Psychometric evaluation of the Farsi version of the Body Image Concerns during Pregnancy Scale

Document Type : Original Article


1 School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran

2 Department of Nursing, Asadabad School of Medical Sciences, Asadabad, Iran

3 Behavioural Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

4 Department of Obstetrics and Gynecology, School of Medicine. Kurdistan University of Medical Sciences, Sanandaj, Iran


Background: Body image is a complex concept that encompasses cognitive, affective, perceptual, and behavioral aspects that can change during pregnancy.
Objectives: This study aimed to translate the Body Image Concerns during Pregnancy Scale (BICPS) into Farsi and evaluate its psychometric properties in a sample of pregnant Iranian women.
Methods: The sample consisted of 500 pregnant women attending obstetrics and gynecology clinics in Sanandaj, Asadabad, and Hamadan, Iran. Face and content validity were assessed, and exploratory factor analysis (EFA) was conducted on half of the participants. Confirmatory factor analysis (CFA) was performed on the other half of the participants for model validation. Cronbach’s alpha coefficient and McDonald’s omega were used to evaluate internal consistency, while the interclass correlation coefficient (ICC) and standard error examination were employed for measuring relative and absolute stability.
Results: EFA revealed five factors: dissatisfaction with body parts and social concerns; concerns about weight and appearance; concerns about skin changes; concerns about abdominal obesity; and concerns about the future. The total variance of the BICPS explained by these factors was 53.86%. Floor and ceiling effects were absent, suggesting adequate item distribution. Internal consistency was high, with both Cronbach’s alpha and McDonald’s omega exceeding 0.7. CFA demonstrated an acceptable goodness of fit for the F-BICPS model.
Conclusion: The Farsi version of the Body Image Concerns during Pregnancy Scale (F-BICPS) is a reliable and valid instrument for assessing pregnant women's body image concerns.


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