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Validating the Body Uneasiness Test (BUT) in obese patients.
G Marano1, M Cuzzolaro, G Vetrone
1Obesity and Eating Disorders Unit, ASL Rovigo.
Eating and Weight Disorders : EWD
|July 7, 2007
Summary
The Body Uneasiness Test (BUT) is a reliable tool for assessing body image concerns in obesity. While BUT scores are higher in individuals with obesity, they do not directly correlate with Body Mass Index (BMI).
Area of Science:
- Psychology
- Clinical Psychology
- Obesity Research
Background:
- Body uneasiness is a significant concern for individuals with obesity.
- The Body Uneasiness Test (BUT) is a self-report questionnaire designed to assess various aspects of body image dissatisfaction.
- Understanding the psychometric properties of the BUT is crucial for its effective clinical application in obesity treatment.
Purpose of the Study:
- To evaluate the psychometric properties of the Body Uneasiness Test (BUT).
- To investigate the BUT's utility in a large sample of adults with obesity seeking treatment.
- To examine the relationship between BUT scores, Body Mass Index (BMI), gender, and age.
Main Methods:
- A clinical sample of 1,812 adults with obesity (BMI ≥ 30 kg/m²) and a control group of 457 normal-weight adults were recruited.
- Participants completed the BUT, alongside other measures such as the Binge Eating Scale (BES) and Three-Factor Eating Questionnaire (TFEQ).
- Exploratory and confirmatory factor analyses were used to assess the BUT's structure, and internal consistency and concurrent validity were evaluated.
Main Results:
- Confirmatory analyses supported a five-factor model for BUT-A and an eight-factor model for BUT-B, demonstrating satisfactory internal consistency.
- Individuals with obesity scored significantly higher on the BUT compared to normal-weight individuals.
- Females consistently reported higher BUT scores than males across all age groups and obesity classes; BUT scores did not show a linear correlation with BMI.
Conclusions:
- The Body Uneasiness Test (BUT) is a psychometrically sound and valuable multidimensional tool for the clinical assessment of body uneasiness in individuals with obesity.
- The BUT's sub-scale scores are not linearly correlated with BMI, suggesting that body image concerns extend beyond simple weight categorization.
- The BUT can aid clinicians in understanding and addressing the complex psychological aspects of body image in obesity treatment.
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