bodyim.2015.07.004
Manaf NA, Saravanan C, Zuhrah B (2016) The prevalence and inter-relationship of negative body image perception, depression and susceptibility to eating disorders among female medical undergraduate students. J Clin Diagn Res 10(3):1–4. https://doi.org/10.7860/JCDR/2016/16678.7341
Cash TF, Fleming EC (2002) The impact of body image experiences: development of the Body Image Quality of Life Inventory. Int J Eat Disord 31(4):455–460. https://doi.org/10.1002/eat.10033
Tod D, Edwards C (2015) Relationships among muscle dysmorphia characteristics, body image quality of life, and coping in males. J Sci Med Sport 18(5):585–589. https://doi.org/10.1016/j.jsams.2014.07.015
Tylka TL, Wood-Barcalow NL (2015) What is and what is not positive body image? Conceptual foundations and construct definition. Body Image 14(1):118–129. https://doi.org/10.1016/j.bodyim.2015.04.001
Sobanko JF, Dai J, Gelfand JM, Sarwer DB, Percec I (2018) Prospective cohort study investigating changes in body image, quality of life, and self-esteem following minimally invasive cosmetic procedures. Dermatol Surg 44(8):1121–1128. https://doi.org/10.1097/DSS.0000000000001523
Levine MP, Smolak L (2018) Prevention of negative body image, disordered eating, and eating disorders: an update. Annual review of eating disorders. CRC Press, London
Ahadzadeh AS, Rafik-Galea S, Alavi M, Amini M (2018) Relationship between body mass index, body image, and fear of negative evaluation: moderating role of self-esteem. Health Psychol Open 5(1):1–8. https://doi.org/10.1177/2055102918774251
Pawijit Y, Likhitsuwan W, Ludington J, Pisitsungkagarn K (2017) Looks can be deceiving: body image dissatisfaction relates to social anxiety through fear of negative evaluation. Int J Adolesc Med Health 29(4):1–7. https://doi.org/10.1515/ijamh-2017-0031
Cash TF, Jakatdar TA, Williams EF (2004) The Body Image Quality of Life Inventory: further validation with college men and women. Body Image 1(3):279–287. https://doi.org/10.1016/S1740-1445(03)00023-8
Rusticus SA, Hubley AM, Zumbo BD (2008) Measurement invariance of the appearance schemas inventory-revised and the body image quality of life inventory across age and gender. Assessment 15(1):60–71. https://doi.org/10.1177/1073191107306805
Huang JS, Harrity S, Lee D, Becerra K, Santos R, Mathews WC (2006) Body image in women with HIV: a cross-sectional evaluation. AIDS Res Ther 3:17. https://doi.org/10.1186/1742-6405-3-17
Lobera JI, Rios BP (2011) Body image and quality of life in a Spanish population. Int J Gen Med 4:63–72. https://doi.org/10.2147/IJGM.S16201
Assunção FF, Dantas RA, Ciol MA, Goncalves N, Farina JA Jr, Rossi LA (2013) Reliability and validity of the body image quality of life inventory: version for Brazilian burn victims. Res Nurs Health 36(3):299–310. https://doi.org/10.1002/nur.21538
Rhoten BA, Deng J, Dietrich MS, Murphy B, Ridner SH (2014) Body image and depressive symptoms in patients with head and neck cancer: an important relationship. Support Care Cancer 22(11):3053–3060. https://doi.org/10.1007/s00520-014-2312-2
Demiralp M, Demiralp B, Sarikoç G, Iyigün E, Açikel C, Başbozkurt M (2015) Turkish version of the Body Image Quality of Life Inventory (BIQLI): a validity and reliability study. Anadolu Psikiyatr De 16(1):82–90. https://doi.org/10.5455/apd.180135
Rasmussen TB, Berg SK, Dixon J, Moons P, Konradsen H (2016) Instrument translation and initial psychometric evaluation of the Danish Body Image Quality of Life Inventory. Scand J Caring Sci 30(4):830–844. https://doi.org/10.1111/scs.12311
Silva WR, Martins BG, Campos JADB (2015) Influence of body image in quality of life on the student of Pharmacy-Biochemistry. Rev Bras Qualidade de Vida. 7(4):216–229. https://doi.org/10.3895/rbqv.v7n4.3192
Dakanalis A, Carra G, Timko A, Volpato C, Pla-Sanjuanelo J, Zanetti A, Clerici M, Riva G (2015) Mechanisms of influence of body checking on binge eating. IJCHP 15(2):93–104. https://doi.org/10.1016/j.ijchp.2015.03.003
Silva WR, Santana MS, Maroco J, Maloa BFS, Campos JADB (2017) Body weight concerns: cross-national study and identification of factors related to eating disorders. PLoS One 12(7):e0180125. https://doi.org/10.1371/journal.pone.0180125
Nagy G, Brunner M, Lüdtke O, Greiff S (2017) Extension procedures for confirmatory factor analysis. J Exp Educ 85(4):574–596. https://doi.org/10.1080/00220973.2016.1260524
Swami V, Barron D (2018) Translation and validation of body image instruments: challenges, good practice guidelines, and reporting recommendations for test adaptation. Body Image 18(1):30166–30169. https://doi.org/10.1016/j.bodyim.2018.08.014
WHO (2000) Obesity: preventing and managing the global epidemic. Technical report series, Geneva: World Health Organization: WHO
Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24):3186–3191. https://doi.org/10.1097/00007632-200012150-00014
Kim KH (2005) The relation among fit indexes, power and sample size in structural equation modeling. Struct Equ Modeling 12(3):368–390. https://doi.org/10.1207/s15328007sem1203_2
Marôco J (2014) Analysis of structural equations [Análise de equações estruturais], 2nd edn. ReportNumber, Pêro Pinheiro
Kline RB (1998) Principles and practice of structural equation modeling. The Guilford Press, New York
Muthén LK, Muthén BO (2017) Mplus User’s Guide
Fornell C, Larcker DF (1981) Evaluating structural equation models with unobservable variables and measurement error. J Mark Res 18(1):39–50. https://doi.org/10.2307/3151312?uid=3737664&uid=2&uid=4&sid=21103223270061
Cheung GW, Rensvold RB (2002) Evaluating goodness-of-fit indexes for testing measurement invariance. Struct Equ Modeling 9(2):33–255. https://doi.org/10.1207/S15328007SEM0902_5
Da Silva WR, Marôco J, Ochner CN, Campos JADB (2017) Male body dissatisfaction scale (MBDS) proposal for a reduced model. Eat Weight Disord 22(3):515–525. https://doi.org/10.1007/s40519-017-0420-y
Bush HM, Williams RG, Lean ME, Anderson AS (2001) Body image and weight consciousness among South Asian, Italian and general population women in Britain. Appetite 37(3):207–215. https://doi.org/10.1006/appe.2001.0424
Silva WR, Bonafé FSS, Marôco J, Maloa BFS, Campos JADB (2018) Psychometric properties of the World Health Organization Quality of Life Questionnaire-Brief in Portuguese-speaking adults from three different countries. Trends Psychiatry Psychother 40(2):104–113. https://doi.org/10.1590/2237-6089-2017-0058
Zaccagni L, Masotti S, Donati R, Mazzoni G, Gualdi-Russo E (2014) Body image and weight perceptions in relation to actual measurements by means of a new index and level of physical activity in Italian university students. J Transl Med. https://doi.org/10.1186/1479-5876-12-42
Pedro TM, Micklesfield LK, Kahn K, Tollman SM, Pettifor JM, Norris SA (2016) Body image satisfaction, eating attitudes and perceptions of female body silhouettes in rural South African adolescents. PLoS One 11(5):e0154784. https://doi.org/10.1371/journal.pone.0154784
Dakanalis A, Zanetti AM, Riva G, Colmegna F, Volpato C, Madeddu F, Clerici M (2015) Male body dissatisfaction and eating disorder symptomatology: moderating variables among men. J Health Psychol 20(1):80–90. https://doi.org/10.1177/1359105313499198
Acknowledgements
The authors would like to thank São Paulo Research Foundation (FAPESP; Grant #2014/03093-2, #2015/00228-7), National Council for Scientific and Technological Development (CNPQ; grant #142315/2014-1) and Brazilian Federal Agency for Support and Evaluation of Graduate Education (CAPES; Finance Code 001) by financial support. Furthermore, we would like to thank Filipa Costa, Maria Alexandra Costa, Andreia Caldeira and Bianca Gonzalez Martins for their contribution to the data collection process. We also acknowledge the support of the William James Center for Research, which is funded by the Foundation for Science and Technology (FCT; grant UID/PSI/04810/2013).
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This study was approved by the Human Research Ethics Committee of each country (School of Pharmaceutical Sciences-Brazil; Lisbon School of Nursing-Portugal; College of Educational Sciences and Psychology-Mozambique; and Rectoria of Università Cattolica-Italy).
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da Silva, W.R., Pimenta, F., Zaffaroni, L. et al. Body Image Quality of Life Inventory: cross-national study in college students from four different countries. Eat Weight Disord 25, 1079–1088 (2020). https://doi.org/10.1007/s40519-019-00732-6
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DOI: https://doi.org/10.1007/s40519-019-00732-6