Open-access Extension of Brazilian Silhouette Scale for the Context of Super Obesity

Extensão da Escala de Silhuetas Brasileiras para o Contexto de Superobesidade

Ampliación de la Escala Brasileña de Silueta para el Contexto de la Superobesidad

Abstract

Body image assessment in the pre- and postoperative periods of bariatric surgery is essential to identify weight loss expectations and potential disorders associated with mental health outcomes. Silhouette scales are widely used to measure body dissatisfaction and body size estimation. This study aimed to expand the Brazilian Silhouette Scale for Adults to make it suitable for use in contexts of super obesity (BMI ≥ 50 kg/m2). The sample consisted of 61 adults (52 women and 9 men) with an average BMI of 48.55 kg/m² (SD = 7.64), all candidates for bariatric surgery. Validity and test-retest reliability procedures were conducted. Results showed moderate correlations (Pearson’s r between .46 and .63; p < .05), indicating the scale’s adequacy for this population. The new version includes figures representing BMIs up to 72.5 kg/m², enhancing the clinical and scientific assessment of body image in a more inclusive manner.

Keywords:
body image; body dissatisfaction; statistical validity; bariatric surgery; morbid obesity

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Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 , Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br
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