The mediating effect of social appearance anxiety between fear of negative evaluation and body image disorder in patients with facial plastic surgery
LI Zhongyan
YU Qi
HAI Rong
SHANG Xiaojuan
ZHAO Hong
LIU Yufeng
Abstract：Objective To investigate the current situation of body image disorder in patients with facial plastic surgery,and to explore the mediating effect of social appearance anxiety between fear of negative evaluation and body image disorder.Methods A total of 552 patients with facial plastic surgery in a Class ⅲ Grade A hospital in Jiangsu Province from January 2024 to February 2025 were select-ed as the research objects by the convenient sampling method.The Fear of Negative Evaluation scale,Social Appearance Anxiety Scale and Body Image Disorder Self-rating Scale were used to investigate them.Results The overall incidence of body image disorder in 533 pa-tients with facial plastic surgery was 12.95％,which was positively correlated with fear of negative evaluation and anxiety of social appear-ance(P＜0.01),and fear of negative evaluation was positively correlated with anxiety of social appearance(P＜0.01).Social appearance anxi-ety had a partial mediating effect between fear of negative evaluation and body image disorder(β=0.3910,SE=0.0716),and the mediating effect contributed 62.82％to the total effect.Conclusion Fear of negative evaluation can affect body image disorder through social ap-pearance anxiety in patients with facial plastic surgery.Plastic surgery medical staff need to pay attention to the correlation among fear of negative evaluation,social appearance anxiety and body image disorder,guide facial plastic patients to learn effective emotion regulation and self-acceptance strategies,reduce the negative interpretation of others' evaluation,establish a correct self-cognition and aesthetic con-cept,so as to reduce social appearance anxiety,reduce the occurrence of body image disorder and promote mental health.
Keywords：Facial plastic surgerySocial appearance anxietyFear of negative evaluationBody image disorderMediating effect
Publication Date：2025-10-15
Online Publishing Date：2025-11-25(First online date of this platform, not the publication date of the document)
Pages：5( 619-623 )