Fear of Negative Evaluation and Weight/Shape Concerns among Adolescents: The Moderating Effects of Gender and Weight Status
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Fear of negative evaluation has been linked with weight/shape concerns among adults, however, similar research among adolescents is lacking. We investigated the relationship between fear of negative evaluation and weight/shape concerns, including the moderating roles of gender and body mass index (BMI) in adolescents. Participant were 4045 Australian adolescents (53.7% girls) aged 11–19 years (Mage = 14 years 11 months), who completed a self-report questionnaire about weight/shape concerns, fear of negative evaluation, and weight and height. Results showed a positive association between fear of negative evaluation and weight/shape concerns, with the association being stronger among girls. Furthermore, the association between fear of negative evaluation and weight/shape concerns was stronger among adolescents with higher BMIs, especially so for boys. These results highlight the role of fear of negative evaluation in weight/shape concerns and suggest potential avenues for prevention programs.
KeywordsFear of negative evaluation Weight and shape concerns Body image Adolescence Eating disorders
N.T. conceived of the study, participated in its design and coordination, performed the statistical analysis, and drafted the manuscript; D.M. received funding for the project, conceived of the study, participated in the design and coordination, and assisted with manuscript preparation; K.B. participated in the design and coordination of the study, participated in the interpretation of the data, and assisted with manuscript preparation; P.H., J.M., S.M., K.P. participated in the design of the study, and assisted with manuscript preparation; A.L. participated in the coordination of the study, assisted with preparing the data set for statistical analyses, and assisted with manuscript preparation; S.G. participated in the design of the study, provided advice on statistical analyses, and assisted with manuscript preparation. All authors read and approved the final manuscript.
This study was funded by Macquarie University under a Research Fellowship Scheme awarded to Dr. Deborah Mitchison (grant number X 16322420).
Data Sharing Declaration
Deidentified data are available upon request from the senior author (D.M.), pertaining to approval from the authors’ institutional ethics committe
Compliance with Ethical Standards
Conflict of Interest
Professor Hay receives/has received sessional fees and lecture fees from the Australian Medical Council, Therapeutic Guidelines publication, and New South Wales Institute of Psychiatry and royalties/honoraria from Hogrefe and Huber, McGraw Hill Education, and Blackwell Scientific Publications, Biomed Central and PlosMedicine and she has received research grants from the NHMRC and ARC. She is Deputy Chair of the National Eating Disorders Collaboration Steering Committee in Australia (2012-) and Member of the ICD-11 Working Group for Eating Disorders (2012-) and was Chair Clinical Practice Guidelines Project Working Group (Eating Disorders) of RANZCP (2012-2015). She has prepared a report under contract for Shire Pharmaceuticals in regards to Binge Eating Disorder (July 2017) and is a consultant to Shire Pharmaceuticals. All views in this paper are her own. Deborah Mitchison and Scott Griffiths are members of the executive of the Australian and New Zealand Academy of Eating Disorders. Stuart Murray receives royalties from Oxford University Press and Taylor & Francis for two academic textbooks relating to eating disorders. All other authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Australian Bureau of Statistics (2016). Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia, https://www.abs.gov.au/ausstats/abs@.nsf/mf/2033.0.55.001. Accessed 23 Feb 2018.
- Bartholdy, S., Allen, K., Hodsoll, J., O’Daly, O. G., Campbell, I. C., Banaschewski, T., & Schmidt, U. (2017). Identifying disordered eating behaviours in adolescents: how do parent and adolescent reports differ by sex and age? European Child & Adolescent Psychiatry, 26, 691–701. https://doi.org/10.1007/s00787-016-0935-1.CrossRefGoogle Scholar
- Bentley, C., Gratwick-Sarll, K., Harrison, C., & Mond, J. (2016). Sex differences in psychosocial impairment associated with eating disorder features in adolescents: A school-based study. International Journal of Eating Disorders, 48, 633–640. https://doi.org/10.1002/eat.22396.CrossRefGoogle Scholar
- Calzo, J. P., Sonneville, K. R., Haines, J., Blood, E. A., Field, A. E., & Austin, S. B. (2012). The development of associations among body mass index, body dissatisfaction, and weight and shape concern in adolescent boys and girls. Journal of Adolescent Health, 51, 517–523. https://doi.org/10.1016/j.jadohealth.2012.02.021.CrossRefPubMedPubMedCentralGoogle Scholar
- Carleton, N., Collimore, K. C., McCabe, R. E., & Anthony, M. M. (2011). Addressing revisions to the brief fear of negative evaluation scale: Measuring fear of negative evaluation across anxiety and mood disorders. Journal of Anxiety Disorders, 12, 822–828. https://doi.org/10.1016/j.janxdis.2011.04.002.CrossRefGoogle Scholar
- Centers for Disease Control and Prevention (2017). Retrieved from https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html Accessed 14 Dec 2017.
- DeBoer, L. B., Medina, J. L., Davis, M. L., Presnell, K. E., Powers, M. B., & Smits, J. A. (2013). Associations between fear of negative evaluation and eating pathology during intervention and 12-month follow-up. Cognitive Therapy and Research, 37, 941–952. https://doi.org/10.1007/s10608-013-9547-y.CrossRefGoogle Scholar
- Fairburn, C. G., Cooper, Z., & O’Connor, M. E. (2008). Eating Disorder Examination (Edition 16.0D). In C.G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 265–308). New York, NY: Guilford Press.Google Scholar
- Griffiths, S., Murray, S. B., Bentley, C., Gratwick-Sarll, K., Harrison, C., & Mond, J. M. (2017). Sex differences in quality of life impairment associated with body dissatisfaction in adolescents. Journal of Adolescent Health, 61, 77–82. https://doi.org/10.1016/j.jadohealth.2017.01.016.CrossRefPubMedGoogle Scholar
- Hart, L. M., Granillo, M. T., Jorm, A. F., & Paxton, S. J. (2011). Unmet need for treatment in the eating disorders: a systematic review of eating disorder specific treatment seeking among community cases. Clinical Psychology Review, 31, 727–735. https://doi.org/10.1016/j.cpr.2011.03.004.CrossRefPubMedGoogle Scholar
- Hay, P., Mitchison, D., Collado, A. E. L., González-Chica, D. A., Stocks, N., & Touyz, S. (2017). Burden and health-related quality of life of eating disorders, including Avoidant/Restrictive Food Intake Disorder (ARFID), in the Australian population. Journal of Eating Disorders, 5, 21 https://doi.org/10.1186/s40337-017-0149-z.CrossRefPubMedPubMedCentralGoogle Scholar
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.Google Scholar
- Heimberg, R. G., Brozovich, F. A., Rapee, R. M., (2014). A cognitive-behavioral model of social anxiety disorder. In: S. G. Hofmann, P. M. DiBartolo (Eds.) Social anxiety: Clinical, developmental, and social perspectives (3rd ed., pp. 704–728). Amsterdam; Boston: Elsevier/Academic Press.Google Scholar
- Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. https://doi.org/10.1001/archpsyc.62.6.593.CrossRefPubMedGoogle Scholar
- Maraldo, T. M., Zhou, W., Dowling, J., & Wal, J. S. (2016). Replication and extension of the dual pathway model of disordered eating: The role of fear of negative evaluation, suggestibility, rumination, and self-compassion. Eating Behaviors, 23, 187–194. https://doi.org/10.1016/j.eatbeh.2016.10.008.CrossRefPubMedGoogle Scholar
- Michael, S. L., Wentzel, K., Elliott, M. N., Dittus, P. J., Kanouse, D. E., Wallander, J. L., & Schuster, M. A. (2014). Parental and peer factors associated with body image discrepancy among fifth-grade boys and girls. Journal of Youth and Adolescence, 43, 15–29. https://doi.org/10.1007/s10964-012-9899-8.CrossRefPubMedGoogle Scholar
- Mond, J., Hall, A., Bentley, C., Harrison, C., Gratwick-Sarll, K., & Lewis, V. (2014). Eating‐disordered behavior in adolescent boys: Eating disorder examination questionnaire norms. International Journal of Eating Disorders, 47, 335–341. https://doi.org/10.1002/eat.22237.CrossRefPubMedGoogle Scholar
- Rodebaugh, T. L., Woods, C. M., Thissen, D. M., Heimberg, R. G., Chambless, D. L., & Rapee, R. M. (2004). More information from fewer questions: The factor structure and item properties of the original and brief fear of negative evaluation scale. Psychological Assessment, 16, 169–181. https://doi.org/10.1037/1040-3522.214.171.124.CrossRefPubMedGoogle Scholar
- Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston, MA: Allyn and Bacon.Google Scholar
- Westenberg, P. M., Gullone, E., Bokhorst, C. L., Heyne, D. A., & King, N. J. (2007). Social evaluation fear in childhood and adolescence: Normative developmental course and continuity of individual differences. British Journal of Developmental Psychology, 25, 471–483. https://doi.org/10.1348/026151006X173099.CrossRefGoogle Scholar