Psychometric properties and measurement invariance of the Weight Self-Stigma Questionnaire and Weight Bias Internalization Scale in children and adolescents

• Amir H. Pakpour ^[1] ; Meng-Che Tsai ^[2] ; Yi-Ching Lin ^[3] ; Carol Strong ^[2] ; Janet D. Latner ^[4] ; Xavier C.C. Fung ^[5] ; Chung-Ying Lin ^[5] ; Hector W.H. Tsang ^[5]
  1. [1] Qazvin University of Medical Sciences

     Qazvin University of Medical Sciences

     Irán

     
  2. [2] National Cheng Kung University

     National Cheng Kung University

     Taiwán

     
  3. [3] National Taipei University of Education

     National Taipei University of Education

     Taiwán

     
  4. [4] University of Hawaii at Manoa

     University of Hawaii at Manoa

     Estados Unidos

     
  5. [5] Hong Kong Polytechnic University

     Hong Kong Polytechnic University

     RAE de Hong Kong (China)

     

  Mostrar afiliaciones +
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 19, Nº. 2, 2019, págs. 150-159
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2019.03.001
• Títulos paralelos:
  • Propiedades psicométricas e invarianza de medición del Weight Self-Stigma Questionnaire y la Weight Bias Internalization Scale en niños y adolescentes
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 2 Citas
• Resumen
  • español

    Antecedentes/Objetivo Dadas las consecuencias negativas del sesgo de peso, incluyendo el estigma de peso internalizado, sobre los resultados de salud, se han desarrollado dos instrumentos -el Weight Self-Stigma Questionnaire (WSSQ) y la Weight Bias Internalization Scale (WBIS)-. Método:Los participantes de 8 a 12 años de edad (N = 287; 153 varones) completaron el WSSQ y la WBIS, y fueron clasificados en un grupo con sobrepeso o un grupo sin sobrepeso basado en el peso y la altura autoinformados. Resultados:Tanto en el WSSQ como en la WBIS se confirmaron sus estructuras factoriales mediante análisis factoriales confirmatorios (CFAs). La invarianza de la medida de la estructura de dos factores fue más apoyada para el WSSQ a través del género y del estado del peso. La invarianza de la medida de la estructura unifactorial fue apoyada para la WBIS a través de género, pero no a través de estado del peso. Conclusiones:WSSQ y WBIS son instrumentos válidos para evaluar la internalización del sesgo de peso. Sin embargo, los dos instrumentos demostraron diferentes propiedades y deben aplicarse en diferentes situaciones.

  • English

    Background/Objective Given the negative consequences of weight bias, including internalized weight stigma, on health outcomes, two instruments—the Weight Self-Stigma Questionnaire (WSSQ) and Weight Bias Internalization Scale (WBIS)—have been developed. However, their psychometric properties are yet to be tested for Asian pediatric populations. Method:Participants aged 8 to 12 years (N = 287; 153 boys) completed the WSSQ and the WBIS, and they were classified into either a group with overweight or a group without overweight based on self-reported weight and height. Results:Both WSSQ and WBIS had their factor structures supported by confirmatory factor analyses (CFAs). The measurement invariance of two-factor structure was further supported for WSSQ across gender and weight status. The measurement invariance of single-factor structure was supported for WBIS across gender but not across weight status. Conclusions:WSSQ and WBIS were both valid to assess the internalization of weight bias. However, the two instruments demonstrated different properties and should be applied in different situations.

• Referencias bibliográficas
  • Bagheri, Z., Jafari, P., Tashakor, E., Kouhpayeh, A., Riazi, H., Assessing whether measurement invariance of the KIDSCREEN-27 across child-parent...
  • Byrne, B.M., Shavelson, R.J., Muthén, B., Testing for the equivalence of factor covariance and mean structures: The issue of partial measurement...
  • Chan, P.L., Ng, S.S.W., Chan, D.Y.L., Psychometric properties of the Chinese version of the Kid-KINDLR Questionnaire for measuring the health-related...
  • Chan, Y., Chan, Y.Y., Cheng, S.L., Chow, M.Y., Tsang, Y.W., Lee, C., Lin, C.-Y., Investigating quality of life and self-stigma in Hong Kong...
  • Chang, C.-C., Su, J.-A., Lin, C.-Y., Using the Affiliate Stigma Scale with caregivers of people with dementia: Psychometric evaluation. Alzheimer's...
  • Cheng, O.Y., Yam, C.L.Y., Cheung, N.S., Lee, P.L.P., Ngai, M.C., Lin, C.-Y., Extended Theory of Planned Behavior on eating and physical activity....
  • Cheng, M.Y., Wang, S.-M., Lam, Y.Y., Luk, H.T., Man, Y.C., Lin, C.-Y., The relationships between weight bias, perceived weight stigma, eating...
  • Durso, L.E., Latner, J.D., Understanding self-directed stigma: Development of the weight bias internalization scale. Obesity 16:Suppl. 2 (2008),...
  • Hain, B., Langer, L., Hünnemeyer, K., Rudofsky, G., Zech, U., Wild, B., Translation and validation of the German version of the Weight Self-Stigma...
  • Harriger, J.A., Thompson, J.K., Psychological consequences of obesity: Weight bias and body image in overweight and obese youth. International...
  • Hilbert, A., Baldofski, S., Zenger, M., Löwe, B., Kersting, A., Braehler, E., Weight bias internalization scale: Psychometric properties and...
  • Hübner, C., Schmidt, R., Selle, J., Köhler, H., Müller, A., de Zwaan, M., Hilbert, A., Comparing self-report measures of internalized weight...
  • Jendrzyca, A., Warschburger, P., Weight stigma and eating behaviours in elementary school children: A prospective population-based study....
  • Lee, C.-T., Lin, C.-Y., Strong, C., Lin, Y.-F., Chou, Y.-Y., Tsai, M.-C., Metabolic correlates of health-related quality of life among overweight...
  • Lee, C.-T., Lin, C.-Y., Tsai, M.-C., Strong, C., Lin, Y.-C., Psychometric evaluation and wording effects on the Chinese version of the parent-proxy...
  • Lee, C.-T., Tsai, M.-C., Lin, C.-Y., Strong, C., Longitudinal Effects of Self-report Pubertal Timing and Menarcheal Age on Adolescent Psychological...
  • Lee, I.A., Preacher, K.J., Calculation for the test of the difference between two dependent correlations with one variable in common [Computer...
  • Lee, M.S., Dedrick, R.F., Weight bias internalization scale: Psychometric properties using alternative weight status classification approaches....
  • Lillis, J., Luoma, J.B., Levin, M.E., Hayes, S.C., Measuring weight self-stigma: The weight self-stigma questionnaire. Obesity 18 (2010),...
  • Lin, C.-Y., Ethical issues of monitoring children's weight status in school settings. Social Health & Behavior 2 (2019), 1–6 DOI:...
  • Lin, C.-Y., Ku, L.-J.E., Pakpour, A.H., Measurement invariance across educational levels and gender in 12-item Zarit Burden Interview (ZBI)on...
  • Lin, C.-Y., Strong, C., Latner, J.D., Lin, Y.-C., Tsai, M.-C., Cheung, P., Mediated effects of eating disturbances in the association of perceived...
  • Lin, C.-Y., Strong, C., Tsai, M.-C., Lee, C.-T., Raters interpret positively and negatively worded items similarly in a quality of life instrument...
  • Lin, C.-Y., Updegraff, J.A., Pakpour, A.H., The relationship between the theory of planned behavior and medication adherence in patients with...
  • Lin, K.P., Lee, M.L., Validating a Chinese version of the Weight Self-Stigma Questionnaire for use with obese adults. International Journal...
  • Lin, Y.-C., Latner, J.D., Fung, X.C.C., Lin, C.-Y., Poor health and experiences of being bullied in adolescents: Self-perceived overweight...
  • Lucena-Santos, P., Carvalho, S.A., Oliveira, M., Pinto-Gouveia, J., Body-Image Acceptance and Action Questionnaire: Its deleterious influence...
  • Maïano, C., Aimé, A., Lepage, G., Team, A.S.P.Q., Morin, A.J.S., Psychometric properties of the Weight Self-Stigma Questionnaire (WSSQ)among...
  • Pakpour, A.H., Chen, C.-Y., Lin, C.-Y., Strong, C., Tsai, M.-C., Lin, Y.-C., The relationship between children's overweight and quality...
  • Pakpour, A.H., Yekaninejad, M.S., Chen, H., Mothers’ perception of obesity in schoolchildren: A survey and the impact of an educational intervention....
  • Puhl, R.M., Heuer, C.A., The stigma of obesity: A review and update. Obesity 17 (2009), 941–964, 10.1038/oby.2008.636.
  • Puhl, R.M., King, K.M., Weight discrimination and bullying. Best Practice & Research Clinical Endocrinology & Metabolism 27 (2013),...
  • Ratcliffe, D., Ellison, N., Obesity and internalized weight stigma: A formulation model for an emerging psychological problem. Behavioural...
  • Ravens-Sieberer, U., Bullinger, M., Assessing health-related quality of life in chronically ill children with the German KINDL: First psychometric...
  • Roberto, C.A., Sysko, R., Bush, J., Pearl, R., Puhl, R.M., Schvey, N.A., Dovidio, J.F., Clinical correlates of the weight bias internalization...
  • Schafer, M.H., Ferraro, K.F., The stigma of obesity: Does perceived weight discrimination affect identity and physical health?. Social Psychology...
  • Schwimmer, J.B., Burwinkle, T.M., Varni, J.W., Health-related quality of life of severely obese children and adolescents. JAMA 289 (2003),...
  • Sevincer, G.M., Kaya, A., Bozkurt, S., Akin, E., Kose, S., Reliability, validity, and factorial structure of the Turkish version of the Weight...
  • So, H.K., Nelson, E.A., Li, A.M., Wong, E.M.C., Lau, J.T.F., Guldan, G.S., Mak, K.-H., Wang, Y., Fok, T.-F., Sung, R.Y.T., Secular changes...
  • Strong, C., Lin, Y.-C., Tsai, M.-C., Lin, C.-Y., Factor structure of Sizing Me Up, a self-reported weight-related quality of life instrument,...
  • Su, C.-T., Yang, A.-L., Lin, C.-Y., The construct of the Schizophrenia Quality of Life Scale Revision 4.0 for the population of Taiwan. Occupational...
  • Tylka, T.L., Annunziato, R.A., Burgard, D., Daníelsdóttir, S., Shuman, E., Davis, C., Calogero, R.M., The weight-inclusive versus weight-normative...
  • Williams, D.R., Yu, Y., Jackson, J.S., Anderson, N.B., Racial differences in physical and mental health: Socio-economic status, stress and...
  • Wong, P.C., Hsieh, Y.P., Ng, H.H., Shuk, F.K., Chan, K.L., Au, T.Y.A., Lin, C.-Y., Fung, X.C.C., Investigating the self-stigma and quality...
  • Yao, N.L., Hillemeier, M.M., Weight status in Chinese children: Maternal perceptions and child self-assessments. World Journal of Pediatrics...
  • Zeller, M.H., Modi, A.C., Development and initial validation of an obesity-specific quality-of-life measure for children: Sizing Me Up. Obesity...