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The current study examined the bidirectional relationships between fear of negative evaluation and weight\/shape concerns over a 3\u2010year period in adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Australian high school students (<jats:italic>n<\/jats:italic>\u00a0=\u00a02073; 55% girls) completed self\u2010report measures at three timepoints, each 1\u2009year apart.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings showed a bidirectional relationship, whereby increases in fear of negative evaluation predicted exacerbated weight\/shape concerns, and vice versa. Results point towards a vicious maintenance cycle between fear of negative evaluation and weight\/shape concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings from the current study highlight the importance of considering both fear of negative evaluation and weight\/shape concerns in the development of health promotion and prevention programs designed to reduce the occurrence and adverse effects of body dissatisfaction or improve general mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Many adolescents experience some level of fear of negative evaluation (i.e., worry about being judged by others) and worry about their weight and\/or shape. This study examined the prospective relationship between both constructs. Findings showed a bidirectional relationship, whereby higher fear of negative evaluation predicted increased weight\/shape concerns, and vice versa. Programs designed to reduce body dissatisfaction might be improved by targeting both fear of negative evaluation and weight\/shape concerns.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23881","type":"journal-article","created":{"date-parts":[[2023,1,7]],"date-time":"2023-01-07T05:23:11Z","timestamp":1673068991000},"page":"646-653","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Examination of bidirectional relationships between fear of negative evaluation and weight\/shape concerns over 3\u2009years: A longitudinal cohort study of Australian adolescents"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5800-8679","authenticated-orcid":false,"given":"Nora","family":"Trompeter","sequence":"first","affiliation":[{"name":"Centre for Emotional Health, School of Psychological Sciences Macquarie University  Sydney New South Wales Australia"},{"name":"Department of Psychological Medicine King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Austen","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kay","family":"Bussey","sequence":"additional","affiliation":[{"name":"Centre for Emotional Health, School of Psychological Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9269-0747","authenticated-orcid":false,"given":"Erin E.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6158-5773","authenticated-orcid":false,"given":"Mitchell L.","family":"Cunningham","sequence":"additional","affiliation":[{"name":"School of Psychology University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0410-091X","authenticated-orcid":false,"given":"Jonathan","family":"Mond","sequence":"additional","affiliation":[{"name":"Centre for Rural Health University of Tasmania  Launceston Tasmania Australia"},{"name":"School of Medicine Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7203-503X","authenticated-orcid":false,"given":"Alexandra","family":"Lonergan","sequence":"additional","affiliation":[{"name":"Centre for Emotional Health, School of Psychological Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Tame","sequence":"additional","affiliation":[{"name":"Centre for Emotional Health, School of Psychological Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6736-7937","authenticated-orcid":false,"given":"Deborah","family":"Mitchison","sequence":"additional","affiliation":[{"name":"Centre for Emotional Health, School of Psychological Sciences Macquarie University  Sydney New South Wales Australia"},{"name":"Translational Health Research Institute, School of Medicine Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-018-0526-x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2022.102546"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2012.09.001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2010.01.014"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2020.1713996"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2006.03.010"},{"key":"e_1_2_8_8_1","unstructured":"Centers for Disease Control and Prevention. 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