Assessing the cross-cultural relevance of social media appearance concerns: A culturally adapted validation of the SMAPS


Published: Jul 24, 2026
Keywords:
social media, SMAPS, psychometric Italian validation, appearance anxiety, social comparison
Rosa Angela Fabio
https://orcid.org/0000-0001-7065-1528
Rosa Tripodi
Giulia Picciotto
https://orcid.org/0000-0002-1860-8079
Abstract

This study validated the Italian version of the Social Media Appearance Preoccupation Scale (SMAPS) across two independent online samples. The study also aimed to examine the SMAPS in a cultural context different from the one in which the scale was originally developed, exploring whether patterns of social media appearance concerns observed in Italy may be informative for other Mediterranean and non-Anglophone contexts. Study 1 (N = 213) conducted an exploratory factor analysis (KMO = .88; Bartlett’s p < .001), identifying a three-factor structure—Appearance Comparison, Online Self-Presentation, and Appearance-Related Activity—that explained 64.4% of the variance. Internal consistency was satisfactory across subscales (α range = .87–.88). Study 2 (N = 432) confirmed this structure through confirmatory factor analysis, yielding acceptable to excellent fit indices: χ²(101) = 433.80, CFI = .96, RMSEA = .068 (90% CI [.049, .076]). Reliability coefficients remained high (α range = .84–.91). All SMAPS subscales showed significant positive correlations with appearance anxiety (r range = .62–.73, all ps < .001), fear of negative evaluation (r range = .43–.59, ps < .001), and sociocultural attitudes toward appearance (r range = .43–.60, ps < .001), supporting convergent validity. Negative correlations with psychological well-being (r range = –.46 to –.52, ps < .001) supported divergent validity. Hierarchical regressions indicated that SMAPS subscales significantly predicted appearance anxiety (Δ range = .15–.36) and sociocultural attitudes toward appearance (Δ range = .11–.40). Overall, these findings support the Italian SMAPS as a reliable and culturally sensitive measure, highlighting its relevance for understanding social media appearance concerns in Italy and suggesting its potential usefulness for informing future research in Mediterranean and other non-Anglophone contexts.

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References
Abdoli, M., Nayak, O., Fadia, A., Rairikar, M., De Sousa, A., & Cotrufo, P. (2025). Body image and self-esteem in Indian and Italian university students: Cross-cultural insights for psychiatric well-being. Psychiatry International, 6(2), 40. https://doi.org/10.3390/psychiatryint6020040
Abdoli, M., Scotto Rosato, M., Desousa, A., & Cotrufo, P. (2024). Cultural differences in body image: A systematic review. Social Sciences, 13(6), 305. https://doi.org/10.3390/socsci13060305
Al-Kandari, A. A., & Abdelaziz, Y. A. (2018). Selfie-taking motives and social psychological dispositions as predictors of selfie-related activities among university students in Kuwait. Mobile Media & Communication, 6(3), 291-308. https://doi.org/10.1177/2050157917737124
Baldwin, M., & Mussweiler, T. (2018). The culture of social comparison. Proceedings of the National Academy of Sciences, 115(39), E9067-E9074. https://doi.org/10.1073/pnas.1721555115
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191. https://doi.org/10.1097/00007632-200012150-00014
Biernat, M., & Billings, L. S. (2001). Standards, expectancies, and social comparison. Blackwell Handbook of Social Psychology: Intraindividual Processes, 257-283. https://doi.org/10.1002/9780470998519
Bodroža, B., Obradović, V., & Ivanović, S. (2022). Active and passive selfie-related behaviors: Implications for body image, self-esteem and mental health. Cyberpsychology: Journal of Psychosocial Research on Cyberspace, 16(2). https://doi.org/10.5817/CP2022-2-3
Calefato, P. (2021). Fashion as cultural tradition: Italian style. In A. Rocamora & A. Smelik (Eds.), Fashion as cultural translation: Signs, images, narratives (pp. 21–32). Anthem Press.Calefato, P. (2021). Fashion as Cultural Tradition: Italian Style. In Fashion as Cultural Translation: Signs, Images, Narratives (pp. 21–32). Chapter, Anthem Press.
Caliskan, F., Idug, Y., Uvet, H., Gligor, N., & Kayaalp, A. (2024). Social comparison theory: A review and future directions. Psychology & Marketing, 41(11), 2823-2840. https://doi.org/10.1002/mar.22087
Caprì, T., Gugliandolo, M. C., Iannizzotto, G., Nucita, A., & Fabio, R. A. (2021). The influence of media usage on family functioning. Current Psychology, 40, 2644-2653. https://doi.org/10.1007/s12144-019-00204-1
Castellanos R., & Steins, G. (2023). Social media and body dissatisfaction in young adults: An experimental investigation of the effects of different image content and influencing constructs. Frontiers in Psychology, 14, 1037932. https://doi.org/10.3389/fpsyg.2023.1037932
Collins, R. L. (2000). Among the better ones: Upward assimilation in social comparison. In J. Suls & L. Wheeler (Eds.), Handbook of social comparison: Theory and research (pp. 159–171). Springer. https://doi.org/10.1007/978-1-4615-4237-7_9
Crusius, J., Corcoran, K., & Mussweiler, T. (2022). Social comparison: Theory, research, and applications. In D. Chadee (Ed.), Theories in social psychology (2nd ed., pp. 165–187). Wiley. https://doi.org/10.1002/9781394266616.ch7
Di Gesto, C., Nerini, A., Policardo, G. R., & Matera, C. (2022). Predictors of acceptance of cosmetic surgery: Instagram images-based activities, appearance comparison and body dissatisfaction among women. Aesthetic Plastic Surgery, 46(1), 502-512. https://doi.org/10.1007/s00266-021-02546-3
Fabio, R. A., & Suriano, R. (2021). The influence of media exposure on anxiety and working memory during lockdown period in Italy. International Journal of Environmental Research and Public Health, 18(17), 9279. https://doi.org/10.3390/ijerph18179279
Fabio, R. A., & Tripodi, R. (2024). Exploring social media appearance preoccupation in relation to self-esteem, well-being, and mental health. Health Psychology Report, 12(4), 286. https://doi.org/10.5114/hpr/189698
Fabio, R. A., Caprì, T., & Romano, M. (2019). From controlled to automatic processes and back again: The role of contextual features. Europe's Journal of Psychology, 15(4), 773. https://doi.org/10.5964/ejop.v15i4.1746
Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7(2), 117-140. https://doi.org/10.1177/001872675400700202
Fioravanti, G., Bocci Benucci, S., Ceragioli, G., & Casale, S. (2022). How the exposure to beauty ideals on social networking sites influences body image: A systematic review of experimental studies. Adolescent Research Review, 7(3), 419-458. https://doi.org/10.1007/s40894-022-00179-4
Fioravanti, G., Bocci Benucci, S., Vinciarelli, V., & Casale, S. (2024). Body shame and problematic social networking sites use: the mediating effect of perfectionistic self-presentation style and body image control in photos. Current Psychology, 43(5), 4073-4084. https://doi.org/10.1007/s12144-023-04644-8
Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory: Toward understanding women's lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173-206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x
Goffman, E. (1959). The moral career of the mental patient. Psychiatry, 22(2), 123-142. https://doi.org/10.1080/00332747.1959.11023166
Grossi, E., Mosconi, P., Groth, N., Cerutti, R., Pace, F., Compare, A., & Apolone, G. (2006). Development and validation of the short version of the Psychological General Well-Being Index (PGWB-S). Health and Quality of Life Outcomes, 4(1), 88. https://doi.org/10.1186/1477-7525-4-88
Guimond, S., Chatard, A., Branscombe, N. R., Brown, R., & Martinot, D. (2005). Social comparisons across cultures II: Change and stability in self-views—Experimental evidence. In S. Guimond (Ed.), Social comparison and social psychology: Understanding cognition, intergroup relations, and culture (pp. 318–344). Cambridge University Press. https://doi.org/10.1017/CBO9780511584329.017
Guyer, J. J., & Vaughan-Johnston, T. I. (2018). Social comparisons (upward and downward). In V. Zeigler-Hill & T. K. Shackelford (Eds.), Encyclopedia of personality and individual differences (pp. 1–5). Springer. https://doi.org/10.1007/978-3-319-28099-8_1912-1
Harrison, K., & Hefner, V. (2014). Virtually perfect: Image retouching and adolescent body image. Media Psychology, 17(2), 134-153. https://doi.org/10.1080/15213269.2013.770354
Hazzard, V. M., Schaefer, L. M., Kevin Thompson, J., Murray, S. B., & Frederick, D. A. (2022). Measurement invariance of body image measures by age, gender, sexual orientation, race, weight status, and age: The U.S. Body Project I. Body Image, 41, 97–108. https://doi.org/10.1016/j.bodyim.2022.01.015
Heinberg, L. J., Thompson, J. K., & Stormer, S. (1995). Development and validation of the sociocultural attitudes towards appearance questionnaire. International Journal of Eating Disorders, 17(1), 81-89. https://doi.org/10.1002/1098-108X(199501)17:1<81::AID-EAT2260170111>3.0.CO;2-Y
Holland, G., & Tiggemann, M. (2016). A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image, 17, 100-110. https://doi.org/10.1016/j.bodyim.2016.02.008
Hollenbaugh, E. E. (2021). Self-presentation in social media: Review and research opportunities. Review of Communication Research, 9, 80–98. https://doi.org/10.12840/ISSN.2255-4165.027
Iannattone, S., Cerea, S., Lauriola, M., Matera, C., Nerini, A., & Bottesi, G. (2025). Italian adolescents' body image and sociocultural influences: An investigation using the Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised. Body Image, 53, 101861. https://doi.org/10.1016/j.bodyim.2025.101861
Jeong, S. H., Kim, H., Yum, J. Y., & Hwang, Y. (2016). What type of content are smartphone users addicted to?: SNS vs. games. Computers in Human Behavior, 54, 10-17. https://doi.org/10.1016/j.chb.2015.07.035
Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). The Guilford Press.
Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9(3), 371-375. https://doi.org/10.1177/0146167283093007
Litwin, H. (2010). Social networks and well-being: A comparison of older people in Mediterranean and non-Mediterranean countries. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 65(5), 599-608. https://doi.org/10.1093/geronb/gbp104
Marciano, L., Lin, J., Sato, T., Saboor, S., & Viswanath, K. (2024). Does social media use make us happy? A meta-analysis on social media and positive well-being outcomes. SSM–Mental Health, 4, 100331. https://doi.org/10.1016/j.ssmmh.2024.100331
Merino, M., Tornero-Aguilera, J. F., Rubio-Zarapuz, A., Villanueva-Tobaldo, C. V., Martín-Rodríguez, A., & Clemente-Suárez, V. J. (2024). Body perceptions and psychological well-being: A review of the impact of social media and physical measurements on self-esteem and mental health with a focus on body image satisfaction and its relationship with cultural and gender factors. Healthcare, 12(14), 1396. https://doi.org/10.3390/healthcare12141396
Mills, J. S., Musto, S., Williams, L., & Tiggemann, M. (2018). “Selfie” harm: Effects on mood and body image in young women. Body Image, 27, 86-92. https://doi.org/10.1016/j.bodyim.2018.08.007
Moradi, B., & Huang, Y. P. (2008). Objectification theory and psychology of women: A decade of advances and future directions. Psychology of women quarterly, 32(4), 377-398. https://doi.org/10.1111/j.1471-6402.2008.00452.x
Rai, R., Cheng, M. I., & Scullion, H. (2024). How People Use Instagram and Making Social Comparisons Are Associated With Psychological Wellbeing. Journal of Technology in Behavioral Science, 9(2), 204-210. https://doi.org/10.1007/s41347-023-00319-0
Ramos‐Ortiz, J., Meier, S., Rossi, M., Heyrman, H., Reddy, M., & DeMaria, A. L. (2020). La Bella Figura: The role of a cultural philosophy on Italian consumerism. Journal of Consumer Behaviour, 19(5), 399-408. https://doi.org/10.1002/cb.1846
Roberts, C., Zimmer-Gembeck, M. J., Lavell, C., Miyamoto, T., Gregertsen, E., & Farrell, L. J. (2018). The appearance anxiety inventory: Factor structure and associations with appearance-based rejection sensitivity and social anxiety. Journal of Obsessive-Compulsive and Related Disorders, 19, 124–130. https://doi.org/10.1016/j.jocrd.2018.10.004
Ruggiero, G. M. (2003). Eating disorders in the Mediterranean area: An exploration in transcultural psychology. Nova Publishers.Saunders, J. F., Nutter, S., Waugh, R., & Hayden, K. A. (2024). Testing body-related components of objectification theory: A meta-analysis of the relations between body shame, self-objectification, and body dissatisfaction. Body Image, 50, 101738. https://doi.org/10.1016/j.bodyim.2024.101738
Schaefer, L. M., Burke, N. L., Anderson, L. M., Thompson, J. K., Heinberg, L. J., Bardone-Cone, A. M., ... & Paxton, S. J. (2019). Comparing internalization of appearance ideals and appearance-related pressures among women from the United States, Italy, England, and Australia. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24(5), 947-951. https://doi.org/10.1007/s40519-018-0544-8
Schmuck, D., Karsay, K., Matthes, J., & Stevic, A. (2019). “Looking Up and Feeling Down”. The influence of mobile social networking site use on upward social comparison, self-esteem, and well-being of adult smartphone users. Telematics and Informatics, 42, 101240. https://doi.org/10.1016/j.tele.2019.101240
Scully, M., Swords, L., & Nixon, E. (2023). Social comparisons on social media: Online appearance-related activity and body dissatisfaction in adolescent girls. Irish Journal of Psychological Medicine, 40(1), 31-42. https://doi.org/10.1017/ipm.2020.93
Seekis, V., Bradley, G. L., & Duffy, A. L. (2020). Appearance-related social networking sites and body image in young women: Testing an objectification-social comparison model. Psychology of Women Quarterly, 44(3), 377-392. https://doi.org/10.1177/0361684320920826
Tavangari, S., & Mushfiq, F. (2022). Brief statistics of social media consumption in Italian Republic in different platform consuming social media technologies [Preprint]. TechRxiv. https://doi.org/10.36227/techrxiv.19641426.v1
Thompson, J. K., Van Den Berg, P., Roehrig, M., Guarda, A. S., & Heinberg, L. J. (2004). The sociocultural attitudes towards appearance scale‐3 (SATAQ‐3): Development and validation. International Journal of Eating Disorders, 35(3), 293-304. https://doi.org/10.1002/eat.10257
Tian, J., Li, B., & Zhang, R. (2024). The impact of upward social comparison on social media on appearance anxiety: A moderated mediation model. Behavioral Sciences, 15(1), 8. https://doi.org/10.3390/bs15010008
Valkenburg, P. M. (2022). Social media use and well-being: What we know and what we need to know. Current Opinion in Psychology, 45, 101294. https://doi.org/10.1016/j.copsyc.2021.12.006
Valkenburg, P. M., van Driel, I. I., & Beyens, I. (2022). The associations of active and passive social media use with well-being: A critical scoping review. New Media & Society, 24(2), 530-549. https://doi.org/10.1177/14614448211065425
Veale, D., Eshkevari, E., Kanakam, N., Ellison, N., Costa, A., & Werner, T. (2014). The Appearance Anxiety Inventory: Validation of a process measure in the treatment of body dysmorphic disorder. Behavioural and Cognitive Psychotherapy, 42(5), 605-616. https://doi.org/10.1017/S1352465813000556
Verduyn, P., Gugushvili, N., Massar, K., Täht, K., & Kross, E. (2020). Social comparison on social networking sites. Current Opinion in Psychology, 36, 32-37. https://doi.org/10.1016/j.copsyc.2020.04.002
Verduyn, P., Ybarra, O., Résibois, M., Jonides, J., & Kross, E. (2017). Do social network sites enhance or undermine subjective well‐being? A critical review. Social Issues and Policy Review, 11(1), 274-302. https://doi.org/10.1111/sipr.12033
Zhan, J., Liu, M., Garrod, O. G., Daube, C., Ince, R. A., Jack, R. E., & Schyns, P. G. (2021). Modeling individual preferences reveals that face beauty is not universally perceived across cultures. Current Biology, 31(10), 2243-2252. https://doi.org/10.1016/j.cub.2021.03.013
Zhang, X. X., Rost, D. H., Wang, J. L., & Reynolds, K. J. (2020). Active and passive social networking sites usage and negative emotions: A reciprocal relationship?. Journal of Social and Clinical Psychology, 39(3), 195-213. https://doi.org/10.1521/jscp.2020.39.3.195
Zimmer-Gembeck, M. J., Hawes, T., & Pariz, J. (2021a). Social Media Appearance Preoccupation Scale [Data set]. American Psychological Association. https://doi.org/10.1037/t76315-000
Zimmer-Gembeck, M. J., Hawes, T., & Pariz, J. (2021b). A closer look at appearance and social media: Measuring activity, self-presentation, and social comparison and their associations with emotional adjustment. Psychology of Popular Media, 10(1), 74. https://doi.org/10.1037/ppm0000277
Zimmer-Gembeck, M. J., Seekis, V., & Duffy, A. L. (2025). Online appearance preoccupation in and beyond adolescence: A longitudinal study of social media use, anxiety, and depression as correlates of growth and stability. Psychology of Popular Media. https://doi.org/10.1037/ppm0000587