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Development of the body image concern inventory

Heather L Littleton1, Danny Axsom, Cynthia L S Pury

  • 1Department of Obstetrics and Gynecology, University of Texas Medical Brands, 301 University Blvd., Galveston, TX 75555, USA. hlittleton@yahoo.com

Behaviour Research and Therapy
|January 5, 2005
PubMed
Summary

The Body Image Concern Inventory (BICI) effectively measures dysmorphic concern. This reliable and valid tool aids research and clinical assessment of body image issues.

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Area of Science:

  • Psychological Assessment
  • Clinical Psychology
  • Psychometrics

Background:

  • Body dysmorphic concern is a significant aspect of several psychological disorders.
  • Existing measures may not fully capture the nuances of dysmorphic concern.
  • A validated, user-friendly tool is needed for research and clinical practice.

Purpose of the Study:

  • To describe the development of the Body Image Concern Inventory (BICI).
  • To establish the psychometric properties of the BICI, including validity and reliability.
  • To assess the BICI's utility in differentiating clinical and subclinical populations.

Main Methods:

  • Expert ratings were used to support construct validity.
  • Four college student samples (N=480 total) were utilized to assess internal consistency.

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  • Concurrent and convergent validity were examined by comparing the BICI with established measures of related symptomatology.
  • Discriminant validity was tested in relation to diagnoses of Body Dysmorphic Disorder and bulimia.

    • Main Results:

    • Expert raters confirmed the construct validity of the BICI.
    • The BICI demonstrated strong internal consistency across multiple samples.
    • Concurrent and convergent validity were supported through comparisons with existing measures.
    • The BICI successfully discriminated individuals with Body Dysmorphic Disorder or bulimia from those with subclinical symptoms.

    Conclusions:

    • The Body Image Concern Inventory (BICI) is a reliable and valid instrument for assessing dysmorphic concern.
    • The BICI is a user-friendly tool with practical applications in both research and clinical settings.
    • The BICI shows promise for differential diagnosis and treatment monitoring in disorders involving body image disturbance.