Although the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4) has been shown to be a reliable and valid tool for assessing appearance pressures and appearance ideal internalization among French college students, to date its psychometric properties among French clinical populations have not been examined. The aim of this study was to evaluate the factor structure, reliability, and validity of the SATAQ-4 among a French female clinical eating disorder sample, and to compare the mean SATAQ-4 scores from this clinical sample to previously published means observed among French female college women. The current sample included 192 French women consecutively recruited from an outpatient eating disorders unit in France. Participants completed the SATAQ-4, as well as validated measures of body image and eating pathology. Confirmatory factor analysis revealed that the original 22-item five-factor solution provided less than adequate fit to the data. In contrast, the reduced 20-item five-factor solution identified among French college students provided a good fit to the data. The SATAQ-4 subscales generally exhibited moderate positive associations with convergent measures of body image and eating disturbance, consistent with expectations. Differences in SATAQ-4 subscale means across diagnostic groups were observed. In addition, the clinical group reported higher scores on the Internalization: Thin/Low Body Fat and Internalization: Muscular/Athletic subscales compared to a non-clinical French sample. Findings support the SATAQ-4 as a valuable tool for assessing sociocultural influences on body image and eating concerns among French women with eating disorders.

尽管已证明“社会文化态度调查问卷4（SATAQ-4）”是评估法国大学生的外表压力和外表理想内化的可靠且有效的工具，但迄今为止，尚未对其在法国临床人群中的心理计量特性进行检查。这项研究的目的是评估法国女性临床进食障碍样本中SATAQ-4的因子结构，可靠性和有效性，并将该临床样本中SATAQ-4的平均得分与法国人先前观察到的均值进行比较女大学生。目前的样本包括从法国门诊饮食失调科连续招募的192名法国妇女。参加者完成了SATAQ-4，并通过了有效的人体图像和饮食病理测量。验证性因素分析表明，原始的22个项目的五因素解决方案提供的数据不足以拟合数据。相反，在法国大学生中确定的减少了20个项目的五因素解决方案非常适合这些数据。SATAQ-4分量表通常表现出适度的正相关性，与身体图像和饮食失调的收敛性度量一致，符合预期。观察到各诊断组的SATAQ-4分量表均值存在差异。此外，临床组报告的评分较高 SATAQ-4分量表通常表现出适度的正相关性，与身体图像和饮食失调的收敛性度量一致，符合预期。观察到各诊断组的SATAQ-4分量表均值存在差异。此外，临床组报告的评分较高 SATAQ-4分量表通常表现出适度的正相关性，与身体图像和饮食失调的收敛性度量一致，符合预期。观察到各诊断组的SATAQ-4分量表均值存在差异。此外，临床组报告的评分较高内部化：瘦/低体脂肪和内部化：与非临床法国样本相比，肌肉/运动分量表。研究结果支持SATAQ-4作为评估法国饮食失调妇女对身体形象和饮食问题的社会文化影响的宝贵工具。