Validity and Reliability of the BSQ in Saudi Arabia

Abstract

Purpose: This study aimed to investigate the psychometric properties, validity, and reliability of a Saudi Arabian version of the Body Shape Questionnaire as a screening tool for body dissatisfaction in the Saudi Arabian population. An additional aim was to test the Saudi versions of the BSQ-14 and the BSQ-8C short version. Methods: The sample consisted of Saudi Arabian males and females (N= 873). All participants completed the Saudi BSQ. The Saudi versions of the BSQ-34, BSQ-14, and BSQ-8C were tested on their internal consistency, concurrent validity, concordance rate, and discriminative validity. The latter was measured by conducting a ROC analysis including an AUC using the EDE-Q shape concern scale as a comparative measure. Results: Statistical analyses revealed that the BSQ-34, BSQ-14, and BSQ-8C are valid and reliable measurement tools. All versions of the BSQ showed high AUC scores. For the BSQ-34 an optimal cut-off was determined at 81.5. In the current sample, 44.8% scored above this cut-off. For the original cut-off score of 110, in this sample 23.9% scored above. For the BSQ-8C the optimal cut-off was found at 21.5 and for the BSQ-14 the optimal cut-off was determined at 38.5. Discussion: The Saudi versions of the BSQ-34, the BSQ-14, and the BSQ-8C are suitable measurement tools for body dissatisfaction in a Saudi-Arabian population. As body dissatisfaction is viewed as a risk factor for the development of eating disorders, the assessment of body dissatisfaction with reliable tools is an integral part to determine individuals at risk for eating disorders and leaves room for preventive steps.