Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis

CHEN Weiying; LI Huiping; SONG Guiqi; FANG Jihong; LI Guoyuan

doi:10.16766/j.cnki.issn.1674-4152.003525

Volume 22 Issue 5

May 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(5): 878-881

CHEN Weiying, LI Huiping, SONG Guiqi, FANG Jihong, LI Guoyuan. Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis[J]. Chinese Journal of General Practice, 2024, 22(5): 878-881. doi: 10.16766/j.cnki.issn.1674-4152.003525

Citation:

CHEN Weiying, LI Huiping, SONG Guiqi, FANG Jihong, LI Guoyuan. Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis[J]. Chinese Journal of General Practice, 2024, 22(5): 878-881. doi: 10.16766/j.cnki.issn.1674-4152.003525

Citation:

CHEN Weiying, LI Huiping, SONG Guiqi, FANG Jihong, LI Guoyuan. Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis[J]. Chinese Journal of General Practice, 2024, 22(5): 878-881. doi: 10.16766/j.cnki.issn.1674-4152.003525

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Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis

doi: 10.16766/j.cnki.issn.1674-4152.003525

CHEN Weiying^{1, 2}
, LI Huiping^{1
,
,}
, SONG Guiqi³
, FANG Jihong⁴
, LI Guoyuan²

1.
School of Nursing, Anhui Medical University, Hefei, Anhui 230032, China

Funds:

81902201

2022AH040091

Received Date: 2023-04-28
Available Online: 2024-07-20

Abstract

Abstract

Objective This study aims to investigate the relationship between self-esteem and negative evaluation fear between body image and social appearance anxiety in adolescent idiopathic scoliosis patients, as well as the chain mediating effects among these variables. Methods This study investigated a sample of 101 hospitalized adolescent idiopathic scoliosis patients, who were admitted from September 2019 to May 2022. Data were collected using a general data questionnaire, the scoliosis version of the body image interference questionnaire, the self-esteem scale, the concise fear of negative evaluation scale, and the social appearance anxiety scale. Results The level of body image level in adolescent idiopathic scoliosis patients showed significant statistical differences based on age, weight, and treatment methods. Fear of negative evaluation was positively predicted by body image (r=0.302, P<0.001). While body image (r=-0.348, P<0.001) and fear of negative evaluation (r=-0.349, P<0.001) had negative predictive effects on self-esteem. Additionally, body image (r=0.422, P<0.001) and fear of negative evaluation (r=0.766, P<0.001) had positive predictive effects on social appearance anxiety, while self-esteem negatively predicted social appearance anxiety (r=-0.483, P<0.01). Both fear of negative evaluation and self-esteem demonstrated valid indirect effects. Fear of negative evaluation and self-esteem partially mediated the relationship between body image and social appearance anxiety, with a mediating effect ratio of 62.96%. Conclusion The age, weight, and treatment methods of adolescent idiopathic scoliosis patients have predictive effects on body image, while fear of negative evaluation and self-esteem act as chain mediator in the relationship between body image and social appearance anxiety in these patients. When providing psychological care, healthcare professionals should assist patients in developing a healthy body perception, enhancing their self-esteem, and reducing fear of negative evaluation, thereby mitigating the onset and progression of social appearance anxiety.
- Adolescent idiopathic scoliosis,
- Body image,
- Self-esteem,
- Fear of negative evaluation,
- Social appearance anxiety

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References(28)

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Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis

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Chain mediating effect of negative evaluation fear and self-esteem between body image and social appearance anxiety in adolescent idiopathic scoliosis

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