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Social anxiety and eating disorder comorbidity: The role of negative social evaluation fears
Open accessAbstract
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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“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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Metadata
- Authors
- Levinson, C. A., & Rodebaugh, T. L.
- Affiliations
- Washington University in St. Louis (US)
- Corresponding author
- Levinson, Cheri A.
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 13
- Issue
- 1
- Pages
- 27-35
- ISSN
- 1471-0153 (ISSN-L)
- 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
- 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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