Social anxiety in people with facial palsy: The role of fear of negative evaluation and appearance-fixing behaviour

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2025-09-02 DOI:10.1111/bjhp.70018

Jessica A. E. Dring, Emily Reeves, Matthew Hotton

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引用次数: 0

Abstract

Objectives

The current study aimed to explore whether people with facial palsy experienced more social appearance anxiety, social anxiety, fear of negative evaluation, and engaged in more appearance-fixing behaviour than controls without facial palsy. The secondary aim was to investigate whether fear of negative evaluation and appearance-fixing behaviour were predictive of social appearance anxiety in people with facial palsy.

Method

People with facial palsy (n = 78) and people without facial palsy (n = 86) completed online questionnaires with measures of social anxiety, social appearance anxiety, fear of negative evaluation, and appearance-fixing behaviour.

Results

The facial palsy group experienced significantly greater social appearance anxiety, social anxiety, and fear of negative evaluation than the control group; controlling for depression. The facial palsy group also engaged in significantly more appearance-fixing behaviour than the control group. Further, controlling for depression, fear of negative evaluation from others and appearance-fixing were both found to be significant positive predictors of social appearance anxiety in the facial palsy group.

Discussion

Findings are consistent with Clark and Well's (1995) cognitive behavioural model of social anxiety. Findings indicate a need for screening and provision for psychological support for social anxiety in people with facial palsy and that cognitions relating to fear of negative evaluation and appearance-fixing behaviour are potentially useful targets for intervention.

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面瘫患者的社交焦虑：对负面评价和美化行为的恐惧的作用

目的本研究旨在探讨面瘫患者是否比非面瘫患者有更多的社交外表焦虑、社交焦虑、对负面评价的恐惧和更多的外貌修复行为。第二个目的是调查对负面评价的恐惧和外表矫正行为是否预示着面瘫患者的社交外表焦虑。方法面瘫患者（78例）和非面瘫患者（86例）分别完成社交焦虑、社交外表焦虑、负面评价恐惧和整容行为的在线问卷调查。结果面瘫组社交外貌焦虑、社交焦虑、负面评价恐惧显著高于对照组；控制抑郁。面瘫组也明显比对照组有更多的修复外貌的行为。此外，在控制抑郁因素的情况下，对他人负面评价的恐惧和外表修复都被发现是面瘫组社交外表焦虑的显著正向预测因子。研究结果与Clark和Well（1995）的社交焦虑认知行为模型一致。研究结果表明，有必要对面瘫患者的社交焦虑进行筛查和提供心理支持，并且与负面评价恐惧和外表修复行为相关的认知是干预的潜在有用目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.