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Fear of Positive Evaluation and Social Anxiety

Published online by Cambridge University Press:  07 January 2016

Lara Kocijan
Affiliation:
School of Psychological Science, Australian College of Applied Psychology, Sydney, New South Wales, Australia
Lynne M. Harris*
Affiliation:
School of Psychological Science, Australian College of Applied Psychology, Sydney, New South Wales, Australia
*
Address for correspondence: Professor Lynne M. Harris, School of Psychological Science, Australian College of Applied Psychology, Level 5, 11 York Street, Sydney NSW 2000, Australia. Email: [email protected]
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Abstract

Fear of negative evaluation (FNE) is a recognised diagnostic feature of Social Anxiety Disorder (SAD). Recently, the role of fear of positive evaluation (FPE) as a factor contributing to SAD has been a focus of research: there is evidence that FPE is associated with measures of social anxiety independent of measures of FNE and that measures of FPE may be sensitive to interventions for SAD. The present study examined the relationships between FPE, FNE and measures of social anxiety and depression in a sample assessed as suitable for group cognitive behaviour therapy (CBT) for social anxiety (n = 35), and the responsiveness of measures of FPE and FNE to standard group CBT for social anxiety in a subset of this group (n = 20). Measures of FNE and FPE were positively associated with each other and with measures of social interaction anxiety, general social anxiety concerns, and depression. However, the relationship between the FPE measure and measures of general social anxiety concerns and depression was not significant when FNE was statistically controlled. This is consistent with the view that FPE is specifically related to social interaction anxiety. In this sample, a measure of FPE was reduced in a sample receiving standard group CBT for social anxiety compared to a waitlisted group. The implications of these findings for the conceptualisation of SAD and for the delivery of interventions for those with SAD are considered.

Type
Standard Papers
Copyright
Copyright © The Author(s) 2016 

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References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
Acarturk, C., de Graaf, R., van Straten, A., ten Have, M., & Cuijpers, P. (2008). Social phobia and number of social fears, and their association with comorbidity, health-related quality of life and help seeking: A population-based study. Social Psychiatry and Psychiatric Epidemiology, 43, 273279. doi:10.1007/s00127-008-0309-1 CrossRefGoogle ScholarPubMed
Acarturk, C., Smit, F., de Graaf, R., van Straten, A., ten Have, M., & Cuijpers, P. (2009). Economic costs of social phobia: A population-based study. Journal of Affective Disorders, 115, 421429. doi:10.1016/j.jad.2008.10.008 CrossRefGoogle ScholarPubMed
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). Archives of General Psychiatry, 4, 561571.CrossRefGoogle Scholar
Beck, A.T., Steer, R.A., & Brown, G. (1996). Beck Depression Inventory Manual (2nd ed.). San Antonio, TX: Psychological Corporation.Google Scholar
Butler, A.C., Chapman, J.E., Forman, E.M., & Beck, A.T. (2006). The empirical status of cognitive–behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 1731. doi:10.1016/j.cpr.2005.07.003 CrossRefGoogle ScholarPubMed
Clark, D.M., & Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R.G., Liebowitz, M.R., Hope, D.A., & Schneier, F.R. (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 6993). New York: Guilford.Google Scholar
Collins, H.A., Westra, H.A., Dozois, D.J.A., & Stewart, S.H. (2005). The validity of the brief version of the fear of negative evaluation scale. Anxiety Disorders, 19, 345359. doi:10.1016/j.janxdis.2004.02.003 CrossRefGoogle ScholarPubMed
Duke, D., Krishnan, M., Faith, M., & Storch, E.A. (2006). The psychometric properties of the Brief Fear of Negative Evaluation Scale. Anxiety Disorders, 20, 807817. doi:10.1016/j.janxdis.2005.11.002 CrossRefGoogle ScholarPubMed
Fergus, T.A., Valentiner, D.A., McGrath, P.A., Stephenson, K., Gier, S., & Jencius, S. (2009). The Fear of Positive Evaluation Scale: Psychometric properties in a clinical sample. Journal of Anxiety Disorders, 23, 11771183. doi:10.1016/j.janxdis.2009.07.024 CrossRefGoogle Scholar
Gilbert, P. (2001). Evolution and social anxiety: The role of attraction, social competition, and social hierarchies. Psychiatric Clinics of North America, 24, 723751. doi:10.1016/S0193-953X(05)70260-4 CrossRefGoogle ScholarPubMed
Goldin, P.R., Ziv, M., Jazaieri, H., Werner, K., Kraemer, H., Heimberg, R.G., & Gross, J.J. (2012). Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder. Journal of Consulting and Clinical Psychology, 80, 10341040. doi:10.1037/a0028555 CrossRefGoogle ScholarPubMed
Grant, B.F., Hasin, D.S., Blanco, C., Stinson, F.S., Chou, P., Goldstein, R.B., . . . Huang, B. (2005). The epidemiology of social anxiety disorder in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychology, 66, 13511361. doi:10.4088/JCP.v66n1102 Google ScholarPubMed
Heimberg, R.G., Brozovich, F.A., & Rapee, R.M. (2010). A cognitive behavioral model of social anxiety disorder: Update and extension. In Hofmann, S.G. & DiBartolo, P.M. (Eds.), Social anxiety: Clinical, developmental, and social perspectives (pp. 395422). New York, NY: Elsevier. doi:10.1016/B978-0-12-375096-9.00028-6 CrossRefGoogle Scholar
Heimberg, R.G., Fresco, D.M., Hart, T.A., Turk, C.L., Schneier, F.R., & Liebowitz, M.R. (2005). Empirical validation and psychometric evaluation of the Brief Fear of Negative Evaluation Scale in patients with social anxiety disorder. Psychological Assessment, 17, 179190. doi:10.1037/10403590.17.2.179 Google Scholar
Hofmann, G., & Otto, W. (2008). Cognitive behavioural therapy for social anxiety disorder: Evidence based and disorder specific treatment techniques. New York, NY: Routledge.CrossRefGoogle Scholar
Kessler, R.C., Berglund, P.D., Demler, O., Olga, J.R., Merikangas, K.R., & Walters, E.E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593602. doi:10.1001/archpsyc.62.6.593 CrossRefGoogle ScholarPubMed
Kocovski, N., & Endler, N.S. (2000). Social anxiety, self-regulation, and fear of negative evaluation. European Journal of Personality, 14, 347358. doi:10.1002/1099-0984(200007/08) 3.0.CO;2-7>CrossRefGoogle Scholar
Leary, M.R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371376. doi:10.1177/0146167283093007 CrossRefGoogle Scholar
Lovibond, S.H., & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales. (2nd ed.) Sydney, Australia: Psychology Foundation.Google Scholar
Mattick, R.P., & Clarke, J.C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455470. doi:10.1016/S0005-7967(97)10031-6 CrossRefGoogle ScholarPubMed
McEvoy, P.M. (2007). Effectiveness of cognitive behavioural group therapy for social phobia in a community clinic: A benchmarking study. Behaviour Research and Therapy, 45, 30303040. doi:10.1016/j.brat.2007.08.002 CrossRefGoogle Scholar
McEvoy, P., Nathan, P., Rapee, R., & Campbell, B. (2012). Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics. Behaviour Research and Therapy, 50, 258265. doi:10.1016/j.brat.2012.01.009 CrossRefGoogle ScholarPubMed
McEvoy, P., Erceg-Hurn, D., Saulsman, L., & Thibodeau, M. (2015). Imagery enhancements increase the effectiveness of cognitive behavioural group therapy for social anxiety disorder: A benchmarking study. Behaviour Research and Therapy, 65, 4251. doi:10.1016/j.brat.2014.12.011.CrossRefGoogle ScholarPubMed
Meyer, T.J., Miller, M.L., Metzger, R.L., & Borkovec, T.D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487495. doi:10.1016/0005-7967(90)90135-6 CrossRefGoogle ScholarPubMed
Rapee, R.M., & Heimberg, R.G. (1997). A cognitive-behavioural model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741756. doi:10.1016/S0005-7967(97)00022-3 CrossRefGoogle Scholar
Rodebaugh, T.L., Weeks, J.W., Gordon, E.A., Langer, J.K., & Heimberg, R.G. (2012). The longitudinal relationship between fear of positive evaluation and fear of negative evaluation. Anxiety, Stress & Coping: An International Journal, 25, 167182. doi:10.1080/10615806.2011.569709 CrossRefGoogle ScholarPubMed
Rodebaugh, T.L., Woods, C.M., Thissen, D.M., Heimberg, R.G., Chambless, D.L., & Rapee, R.M. (2004). More information from fewer questions: The factor structure and item properties of the original and Brief Fear of Negative Evaluation Scale. Psychological Assessment, 16, 169181. doi:10.1037/1040-3590.16.2.169 CrossRefGoogle ScholarPubMed
Shrive, F. M., Stuart, H., Quan, H., & Ghali, W.A. (2006). Dealing with missing data in a multi-question depression scale: a comparison of imputation methods. BMC Medical Research Methodology, 6. Retrieved from http://www.biomedcentral.com/1471--2288/6/57/ CrossRefGoogle Scholar
Wang, W., Hsu, W., Chiu, Y., & Liang, C. (2012). The hierarchical model of social interaction anxiety and depression: The critical roles of fears of evaluation. Journal of Anxiety Disorders, 26, 215224. doi:10.1016/j.janxdis.2011.11.004 CrossRefGoogle ScholarPubMed
Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448457. doi:10.1037/h0027806 CrossRefGoogle ScholarPubMed
Weeks, J.W., Heimberg, R.G., & Rodebaugh, T.L. (2008). The Fear of Positive Evaluation Scale: Assessing a proposed cognitive component of social anxiety. Journal of Anxiety Disorders, 22, 4455. doi:10.1016/j.janxdis.2007.08.002 CrossRefGoogle ScholarPubMed
Weeks, J.W., Heimberg, R.G., Rodebaugh, T.L., & Norton, P.J. (2008). Exploring the relationship between fear of positive evaluation and social anxiety. Journal of Anxiety Disorders, 22, 386400. doi:10.1016/j.janxdis.2007.04.009 CrossRefGoogle ScholarPubMed
Weeks, J.W, Heimberg, R.G., Rodebaugh, T.L., Goldin, P.R., & Gross, J.J. (2012). Psychometric evaluation of the Fear of Positive Evaluation Scale in patients with social anxiety disorder. Psychological Assessment, 24, 301312. doi:10.1037/a002572 CrossRefGoogle ScholarPubMed
Weeks, J.W., & Howell, A.N. (2014). Fear of positive evaluation: The neglected fear domain in social anxiety. In Weeks, J.W. (Ed.), The handbook of social anxiety disorder (pp. 433453). Chichester, UK: John Wiley & Sons. doi:10.1002/9781118653920.ch20 Google Scholar