Psychometric Properties of Persian Version of Body Image Shame Scale: A Study in Cosmetic Surgery Clinics

Abstract

Background: Body image shame considerably contributes to the development and persistence of eating and body image disorders. Objectives: The current study was done to determine the psychometric properties of the body image shame scale and introduce a suitable measure for researchers and therapists in the field of psychological health. Methods: In this study, 409 (136 men and 273 females) individuals who referred to cosmetic surgery clinics in Tehran were chosen. The construct validity of the body image shame was assessed using confirmatory factor analysis and divergent and convergent validity. To assess the divergent and convergent validity of the body compassion scale, appearance anxiety inventory, dysmorphic concern questionnaire and Forms of Self-Criticizing/Attacking and Self-Reassuring Scale were used. Internal Consistency and test-retest reliability (4 weeks’ interval) were used to evaluate reliability. LISREL V8.80 and SSPS V20 were used for data analysis. Results: The results of confirmatory factor analysis showed that the two-factor model (internal and external body image shame) fitted the data (RMSEA = 0.07, NFI = 0.94, CFI = 0.92). Body image shame scale had a positive, significant correlation with dysmorphic concern, appearance anxiety, and self-criticism, and a negative, significant correlation with body compassion (P < 0.05). Also, Cronbach’s alpha coefficient, for the whole of scale, internal body image shame, and external body image shame were 0.85, 0.79, and 0.82, respectively. Conclusions: Psychometric properties of the persian version of the body image shame scale were confirmed in this study. Therefore, it can be used as a valid instrument in research and clinical works in populations with concerns about body image.