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<p>This study explores the relationship between uncertainty stress and social appearance anxiety among 1,183 junior high school students (aged 13–16) in Zhejiang Province, China (2023). Utilizing cross-sectional data, uncertainty stress was assessed using a validated 4-item scale, and social appearance anxiety was measured with the 16-item Social Appearance Anxiety Scale (SAAS). Spearman’s correlation indicated a strong positive association between the two variables, while generalized linear modeling revealed that each unit increase in uncertainty stress was associated with a 2.01-point rise in anxiety scores. Higher anxiety levels were observed among female students, those with lower academic performance, and those whose fathers had lower levels of education. As the first study to identify uncertainty stress as a key predictor of appearance-related anxiety in transitional societies, these findings emphasize the protective role of paternal education and underscore the importance of culturally tailored interventions—such as school-based cognitive-behavioral programs—to address adolescents’ subjective stress in appearance-oriented environments.</p>

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Uncertainty stress and social appearance anxiety among Chinese adolescents: a cross-sectional study in a transitional society

  • 期刊论文

  • 发表日期：

    2025年7月5日

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  • Jiangping Wang,
  • Lujin Zhang,
  • Ying Ying,
  • Ruyu Sun,
  • Huan Zhou,
  • Weifang Zhang

摘要

This study explores the relationship between uncertainty stress and social appearance anxiety among 1,183 junior high school students (aged 13–16) in Zhejiang Province, China (2023). Utilizing cross-sectional data, uncertainty stress was assessed using a validated 4-item scale, and social appearance anxiety was measured with the 16-item Social Appearance Anxiety Scale (SAAS). Spearman’s correlation indicated a strong positive association between the two variables, while generalized linear modeling revealed that each unit increase in uncertainty stress was associated with a 2.01-point rise in anxiety scores. Higher anxiety levels were observed among female students, those with lower academic performance, and those whose fathers had lower levels of education. As the first study to identify uncertainty stress as a key predictor of appearance-related anxiety in transitional societies, these findings emphasize the protective role of paternal education and underscore the importance of culturally tailored interventions—such as school-based cognitive-behavioral programs—to address adolescents’ subjective stress in appearance-oriented environments.