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Body image distortion: validation of a new scale for children and adolescents.

Renato Donfrancesco, Francesca di Roma, Wanda Chiarilli, Maria G Melegari, Rosa M Lacerenza, Laura Ferrante, Matteo Villanova

Minerva pediatrics June 15, 2022 DOI: 10.23736/s2724-5276.22.06759-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Validation study Peer reviewed
Sample size 1,557
Population Children and adolescents balanced for sex and age
Measures Strange Sensations Questionnaire (SSQ), Free Fantasy Questionnaire (FFQ) Reality/Unreality subscale
Key points The Strange Sensations Questionnaire was validated with three subscales (depersonalization, fragility, other shapes). Primary school children had higher mean scores than pre-adolescents and adolescents on the total and all three subscales, while adolescents had a significantly higher mean score on the fragility subscale. Total and subscale scores correlated significantly with the Reality/Unreality subscale of the Free Fantasy Questionnaire, and proneness to out-of-body experiences was relatively frequent.

Abstract

Background: A possible definition of body image is the picture that an individual has of her/his own body, irrespective of how her/his body actually is. Body image is a competence that develops in children similar to many other skills. The aim of this study was to validate a new rapid 20-items questionnaire to study the body image distortion in children and adolescents: the Strange Sensations Questionnaire (SSQ). A secondary aim was to improve the knowledge about body image distortion and about depersonalization symptoms,and their correlation with possible hallucinations, in children and adolescents, as it can be investigated using a scale.

Methods: 1557 children and adolescents, balanced for sex and age filled out a new 20-items questionnaire (SSQ) about body image, and a second validated questionnaire about fantasy with a Reality/Unreality distinction subscale to study the relationship with hallucinations (Free Fantasy Questionnaire-FFQ).

Results: Results showed a good validation of SSQ with three subscales: depersonalization, fragility and other shapes. We found a relative high frequency of proneness to out-of-body experiences. Children of primary school age have a higher mean score than pre-adolescents and adolescents in the total score of all the three subscales of SSG. Adolescents seem to have a significantly higher mean score in Fragility subscale. The mean total score and the mean scores of all the three subscales have a significant correlation with the Reality/Unreality subscale of FFQ.

Conclusions: SSQ was validated. The research could confirm also the high frequency of body image distortion in developmental age, suggesting the possibility of a specific retardation as a possible origin of some body image distortion disorders. Data also confirm the proneness for hallucination of adolescents with body image distortion.