Format

Send to

Choose Destination
Int J Eat Disord. 2019 Mar;52(3):261-269. doi: 10.1002/eat.23018. Epub 2019 Jan 21.

Fear of negative evaluation among eating disorders: Examining the association with weight/shape concerns in adolescence.

Author information

1
Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.
2
Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia.
3
Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia.
4
Department of Psychiatry, University of California San Francisco, San Francisco, California.
5
Centre for Rural Health, University of Tasmania, Launceston, Australia.
6
School of Medicine, Western Sydney University, Sydney, Australia.
7
Department of Psychiatry, Columbia University, New York.

Abstract

OBJECTIVE:

Fear of negative evaluation has been proposed as a transdiagnostic factor associated with the development of eating disorders and has been shown to relate to disorders of body image, especially those with weight/shape concerns such as eating disorders and muscle dysmorphia. The current study aimed to investigate whether fear of negative evaluation was a transdiagnostic factor of disorders diagnostically characterized by weight/shape concerns. The study examined whether fear of negative evaluation was associated with higher odds for meeting criteria for an eating disorder and/or muscle dysmorphia, especially those disorders diagnostically characterized by weight/shape concerns.

METHOD:

Data were used from a subgroup of the first wave of the EveryBODY study, a longitudinal investigation of eating disorders and body image concerns among Australian adolescents (N = 4,030). Participants completed measures on demographics, weight/shape concerns, disordered eating, psychological distress, muscularity concerns, and fear of negative evaluation.

RESULTS:

Findings revealed that fear of negative evaluation was associated with higher odds of meeting criteria for any eating disorder but significantly more so for those characterized by weight/shape concerns diagnostically, as well as binge-eating disorder. Similar results were found for muscle dysmorphia.

DISCUSSION:

The findings suggest that fear of negative evaluation constitutes a transdiagnostic feature for developing and/or maintaining an eating disorder.

KEYWORDS:

adolescence; eating disorders; fear of negative evaluation; muscle dysmorphia; weight and shape concerns

PMID:
30663786
DOI:
10.1002/eat.23018
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center