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Updated: Apr 27, 2026

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
Gender-based differential item functioning in common measures of body dissatisfaction
Erin E Reilly1, Lisa M Anderson1, Katherine Schaumberg1
1Department of Psychology, University at Albany, State University of New York, Albany, NY, United States.
Many body image questionnaires may not accurately reflect men's experiences. This study found some items showed differential item functioning (DIF), suggesting potential issues in how these tools measure male body dissatisfaction.
Area of Science:
- Psychology
- Clinical Psychology
- Psychometrics
Background:
- Widely used body image measures were often developed with female samples.
- This can limit their accuracy in assessing male body dissatisfaction.
- Existing tools may not fully capture the nuances of male body image concerns.
Purpose of the Study:
- To investigate differential item functioning (DIF) in common body image measures for males.
- To assess the suitability of the Body Shape Questionnaire, Eating Disorders Inventory (Body Dissatisfaction subscale), and Eating Disorders Examination Questionnaire (Shape and Weight Concern subscales) for male populations.
- To identify potential biases in these instruments regarding male body image.
Main Methods:
- Examined differential item functioning (DIF) across three validated body image questionnaires.
- Included a substantial sample with a significant proportion of male participants (39.7% to 44.6%).
- Utilized statistical analyses to detect item-level biases potentially affecting male respondents.
Main Results:
- Statistically significant DIF was identified in several items across the evaluated measures.
- One item met the criteria for clinically significant DIF, indicating a notable bias.
- While most items did not show clinically elevated DIF, the findings suggest a need for caution.
Conclusions:
- Current body image measures may exhibit biases that affect their validity in assessing male body dissatisfaction.
- Further research is required to fully understand and address the limitations of these tools for male populations.
- Ensuring accurate measurement of male body image concerns is crucial for effective clinical assessment and intervention.
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