The relative importance of social anxiety facets on disordered eating in pediatric obesity

Anderson, Lisa M.; Wong, Nina; Lanciers, S; Lim, Crystal S.

doi:10.1007/s40519-018-0526-x

Cited by 6 publications

(7 citation statements)

References 41 publications

(64 reference statements)

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“…These findings extend previous cross‐sectional research on fear of negative evaluation (Anderson et al, 2020; MacKey & la Greca, 2008; Trompeter et al, 2018) to suggest that fear of negative evaluation may predict subsequent weight/shape concerns in adolescents. While the mechanisms through which this longitudinal relationship may operate cannot be ascertained in the current study, fear of negative evaluation has been shown to make individuals more attentive to potential social threats (Rossignol et al, 2013).…”

Section: Discussionsupporting

confidence: 86%

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

Trompeter

Austen

Bussey

et al. 2023

Intl J Eating Disorders

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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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Section: Discussionsupporting

confidence: 86%

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

Trompeter

Austen

Bussey

et al. 2023

Intl J Eating Disorders

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“…Furthermore, these findings are all from Western samples. The only network analysis study on EDs in Iran reported that desiring to lose weight was the most central symptom among a large sample of Iranian adolescents (ages [12][13][14][15][16][17][18][19] and college samples (ages 18-54) in both males and females [31]; however, the findings regarding preadolescents are understudied.…”

Section: Network Theory: a Framework To Understand Ed Psychopathologymentioning

confidence: 99%

“…In addition to Western societies, SAD symptoms were associated with ED symptoms in non-Western adolescents [16,17]. Taken together, the literature has established a connection between social anxiety and ED symptoms among college students, adolescents, and ED treatment-seeking patients, and suggests that anxiety is an early predictor of later ED symptoms [10,[18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis

et al. 2021

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Purpose Network studies of eating disorder (ED) symptoms have identified central and bridge symptoms in Western samples, yet few network models of ED symptoms have been tested in non-Western samples, especially among preadolescents. The current study tested a network model of ED symptoms in Iranian preadolescents (ages 9 to 13), as well as a model of co-occurring social anxiety disorder (SAD) and ED symptoms. Method Preadolescent boys (n = 405) and girls (n = 325) completed the Children Eating Attitudes Test-20 and Social Anxiety Scale for Children. We estimated two network models (ED and ED/SAD networks) and identified central and bridge symptoms, as well as tested if these models differed by sex. Results We found that discomfort eating sweets were the most central symptoms in ED networks. Concern over being judged was central in networks including both ED and SAD symptoms. Additionally, concern over being judged was the strongest bridge symptoms. Networks did not differ by sex. Conclusion Future research is needed to test if interventions focused on bridge symptoms (i.e., concern over being judged) as primary intervention points target comorbid ED-SAD pathology in preadolescents at risk for ED and SAD. Level of evidence Level III; Evidence obtained from well-designed observational study, including case-control design for relevant aspects of the study.

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“…Youth with OV/OB were recruited from a multidisciplinary pediatric obesity clinic in the southern United States (Anderson et al, 2018). Data collection in the clinic is ongoing, so we examined all youth enrolled prior to April 13, 2018.…”

Section: Samplementioning

confidence: 99%

Psychometric analysis of the Children's Eating Attitudes Test in youth with overweight/obesity

Girard¹,

Lim²,

Gowey³

et al. 2018

Preprint

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Objective: Disordered eating attitudes and behaviors play a critical role in pediatric overweight and obesity and are important to measure in research and practice with this population. Disordered eating attitudes and behaviors in youth are commonly measured using the Children's Eating Attitudes Test (ChEAT), which has not been psychometrically evaluated for use with youth with overweight and obesity. As such, it currently unknown whether the ChEAT provides a reliable measurement of a single underlying construct when applied in this population. Methods: Data from 400 treatment-seeking youth (aged 8 to 18) with overweight and obesity were drawn from two sites in the southern United States (54% female, 57% White). Psychometric properties of the ChEAT were evaluated in this combined sample using confirmatory bifactor modeling. Results: A confirmatory bifactor model with five group factors provided the best fit to the data and was used to generate numerous psychometric coefficients. The explained common variance (.36), omega hierarchical (.58), factor determinacy (.86), and construct replicability (.70) coefficients were all lower than recommended cutoff criteria. Both multidimensionality and excessive residual variance contributed to the ChEAT's poor psychometric performance in this sample. Conclusions: The ChEAT displayed marked psychometric problems in a large and diverse sample of youth with overweight and obesity. Its common variance was not unidimensional, its unit-weighted total score was not a reliable indicator of a broad central construct, and its optimally weighted total score was not likely to replicate across studies. We recommend using alternatives to the ChEAT when conducting research and practice with youth with overweight and obesity.

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The relative importance of social anxiety facets on disordered eating in pediatric obesity

Abstract: Level V, cross-sectional descriptive study.

Cited by 6 publications

References 41 publications

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

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

Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis

Psychometric analysis of the Children's Eating Attitudes Test in youth with overweight/obesity

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