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

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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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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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