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Wang Q, Lin J, Zheng Q, Kang L, Zhang X, Zhang K, Lin R, Lin R. Validation and psychometric testing of the Chinese version of the prenatal body image questionnaire. BMC Pregnancy Childbirth 2024; 24:102. [PMID: 38302902 PMCID: PMC10835852 DOI: 10.1186/s12884-024-06281-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 01/20/2024] [Indexed: 02/03/2024] Open
Abstract
BACKGROUND The body image during pregnancy potentially affects both short- and long-term maternal and child health outcomes, including pregnancy mood, postpartum weight recovery, and the quality of mother-child interactions. However, research on the impact of body changes during pregnancy in the Chinese population is scarce. A comprehensive, practical, and reliable tool for assessing pregnant women is needed to detect, intervene in, and implement the reduction of physical dissatisfaction risk. This study translated the Prenatal Body Image Questionnaire (PBIQ) into the Chinese version (PBIQ-C) to assess the body image of pregnant women and evaluated its reliability and validity. METHODS An improved Brislin translation model was used for the translation. A panel of experts determined the content validity. A convenience sample of 429 pregnant women was chosen from three third-class hospitals in different regions of Fujian Province, China. Factor analysis, Pearson's correlation, retest reliability, and Cronbach's alpha were employed to evaluate structural validity and reliability. RESULTS The final PBIQ-C had five dimensions with 21 items. Exploratory factor analysis obtained a five-factor solution, which accounted for a total of 60.34%. Confirmatory factor analysis showed that the model fit of the five-factor model also reached a satisfactory model fit after modifying: The Comparative Fit Index was 0.93, and the Tucker-Lewis Index was 0.92; the Root Mean Square Error of Approximation was 0.079. The content validity index of the scale ranged from 0.63 ~ 1.00. The Cronbach's alpha coefficient was 0.95 for the total scale, and the test-retest reliability was 0.80. CONCLUSIONS The findings indicated that the PBIQ-C is a valid and reliable instrument for assessing women's body image during pregnancy, which helps in the early identification of body dissatisfaction during pregnancy and enables the early prevention of postpartum depression.
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Affiliation(s)
- Qiaosong Wang
- School of Nursing, Fujian Medical University, Fuzhou City, China
| | - Jingjing Lin
- The First Affiliated Hospital of Fujian Medical University, Fuzhou City, China
| | - Qirong Zheng
- School of Nursing, Fujian Medical University, Fuzhou City, China
| | - Liping Kang
- Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou City, China
| | - Xueling Zhang
- The First Affiliated Hospital of Fujian Medical University, Fuzhou City, China
| | - Kun Zhang
- School of Nursing, Fujian Medical University, Fuzhou City, China
| | - Rong Lin
- The First Affiliated Hospital of Fujian Medical University, Fuzhou City, China
| | - Rongjin Lin
- School of Nursing, Fujian Medical University, Fuzhou City, China.
- The First Affiliated Hospital of Fujian Medical University, Fuzhou City, China.
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Yang W, Niu G, Shi X, Song K, Zhang Y, Yuan Z. Negative family body talk and negative emotional eating among Chinese adolescent girls and young adult women: The role of body dissatisfaction and feminism consciousness. Appetite 2023:106973. [PMID: 37419281 DOI: 10.1016/j.appet.2023.106973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 07/03/2023] [Accepted: 07/05/2023] [Indexed: 07/09/2023]
Abstract
Negative emotional eating has been increasingly a prominent disordered eating and public health problem among young women, especially during COVID-19. Although previous studies have attempted to explain the relationship between body talk and negative emotional eating, limited studies focused on examining the potential mechanisms, especially the potential protective mechanism. Thus, the current study aimed to examine the relationship between negative family body talk (NFBT) and negative emotional eating, as well as its underlying mechanism - the mediating role of body dissatisfaction (BDIS) and the moderating role of feminism consciousness (FC). A cross-sectional study was employed among a sample of Chinese girls and young women (n = 813, Mage = 19.4 years) from a junior college in central China. Participants completed surveys assessing NFBT (Adapted Body Talk Scale), BDIS (Body Image State Scale), negative emotional eating (Dutch Eating Behavior Questionnaire), and FC (Synthesis Subscale from Feminist Identity Composite). A moderated mediation analysis was conducted. The results showed that: (1) after controlling for age and BMI, NFBT was positively associated with negative emotional eating, and BDIS could significantly mediate this relationship (mediating effect = 0.03, 95% CI [0.02, 0.06]); (2) FC significantly moderated both the direct relationship between NFBT and negative emotional eating and the relationship between NFBT and BDIS. Specifically, these two associations were not significant for participants with higher FC (+1SD above average). This study deepens our understanding of the relationship between NFBT and negative emotional eating, as well as the protective role of FC. If future studies demonstrate causal relationships, this evidence could point to a need for programs to prevent negative emotional eating in young women by increasing their level of feminism consciousness.
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Affiliation(s)
- Wencheng Yang
- School of Psychology, Central China Normal University, Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, 430079, China; Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, 430079, China
| | - Gengfeng Niu
- School of Psychology, Central China Normal University, Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, 430079, China; Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, 430079, China; Center for Research on Internet Literacy and Behavior, Central China Normal University, Wuhan, 430079, China; Central China Normal University Branch, Collaborative Innovation Center of Assessment Toward Basic Education Quality, Wuhan, 430079, China.
| | - Xiaohan Shi
- School of Psychology, Central China Normal University, Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, 430079, China; Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, 430079, China
| | - Kuai Song
- School of Psychology, Central China Normal University, Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, 430079, China; Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, 430079, China; School of Preschool Education, Hubei Preschool Teachers College, Ezhou, 436032, China
| | - Yumang Zhang
- School of Psychology, Central China Normal University, Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, 430079, China; Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, 430079, China
| | - Zihui Yuan
- School of Psychology, Central China Normal University, Key Laboratory of Human Development and Mental Health of Hubei Province, Wuhan, 430079, China; Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, 430079, China
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