An interactive computer program, the Body Image Testing System (BITS), was developed to assess different components of the body image construct. The BITS program displays a frontal and side view of a human body. Subjects can change the size of each of nine body parts independently (face, neck, shoulders, arms, chest, breasts, stomach, hips, and thighs). Subjects interact with the program until satisfied that the image created matches the instructions. Subjects also provide satisfaction ratings for the nine body segments. To validate BITS, a variety of body image and eating disturbance measures was obtained from over 500 subjects. A factor analysis of actual-ideal differences and a perceptual distortion measure, derived using multiple regression, resulted in five orthogonal factors. Factor 1 measured actual-ideal discrepancy for weight-sensitive body parts. Factor 2 measured the perceptual distortion of weight-sensitive body parts. Additional factors measured perception of face and neck, shoulders, and breasts. The five factor scores plus the satisfaction ratings were strongly associated with actual body size, body fat percentage, and circumference of specific body parts. In addition, there were strong associations between the BITS and other measures of body image. Finally, BITS scores accounted for between 15 and 60 of the variance in measures of eating disturbance.
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