Published online by Cambridge University Press: 21 November 2025
The 27-item Physical Appearance Comparison Scale-3 (PACS-3; Schaefer & Thompson, 2018) is a comprehensive measure of appearance comparison behaviors, assessing the frequency, direction, and emotional impact of weight, shape, general appearance, and muscularity comparisons. The PACS-3 can be administered online or in-person to young adults and adolescents and is free to use in any setting. This chapter first discusses the development of the original PACS, PACS-R, and the PACS-3 within the appearance comparison literature and then provides evidence of its psychometrics. More specifically, the frequency items from the PACS-3 have been found to have a three-factor structure within exploratory and confirmatory analyses across both American and Spanish samples. Items assessing comparison direction and emotional impact require further psychometric evaluation. Scores on the PACS-3 demonstrate adequate internal consistency and test-retest reliability and preliminary evidence of convergent and incremental validity. Next, this chapter provides the PACS-3 items in their entirety, instructions for administering the PACS-3 to participants, the item response scale, and the scoring procedure. Known translations are provided. Logistics of use, such as permissions, copyright, and contact information, are provided for readers.
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