Validation of the Social Appearance Anxiety Scale in Female Eating Disorder Patients
Published version of a preprint
Abstract
In the present study, we investigated the psychometric properties of the Social Appearance Anxiety Scale (SAAS) in a sample of 60 female eating disorder patients (M(age) = 27.82, SD = 9.76). The SAAS was developed to assess anxiety about being negatively evaluated for one's appearance. All patients completed the SAAS, the Eating Disorder Inventory-2, the Physical Health Questionnaire-9 Depression and the Dimensional Assessment of Personality Psychopathology. The SAAS demonstrated a one-factor structure and a high internal consistency. The SAAS was significantly positive in relation to body mass index, drive for thinness and body dissatisfaction. Concerning personality dimensions, the SAAS was positively related to emotional problems (e.g. depression, anxiety) and interpersonal problems (e.g. suspiciousness, submissiveness). Findings suggest that the SAAS is a psychometrically sound instrument to assess anxiety about being negatively evaluated about one's appearance in a sample of eating disorder patients.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The social appearance anxiety scale demonstrated good internal consistency (α = 0.94).
“Good internal consistency was demonstrated (α = 0.94) [57].”
From Effects of Social Media and Smartphone Use on Body Esteem in Female Adolescents: Testing a Cognitive and Affective Model (2020) · cites this paper as [57]
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
Comparative fit indexes in structural models.
Bentler, P. M. (1990) · Psychological Bulletin · doi:10.1037/0033-2909.107.2.238 · Cited by 25,266 · see citing works
Spitzer, R. L. (1999) · JAMA · doi:10.1001/jama.282.18.1737 · Cited by 9,802 · see citing works
Flora, D. B., & Curran, P. J. (2004) · Psychological Methods · doi:10.1037/1082-989x.9.4.466 · Cited by 3,105 · see citing works
Role of body dissatisfaction in the onset and maintenance of eating pathology
Stice, E. M., & Shaw, H. E. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00488-9 · Cited by 1,481 · see citing works
Polivy, J., & Herman, C. P. (2002) · Annual Review of Psychology · doi:10.1146/annurev.psych.53.100901.135103 · Cited by 1,228 · see citing works
Eating Disorders and Obesity—a Comprehensive Handbook
Levine, A. S. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.5.1343 · Cited by 588 · see citing works
Development and Examination of the Social Appearance Anxiety Scale
Hart, T., Flora, D., Palyo, S. A., Fresco, D., Holle, C., & Heimberg, R. (2008) · Assessment (Odessa, Fla.) · doi:10.1177/1073191107306673 · Cited by 494 · see citing works
Self-citationAnxiety disorders in anorexia nervosa and bulimia nervosa: co-morbidity and chronology of appearance
Godart, N. T., Flament, M. F., Lecrubier, Y., & Jeammet, P. (2000) · European Psychiatry · doi:10.1016/s0924-9338(00)00212-1 · Cited by 394 · see citing works
Comorbidity between eating disorders and anxiety disorders: A review
Godart, N. T., Flament, M. F., Perdereau, F., & Jeammet, P. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10096 · Cited by 369 · see citing works
Anxiety disorders in subjects seeking treatment for eating disorders: A DSM-IV controlled study
Godart, N. T., Flament, M. F., Curt, F., Perdereau, F., Lang, F., Venisse, J. L., Halfon, O., Bizouard, P., Loas, G., Corcos, M., et al. (2003) · Psychiatry Research · doi:10.1016/s0165-1781(03)00038-6 · Cited by 207 · see citing works
Social anxiety and coping strategies in the eating disorders
Hinrichsen, H., Wright, F., Waller, G., & Meyer, C. (2003) · Eating Behaviors · doi:10.1016/s1471-0153(03)00016-3 · Cited by 184 · see citing works
Early Maladaptive Schemas and Social Phobia
Pinto‐Gouveia, J., Castilho, P., Galhardo, A. B., & Cunha, M. I. V. A. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9027-8 · Cited by 168 · see citing works
Evoked facial emotional expression and emotional experience in people with anorexia nervosa
Davies, H. A., Schmidt, U. H., Stahl, D. R., & Tchanturia, K. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20852 · Cited by 153 · see citing works
Silberg, J. L., & Bulik, C. M. (2005) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2005.01427.x · Cited by 131 · see citing works
Social appearance anxiety and bulimia nervosa
Koskina, A., den Eynde, F. V., Meisel, S. F., Campbell, I. C., & Schmidt, U. H. (2011) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/bf03325321 · Cited by 64 · see citing works
van Kampen, D., de Beurs, E., & Andrea, H. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2007.05.002 · Cited by 57 · see citing works
Hinrichsen, H., Waller, G., & van Gerko, K. (2004) · Eating Behaviors · doi:10.1016/j.eatbeh.2004.04.008 · Cited by 45 · see citing works
Personality traits in social phobia
Marteinsdóttir, Í., Furmark, T., Tillfors, M., Fredrikson, M., & Ekselius, L. (2001) · European Psychiatry · doi:10.1016/s0924-9338(01)00555-7 · Cited by 39 · see citing works
Body dissatisfaction and disordered eating
Paxton, S. J. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00540-8 · Cited by 17 · see citing works
Garner (1983) · doi:10.1002/1098-108x(198321)2:2
Flagged first, then by citations
Cited by
Sorted by citations
Ahadzadeh, A. S., Rafik-Galea, S., Alavi, M., & Amini, M. (2018) · Health Psychology Open · doi:10.1177/2055102918774251 · Cited by 99 · see citing works
Yang, H., Wang, J. J., Tng, G. Y. Q., & Yang, S. (2020) · Children · doi:10.3390/children7090148 · Cited by 81 · see citing works
- Authors
- Claes, L., Hart, T. A., Smits, D., Van den Eynde, F., Mueller, A., & Mitchell, J. E.
- Affiliations
- KU Leuven (BE)
- Toronto Metropolitan University (CA)
- HUBrussel, Campus Nieuwland Brussels Belgium
- King's College London Institute of Psychiatry London UK
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- University of North Dakota (US)
- Corresponding author
- Claes, Laurence
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2011-08
- Volume
- 20
- Issue
- 5
- Pages
- 406-409
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2146069214
- Cited by
- 82
- References
- 21
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 6 · 2023: 14 · 2022: 9 · 2021: 8 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 3 · 2015: 5 · 2014: 1 · 2013: 3
- FWCI
- 1.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Social Appearance Anxiety Scale, eating disorders, female patients, psychometric validation, appearance anxiety, body dissatisfaction, drive for thinness, body mass index, personality pathology, depression, interpersonal problems
- MeSH terms
- Adolescent, Adult, Anxiety, Feeding and Eating Disorders, Body Image, Female, Humans, Middle Aged, Personality Assessment, Psychometrics, Reproducibility of Results
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review