Validation of sociocultural attitudes towards appearance questionnaire and its associations with body-related outcomes and eating disorders among Chinese adolescents

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Abstract

Introduction

The Sociocultural Attitudes Towards Appearance Questionnaire-4 Revised (SATAQ-4R) has been widely used in Western countries to link body appearance that is related to eating disorders and body dissatisfaction being commonly reported by adolescents. However, a comprehensive psychometric validation of the SATAQ-4R in Chinese adolescent samples is still lacking. To this end, the aim of the current study was to validate the gender-appropriate SATAQ-4R in a sample of Chinese adolescents, following by an investigation of its associations with body-related outcomes and eating disorder symptoms.

Methods

Two gender-specific studies were conducted to examine the psychometric properties of the SATAQ-4R-Female and SATAQ-4R-Male respectively among adolescent girls (Study1, N=344, with 73 participants at retest) and boys (Study2, N=335, with 64 participants at retest). Confirmatory factor analysis was employed to examine the factor structure and their test-retest reliability, the internal consistency and convergent validity were subsequently examined.

Results

For the SATAQ-4R-Females, the seven-factor model has a reasonable fit, with Chi-square =1112.769 ( p < 0.001), CFI = 0.91, RMSEA = 0.071, SRMR = 0.067. For the SATAR-4R-Males, an acceptable seven-factor model with Chi-square = 982.92 ( p<0.001), CFI = 0.91, RMSEA = 0.08, SRMR= 0.06 was observed. With respect to test-retest reliability, the internal consistency for 7 subscales was rated as good (Cronbach’s alpha =0.74 to 0.95) among female adolescents, likewise the internal consistency of the seven subscales was also rated as good (Cronbach’s alpha =0.70 to 0.96) among male participants. Good convergent validity was observed, reflected by associations of the subscales of the gender-specific SATAQ-4R with muscularity-related attitude, body image-acceptance, body appearance, perceived stress level, symptoms of eating disorder and self-esteem.

Discussion

For women and men, the original 7-factor structure was validated among Chinese adolescents, internal reliability coefficients for the seven subscale scores were good and test-retest reliability was acceptable. Our results also confirmed the convergent validity of the two different gender-appropriate scales.

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Author and article information

Contributors

Houyi Huang: URI : https://loop.frontiersin.org/people/2082188/overview

Alyx Taylor: URI : https://loop.frontiersin.org/people/1332913/overview

Albert Yeung: URI : https://loop.frontiersin.org/people/1587497/overview

Md M. Hossain: URI : https://loop.frontiersin.org/people/1050440/overview

Tianyou Guo: URI : https://loop.frontiersin.org/people/1956518/overview

Journal

Journal ID (nlm-ta): Front Psychiatry

Journal ID (iso-abbrev): Front Psychiatry

Journal ID (publisher-id): Front. Psychiatry

Title: Frontiers in Psychiatry

Publisher: Frontiers Media S.A.

ISSN (Electronic): 1664-0640

Publication date (Electronic): 13 March 2023

Publication date Collection: 2023

Volume: 14

Electronic Location Identifier: 1088769

Affiliations

[1] ¹Body-Brain-Mind Laboratory, The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, School of Psychology, Shenzhen University , Shenzhen, China

[2] ²Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam , Potsdam, Germany

[3] ³Shenzhen College of International Education , Shenzhen, China

[4] ⁴AECC University College, School of Rehabilitation, Sport and Psychology , Bournemouth, United Kingdom

[5] ⁵Department of Psychiatry, Harvard Medical School , Boston, MA, United States

[6] ⁶Depression Clinical and Research Program, Massachusetts General Hospital , Boston, MA, United States

[7] ⁷School of Medicine and Dentistry and Menzies Health Institute Queensland, Griffith University , Birtinya, QLD, Australia

[8] ⁸Department of Decision and Information Sciences, C.T. Bauer College of Business, University of Houston , Houston, TX, United States

[9] ⁹Department of Health Systems and Population Health Sciences, Tilman J. Fertitta Family College of Medicine, University of Houston , Houston, TX, United States

[10] ¹⁰Center for Cognitive & Brain Health, Northeastern University , Boston, MA, United States

[11] ¹¹Beckman Institute, University of Illinois , Champaign, IL, United States

Author notes

Edited by: Felicity Sedgewick, University of Bristol, United Kingdom

Reviewed by: Aamir Memon, Peoples University of Medical and Health Sciences for Women, Pakistan; Xiaoqing Hu, Fujian Normal University, China

*Correspondence: Tianyou Guo, gtyou168@ 123456126.com

^†These authors have contributed equally to this work and share first authorship

This article was submitted to Psychological Therapy and Psychosomatics, a section of the journal Frontiers in Psychiatry

Article

DOI: 10.3389/fpsyt.2023.1088769

PMC ID: 10041934

SO-VID: 7d23bb4a-5db1-486e-ba91-a5b7e8197093

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

History

Date received : 03 November 2022

Date accepted : 03 February 2023

Page count

Figures: 2, Tables: 4, Equations: 0, References: 46, Pages: 11, Words: 7462

Funding

Funded by: Shenzhen University, doi 10.13039/501100009019;

Funded by: Natural Science Foundation of Guangdong Province of China

Validation of sociocultural attitudes towards appearance questionnaire and its associations with body-related outcomes and eating disorders among Chinese adolescents

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Abstract

Introduction

Methods

Results

Discussion

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