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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Volume 31, Issue 4


Looks can be deceiving: body image dissatisfaction relates to social anxiety through fear of negative evaluation

Yada Pawijit / Watcharaphon Likhitsuwan / Jason Ludington / Kullaya Pisitsungkagarn
  • Corresponding author
  • Faculty of Psychology, Chulalongkorn University, 8th Floor BMS Bldg., Rama 1 Rd., Patumwan, Bangkok 10330, Thailand, Phone: +66 2218 9909, Fax: +66 2218 9923
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Published Online: 2017-07-06 | DOI: https://doi.org/10.1515/ijamh-2017-0031



Emerging adults are particularly vulnerable to body image dissatisfaction and social anxiety. These bring about a host of negative outcomes, including compromised social adjustment and well-being. Fear of negative evaluation has been shown to be a core element of social anxiety, but it is rarely considered in studies of body image and its effects on social anxiety. This study aimed to bridge this gap by examining the role of fear of negative evaluation in the association between body image dissatisfaction and social anxiety.


A cross-sectional study using 80 Thai undergraduates (mean age of 21 years) was conducted by self-reported (questionnaire) measures. Body image dissatisfaction was measured with the short version of the Body Shape Questionnaire (BSQ-8C), fear of negative evaluation with the Brief Fear of Negative Evaluation Scale, and social anxiety with the Interaction Anxiousness Scale (IAS). Correlation and mediation analyses were conducted to assess how these constructs were related to one another.


The key hypothesis was supported: positive associations were found among body image dissatisfaction, fear of negative evaluation and social anxiety, and the association between body image dissatisfaction and social anxiety was mediated by fear of negative evaluation.


Generalizing from the current findings, ideas for possible amelioration of social anxiety are discussed.

Keywords: anxiety; body image; late adolescence; Thailand


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About the article

Received: 2017-02-20

Accepted: 2017-04-14

Published Online: 2017-07-06

Author contributions: Yada Pawijit and Watcharaphon Likhitsuwan provided the review of the literature, collected data and prepared early drafts of the manuscript. Jason Ludington and Kullaya Pisitsungkagarn conducted the mediation analyses and prepared later drafts of the manuscript.

Citation Information: International Journal of Adolescent Medicine and Health, Volume 31, Issue 4, 20170031, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0031.

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