Validation of the greek version of the body image-acceptance and action questionnaire

Karekla, Maria; Mavraki, Evangelia Z.; Nikolaou, Patrisia; Koushiou, Maria

doi:10.5964/ejcop.v8i1.173

Cited by 15 publications

(6 citation statements)

References 43 publications

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“…It is a unifactorial measures and it demonstrated excellent internally consistent (α= .93), good concurrent validity and good criterion-related validity [40]. The Greek-version also demonstrated high internal consistency across two samples (a=.95) and was found to be a significant predictor of eating disorder behaviors after controlling for BMI and weight concern scores [41].…”

Section: Methodsmentioning

confidence: 99%

Randomized Clinical Trial Evaluating a Digital Gamified Acceptance and Commitment Early Intervention Program for Individuals at High-Risk for Eating Disorders

Karekla¹,

Nicolaou²,

Merwin³

2022

Preprint

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Eating Disorders (ED) constitute a serious public health issue affecting predominantly women and appearing typically in adolescence or early adulthood. EDs are extremely difficult to treat as these disorders are ego-syntonic and many patients do not seek treatment. It is vital to focus on the development of successful early-intervention programs for individuals presenting at-risk and are on a trajectory towards developing EDs. This study is a randomized controlled trial evalu-ating an innovative digital gamified Acceptance and Commitment early-intervention program (AcceptME) for young females showing signs and symptoms of an ED and at high-risk for an ED. Participants (N=92; Mage=15.30 years, SD=2.15) received either AcceptME (N=62) or a waitlist control (N=30). Analyses indicated that the AcceptME program effectively reduced weight and shape concerns, with large effects when compared to waitlist controls. Most participants scored below the at-risk cut-off (WCS score<52) in the AcceptME at end-of-intervention (57.1%) com-pared to controls (7.1%) with odds of falling into the at-risk group being 14.5 times higher for participants in the control group. At follow-up, 72% of completers reported scores below the at-risk cut-off in the AcceptME group. The intervention also resulted in a decrease in ED symp-tomatology and increased body image flexibility. Overall, results suggest that the AcceptME program holds promise for early-intervention of young women at-risk for developing an ED.

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Section: Methodsmentioning

confidence: 99%

Randomized Clinical Trial Evaluating a Digital Gamified Acceptance and Commitment Early Intervention Program for Individuals at High-Risk for Eating Disorders

Karekla¹,

Nicolaou²,

Merwin³

2022

Preprint

Self Cite

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“…The BI-AAQ has demonstrated excellent reliability (α = .92) and convergent validity with measures of awareness, acceptance, body shape, and disordered eating habits [ 77 ]. The Greek translation of the questionnaire, validated with Greek and Cypriot undergraduate students ( n = 240), showed unifactorial structure, good internal consistency (α = 0.95), and satisfactory item-total correlations (except for item 6) [ 78 ]. These findings confirm the validity and reliability of the Greek version of the BI-AAQ [ 78 ].…”

Section: Methodsmentioning

confidence: 99%

“…The Greek translation of the questionnaire, validated with Greek and Cypriot undergraduate students ( n = 240), showed unifactorial structure, good internal consistency (α = 0.95), and satisfactory item-total correlations (except for item 6) [ 78 ]. These findings confirm the validity and reliability of the Greek version of the BI-AAQ [ 78 ].…”

Section: Methodsmentioning

confidence: 99%

Exploring the neurofunctional impairments and cognitive biases concerning food and body related stimuli in anorexia nervosa: An integrated EEG and eye-tracking study protocol

Loizou,

Panagiotou,

Zanos

et al. 2024

PLoS ONE

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Background Patients with Anorexia Nervosa (AN) exhibit significant cognitive and neural disturbances compared to healthy individuals when processing food and body-related stimuli. These disturbances not only contribute to the manifestation and chronification of their pathological eating behaviour but also underscore the complex interplay of cognitive, emotional, and neurobiological factors in AN. However, the precise underlying cognitive and neural mechanisms of these disturbances remain a compelling area of investigation. Methods This study presents a protocol developed for conducting a cross-sectional quasi-experimental study using a mixed model ANOVA approach with a crossover design. Our participants will consist of 20 patients with an active diagnosis of AN, 20 Overweight/obese individuals, and 20 Healthy Controls (HCs) with a normal BMI. An integrated eye-tracking and EEG methodology will be used in conjunction, with the primary aim of assessing participants’ cognitive and neural processing towards high and low-calorie food stimuli. On an exploratory level, by utilizing the same methods, the present study will also investigate AN patients’ responses towards high weight, normal weight, low weight, and self-body pictures, as well as towards images from the International Affective Picture System (IAPS) characterized by elevated valence and arousal levels. Additionally, behavioural methods such as yes or no questions, and self-reported questionnaires will be administered. The EEG and eye-tracking data will be analysed at early (50–300 ms) and late (350–500 ms) time intervals. Discussion The investigation of the underlying cognitive and neural processes employed by patients with AN during the processing of food and body-related stimuli can help us develop a better understanding of the cognitive and neural mechanisms that contribute to the manifestation and maintenance of the disorder and assist in the development of more effective screening methods. Ethical approval and consent to participate Ethical approval for the study has been obtained by the Cyprus National Bioethics Committee on 27.04.2023 (ΕΕΒΚ/ΕΠ/2023/19), and by the University of Cyprus (20.02.2023). Written informed consent will be obtained from all participants.

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“…The Greek version of the Body Image-Acceptance and Action Questionnaire 5 (BI-AAQ-5) was used to assess body image flexibility, which is associated with greater psychological flexibility, reduced body image dissatisfaction, and less DE [ 39 ]. The BI-AAQ was customized from pre-existing psychological flexibility measures, specifically to evaluate responsiveness to body-related thoughts and emotions [ 40 ].…”

Section: Methodsmentioning

confidence: 99%

Maternal Bonding as a Protective Factor for Orthorexia Nervosa Risk in Dietetics Students

et al. 2023

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This study aimed to determine the prevalence of the risk of orthorexia nervosa (ON) in dietetics students in Greece, and its relationship with diet, risk of eating disorder (ED), body mass index (BMI), body image flexibility, and parental attachment. The participants were 132 dietetics students, with a mean age of 22.94 ± 3.5 years, who completed a series of questionnaires that recorded sociodemographic, clinical, and anthropometric characteristics; adherence to the Mediterranean diet (MedDiet); ON indicators as determined by the ORTO-15 questionnaire; body image flexibility, with the Body Image-Acceptance and Action Questionnaire (BI-AAQ-5); the risk for ED as assessed using the EAT-26; anxiety level according to the STAIT 6 instrument; and recollection of their parents’ attitudes towards them during the first 16 years of life, with the Parental Bonding Instrument (PBI). ON risk appeared to be significantly associated with BMI (p = 0.002), exercise frequency (p = 0.023), anxiety level (p = 0.002), risk of ED (p < 0.001), body image inflexibility (p < 0.001), and inversely with the affectionate constraint of maternal bonding (p = 0.036). In conclusion, disordered eating behaviors and body shape concerns are prevalent among dietetics students, with parental attachment to the mother influencing their occurrence. Identification of potential ON and development of prevention mechanisms during childhood could help eliminate these concerns and improve the lives of dietetics students.

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Validation of the greek version of the body image-acceptance and action questionnaire

Cited by 15 publications

References 43 publications

Randomized Clinical Trial Evaluating a Digital Gamified Acceptance and Commitment Early Intervention Program for Individuals at High-Risk for Eating Disorders

Randomized Clinical Trial Evaluating a Digital Gamified Acceptance and Commitment Early Intervention Program for Individuals at High-Risk for Eating Disorders

Exploring the neurofunctional impairments and cognitive biases concerning food and body related stimuli in anorexia nervosa: An integrated EEG and eye-tracking study protocol

Maternal Bonding as a Protective Factor for Orthorexia Nervosa Risk in Dietetics Students

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