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Age-Related Effects on Self-Focused Attention Across Adolescence and the Relationship With Symptoms of Body Dysmorphia, Social Anxiety and Depression

Orme, K; Stringaris, A; Krebs, G; (2025) Age-Related Effects on Self-Focused Attention Across Adolescence and the Relationship With Symptoms of Body Dysmorphia, Social Anxiety and Depression. Journal of Adolescence 10.1002/jad.12505. (In press). Green open access

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Abstract

INTRODUCTION: Adolescence is a critical period for the development of several emotional disorders, including body dysmorphic disorder (BDD), social anxiety disorder (SAD) and depression. It has been suggested that this may be partly due to developmental changes in self-referential processing, including self-focused attention (SFA). However, to date little is known about normative changes in self-focused attention across adolescence. This study investigated age-related effects on SFA during adolescence, and its relationship with symptoms of BDD, SAD and depression. METHODS: A sample of 638 adolescents aged 11-18 years (53% male) were recruited through government-funded secondary school students in the United Kingdom and completed validated self-reported measures of SFA, BDD, SAD and depression. RESULTS: Age was positively associated with SFA, and with symptoms of BDD, SAD and depression. The associations of age with SFA, SAD and depression were, on average, greater in females, although this age by sex interaction effect only reached statistical significance for BDD symptoms. SFA fully mediated the effect of age on SAD symptoms, and partially mediated age effects on symptoms of BDD and depression. CONCLUSIONS: The current findings indicate that self-focused attention increases during adolescence. Moreover, findings provide support for the notion that increased self-focused attention may partly account for the rise in symptoms of BDD, SAD and depression during this developmental period. Future research should seek to establish the direction of effects between self-focused attention and symptoms using longitudinal designs.

Type: Article
Title: Age-Related Effects on Self-Focused Attention Across Adolescence and the Relationship With Symptoms of Body Dysmorphia, Social Anxiety and Depression
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/jad.12505
Publisher version: https://doi.org/10.1002/jad.12505
Language: English
Additional information: © 2025 The Author(s). Journal of Adolescence published by John Wiley & Sons Ltd on behalf of Foundation for Professionals in Services to Adolescents. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: adolescence, body dysmorphia, depression, mental health, self‐focused attention, social anxiety
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Mental Health Neuroscience
URI: https://discovery.ucl.ac.uk/id/eprint/10208205
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