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Examination of bidirectional relationships between fear of negative evaluation and weight/shape concerns over 3 years: A longitudinal cohort study of Australian adolescents
Journal article   Peer reviewed

Examination of bidirectional relationships between fear of negative evaluation and weight/shape concerns over 3 years: A longitudinal cohort study of Australian adolescents

Nora Trompeter, Emma Austen, Kay Bussey, Erin E. Reilly, Mitchell L. Cunningham, Jonathan Mond, Alexandra Lonergan, Jack Tame and Deborah Mitchison
The International journal of eating disorders, Vol.56(3), pp.646-653
03/2023
DOI: https://doi.org/10.1002/eat.23881
PMID: 36609864

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Abstract

adolescence eating disorders fear of negative evaluation social anxiety weight and shape concerns
Objective: Adolescents commonly experience both fear of negative evaluation and weight/shape concerns. However, evidence concerning the prospective associations between these constructs during adolescence is limited. The current study examined the bidirectional relationships between fear of negative evaluation and weight/shape concerns over a 3-year period in adolescents. Method: Australian high school students (n = 2073; 55% girls) completed self-report measures at three timepoints, each 1 year apart. Results: Findings showed a bidirectional relationship, whereby increases in fear of negative evaluation predicted exacerbated weight/shape concerns, and vice versa. Results point towards a vicious maintenance cycle between fear of negative evaluation and weight/shape concerns. Discussion: Findings from the current study highlight the importance of considering both fear of negative evaluation and weight/shape concerns in the development of health promotion and prevention programs designed to reduce the occurrence and adverse effects of body dissatisfaction or improve general mental health. Public Significance: Many adolescents experience some level of fear of negative evaluation (i.e., worry about being judged by others) and worry about their weight and/or shape. This study examined the prospective relationship between both constructs. Findings showed a bidirectional relationship, whereby higher fear of negative evaluation predicted increased weight/shape concerns, and vice versa. Programs designed to reduce body dissatisfaction might be improved by targeting both fear of negative evaluation and weight/shape concerns.

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