Objective: To revise the Chinese version of the Body Image Flexibility and Inflexibility Scale and examine its reliability and validity among Chinese college students.
Methods: From November to December 2023, convenience sampling was employed to survey 1 062 undergraduate students from three universities in Inner Mongolia Autonomous Region and Sichuan Province. Firstly, 30 students participated in a comprehensibility test on the initial Chinese version of the Body Image Flexibility and Inflexibility Scale to form the formal scale. Subsequently, the formal scale was used to measure 480 college students, and the data were subjected to item analysis and exploratory factor analysis. In the end, the formal scale was used to measure 482 college students, and confirmatory factor analysis and reliability and validity tests were conducted on the data. Two weeks later, 70 college students were asked to re-test for assessing test-retest reliability.
Results: Exploratory factor analysis revealed two dimensions in the Chinese version of the Body Image Flexibility Subscale: mindful acceptance and positive affective cognition, encompassing 12 items in total; and two dimensions in the Chinese version of the Body Image Inflexibility Subscale: active avoidance and negative affective cognition, with 11 items in total. Confirmatory factor analysis indicated that the models of the Chinese version of the Body Image Flexibility Subscale and Body Image Inflexibility Subscale both demonstrated good fitness (χ2/df=2.663, NFI=0.909, TLI=0.926, CFI=0.940, IFI=0.941, RMSEA=0.059; χ2/df=3.437, NFI=0.930, TLI=0.934, CFI=0.949, IFI=0.949, RMSEA=0.071). The Flexibility Subscale was negatively correlated with body perception (r=-0.07, p<0.05) and positively correlated with body appreciation (r=0.46, p<0.01); The Inflexibility Subscale was negatively correlated with body appreciation (r=-0.07, p<0.05) and positively correlated with body perception (r=0.33, p<0.01), indicating good discriminant validity. Furthermore, reliability tests showed that the overall Cronbach’s α coefficients of the two subscales were 0.843 and 0.874, respectively, indicating good internal consistency.
Conclusion: The Chinese version of Body Image Flexibility and Inflexibility Scale has good validity and reliability among Chinese college students, with each subscale having two dimensions, making it a reliable scientific research tool.
[1] 高亚威, 刘爽爽, 于昕洋, 黄薇薇, 赵莉, 滕晶, 王葵. (2022). 对外表的社会文化态度与不健康体重控制行为: 直觉进食和身体欣赏的中介作用. 中国临床心理学杂志, 30(3), 554-560. doi: 10.16128/j.cnki.1005-3611.2022.03.012
[2] 刘超, 刘巧云. (2016). 儿童消极身体意象形成的影响因素. 中国临床心理学杂志, 24(1), 84-87. doi: 10.16128/j.cnki.1005-3611.2016.01.020
[3] 史攀, 黄于飞, 张翰之, 冷雪晨, 陈红. (2020). 消极身体意象对青少年的负面影响. 心理科学进展, 28(2), 294-304.
[4] 王春梅, 黄乐陶. (2024). 身体由我?肥胖谈论对大学生身体意象的影响. 心理技术与应用, 12(2), 65-74. doi: 10.16842/j.cnki.issn2095-5588.2024.02.001
[5] 吴明隆. (2013). 结构方程模型: Amos实务进阶. 重庆大学出版社.
[6] 徐霞, 张建新. (2010). 身体意象的知觉测评和态度测评. 心理科学进展, 18(12), 1977-1985.
[7] 杨剑. (2002). 身体自我描述问卷(PSDQ)的介绍与修订. 山东体育科技,24(1), 83-86. doi: 10.14105/j.cnki.1009-9840.2002.01.038.
[8] Aparicio-Martinez P., Perea-Moreno A. J., Martinez-Jimenez M. P., Redel-Macías M. D., Pagliari C., & Vaquero-Abellan M. (2019). Social media, thin-ideal, body dissatisfaction and disordered eating attitudes: An exploratory analysis.Int J Environ Res Public Health, 16(21), 4177. doi: 10.3390/ijerph16214177
[9] Brichacek A. L., Neill J. T., Murray K., Rieger E., & Watsford C. (2023). Ways of responding to body image threats: Development of the Body Image Flexibility and Inflexibility Scale for youth. J Contextual Behav Sci, 30, 31-40. doi: 10.1016/j.jcbs.2023.08.007
[10] Fan, S. Y., & Eiser, C. (2009). Body image of children and adolescents with cancer: A systematic review.Body Image, 6(4), 247-256. doi: 10.1016/j.bodyim.2009.06.002
[11] Gloster A. T., Walder N., Levin M. E., Twohig M. P., & Karekla M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses.J Contextual Behav Sci, 18, 181-192. doi: 10.1016/j.jcbs.2020.09.009
[12] He J. B., Cai Z. H., Chen X. J., Lu T., & Fan X. T. (2021). 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.Behav Ther, 52(3), 539-551. doi: 10.1016/j.beth.2020.07.003
[13] Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives.Structural Equation Modeling: a Multidisciplinary Journal, 6(1), 1-55. doi: 10.1080/10705519909540118
[14] Jackson T., Jiang C. C., & Chen H. (2016). Associations between Chinese/Asian versus Western mass media influences and body image disturbances of young Chinese women.Body Image, 17, 175-183. doi: 10.1016/j.bodyim.2016.03.007
[15] Karekla M., Mavraki E. Z., Nikolaou P., & Koushiou M. (2019). Validation of the Greek version of the Body Image-Acceptance and Action Questionnaire.The European Journal of Counselling Psychology, 8(1), 93-107. doi: 10.5964/ejcop.v8i1.173
[16] Kashdan T. B., Disabato D. J., Goodman F. R., Doorley J. D., & McKnight P. E. (2020). Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress.Psychol Assess, 32(9), 829-850. doi: 10.1037/pas0000834
[17] Lees B., Meredith L. R., Kirkland A. E., Bryant B. E., & Squeglia L. M. (2020). Effect of alcohol use on the adolescent brain and behavior.Pharmacol Biochem Behav, 192, 172906. doi: 10.1016/j.pbb.2020.172906
[18] Lewis-Smith H., Diedrichs P. C., & Halliwell E. (2019). Cognitive-behavioral roots of body image therapy and prevention.Body Image, 31, 309-320. doi: 10.1016/j.bodyim.2019.08.009
[19] Linardon J., Anderson C., Messer M., Rodgers R. F., & Fuller-Tyszkiewicz M. (2021). Body image flexibility and its correlates: A meta-analysis.Body Image, 37, 188-203. doi: 10.1016/j.bodyim.2021.02.005
[20] Nelson S. C., Kling J., Wängqvist M., Frisén A., & Syed M. (2018). Identity and the body: Trajectories of body esteem from adolescence to emerging adulthood.Dev Psychol, 54(6), 1159-1171. doi: 10.1037/dev0000435
[21] Piran, N. (2019). Handbook of positive body image and embodiment: Constructs, protective factors, and interventions. Oxford University Press.
[22] Rodgers R. F., Slater A., Gordon C. S., McLean S. A., Jarman H. K., & Paxton S. J. (2020). A biopsychosocial model of social media use and body image concerns, disordered eating, and muscle-building behaviors among adolescent girls and boys.J Youth Adolesc, 49(2), 399-409. doi: 10.1007/s10964-019-01190-0
[23] Ullrich-French, S., & Cox, A. E. (2022). A negative body image contextualization of the self-compassion scale.Body Image, 42, 447-455. doi: 10.1016/j.bodyim.2022.07.016
[24] Wang S. B., Haynos A. F., Wall M. M., Chen C., Eisenberg M. E., & Neumark-Sztainer D. (2019). Fifteen-year prevalence, trajectories, and predictors of body dissatisfaction from adolescence to middle adulthood.Clin Psychol Sci, 7(6), 1403-1415. doi: 10.1177/2167702619859331
[25] Webb, J. B. (2015). Body image flexibility contributes to explaining the link between body dissatisfaction and body appreciation in White college-bound females. J Contextual Behav Sci, 4(3), 176-183. doi: 10.1016/j.jcbs.2015.06.001
[26] Webb J. B., Wood-Barcalow N. L., & Tylka T. L. (2015). Assessing positive body image: Contemporary approaches and future directions.Body Image, 14, 130-145. doi: 10.1016/j.bodyim.2015.03.010
[27] Wu Y., Mulkens S., & Alleva J. M. (2022). Body image and acceptance of cosmetic surgery in China and the Netherlands: A qualitative study on cultural differences and similarities.Body Image, 40, 30-49. doi: 10.1016/j.bodyim.2021.10.007
