Der Body Image Disturbance Questionnaire
Evaluation der deutschen Version eines Fragebogens zur Erfassung der Körperbildstörung als Kombination der Körperunzufriedenheit, assoziierter Belastung und Beeinträchtigung
Abstract
Zusammenfassung. Eine Körperbildstörung ist ein Symptom unterschiedlicher psychischer Störungen. Im deutschen Sprachraum fehlt ein Instrument, das die Körperbildstörung transdiagnostisch, global und unter Einbezug des Ausmaßes des Leidens und der Beeinträchtigung erfasst. Der aus dem Englischen übersetzte Body Image Disturbance Questionnaire (BIDQ) wurde in mehreren Teilstudien zusammen mit inhaltlich verwandten Instrumenten bei erwachsenen Männern und Frauen eingesetzt (N = 997). In einer Studie wurde der BIDQ erneut nach 4 Wochen von einem Anteil der Teilnehmenden (n = 68) ausgefüllt. Die bestätigte einfaktorielle Struktur des BIDQ zeigte eine exzellente interne Konsistenz (α = .92) und kurzfristige Stabilität (r = .89, p < .001). Er korrelierte signifikant mit spezifischen Körperbildkomponenten, körperbildassoziierter Psychopathologie und psychosozialem Wohlbefinden (BMI: .16 ≤ r ≤ .70; Essstörungspsychopathologie: alle p < .001). Der deutsche BIDQ erfasst erfolgreich transdiagnostisch die Schwere einer Körperbildstörung. Nach erwiesener Veränderungssensitivität kann er auch im Rahmen der Verlaufsdiagnostik bei der Behandlung unterschiedlicher psychischer Störungen eingesetzt werden.
Abstract. Body image disturbance is an important component of various mental disorders. However, in the German-speaking area, an instrument assessing body image disturbance transdiagnostically and globally including the measurement of associated distress and interference is missing. The translated German Body Image Disturbance Questionnaire (BIDQ) was implemented in different studies in adult women and men (N = 997) alongside related measures. In one study, participants completed the BIDQ again after 4 weeks (n = 68). The confirmed one-factorial BIDQ showed excellent internal consistency (α = .92) and short-term stability (r = .89, p < .001). It was significantly associated with specific body image components, body image-related pathology, and psychosocial functioning (BMI: .16 ≤ r ≤ .70, eating disorder pathology: all p < .001). The German BIDQ can assess the extent of body image disturbance transdiagnostically. After confirmation of its sensitivity for change, it might be used to capture treatment-related changes in body image in mental disorders.
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