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07-01-2023 | Original Article

Development of a Forced Choice Assessment of Appearance Importance: The Appearance Preference Task (APT)

Auteurs: Tapan A. Patel, Berta J. Summers, Jesse R. Cougle

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2023

Abstract

Background

Appearance importance is a core transdiagnostic construct that has been identified in the maintenance of body-image pathology that has primarily been measured through self-report questionnaires.

Methods

The Appearance Preference Task (APT) is a 33-item computerized forced-choice task designed to measure appearance importance. In Study 1, the latent factor structure of the original 34 items was evaluated in a sample of undergraduate women (N = 300) through the use of principal axis factoring. In Study 2, this factor structure was replicated in another sample of women (N = 367) utilizing confirmatory factor analysis, and the validity of the APT was assessed by observing its relationship with measures of appearance importance and clinically relevant symptoms.

Results

The 33-item APT was found to be an internally consistent three-dimensional measure. The APT demonstrated appropriate convergent and divergent validity and was also associated with symptoms of eating pathology, body dysmorphic disorder, and appearance anxiety.

Conclusion

The present investigation provides preliminary support for the APT’s potential utility as a novel assessment of appearance importance.

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While appearance importance and overvaluation are used interchangeably, the present paper refers to this construct as appearance importance.

McDonald’s Omega was chosen over Cronbach’s alpha given its robustness in handling underestimation that is typical of Cronbach’s alpha.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. CrossRef

Anson, M., Veale, D., & De Silva, P. (2012). Social-evaluative versus self-evaluative appearance concerns in body dysmorphic disorder. Behaviour Research and Therapy, 50, 753–760. https://doi.org/10.1016/j.brat.2012.09.003 CrossRefPubMed

Aparicio-Martinez, P., Perea-Moreno, A. J., Martinez-Jimenez, M. P., Redel-Macías, M. D., Pagliari, C., & Vaquero-Abellan, M. (2019). Social media, thin-ideal, body dissatisfaction and disordered eating attitudes: An exploratory analysis. International Journal of Environmental Research and Public Health, 16(21), 4177. https://doi.org/10.3390/ijerph16214177 CrossRefPubMedPubMedCentral

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. https://doi.org/10.1037//0033-2909.107.2.238 CrossRefPubMed

Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21, 230–258. https://doi.org/10.1177/0049124192021002005 CrossRef

Buhlmann, U., Teachman, B. A., & Kathmann, N. (2011). Evaluating implicit attractiveness beliefs in body dysmorphic disorder using the go/no-go association task. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 192–197. https://doi.org/10.1016/j.jbtep.2010.10.003 CrossRefPubMed

Buhlmann, U., Teachman, B. A., Naumann, E., Fehlinger, T., & Rief, W. (2009). The meaning of beauty: Implicit and explicit self-esteem and attractiveness beliefs in body dysmorphic disorder. Journal of Anxiety Disorders, 23(5), 694–702. https://doi.org/10.1016/j.janxdis.2009.02.008 CrossRefPubMed

Calogero, R. M., Boroughs, M., & Thompson, J. K. (2007). The impact of western beauty ideals on the lives of women: A sociocultural perspective. In V. Swami & A. Furnham (Eds.), The body beautiful. London: Palgrave Macmillan.

Calogero, R. M., Tantleff-Dunn, S., & Thompson, J. K. (Eds.). (2011). Self-objectification in women: Causes, consequences, and counteractions (Vol. 12). American Psychological Association.

Carrard, I., Argyrides, M., Ioannou, X., Kvalem, I. L., Waldherr, K., Harcourt, D., & McArdle, S. (2021). Associations between body dissatisfaction, importance of appearance, and aging anxiety with depression, and appearance-related behaviors in women in mid-life. Journal of Women & Aging, 33(1), 70–83. https://doi.org/10.1080/08952841.2019.1681882 CrossRef

Cash, T. F., Melnyk, S. E., & Hrabosky, J. I. (2004). The assessment of body image investment: an extensive revision of the appearance schemas inventory. The International Journal of Eating Disorders, 35(3), 305–316. https://doi.org/10.1002/eat.10264 CrossRefPubMed

Clausen, L., Rosenvinge, J. H., Friborg, O., & Rokkedal, K. (2011). Validating the eating disorder inventory-3 (EDI-3): A comparison between 561 female eating disorders patients and 878 females from the general population. Journal of Psychopathology and Behavioral Assessment, 33(1), 101–110. https://doi.org/10.1007/s10862-010-9207-4 CrossRefPubMed

Coles, M. E., Phillips, K. A., Menard, W., Pagano, M. E., Fay, C., Weisberg, R. B., & Stout, R. L. (2006). Body dysmorphic disorder and social phobia: Cross-sectional and prospective data. Depression and Anxiety, 23(1), 26–33. https://doi.org/10.1002/da.20132 CrossRefPubMedPubMedCentral

Cooper, M. J. (2005). Cognitive theory in anorexia nervosa and bulimia nervosa: Progress, development and future directions. Clinical Psychology Review, 25(4), 511–531. https://doi.org/10.1016/j.cpr.2005.01.003 CrossRefPubMed

Cooper, Z., & Dalle Grave, R. (2017). Eating disorders: Transdiagnostic theory and treatment. The science of cognitive behavioral therapy (pp. 337–357). Academic Press. CrossRef

Dahl, S. M. (2014). The self-objectification scale: A new measure for assessing self-objectification. The University of North Dakota.

Didie, E. R., Kuniega-Pietrzak, T., & Phillips, K. A. (2010). Body image in patients with body dysmorphic disorder: Evaluations of and investment in appearance, health/illness, and fitness. Body Image, 7(1), 66–69. CrossRefPubMed

Didie, E. R., Menard, W., Stern, A. P., & Phillips, K. A. (2008). Occupational functioning and impairment in adults with body dysmorphic disorder. Comprehensive Psychiatry, 49, 561–569. https://doi.org/10.1016/j.comppsych.2008.04.003 CrossRefPubMed

Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41(5), 509–528. https://doi.org/10.1016/s0005-7967(02)00088-8 CrossRefPubMed

Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. CrossRef

Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15–34. CrossRef

Gitimu, P. N., Jameson, M. M., Turel, T., Pohle-Krauza, R., Mincher, J., Rowlands, Z., & Elias, J. (2016). Appearance issues, depression, and disordered eating among college females. Cogent Psychology, 3(1), 1196512. CrossRef

Gonsalves, M., Whittles, R. L., Weisberg, R. B., & Beard, C. (2019). A systematic review of the word sentence association paradigm (WSAP). Journal of Behavior Therapy and Experimental Psychiatry, 64, 133–148. https://doi.org/10.1016/j.jbtep.2019.04.003 CrossRefPubMed

Hartmann, A. S., Thomas, J. J., Greenberg, J. L., Elliott, C. M., Matheny, N. L., & Wilhelm, S. (2015). Anorexia nervosa and body dysmorphic disorder: A comparison of body image concerns and explicit and implicit attractiveness beliefs. Body Image, 14, 77–84. https://doi.org/10.1016/j.bodyim.2015.03.013 CrossRefPubMed

Heflick, N. A., Goldenberg, J. L., Cooper, D. P., & Puvia, E. (2011). From women to objects: Appearance focus, target gender, and perceptions of warmth, morality and competence. Journal of Experimental Social Psychology, 47(3), 572–581. CrossRef

Hrabosky, J. I., Masheb, R. M., White, M. A., & Grilo, C. M. (2007). Overvaluation of shape and weight in binge eating disorder. Journal of Consulting and Clinical Psychology, 75(1), 175–180. https://doi.org/10.1037/0022-006X.75.1.175 CrossRefPubMed

Korn, J., Vocks, S., Rollins, L. H., Thomas, J. J., & Hartmann, A. S. (2020). Fat-phobic and non-fat-phobic anorexia nervosa: A conjoint analysis on the importance of shape and weight. Frontiers in Psychology, 11, 90. CrossRefPubMedPubMedCentral

Koskina, A., Van den Eynde, F., Meisel, S., Campbell, I. C., & Schmidt, U. (2011). Social appearance anxiety and bulimia nervosa. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 16(2), e142–e145. https://doi.org/10.1007/BF03325321 CrossRef

Lee, J., & Johnson, K. K. (2009). Factors related to engagement in risky appearance management behaviors. Clothing and Textiles Research Journal, 27(3), 163–178. CrossRef

Li, N. P., Bailey, J. M., Kenrick, D. T., & Linsenmeier, J. A. W. (2002). The necessities and luxuries of mate preferences: Testing the tradeoffs. Journal of Personality and Social Psychology, 82(6), 947–955. https://doi.org/10.1037//0022-3514.82.6.947 CrossRefPubMed

Lindner, D., & Tantleff-Dunn, S. (2017). The development and psychometric evaluation of the self-objectification beliefs and behaviors scale. Psychology of Women Quarterly, 41(2), 254–272. CrossRef

Mastro, S., Zimmer-Gembeck, M. J., Webb, H. J., Farrell, L., & Waters, A. (2016). Young adolescents’ appearance anxiety and body dysmorphic symptoms: Social problems, self-perceptions and comorbidities. Journal of Obsessive-Compulsive and Related Disorders, 8, 50–55. CrossRef

Mond, J., Hay, P., Rodgers, B., & Owen, C. (2012). Quality of life impairment in a community sample of women with eating disorders. Australian & New Zealand Journal of Psychiatry, 46(6), 561–568. https://doi.org/10.1177/0004867411433967 CrossRef

Muthén, L. K., & Muthén, B. O. (2017). Mplus: Statistical Analysis with Latent Variables: User’s Guide (Version 8). Los Angeles, CA: Authors.

Nelson, A., & Muehlenkamp, J. J. (2012). Body attitudes and objectification in non-suicidal self-injury: Comparing males and females. Archives of Suicide Research, 16(1), 1–12. CrossRefPubMed

O’dea, J. A. (2004). Evidence for a self-esteem approach in the prevention of body image and eating problems among children and adolescents. Eating Disorders, 12(3), 225–239. CrossRefPubMed

Parsons, E. M., Straub, K. T., Smith, A. R., & Clerkin, E. M. (2017). Body dysmorphic, obsessive-compulsive, and social anxiety disorder beliefs as predictors of in vivo stressor responding. The Journal of Nervous and Mental Disease, 205(6), 471–479. https://doi.org/10.1097/NMD.0000000000000656 CrossRefPubMed

Patel, T. A., Summers, B. J., Wilver, N. L., & Cougle, J. R. (2022). Reliability and validity of the self-report version of the Yale-Brown obsessive-compulsive scale modified for body dysmorphic disorder (BDD-YBOCS). Assessment. Advance Online Publication. https://doi.org/10.1177/10731911221124341 CrossRef

Phillips, K. A., Coles, M. E., Menard, W., Yen, S., Fay, C., & Weisberg, R. B. (2005). Suicidal ideation and suicide attempts in body dysmorphic disorder. The Journal of Clinical Psychiatry, 66, 717–725. https://doi.org/10.4088/jcp.v66n0607 CrossRefPubMed

Phillips, K. A., Hart, A. S., & Menard, W. (2014). Psychometric evaluation of the Yale-Brown obsessive-compulsive scale modified for body dysmorphic disorder (BDD-YBOCS). Journal of Obsessive-Compulsive and Related Disorders, 3, 205–208. https://doi.org/10.1016/j.jocrd.2014.04.004 CrossRef

Phillips, K. A., Hollander, E., Rasmussen, S. A., Aronowitz, B. R., DeCaria, C., & Goodman, W. K. (1997). A severity rating scale for body dysmorphic disorder: Development, reliability, and validity of a modified version of the Yale-Brown obsessive-compulsive scale. Psychopharmacology Bulletin, 33(1), 17–22. PubMed

Phillips, K. A., Quinn, G., & Stout, R. L. (2008). Functional impairment in body dysmorphic disorder: A prospective, follow-up study. Journal of Psychiatric Research, 42, 701–707. https://doi.org/10.1016/j.jpsychires.2007.07.010 CrossRefPubMedPubMedCentral

Pisetsky, E. M., Thornton, L. M., Lichtenstein, P., Pedersen, N. L., & Bulik, C. M. (2013). Suicide attempts in women with eating disorders. Journal of Abnormal Psychology, 122(4), 1042–1056. https://doi.org/10.1037/a0034902 CrossRefPubMedPubMedCentral

Quittkat, H. L., Hartmann, A. S., Düsing, R., Buhlmann, U., & Vocks, S. (2019). Body dissatisfaction, importance of appearance, and body appreciation in men and women over the lifespan. Frontiers in Psychiatry, 10, 864. CrossRefPubMedPubMedCentral

Radloff, L. S. (1977). The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurements, 1, 385–401. CrossRef

Spangler, D. L., & Stice, E. (2001). Validation of the beliefs about appearance scale. Cognitive Therapy and Research, 25(6), 813–827. https://doi.org/10.1023/A:1012931709434 CrossRef

Stapleton, P., Crighton, G. J., Carter, B., & Pidgeon, A. (2017). Self-esteem and body image in females: The mediating role of self-compassion and appearance contingent self-worth. The Humanistic Psychologist, 45(3), 238–257. https://doi.org/10.1037/hum0000059 CrossRef

Summers, B. J., & Cougle, J. R. (2018). An experimental test of the role of appearance-related safety behaviors in body dysmorphic disorder social anxiety and body dissatisfaction. Journal of Abnormal Psychology, 127(8), 770–780. https://doi.org/10.1037/abn0000387 CrossRefPubMed

Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10. https://doi.org/10.1007/BF02291170 CrossRef

Veale, D. (2004). Advances in a cognitive behavioural model of body dysmorphic disorder. Body Image, 1(1), 113–125. https://doi.org/10.1016/S1740-1445(03)00009-3 CrossRefPubMed

Veale, D., Eshkevari, E., Kanakam, N., Ellison, N., Costa, A., & Werner, T. (2014). The appearance anxiety inventory: validation of a process measure in the treatment of body dysmorphic disorder. Behavioural and Cognitive Psychotherapy, 42(5), 605–616. CrossRefPubMed

Wilver, N. L., Summers, B. J., & Cougle, J. R. (2020). Effects of safety behavior fading on appearance concerns and related symptoms. Journal of Consulting and Clinical Psychology, 88(1), 65–74. https://doi.org/10.1037/ccp0000453 CrossRefPubMed

Titel: Development of a Forced Choice Assessment of Appearance Importance: The Appearance Preference Task (APT)
Auteurs: Tapan A. Patel
Berta J. Summers
Jesse R. Cougle
Publicatiedatum: 07-01-2023
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2023
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-022-10341-w

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Abstract

Background

Methods

Results

Conclusion

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