Department of Psychology, Catholic University of Croatia, Zagreb, Croatia.
Body Image. 2022 Sep;42:440-446. doi: 10.1016/j.bodyim.2022.07.019. Epub 2022 Aug 12.
Previous findings from cross-sectional studies suggest that social anxiety symptoms and negative peers' experiences regarding appearance were predictors of body dysmorphic symptoms through appearance-based rejection sensitivity. However, little is known about longitudinal relations and parental appearance rejection on body dysmorphic symptoms. Therefore, this study aims to examine the longitudinal mediation of appearance-based rejection sensitivity with social anxiety symptoms, remembered peers', maternal, and paternal appearance-based rejection as predictors, and body dysmorphic symptoms as an outcome. The study included 277 university students who completed questionnaires in two-measurements points 5 months apart. The results indicated that social anxiety symptoms predicted changes in body dysmorphic symptoms through appearance-based rejection sensitivity. In addition, remembered childhood peers' appearance-based rejection predicted both directly and indirectly changes in body dysmorphic symptoms over time. Maternal and paternal appearance-based rejection were not predictors of appearance-based rejection sensitivity or body dysmorphic symptoms. Findings support rejection sensitivity theory and the long-lasting impact of negative peers' experiences for impaired body dysmorphic symptoms. However, further research regarding remembered parental negative experiences is needed.
先前的横断面研究结果表明，社交焦虑症状和负面的同伴对外观的体验通过基于外观的拒绝敏感性预测了躯体变形症状。然而，关于纵向关系和父母对外观的拒绝与躯体变形症状之间的关系，我们知之甚少。因此，本研究旨在通过基于外观的拒绝敏感性，以社交焦虑症状、回忆中的同伴、母亲和父亲对外观的拒绝为预测因子，以躯体变形症状为结果，来检验纵向中介作用。研究包括 277 名大学生，他们在 5 个月的两个测量点完成了问卷调查。结果表明，社交焦虑症状通过基于外观的拒绝敏感性预测了躯体变形症状的变化。此外，回忆中的儿童同伴对外观的拒绝既直接又间接地预测了躯体变形症状随时间的变化。母亲和父亲对外观的拒绝不是基于外观的拒绝敏感性或躯体变形症状的预测因子。研究结果支持了拒绝敏感性理论和负面同伴体验对躯体变形症状的持久影响。然而，需要进一步研究关于记忆中父母的负面体验。
