Validation of the Chinese Version of the Body Image Concern Inventory

Kui Wang (Corresponding Author), Xin Yang Yu, Chao Ran Yu, Ya Fei Liu, Min Yi Chu, Rui Ting Zhang, Rui Liang, Jue Chen, Heather L. Littleton, David H.K. Shum, Raymond C.K. Chan

Research output: Journal article publicationJournal articleAcademic researchpeer-review

3 Citations (Scopus)


The Body Image Concern Inventory (BICI) was developed to assess dysmorphic appearance concern and has been found to be a reliable and valid instrument in Western societies. To examine the psychometric properties of a new Chinese BICI, the BICI was administered to 1,231 Chinese young adults (Study 1) and 47 female patients with eating disorders and 56 matched controls (ED; Study 2). In study 1, Cronbach’s alpha of.92 and test-retest reliability of.73 over a 6-month interval was observed for the total scale. Confirmatory factor analysis supported a 3-factor model for the BICI: avoidant behaviors (AB), safety behaviors against perceived flaws (SB), and negative appearance evaluation (NE). In study 2, ED patients scored significantly higher on the BICI total and three subscale scores than controls. In addition, AB best differentiated ED patients and matched controls (Cohen’s d = 1.52); SB best differentiated between the non-clinical female and male groups (Cohen’s d = 0.75); NE was most closely associated with level of negative affect and subjective well-being (inverse relationship) in both clinical and non-clinical groups. In conclusion, the Chinese BICI is a reliable and valid tool for evaluating dysmorphic appearance concern among Chinese speakers.

Original languageEnglish
JournalEvaluation and the Health Professions
Publication statusPublished - 16 Dec 2020


  • body image
  • Body Image Concern Inventory (BICI)
  • eating disorders
  • reliability
  • validity

ASJC Scopus subject areas

  • Health Policy


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