Lie Selma Øverland, Bastos Rafael Valdece Sousa, Sundgot-Borgen Christine, Wisting Line, Dahlgren Camilla Lindvall
Regional Department of Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital-Ullevål, Oslo, Norway.
São Francisco University, Paulista, Brazil.
J Eat Disord. 2024 Nov 28;12(1):195. doi: 10.1186/s40337-024-01151-4.
Negative body image and disordered eating are common among adolescents and young adults. The Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised (SATAQ-4R) captures the internalization of societal appearance ideals and perceived pressures from others but has not been validated in a Norwegian adolescent population.
The current study explored the factor structure of SATAQ-4R in a sample of adolescent Norwegian males and females (n = 1558, mean age 17.04 ± 0.95) using confirmatory factor analysis (CFA) for a 6- and 7-factor structure in females, and a 7-factor structure in males. Correlations between subscales, internal consistency and reliability, and comparisons with convergent measures (disordered eating, body mass index, negative influence of social media) were explored.
The CFA supported a 7-factor structure of the SATAQ-4R for both males and females. Internal consistency and reliability were acceptable. SATAQ-4R subscales largely correlated with disordered eating and additional convergent measures.
Results confirm the structure and reliability of the SATAQ-4R in a Norwegian adolescent population. The subscales showed good convergent validity, and high scores on internalization and societal pressures were related to higher levels of disordered eating and negative social media influence. The Norwegian version of the SATAQ-4R thus demonstrates good psychometric properties in adolescent males and females, and is well suited to capture internalization and sociocultural pressures that particularly affect adolescents. Results highlight the need to continue working towards reducing adverse internalization and improving body image among adolescents.
负面身体意象和饮食失调在青少年和青年中很常见。《社会文化外貌态度问卷-4修订版》（SATAQ-4R）捕捉了社会外貌理想的内化以及来自他人的感知压力，但尚未在挪威青少年群体中得到验证。
本研究使用验证性因素分析（CFA），对挪威青少年男性和女性样本（n = 1558，平均年龄17.04 ± 0.95）中SATAQ-4R的因素结构进行了探索，分析了女性的6因素和7因素结构以及男性的7因素结构。探讨了各分量表之间的相关性、内部一致性和信度，并与收敛性测量指标（饮食失调、体重指数、社交媒体的负面影响）进行了比较。
CFA支持SATAQ-4R在男性和女性中均为7因素结构。内部一致性和信度是可接受的。SATAQ-4R各分量表在很大程度上与饮食失调及其他收敛性测量指标相关。
结果证实了SATAQ-4R在挪威青少年群体中的结构和信度。各分量表显示出良好的收敛效度，内化和社会压力方面的高分与更高水平的饮食失调及社交媒体负面影响相关。因此，挪威版的SATAQ-4R在青少年男性和女性中表现出良好的心理测量特性，非常适合捕捉特别影响青少年的内化和社会文化压力。结果强调了继续努力减少青少年不良内化并改善身体意象的必要性。
