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Social appearance anxiety perfectionism and fear of negative evaluation: Distinct or shared risk factors for social anxiety and eating disorders?

机译：社交焦虑完美主义和对负面评价的恐惧：社交焦虑和进食障碍的不同或共同的危险因素？

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摘要

Social anxiety and eating disorders are highly comorbid. Social appearance anxiety (i.e., fear of negative evaluation of one's appearance), general fear of negative evaluation, and perfectionism have each been proposed as risk factors for both social anxiety disorder and the eating disorders. However, no research to date has examined all three factors simultaneously. Using structural equation modeling in two diverse samples (N = 236; N = 136) we tested a model in which each of these risk factors were uniquely associated with social anxiety and eating disorder symptoms. We found support for social appearance anxiety as a shared risk factor between social anxiety and eating disorder symptoms, whereas fear of negative evaluation was a risk factor only for social anxiety symptoms. Despite significant zero-order relationships, two facets of perfectionism (high standards and maladaptive perfectionism) did not emerge as a risk factor for either disorder when all constructs were considered. These results were maintained when gender, body mass index, trait negative affect, and depression were included in the model. It is possible that treating negative appearance evaluation fears may reduce both eating disorder and social anxiety symptoms.
机译：社交焦虑症和饮食失调是高度合并症。社会交往焦虑（即，对一个人的外貌的负面评价的恐惧），对负面评价的普遍恐惧和完美主义都被提出为社交焦虑症和进食障碍的危险因素。但是，迄今为止，尚无研究同时审查这三个因素。在两个不同的样本（N = 236； N = 136）中使用结构方程模型，我们测试了一个模型，其中所有这些风险因素均与社交焦虑症和进食障碍症状具有独特关联。我们发现社会外表焦虑是社交焦虑和进食障碍症状之间共同的危险因素，而对负面评价的恐惧仅是社交焦虑症状的危险因素。尽管存在显着的零级关系，但在考虑所有构造时，完美主义的两个方面（高标准和适应不良的完美主义）并没有成为任何一种疾病的危险因素。当将性别，体重指数，性状负面影响和抑郁纳入模型时，这些结果得以保持。治疗负面的外观评估恐惧可能会减少进食障碍和社交焦虑症状。

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