Evidence map›Paper›PMID 42108441›Full record

ArticleBMC public health2026

The Relationship between subjectively perceived life events and social anxiety among adolescents in Southwest China: the chain mediating effects of fear of negative evaluation and body shame.

Xianghan Xiao, Linghui He, Qingxiu Xie, Ziqi Zhou, Chen Li, Xufan Li

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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xianghan XiaoCollege of Physical Education, Southwest University, Chongqing, China.
Linghui HeCollege of Physical Education, Southwest University, Chongqing, China.
Qingxiu XieCollege of Physical Education, Southwest University, Chongqing, China.
Ziqi ZhouCollege of Physical Education, Southwest University, Chongqing, China.
Chen LiChongqing Nankai (Rong qiao) Middle School, Chongqing, China.
Xufan LiSouthwest University Affiliated Middle School, Southwest University, Chongqing, China. 13272889111@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent negative life events significantly influence social anxiety development. Enhancing accurate self-perception and emotion regulation skills is critical for mitigating such mental health risks. PURPOSE: To investigate relationships among adolescent negative life events, social anxiety, fear of negative evaluation, and body shame, focusing on their serial mediation effects.

methods‌ This study was conducted from November to December 2024. A random sampling method was employed to recruit 900 adolescents aged 13-17 years (M = 14.57 ± 1.18) from urban and rural schools in Southwest China. Self-report questionnaires were administered to assess demographic characteristics, negative life events, fear of negative evaluation, body shame, and social anxiety. Data analysis was performed using IBM SPSS 27.0 and the PROCESS macro (Version 4.1).

results‌ Adolescent negative life events showed significant positive correlations with fear of negative evaluation (r = 0.558, p < 0.01), body shame (r = 0.600, p < 0.01), and social anxiety (r = 0.492, p < 0.01). Fear of negative evaluation was positively correlated with body shame (r = 0.725, p < 0.01) and social anxiety (r = 0.584, p < 0.01). Body shame also demonstrated a positive correlation with social anxiety (r = 0.634, p < 0.01). Furthermore, adolescent negative life events directly predicted social anxiety (β = 0.123, 95% CI [0.4141, 0.5391]) and exerted indirect effects through three pathways: (a) fear of negative evaluation (effect size = 0.118, 95% CI [0.0695, 0.1687]); (b) body shame (effect size = 0.112, 95% CI [0.0799, 0.1497]); and (c) the serial mediation of fear of negative evaluation and body shame (effect size = 0.122, 95% CI [0.0930, 0.1556]).

conclusion‌ Fear of negative evaluation and body shame act as serial mediators linking adolescent negative life events to social anxiety. Educators and caregivers should monitor the mental health impacts of negative life events, reduce negative evaluations to improve body confidence, and foster social engagement.

Indexed as

AnxietyBody ImageFearLife Change EventsShameAdolescentChinaFemaleHumansMaleSelf ConceptSurveys and QuestionnairesAdolescentsBody ShameChinaFear of Negative EvaluationNegative life eventsSocial Anxiety

Identifiers

PMID42108441
PMCPMC13330279

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.