Psychometric Summary of the Technology-Delivered Tension Scales for Weight Management

The purpose of this article is to summarize the psychometric results from studies of the last 25 years of the Overeating Tension Scale, Exercise Tension Scale, Feelings Tension Scale, and Feelings About Weight Tension Scale. These reliable and valid technology-delivered weight management scales can be used by clinicians independently or in combination to longitudinally identify specific triggers of overeating, skipping exercise, feeling low or down, and strong feelings about one's body weight; motivational states, and related tension levels. Through cognitive behavior therapy, individuals can learn to shift to another motivational state and employ healthy coping mechanisms to avoid related negative behaviors. Psychometric results from seven developmental studies are described, including technology-delivery adaptation results from the original paper and pencil versions. Future tension scale development priorities also are discussed.