INTRODUCTION Adolescence is characterized by the onset of a relatively specific set of socioemotional disorders (i.e., depression, generalized anxiety disorder, social anxiety disorder, and eating disorders) as well as body dysmorphia symptoms. Appearance-related concerns are a central feature of these disorders. Emerging evidence in adults suggests that appearance-related safety behaviors may play an instrumental role in the onset and maintenance of a number of disorders. To date, no work has examined appearance-related safety behaviors during adolescence. The present study examined the extent to which appearance-related safety behaviors may be associated with socioemotional and body dysmorphia symptoms during adolescence. METHODS Adolescents between the ages of 13 and 17 years old (N = 387, Mage  = 14.82 years, 31.3% identified as male, 47.0% identified as female, and 19.1% identified as nonbinary/third gender, 2.6% declined to report gender identity) completed measures assessing negative affect, anxiety-relevant safety behavior use, cognitive reappraisal, expressive suppression, appearance-related safety behaviors, body dysmorphia symptoms, and socioemotional symptoms. Structural Equation Modeling was used to test hypotheses. RESULTS The results of this study suggest that appearance-related safety behaviors evidenced associations with latent factors corresponding to affective (i.e., depression, generalized anxiety disorder, social anxiety), eating disorders, and body dysmorphia symptoms after controlling for previously established vulnerability factors. CONCLUSIONS These findings demonstrate that appearance-related safety behaviors may evidence transdiagnostic associations with socioemotional symptoms and body dysmorphia symptoms during adolescence.

中文翻译：

---

对青春期外表相关的安全行为、社会情绪和身体畸形症状之间的关联进行初步检查。

引言 青春期的特征是出现一组相对特定的社会情绪障碍（即抑郁症、广泛性焦虑症、社交焦虑症和饮食失调）以及身体畸形症状。与外观相关的问题是这些疾病的核心特征。成人中新出现的证据表明，与外表相关的安全行为可能在许多疾病的发生和维持中发挥重要作用。迄今为止，还没有研究过青春期与外表相关的安全行为。本研究检查了与外表相关的安全行为可能与青春期社会情绪和身体畸形症状相关的程度。方法 13 至 17 岁的青少年（N = 387，Mage = 14.82 岁，31.3% 确定为男性，47. 0% 确定为女性，19.1% 确定为非二元/第三性别，2.6% 拒绝报告性别认同）完成了评估负面影响、焦虑相关安全行为使用、认知重新评估、表达抑制、外观相关安全行为、身体的测量畸形症状和社会情绪症状。结构方程模型用于检验假设。结果 本研究的结果表明，在控制了先前确定的脆弱性因素后，与外表相关的安全行为证明与与情感（即抑郁、广泛性焦虑症、社交焦虑）、饮食失调和身体畸形症状相对应的潜在因素相关。