Objective This study aims to investigate the relationship between self-esteem and negative evaluation fear be-tween 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 scoli-osis patients,who were admitted from September 2019 to May 2022.Data were collected using a general data question-naire,the scoliosis version of the body image interference questionnaire,the self-esteem scale,the concise fear of nega-tive evaluation scale,and the social appearance anxiety scale.Results The level of body image level in adolescent idio-pathic 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.Addition-ally,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 rela-tionship between body image and social appearance anxiety in these patients.When providing psychological care,health-care professionals should assist patients in developing a healthy body perception,enhancing their self-esteem,and reduc-ing fear of negative evaluation,thereby mitigating the onset and progression of social appearance anxiety.
Adolescent idiopathic scoliosisBody imageSelf-esteemFear of negative evaluationSocial appearance anxiety
维普
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