Fear of negative evaluation among eating disorders: Examining the association with weight/shape concerns in adolescence
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2019-03-01
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International Journal of Eating Disorders
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WILEY
Melbourne Authors
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Melbourne School of Psychological Sciences
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Journal Article
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Trompeter, N., Bussey, K., Hay, P., Griffiths, S., Murray, S. B., Mond, J., Lonergan, A., Pike, K. M. & Mitchison, D. (2019). Fear of negative evaluation among eating disorders: Examining the association with weight/shape concerns in adolescence. International Journal of Eating Disorders, 52 (3), pp.261-269. https://doi.org/10.1002/eat.23018.
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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 (Nā=ā4,030). 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.