Journal of Behavioral Medicine

, Volume 26, Issue 1, pp 81–94 | Cite as

Body Image in Cystic Fibrosis – Development of a Brief Diagnostic Scale

  • Kerstin Wenninger
  • Christa Weiss
  • Ulrich Wahn
  • Doris Staab


For a number of reasons, body image is an important concept in behavioral medicine. First, it is known to be related to clinical phenomena such as poor self-esteem, depression, and anxiety. Second, body image has the potential to influence the patients' self-management and compliance motivation. Finally, body image can be improved through psychological and educative interventions. This study presents the development and validation of a brief, 8-item scale assessing attitudinal body image in patients with cystic fibrosis. A principal component analysis supported three domains represented by the items: evaluation/satisfaction, importance, and trust in physical functioning/health. The test-retest correlations ranged from 0.83 to 0.88, internal consistencies were above 0.70, except for the domain “importance” (α = 0.44). The scale scores differentiated between patients with mild and severe symptoms of the disease. Regression analyses identified body image as an important predictor of the patients' health-related quality of life. In summary, our results provide preliminary evidence for the reliability and construct, concurrent, and clinical validity of the instrument.

attitudinal body image cystic fibrosis Body Image Scale validation 


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Copyright information

© Plenum Publishing Corporation 2003

Authors and Affiliations

  • Kerstin Wenninger
    • 1
  • Christa Weiss
    • 1
  • Ulrich Wahn
    • 1
  • Doris Staab
    • 1
  1. 1.Department for Paediatric Pneumology and ImmunologyCharité – Humboldt UniversityBerlinGermany

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