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Chapter 3 - Appearance Anxiety Inventory (AAI)

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Virginia Ramseyer Winter
Affiliation:
University of Minnesota
Tracy L. Tylka
Affiliation:
Ohio State University
Antoinette M. Landor
Affiliation:
University of Missouri
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Summary

The 10-item Appearance Anxiety Inventory (AAI; Veale et al., 2013) assesses cognitive processes and behaviours characteristic of body dysmorphic disorder (BDD). The AAI is derived from a theoretical model of BDD that defines appearance anxiety as a person’s responses to their perceived flaws and shame about their appearance (e.g., appearance-focused attention, comparison, rumination, checking, and avoidance). The AAI can be administered online or in-person to adolescents and adults and is free to use. This chapter first discusses the development of the AAI and then provides evidence of its psychometrics. Findings from exploratory and confirmatory factor analysis support a 2-factor structure (appearance avoidance, threat monitoring), yet a single factor accounted for most of the scale’s variance and therefore the AAI is calculated as a single appearance anxiety score. Internal consistency reliability, test-retest reliability, convergent validity, and sensitivity to change as a result of therapy support the use of the AAI. Next, this chapter provides the AAI items in their entirety, instructions for administering the AAI to participants, item response scale, and scoring procedure. Links to known translations are provided. Logistics of use, such as permissions, copyright, and contact information, are provided for readers.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

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Veale, D., Eshkevari, E., Kanakam, N., Ellison, N., Costa, A., & Werner, T. (2013). The Appearance Anxiety Inventory: Validation of a process measure in the treatment of body dysmorphic disorder. Behavioural and Cognitive Psychotherapy, 42(5), 605616. https://doi.org/10.1017/s1352465813000556.CrossRefGoogle ScholarPubMed
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Zimmer-Gembeck, M. J., Webb, H. J., Farrell, L. J., & Waters, A. M. (2018). Girls’ and boys’ trajectories of appearance anxiety from age 10 to 15 years are associated with earlier maturation and appearance-related teasing. Developmental Psychopathology, 30(1), 337350. https://doi.org/10.1017/S0954579417000657.CrossRefGoogle ScholarPubMed

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