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Chapter 109 - Physical Appearance Comparison Scale-3 (PACS-3)

Published online by Cambridge University Press:  21 November 2025

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 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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Publisher: Cambridge University Press
Print publication year: 2025

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References

Brichacek, A. L., Neill, J. T., Murray, K., Rieger, E., & Watsford, C. (2024). The distinct affect regulation functions of body image flexibility and inflexibility: A prospective study in adolescents and emerging adults. Body Image, 50, 101726. https://doi.org/10.1016/j.bodyim.2024.101726.CrossRefGoogle ScholarPubMed
Schaefer, L. M., & Thompson, J. K. (2014). The development and validation of the Physical Appearance Comparison Scale-Revised (PACS-R). Eating Behaviors, 15(2), 209217. https://doi.org/10.1016/j.eatbeh.2014.01.001.CrossRefGoogle ScholarPubMed
Schaefer, L. M., & Thompson, J. K. (2018). The development and validation of the Physical Appearance Comparison Scale–3 (PACS-3). Psychological Assessment, 30(10), 13301341. https://doi.org/10.1037/pas0000576.CrossRefGoogle ScholarPubMed
Senín-Calderón, C., Santos-Morocho, J., & Rodríguez-Testal, J. F. (2020). Validation of a Spanish version of the Physical Appearance Comparison Scales. International Journal of Environmental Research and Public Health, 17(20), 7399. https://doi.org/10.3390/ijerph17207399.CrossRefGoogle ScholarPubMed
Swami, V., & Barron, D. (2019). Translation and validation of body image instruments: Challenges, good practice guidelines, and reporting recommendations for test adaptation. Body Image, 31, 204220. https://doi.org/10.1016/j.bodyim.2018.08.014.CrossRefGoogle ScholarPubMed
Swami, V., Todd, J., & Barron, D. (2021). Translation and validation of body image instruments: An addendum to Swami and Barron (2019) in the form of frequently asked questions. Body Image, 37, 214224. https://doi.org/10.1016/j.bodyim.2021.03.002.CrossRefGoogle ScholarPubMed
Thompson, J. K., Heinberg, L., & Tantleff-Dunn, S. (1991). The Physical Appearance Comparison Scale. The Behavior Therapist, 14, 174.Google Scholar

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