School of Psychology, Western Sydney University, Sydney, Australia.
School of Medicine, Translational Health Research Institute, Western Sydney University, Sydney, Australia.
Eat Behav. 2023 Apr;49:101708. doi: 10.1016/j.eatbeh.2023.101708. Epub 2023 Feb 16.
Fear of negative evaluation (FNE) is a transdiagnostic risk factor that has an important role in eating disorder (ED) onset and maintenance, as well as other psychopathologies. However, no research has explored whether FNE has associations with probable ED status when accounting for related vulnerabilities, and whether this relationship changes across gender and weight status. The current study sought out to explore how FNE explains probable ED status above and beyond heightened neuroticism and low self-esteem, with gender and BMI serving as potential moderators of this relationship. Participants were 910 university students (85 % females) aged 18-26 years (M = 19.90; SD = 2.06) living in Australia, who completed measures of psychological distress, personality, self-esteem, FNE, and ED status. Logistic regression analysis showed that FNE was associated with probable ED status. This relationship was stronger among individuals with underweight and healthy-weight, whilst an interaction with gender was not significant. These findings shed light on the unique role FNE has in probable ED status across gender, which appears to be more pronounced in those with a lower BMI. Therefore, FNE should be considered as a potential target in ED screening and early intervention alongside other important transdiagnostic risk factors.
对负面评价的恐惧 (FNE) 是一种跨诊断的风险因素，它在饮食障碍 (ED) 的发生和维持中以及其他精神病理学中起着重要作用。然而，目前还没有研究探索当考虑到相关的脆弱性时，FNE 是否与可能的 ED 状态有关，以及这种关系是否会因性别和体重状况而变化。本研究旨在探讨 FNE 在多大程度上可以解释可能的 ED 状态，而不是神经质和低自尊，性别和 BMI 作为这种关系的潜在调节因素。参与者是来自澳大利亚的 910 名年龄在 18 至 26 岁之间的大学生（85%为女性），他们完成了心理困扰、人格、自尊、FNE 和 ED 状态的测量。逻辑回归分析显示，FNE 与可能的 ED 状态有关。这种关系在体重过轻和健康体重的个体中更强，而与性别的相互作用并不显著。这些发现揭示了 FNE 在跨性别、BMI 较低的个体中，对可能的 ED 状态的独特作用。因此，FNE 应该被视为 ED 筛查和早期干预的潜在目标，与其他重要的跨诊断风险因素一起。
