Social anxiety and eating disorder comorbidity: The role of negative social evaluation fears

Levinson, Cheri A.; Rodebaugh, Thomas L.

doi:10.1016/j.eatbeh.2011.11.006

Cited by 233Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBody Image and Dysmorphia Studies

Social anxiety and eating disorder comorbidity: The role of negative social evaluation fears

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Levinson, Cheri A., Rodebaugh, Thomas L.·2012·Eating Behaviors

DOI 10.1016/j.eatbeh.2011.11.006PMC PMC3244677

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Abstract

Social anxiety and eating disorders are highly comorbid. However, it is unknown how specific domains of social anxiety relate to disordered eating. We provide data on these relationships and investigate social appearance anxiety and fear of negative evaluation as potential vulnerabilities linking social anxiety with disordered eating. Specifically, we examined five domains of social anxiety: Social interaction anxiety, fear of scrutiny, fear of positive evaluation, fear of negative evaluation, and social appearance anxiety. Results indicated that social appearance anxiety predicted body dissatisfaction, bulimic symptoms, shape concern, weight concern, and eating concern over and above fear of scrutiny, social interaction anxiety, and fear of positive evaluation. Fear of negative evaluation uniquely predicted drive for thinness and restraint. Structural equation modeling supported a model in which social appearance anxiety and fear of negative evaluation are vulnerabilities for both social anxiety and eating disorder symptoms. Interventions that target these negative social evaluation fears may help prevent development of eating disorders.

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Social appearance anxiety negatively influences the evaluation of one's body, as reflected in greater body dissatisfaction, unhealthy eating attitudes, and eating pathology symptoms.
“Levinson and Rodebaugh [53], found that social appearance anxiety negatively influences the evaluation of one’s body, as reflected in greater body dissatisfaction, unhealthy eating attitudes, and eating pathology symptoms.”
From Effects of Social Media and Smartphone Use on Body Esteem in Female Adolescents: Testing a Cognitive and Affective Model (2020) · cites this paper as [53]

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Levinson, C. A., Rodebaugh, T. L., White, E. K., Menatti, A. R., Weeks, J. W., McClendon, J., & Warren, C. S. (2013) · Appetite · doi:10.1016/j.appet.2013.04.002 · Cited by 198 · see citing works
Social anxiety and eating disorder comorbidity and underlying vulnerabilities: Using network analysis to conceptualize comorbidity
Levinson, C. A., Brosof, L. C., Vanzhula, I. A., Christian, C., Jones, P. J., Rodebaugh, T. L., Langer, J., White, E. K., Warren, C. S., Weeks, J. W., et al. (2018) · International Journal of Eating Disorders · doi:10.1002/eat.22890 · Cited by 187 · see citing works
Social Anxiety and the Big Five Personality Traits: The Interactive Relationship of Trust and Openness
Kaplan, S. C., Levinson, C. A., Rodebaugh, T. L., Menatti, A. R., & Weeks, J. W. (2015) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1008032 · Cited by 140 · see citing works
Conceptualizing eating disorder psychopathology using an anxiety disorders framework: Evidence and implications for exposure-based clinical research
Schaumberg, K., Reilly, E. E., Gorrell, S., Levinson, C. A., Farrell, N. R., Brown, T. A., Smith, K. M., Schaefer, L. M., Essayli, J. H., Haynos, A. F., et al. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101952 · Cited by 121 · see citing works
Oxytocin and social functioning
Jones, C., Barrera, I., Brothers, S., Ring, R., & Wahlestedt, C. (2017) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2017.19.2/cjones · Cited by 132 · see citing works
Relationship between Body Mass Index, Body Image, and Fear of Negative Evaluation: Moderating Role of Self-Esteem
Ahadzadeh, A. S., Rafik-Galea, S., Alavi, M., & Amini, M. (2018) · Health Psychology Open · doi:10.1177/2055102918774251 · Cited by 99 · see citing works
Male body dissatisfaction and eating disorder symptomatology: Moderating variables among men
Dakanalis, A., Zanetti, A. M., Riva, G., Colmegna, F., Volpato, C., Madeddu, F., & Clerici, M. (2013) · Journal of Health Psychology · doi:10.1177/1359105313499198 · Cited by 93 · see citing works
Eating disorders and autism spectrum: links and risks
Carpita, B., Muti, D., Cremone, I. M., Fagiolini, A. M., & Dell’Osso, L. (2020) · CNS Spectrums · doi:10.1017/s1092852920002011 · Cited by 87 · see citing works
Effects of Social Media and Smartphone Use on Body Esteem in Female Adolescents: Testing a Cognitive and Affective Model
Yang, H., Wang, J. J., Tng, G. Y. Q., & Yang, S. (2020) · Children · doi:10.3390/children7090148 · Cited by 81 · see citing works
“Further, Levinson and Rodebaugh [53], found that social appearance anxiety negatively influences the evaluation of one’s body, as reflected in greater body dissatisfaction, unhealthy eating attitudes, and eating pathology symptoms.”
Background
Does a Facebook-enhanced Mindful Self-Compassion intervention improve body image? An evaluation study
Seekis, V., Bradley, G. L., & Duffy, A. L. (2020) · Body Image · doi:10.1016/j.bodyim.2020.07.006 · Cited by 77 · see citing works
Perfectionism and Difficulty Controlling Thoughts Bridge Eating Disorder and Obsessive-Compulsive Disorder Symptoms: A Network Analysis
Vanzhula, I. A., Kinkel‐Ram, S. S., & Levinson, C. A. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.01.083 · Cited by 80 · see citing works
Malaise with praise: A narrative review of 10 years of research on the concept of Fear of Positive Evaluation in social anxiety
Reichenberger, J., & Jens Blechert, A. (2018) · Depression and Anxiety · doi:10.1002/da.22808 · Cited by 74 · see citing works
Fear of positive evaluation and social anxiety: A systematic review of trait-based findings
Fredrick, J. W., & Luebbe, A. M. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.01.042 · Cited by 73 · see citing works
Clarifying the prospective relationships between social anxiety and eating disorder symptoms and underlying vulnerabilities
Levinson, C. A., & Rodebaugh, T. L. (2016) · Appetite · doi:10.1016/j.appet.2016.07.024 · Cited by 75 · see citing works
Appearance comparison and other appearance-related influences on body dissatisfaction in everyday life
Fuller‐Tyszkiewicz, M., Chhouk, J., McCann, L.-A., Urbina, G., Vuo, H., Krug, I., Ricciardelli, L. A., Linardon, J., Broadbent, J., Heron, K. E., et al. (2019) · Body Image · doi:10.1016/j.bodyim.2019.01.002 · Cited by 74 · see citing works
A network approach can improve eating disorder conceptualization and treatment
Levinson, C. A., Cusack, C. E., Brown, M. L., & Smith, A. R. (2022) · Nature Reviews Psychology · doi:10.1038/s44159-022-00062-y · Cited by 73 · see citing works
Disordered eating: Influence of body image, sociocultural attitudes, appearance anxiety and depression - a focus on college males and a gender comparison
Turel, T., Jameson, M. M., Gitimu, P. N., Rowlands, Z., Mincher, J. L., & Pohle-Krauza, R. J. (2018) · Cogent Psychology · doi:10.1080/23311908.2018.1483062 · Cited by 67 · see citing works
Development and validation of the eating disorder fear questionnaire and interview: Preliminary investigation of eating disorder fears
Levinson, C. A., Vanzhula, I. A., & Christian, C. (2019) · Eating Behaviors · doi:10.1016/j.eatbeh.2019.101320 · Cited by 63 · see citing works
An examination of ethnic variations in perfectionism and interpersonal influences as predictors of eating disturbances: A look at Asian and European American females.
Chang, E. C., Yu, E. A., & Lin, E. Y. (2013) · Asian American Journal of Psychology · doi:10.1037/a0034621 · Cited by 65 · see citing works
Stress hormones and eating disorders
Chami, R., Monteleone, A. M., Treasure, J., & Monteleone, P. (2019) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2018.12.009 · Cited by 66 · see citing works
Shame and guilt as shared vulnerability factors: Shame, but not guilt, prospectively predicts both social anxiety and bulimic symptoms.
Levinson, C., Byrne, M. E., & Rodebaugh, T. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.06.016 · Cited by 50 · see citing works
Integrated circuits and molecular components for stress and feeding: implications for eating disorders
Hardaway, J. A., Crowley, N. A., Bulik, C. M., & Kash, T. L. (2014) · Genes Brain & Behavior · doi:10.1111/gbb.12185 · Cited by 63 · see citing works
Social appearance anxiety and dietary restraint as mediators between perfectionism and binge eating: A six month three wave longitudinal study
Brosof, L. C., & Levinson, C. A. (2016) · Appetite · doi:10.1016/j.appet.2016.10.015 · Cited by 55 · see citing works
Disordered eating attitudes correlate with body dissatisfaction among Kuwaiti male college students
Ebrahim, M., Alkazemi, D. U. Z., Zafar, T. A., & Kubow, S. J. (2019) · Journal of Eating Disorders · doi:10.1186/s40337-019-0265-z · Cited by 55 · see citing works
Core eating disorder fears: Prevalence and differences in eating disorder fears across eating disorder diagnoses
Brown, M. L., & Levinson, C. A. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23728 · Cited by 47 · see citing works
Replication and extension of the dual pathway model of disordered eating: The role of fear of negative evaluation, suggestibility, rumination, and self-compassion
Maraldo, T. M., Zhou, W., Dowling, J., & Wal, J. S. V. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.10.008 · Cited by 52 · see citing works
Analyzing the link between anxiety and eating behavior as a potential pathway to eating-related health outcomes
Hussenoeder, F. S., Conrad, I., Engel, C., Zachariae, S., Zeynalova, S., Glaesmer, H., Hinz, A., Witte, A. V., Tönjes, A., Löffler, M., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-94279-1 · Cited by 49 · see citing works
Negative Social-Evaluative Fears Produce Social Anxiety, Food Intake, and Body Dissatisfaction
Levinson, C. A., & Rodebaugh, T. L. (2014) · Clinical Psychological Science · doi:10.1177/2167702614548891 · Cited by 50 · see citing works
A weighty issue: Explaining the association between body mass index and appearance-based social anxiety
Titchener, K., & Wong, Q. J. J. (2014) · Eating Behaviors · doi:10.1016/j.eatbeh.2014.10.005 · Cited by 51 · see citing works
Social anxiety and associations with eating psychopathology: Mediating effects of fears of evaluation
Menatti, A. R., Hopkins, L. B., Weeks, J. W., & Heimberg, R. G. (2015) · Body Image · doi:10.1016/j.bodyim.2015.02.003 · Cited by 48 · see citing works
The Social Appearance Anxiety Scale in Italian Adolescent Populations: Construct Validation and Group Discrimination in Community and Clinical Eating Disorders Samples
Dakanalis, A., Carrà, G., Calogero, R. M., Zanetti, M. A., Volpato, C., Riva, G., Clerici, M., & Cipresso, P. (2015) · Child Psychiatry & Human Development · doi:10.1007/s10578-015-0551-1 · Cited by 47 · see citing works
Fear of Negative Evaluation Influences Eye Gaze in Adolescents with Autism Spectrum Disorder: A Pilot Study
White, S. W., Maddox, B. B., & Panneton, R. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2349-6 · Cited by 47 · see citing works
State Body Dissatisfaction and Social Interactions
Mills, J., Fuller‐Tyszkiewicz, M., & Holmes, M. (2014) · Psychology of Women Quarterly · doi:10.1177/0361684314521139 · Cited by 46 · see citing works
Binge eating, orthorexia nervosa, restrained eating, and quality of life: a population study in Lebanon
Sfeir, E., Haddad, C., Salameh, P., Sacre, H., Hallit, R. R., Akel, M., Honein, K., Akiki, M., Kheir, N., Obeïd, S., et al. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00831-4 · Cited by 46 · see citing works
The Follow-Up of Eating Disorders from Adolescence to Early Adulthood: A Systematic Review
Filipponi, C., Visentini, C., Filippini, T., Cutino, A., Ferri, P., Rovesti, S., Latella, E., & Lorenzo, R. D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192316237 · Cited by 45 · see citing works
Social anxiety symptoms and body image dissatisfaction in medical students: prevalence and correlates
Regis, J. M. O., Ramos‐Cerqueira, A. T. D. A., Lima, M. C. P., & Torres, A. R. (2018) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085000000187 · Cited by 44 · see citing works
Psychosocial moderators of the relationship between body dissatisfaction and symptoms of eating disorders: A look at a sample of young Italian women
Dakanalis, A., Zanetti, M. A., Riva, G., & Clerici, M. (2013) · European Review of Applied Psychology · doi:10.1016/j.erap.2013.08.001 · Cited by 43 · see citing works
Social anxiety and disordered eating: The influence of stress reactivity and self-esteem
Ciarma, J. L., & Mathew, J. (2017) · Eating Behaviors · doi:10.1016/j.eatbeh.2017.03.011 · Cited by 43 · see citing works
Cosmetic surgery attitudes among midlife women: Appearance esteem, weight esteem, and fear of negative appearance evaluation
Dunaev, J., Schulz, J. L., & Markey, C. (2018) · Journal of Health Psychology · doi:10.1177/1359105316642249 · Cited by 34 · see citing works
Mediating role of experiential avoidance in the relationship between anxiety sensitivity and eating disorder psychopathology: A clinical replication
Espel-Huynh, H. M., Muratore, A. F., Virzi, N., Brooks, G., & Zandberg, L. J. (2019) · Eating Behaviors · doi:10.1016/j.eatbeh.2019.101308 · Cited by 40 · see citing works
Fear of Negative Evaluation and Weight/Shape Concerns among Adolescents: The Moderating Effects of Gender and Weight Status
Trompeter, N., Bussey, K., Hay, P., Mond, J., Murray, S. B., Lonergan, A. R., Griffiths, S., Pike, K. M., & Mitchison, D. (2018) · Journal of Youth and Adolescence · doi:10.1007/s10964-018-0872-z · Cited by 42 · see citing works
What are the emotions underlying feeling fat and fear of weight gain?
Levinson, C., Williams, B. M., & Christian, C. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.08.012 · Cited by 35 · see citing works
Perceptions of parental pressure to eat and eating behaviours in preadolescents: The mediating role of anxiety
Houldcroft, L., Farrow, C. V., & Haycraft, E. (2014) · Appetite · doi:10.1016/j.appet.2014.05.002 · Cited by 39 · see citing works
Symptom association between social anxiety disorder, appearance anxiety, and eating disorders among Chinese University students: A network analysis to conceptualize comorbidity
Jin, Y., Xu, S., Chen, C., Wilson, A. D., Gao, D., Ji, Y., Sun, X., & Wang, Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1044081 · Cited by 41 · see citing works
Determining the relationship between body mass index, healthy lifestyle behaviors and social appearance anxiety
Şanlıer, N., Pehlivan, M., Sabuncular, G., Bakan, S., & İşgüzar, Y. (2017) · Ecology of Food and Nutrition · doi:10.1080/03670244.2017.1419343 · Cited by 38 · see citing works
Associations Between Fear of Negative Evaluation and Eating Pathology During Intervention and 12-Month Follow-up
Hopkins, L. B., Medina, J. L., Davis, M. L., Presnell, K. E., Powers, M. B., & Smits, J. A. J. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9547-y · Cited by 39 · see citing works
Avoidance in Anorexia Nervosa: Towards a research agenda
Melles, H., Spix, M., & Jansen, A. (2021) · Physiology & Behavior · doi:10.1016/j.physbeh.2021.113478 · Cited by 37 · see citing works
Appearance investment mediates the association between fear of negative evaluation and dietary restraint
Chang, F. M., Jarry, J. L., & Kong, M. (2013) · Body Image · doi:10.1016/j.bodyim.2013.11.002 · Cited by 35 · see citing works
Appearance issues, depression, and disordered eating among college females
Gitimu, P. N., Jameson, M. M., Turel, T., Pohle-Krauza, R., Mincher, J. L., Rowlands, Z., & Elias, J. (2016) · Cogent Psychology · doi:10.1080/23311908.2016.1196512 · Cited by 34 · see citing works
An integrated review of fear and avoidance learning in anxiety disorders and application to eating disorders
Christian, C., & Levinson, C. A. (2022) · New Ideas in Psychology · doi:10.1016/j.newideapsych.2022.100964 · Cited by 33 · see citing works
Looking beyond the mirror: Psychological distress; disordered eating, weight and shape concerns; and maladaptive eating habits in lawyers and law students
Skead, N., Rogers, S., & Doraisamy, J. (2018) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2018.06.002 · Cited by 33 · see citing works
The interaction of negative psychological well-being and picky eating in relation to disordered eating in undergraduate students
Barnhart, W. R., Hamilton, L., Jordan, A. K., Pratt, M., & Musher‐Eizenman, D. R. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101476 · Cited by 33 · see citing works
Self-Esteem and Social Appearance Anxiety: An Investigation of Secondary School Students.
Şahin, E., Barut, Y., Ersanlı, E., & Kumcağız, H. (2014) · Cited by 33 · see citing works
Emotional intelligence and eating disorders: a systematic review
Romero‐Mesa, J., Peláez-Fernández, M. Á., & Extremera, N. (2020) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-020-00968-7 · Cited by 32 · see citing works
Temperament and psychopathology in early childhood predict body dissatisfaction and eating disorder symptoms in adolescence
Bufferd, S. J., Levinson, C. A., Olino, T. M., Dougherty, L. R., Dyson, M. W., Carlson, G. A., & Klein, D. N. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104039 · Cited by 32 · see citing works
The longitudinal relationship between worry and disordered eating: Is worry a precursor or consequence of disordered eating?
Sala, M., & Levinson, C. A. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.07.012 · Cited by 32 · see citing works
Social phobia, depression and eating disorders during middle adolescence: longitudinal associations and treatment seeking
Ranta, K., Väänänen, J., Fröjd, S. A., Isomaa, R., Kaltiala‐Heino, R., & MARTTUNEN, M. J. (2017) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2017.1366548 · Cited by 32 · see citing works
Transdiagnostic fears and avoidance behaviors in self-reported eating disorders
Melles, H., & Jansen, A. (2023) · Journal of Eating Disorders · doi:10.1186/s40337-023-00745-8 · Cited by 30 · see citing works
Cognitive training via a mobile application to reduce some forms of body dissatisfaction in young females at high-risk for body image disorders: A randomized controlled trial
Cerea, S., Doron, G., Manoli, T., Patania, F., Bottesi, G., & Ghisi, M. (2022) · Body Image · doi:10.1016/j.bodyim.2022.07.010 · Cited by 28 · see citing works
Social physical anxiety and eating disorders: A systematic review and meta-analysis
Alcaraz‐Ibáñez, M., Paterna, A., & Griffiths, M. D. (2023) · Body Image · doi:10.1016/j.bodyim.2023.02.008 · Cited by 29 · see citing works
Examining body dissatisfaction in college men through the exploration of appearance anxiety and internalization of the mesomorphic ideal
Gerrard, O., Galli, N. A., Santurri, L. E., & Franklin, J. (2020) · Journal of American College Health · doi:10.1080/07448481.2019.1704412 · Cited by 27 · see citing works
Affective predictors of the severity and change in eating psychopathology in residential eating disorder treatment: The role of social anxiety
Smith, K. E., Mason, T. B., Leonard, R. C., Wetterneck, C. T., Smith, B. E. R., Farrell, N. R., & Riemann, B. C. (2018) · Eating Disorders · doi:10.1080/10640266.2018.1418314 · Cited by 26 · see citing works
Diagnostic, Clinical, and Personality Correlates of Food Anxiety during a Food Exposure in Patients Diagnosed with an Eating Disorder
Levinson, C., Sala, M., Murray, S. B., Ma, J., Rodebaugh, T., & Lenze, E. (2019) · Eating and Weight Disorders · doi:10.1007/s40519-019-00669-w · Cited by 26 · see citing works
Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample
Ernst, M., Werner, A. M., Tibubos, A. N., Beutel, M. E., de Zwaan, M., & Brähler, E. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.645654 · Cited by 26 · see citing works
Sociodemographic Variables in Relation to Social Appearance Anxiety in Adolescents.
Şahin, E., Barut, Y., & Ersanli, E. (2013) · Cited by 25 · see citing works
The relationship between social withdrawal and problematic social media use in Chinese college students: a chain mediation of alexithymia and negative body image
Li, S., Chen, X., Liu, L., & Sun, C. (2024) · BMC Psychology · doi:10.1186/s40359-024-01755-0 · Cited by 27 · see citing works
Risk factors and temporal patterns of disordered eating differ in adolescent boys and girls: Testing gender-specific appearance anxiety models
Zimmer‐Gembeck, M. J., Webb, H. J., Kerin, J., Waters, A. M., & Farrell, L. J. (2020) · Development and Psychopathology · doi:10.1017/s0954579420000188 · Cited by 24 · see citing works
From fears of evaluation to social anxiety: The longitudinal relationships and neural basis in healthy young adults
Zhang, Y., Chen, J., Gao, W., Chen, W., Xiao, Z., Qi, Y., Turel, O., & He, Q. (2022) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2022.100345 · Cited by 26 · see citing works
Eating Disorders in Lebanon: Directions for Public Health Action
Zeeni, N., Safieddine, H., & Doumit, R. (2015) · Community Mental Health Journal · doi:10.1007/s10597-015-9917-x · Cited by 24 · see citing works
Intolerance of uncertainty moderates the relations among religiosity and motives for religion, depression, and social evaluation fears
Howell, A. N., Carleton, R. N., Horswill, S. C., Parkerson, H. A., Weeks, J. W., & Asmundson, G. J. G. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22691 · Cited by 25 · see citing works
The influence of social anxiety on the body checking behaviors of female college students
White, E. K., & Warren, C. S. (2014) · Body Image · doi:10.1016/j.bodyim.2014.07.008 · Cited by 23 · see citing works
Further support for the validity of the social appearance anxiety scale (SAAS) in a variety of German-speaking samples
Reichenberger, J., Radix, A. K., Jens Blechert, A., & Legenbauer, T. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01171-y · Cited by 23 · see citing works
Appearance-based rejection sensitivity as a mediator of the relationship between symptoms of social anxiety and disordered eating cognitions and behaviors
Linardon, J., Braithwaite, R., Cousins, R., & Brennan, L. (2017) · Eating Behaviors · doi:10.1016/j.eatbeh.2017.10.003 · Cited by 22 · see citing works
Measurement invariance of the Liebowitz Social Anxiety Scale-Self-Report.
Baroni, D., Caccico, L., Ciandri, S., Gesto, C. D., Leonardo, L. D., Fiesoli, A., Grassi, E., Lauretta, F., Lebruto, A., Marsigli, N., et al. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23413 · Cited by 19 · see citing works
Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis
Sahlan, R. N., Keshishian, A. C., Christian, C., & Levinson, C. A. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01329-8 · Cited by 21 · see citing works
Body talk on social networking sites and restrained eating among adolescents: A test of a multiple mediation model
Wang, Y., Wang, J., Geng, J., Wang, H., & Lei, L. (2023) · Body Image · doi:10.1016/j.bodyim.2023.03.002 · Cited by 20 · see citing works
The Shared and Distinct Mechanisms Underlying Fear of Evaluation in Social Anxiety: The Roles of Negative and Positive Evaluation
Gao, W., Li, Y., Yuan, J., & He, Q. (2025) · Depression and Anxiety · doi:10.1155/da/9559056 · Cited by 19 · see citing works
Social Anxiety in 15–19 Year Adolescents in Association with Their Subjective Evaluation of Mental and Physical Health
Pilkionienė, I., Širvinskienė, G., Žemaitienė, N., & Jonynienė, J. (2021) · Children · doi:10.3390/children8090737 · Cited by 21 · see citing works
Social appearance anxiety and self-esteem in women: could body mass index have a mediating role?
Göbel, P., Şanlıer, N., & Kocabaş, Ş. (2023) · Behavioral Psychology/Psicología Conductual · doi:10.51668/bp.8323102n · Cited by 19 · see citing works
Psychometric properties of the Social Appearance Anxiety Scale among Canadian gay and bisexual men of color.
Hart, T. A., Rotondi, N. K., Souleymanov, R., & Brennan, D. J. (2015) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000140 · Cited by 21 · see citing works
Social Anxiety and Eating Disorder Risk Among Chinese Adolescents: The Role of Emotional Intelligence
Li, Y. (2018) · School Mental Health · doi:10.1007/s12310-018-9257-4 · Cited by 19 · see citing works
Social appearance anxiety moderates the relationship between thin-ideal internalization and eating disorder symptoms cross-sectionally and prospectively in adolescent girls
Christian, C., Ngo, B., Brosof, L. C., & Levinson, C. A. (2020) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-020-01050-y · Cited by 19 · see citing works
Linking body esteem to eating disorders among adolescents: A moderated mediation model
Li, Y. (2019) · Journal of Health Psychology · doi:10.1177/1359105319886048 · Cited by 19 · see citing works
Adolescents’ online appearance preoccupation: A 5-year longitudinal study of the influence of peers, parents, beliefs, and disordered eating
Zimmer‐Gembeck, M. J., Hawes, T., Scott, R. A., Campbell, T., & Webb, H. J. (2022) · Computers in Human Behavior · doi:10.1016/j.chb.2022.107569 · Cited by 18 · see citing works
Eating disorders and anxiety among high school students in Western area of Turkey
Ünal, E., Aydın, R., Gökler, M. E., & Ünsal, A. (2016) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20162322 · Cited by 17 · see citing works
The majority of professionally active women diagnosed with eating disorders may be at risk of work addiction: an overlooked comorbidity
Atroszko, P. A., Mytlewska, W. M., & Atroszko, B. (2020) · Health Psychology Report · doi:10.5114/hpr.2020.98734 · Cited by 18 · see citing works
Social Physique Anxiety Scale: Psychometric Evaluation and Development of a Chinese Adaptation
Jin, J., & Fung, S.-F. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010921 · Cited by 17 · see citing works
Assessing the Straightforwardly-Worded Brief Fear of Negative Evaluation Scale for Differential Item Functioning Across Gender and Ethnicity
Harpole, J. K., Levinson, C. A., Woods, C. M., Rodebaugh, T. L., Weeks, J. W., Brown, P. J., Heimberg, R. G., Menatti, A. R., Blanco, C., Schneier, F. R., et al. (2014) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-014-9455-9 · Cited by 17 · see citing works
The Role of Anxiety on the Experience of Peer Victimization and Eating Disorder Risk
Cook‐Cottone, C. P., Serwacki, M. L., Guyker, W. M., Sodano, S. M., Nickerson, A. B., Keddie-Olka, E., & Anderson, L. M. (2016) · School Mental Health · doi:10.1007/s12310-016-9178-z · Cited by 17 · see citing works
“I would love to have online support but I don't trust it”: Positive and negative views of technology from the perspective of those with eating disorders in Canada
Basterfield, A., Dimitropoulos, G., Bills, D., Cullen, O., & Freeman, V. (2018) · Health & Social Care in the Community · doi:10.1111/hsc.12557 · Cited by 18 · see citing works
Rest intolerance and associated factors among Chinese nursing students: a cross-sectional network analysis
Zhao, J., Wu, Y., Xu, J., Du, K., Yu, Y., & Zang, S. (2025) · BMC Nursing · doi:10.1186/s12912-025-03472-4 · Cited by 17 · see citing works
Virtual Rejection and Overinclusion in Eating Disorders: An Experimental Investigation of the Impact on Emotions, Stress Perception, and Food Attitudes
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Manipulation of Negative Social Evaluative Fears on Body Dissatisfaction and Eating Behaviors: Does Fear of Social Evaluation Lead to Disordered Eating?
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Social appearance anxiety, perfectionism, and fear of negative evaluation. Distinct or shared risk factors for social anxiety and eating disorders?
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Authors: Levinson, C. A., & Rodebaugh, T. L.
Affiliations: Washington University in St. Louis (US)
Corresponding author: Levinson, Cheri A.
ORCID: Levinson, Cheri A.
Rodebaugh, Thomas L.
Venue: Eating Behaviors
Publisher: Elsevier BV
Published: 2012-01
Volume: 13
Issue: 1
Pages: 27-35
ISSN: 1471-0153 (ISSN-L)
DOI: 10.1016/j.eatbeh.2011.11.006
PMC: PMC3244677
OpenAlex: W2075960670
Cited by: 233
References: 90
Citations by year: 2026: 16 · 2025: 19 · 2024: 18 · 2023: 22 · 2022: 24 · 2021: 20 · 2020: 20 · 2019: 17 · 2018: 16 · 2017: 10 · 2016: 13 · 2015: 12 · 2014: 14 · 2013: 11 · 2012: 1
FWCI: 8.95
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Eating Behaviors (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (F31MH096433, F31-MH096433-01)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords: social anxiety, eating disorders, comorbidities, social appearance anxiety, fear of negative evaluation, social interaction anxiety, fear of positive evaluation, body dissatisfaction, bulimic symptoms, drive for thinness, restraint, shape concern, weight concern, eating concerns, vulnerability factors, eating disorder prevention
MeSH terms: Adolescent, Anxiety, Feeding and Eating Disorders, Body Image, Eating, Female, Humans, Interpersonal Relations, Male, Models, Psychological, Rejection, Psychology, Social Behavior, Psychological Distance, Social Perception, Thinness, Caloric Restriction, Young Adult

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Social anxiety and eating disorder comorbidity: The role of negative social evaluation fears

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