Fear of negative appearance evaluation: Development and evaluation of a new construct for risk factor work in the field of eating disorders
Abstract
The psychometric properties and correlates of a measure designed to assess fear of negative appearance evaluation are presented. In Study 1, 165 college females completed the Fear of Negative Appearance Evaluation Scale [FNAES; Thomas, C.M., Keery, H., Williams, R., & Thompson, J. K. (1998, November). The Fear of Negative Appearance Evaluation Scale: Development and preliminary validation. Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Washington, DC] along with measures of body image, eating disturbance, and depression. Results replicated previous analyses indicating the presence of a single factor, good internal consistency, and significant association with measures of body image and eating disturbance. Additionally, the FNAES accounted for unique variance beyond that explained by general fear of negative evaluation, and other measures of body image and eating disturbance, in the prediction of body shape dysphoria, dietary restraint, and trait anxiety. Study 2 further examined the validity of the FNAES, finding it to correlate significantly with measures of social physique anxiety, body image, eating attitude, and mood. The FNAES did not significantly correlate with body mass index (BMI). Regression analyses found the FNAES to predict levels of body image, eating attitude, and mood beyond variance explained by social physique anxiety. The FNAES appears to measure a conceptually unique aspect of body image that has not been indexed by previous measures and may serve a useful role in risk factor and preventive work.
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The FNAES has been shown to have good validity and reliability in college students.
“The FNAES has been shown to have good validity and reliability in college students [47]”
From An Acceptance and Commitment Therapy Prototype Mobile Program for Individuals with a Visible Difference: Mixed Methods Feasibility Study (2022) · cites this paper as [47]
The FNAES used showed a signal of a ceiling effect at baseline measurement, with >15% of participants scoring the maximum fear of negative evaluation score.
“the FNAES [47] used did show a signal of a ceiling effect at baseline measurement, with >15% of participants scoring the maximum fear of negative evaluation score.”
From An Acceptance and Commitment Therapy Prototype Mobile Program for Individuals with a Visible Difference: Mixed Methods Feasibility Study (2022) · cites this paper as [47]
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- Authors
- Lundgren, J. D., Anderson, D. A., & Thompson, J. K.
- Affiliations
- State University of New York (US)
- University at Albany, State University of New York (US)
- University of South Florida (US)
- Corresponding author
- Lundgren, Jennifer D
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2004-01
- Volume
- 5
- Issue
- 1
- Pages
- 75-84
- ISSN
- 1471-0153 (ISSN-L)
- OpenAlex
- W2157617265
- Cited by
- 127
- References
- 26
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 7 · 2023: 10 · 2022: 13 · 2021: 8 · 2020: 8 · 2019: 5 · 2018: 6 · 2017: 8 · 2016: 5 · 2015: 2 · 2014: 2 · 2013: 6 · 2012: 3
- FWCI
- 4.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Eating Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- body image, eating disorders, social physique anxiety, dietary restraint, eating attitudes, trait anxiety, depression, risk factors, prevention, scale development, psychometric validation
- MeSH terms
- Adolescent, Adult, Anxiety, Feeding and Eating Disorders, Body Image, Diet, Reducing, Fear, Feedback, Female, Humans, Internal-External Control, Interpersonal Relations, Male, Middle Aged, Obesity, Personality Inventory, Psychometrics, Risk Factors, Self-Assessment, Social Desirability, Statistics as Topic, Students, Reproducibility of Results, Body Mass Index
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