Definition
The Body Image Avoidance Questionnaire (BIAQ) is a self-report measure of behavioral avoidance of experiences that could increase body image-related distress or dissatisfaction. The questionnaire has 19 items across four behavioral themes: clothing (disguising or covering up the body through clothing choices), social activities (avoidance of social situations that involve eating or focus on appearance), restraint (dietary restriction), and grooming/weighing (checking behaviors such as scrutinizing oneself in the mirror and weighing). All items are scored on a 6-point scale according to the frequency of engagement in the behavior, from never (0) to always (5). Because the BIAQ assesses behavioral avoidance across multiple domains, this scale has utility helping clinicians understand patients’ body image anxiety and guiding the development of behavioral exposures in the treatment of eating disorders.
Historical Background
Rosen and colleagues initially developed the BIAQ in...
References and Further Reading
Bamford, B. H., Attoe, C., Mountford, V. A., Morgan, J. F., & Sly, R. (2014). Body checking and avoidance in low weight and weight restored individuals with anorexia nervosa and non-clinical females. Eating Behaviors, 15(1), 5–8.
Campana, A. N., da Consolacao, M., Tavares, G. C., da Silva, D., & Diogo, M. J. (2009). Translation and validation of the Body Image Avoidance Questionnaire (BIAQ) for the Portuguese language in Brazil. Behavior Research Methods, 41(1), 236–243.
Delinsky, S. S., & Wilson, G. T. (2006). Mirror exposure for the treatment of body image disturbance. International Journal of Eating Disorders, 39(2), 108–116.
Grilo, C. M., Reas, D. L., Brody, M. L., Burke-Martindale, C. H., Rothschild, B. S., & Masheb, R. M. (2005). Body checking and avoidance and the core features of eating disorders among obese men and women seeking bariatric surgery. Behavior Research and Therapy, 43, 629–637.
Latner, J. D. (2008). Body checking and avoidance among behavioral weight-loss participants. Body Image, 5, 91–98.
Latner, J. D., Mond, J. M., Vallance, J. K., Gleaves, D. H., & Buckett, G. (2012). Body checking and avoidance in women: Associations with mental and physical health-related quality of life. Eating Behaviors, 13, 386–389.
Legenbauer, T., Vocks, S., & Schütt-Strömel, S. (2007). Validierung einer deutschsprachigen Version des Body Image Avoidance Questionnaire BIAQ. Diagnostica, 53, 218–225.
Lydecker, J. A., Cotter, E. W., & Mazzeo, S. E. (2014). Body checking and body image avoidance: Construct validity and norms for college women. Eating Behaviors, 15(1), 13–16.
Maïano, C., Morin, A. J., Monthuy-Blanc, J., & Garbarino, J. M. (2009). The Body Image Avoidance Questionnaire: Assessment of its construct validity in a community sample of French adolescents. International Journal of Behavioral Medicine, 16(2), 125–135.
Reas, D. L., Grilo, C. M., Masheb, R. M., & Wilson, G. T. (2005). Body checking and avoidance in overweight patients with binge eating disorder. International Journal of Eating Disorders, 37(4), 342–346.
Riva, G., & Molinari, E. (1998). Replicated factor analysis of the Italian version of the Body Image Avoidance Questionnaire. Perceptual and Motor Skills, 86(3), 1071–1074.
Rosen, J. C., Srebnik, D., Saltzberg, E., & Wendt, S. (1991). Development of a Body Image Avoidance Questionnaire. Psychological Assessment, 3(1), 32–37.
Timko, C. A., Juarascio, A. S., Martin, L. M., Faherty, A., & Kalodner, C. (2014). Body image avoidance: An under-explored yet important factor in the relationship between body image dissatisfaction and disordered eating. Journal of Contextual Behavioral Science, 3(3), 203–211.
Vossbeck-Elsebusch, A. N., Waldorf, M., Legenbauer, T., Bauer, A., Cordes, M., & Vocks, S. (2015). Overestimation of body size in eating disorders and its association to body-related avoidance behavior. Eating and Weight Disorders: Studies on Anorexia, Bulimia and Obesity, 20(2), 173–178.
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Lydecker, J.A. (2015). Body Image Avoidance Questionnaire (BIAQ). In: Wade, T. (eds) Encyclopedia of Feeding and Eating Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-287-087-2_130-1
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DOI: https://doi.org/10.1007/978-981-287-087-2_130-1
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