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Fears of positive and negative evaluation and their within-person associations with emotion regulation in adolescence: A longitudinal analysis

Published online by Cambridge University Press:  03 October 2024

Achilleas Tsarpalis-Fragkoulidis*
Affiliation:
Department of Clinical and Health Psychology, University of Vienna, Vienna, Austria
Ulrich S. Tran
Affiliation:
Department of Cognition, Emotion, and Methods in Psychology, University of Vienna, Vienna, Austria
Martina Zemp
Affiliation:
Department of Clinical and Health Psychology, University of Vienna, Vienna, Austria
*
Corresponding author: Achilleas Tsarpalis-Fragkoulidis; Email: [email protected]
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Abstract

Fear of positive evaluation (FPE) has recently emerged as an important aspect of social anxiety, alongside fear of negative evaluation. These evaluation fears peak during adolescence, a developmental stage that is also often accompanied by difficulties in emotion regulation, thereby increasing young individuals’ vulnerability to mental disorders, such as social anxiety. We aimed to examine the longitudinal within-person associations between fears of evaluation, social anxiety, and three emotion regulation strategies (i.e., acceptance, suppression, rumination) in adolescents. Data were collected from a sample of 684 adolescents through an online survey three times over the course of 6 months and were analyzed using random intercept cross-lagged panel models. At the between-person level, FPE was linked to all three emotion regulation strategies, whereas fear of negative evaluation and social anxiety were associated with acceptance and rumination. At the within-person level, difficulties in accepting emotions predicted FPE, suppression predicted social anxiety, and social anxiety predicted rumination over time. These findings reveal complex interdependencies between emotion regulation, social anxiety, and evaluation fears, both reflecting individual differences and predicting changes within individuals, and further elucidate the developmental trajectory of social anxiety in adolescence.

Type
Regular Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press

Marked by sweeping changes with respect to autonomy, affective reactivity, and socialization pressures, adolescence represents a developmental stage of increased vulnerability for various internalizing symptoms (McLaughlin & King, Reference McLaughlin and King2015; Yap et al., Reference Yap, Allen and Sheeber2007). Indeed, age-of-onset data highlight that many anxiety disorders, including social anxiety disorder (SAD), often first emerge during adolescence (Rapee et al., Reference Rapee, Schniering and Hudson2009). In particular, the transition from attachment to the family of origin toward a greater orientation to the peer group has been identified as a sensitive developmental window for the onset of social anxiety. As such, SAD is one of the most common anxiety disorders in adolescence, with prevalence rates ranging from 5% to 10% (Kessler et al., Reference Kessler, Berglund, Demler, Jin, Merikangas and Walters2005; Ollendick et al., Reference Ollendick, Benoit, Grills-Taquechell and Weeks2014). Furthermore, SAD has relatively low remission rates (Bruce et al., Reference Bruce, Yonkers, Otto, Eisen, Weisberg, Pagano, Shea and Keller2005) and frequently persists into adulthood (Spence & Rapee, Reference Spence and Rapee2016).

As adolescence is also accompanied by major changes in how individuals manage their emotions (Cracco et al., Reference Cracco, Goossens and Braet2017), problems with effective emotion regulation often emerge during this time (Schäfer et al., Reference Schäfer, Naumann, Holmes, Tuschen-Caffier and Samson2017; Young et al., Reference Young, Sandman and Craske2019). These problems, exemplified by an overreliance on maladaptive strategies (e.g., suppression and rumination) and an underutilization of more adaptive strategies (e.g., acceptance), have been associated with social anxiety (Tsarpalis-Fragkoulidis et al., Reference Tsarpalis-Fragkoulidis, van Eickels and Zemp2022), although the role of fears of evaluation has not been sufficiently examined in this context. Additionally, the majority of studies investigating these phenomena have used cross-sectional designs, focusing on between-person differences and rarely taking into account processes that happen within individuals over time. Therefore, the goal of this study was to examine the prospective, within-person associations between fears of evaluation, emotion regulation, and social anxiety in adolescents.

Fear of evaluation

A defining feature of social anxiety pertains to excessive fears of being negatively evaluated by others (Clark & Wells, Reference Clark, Wells, Heimberg, Liebowitz, Hope and Schneier1995; Rapee & Heimberg, Reference Rapee and Heimberg1997). Such fears often manifest as perceptions of unrelentingly high standards, expectations of falling short, or overestimations of the consequences of negative evaluations (Cook et al., Reference Cook, Moore, Bryant and Phillips2022). These cognitive distortions coalesce into a behavioral response pattern characterized by a general hypersensitivity to and fear of negative evaluation (FNE), which can often lead to complete avoidance of social situations (American Psychiatric Association, 2013; Cook et al., Reference Cook, Moore, Bryant and Phillips2022). Although these intense FNE proved to be one of the cardinal symptoms of social anxiety (Hofmann, Reference Hofmann2007), recent research has consistently demonstrated that fears of being positively evaluated play an equally crucial role (Cook et al., Reference Cook, Moore, Bryant and Phillips2022).

Fear of positive evaluation (FPE) is defined as “feelings of apprehension about others’ positive evaluations of oneself and distress over these evaluations” (Weeks & Howell, Reference Weeks, Howell and Weeks2014, p. 433). A prominent framework of FPE stems from the psycho-evolutionary model of social anxiety (Gilbert, Reference Gilbert2001), which suggests that these fears come with certain evolutionary benefits that foster group cohesion: FNE and FPE serve the function of regulatory forces that decrease the likelihood of upward or downward movement in a hierarchically structured social environment. More specifically, FNE may prevent exclusion from the group by modulating certain behaviors that might be considered norm violations, whereas FPE may guard against doing “too well” and thereby coming into conflict with others who are considered to be higher up in the social hierarchy (Fredrick & Luebbe, Reference Fredrick and Luebbe2020). When these processes become excessive, however, they usually lead to a series of negative effects that promote the development and maintenance of social anxiety (Reichenberger & Blechert, Reference Reichenberger and Blechert2018).

Several associations between FPE and different aspects of social anxiety have been repeatedly demonstrated, such as submissive behavior, increased negative and decreased positive affect during social interactions, decreased positive automatic thoughts, and discomfort upon receiving positive feedback (Weeks et al., Reference Weeks, Heimberg, Rodebaugh and Norton2008; Weeks et al., Reference Weeks, Jakatdar and Heimberg2010; Weeks & Howell, Reference Weeks and Howell2012). In light of these findings, the conceptualization of social anxiety was extended to include both types of evaluation fears within the bivalent fear of evaluation model (Weeks & Howell, Reference Weeks and Howell2012). According to this model, fears of negative and positive evaluation, although highly correlated, should be considered distinct constructs. Supporting this notion, recent research syntheses (Cook et al., Reference Cook, Moore, Bryant and Phillips2022; Fredrick & Luebbe, Reference Fredrick and Luebbe2020; Reichenberger & Blechert, Reference Reichenberger and Blechert2018) have concluded that FPE is conceptually different from FNE, with meta-analytic findings suggesting that FPE can explain up to 9% of the variance in social anxiety, which is not accounted for by FNE (Cook et al., Reference Cook, Moore, Bryant and Phillips2022). Although FPE appears to be of particular importance to the phenomenology of SAD, little is yet known about how it relates to other important phenomena of social anxiety, such as emotion regulation deficits.

Emotion regulation

Emotion regulation refers to individuals’ cognitive and behavioral strategies employed to exert control over the occurrence, timing, intensity, and expression of their emotions (Gross, Reference Gross1998). Social anxiety, both at clinical and subclinical levels, has been associated with an overreliance on certain emotion regulation strategies that are widely viewed as maladaptive, such as (a) problems with accepting emotions (Mennin et al., Reference Mennin, McLaughlin and Flanagan2009), (b) emotion suppression (Dryman & Heimberg, Reference Dryman and Heimberg2018; Jazaieri et al., Reference Jazaieri, Morrison, Goldin and Gross2015), and (c) rumination (Brozovich & Heimberg, Reference Brozovich and Heimberg2008). These three emotion regulation strategies are strongly linked with social anxiety across adolescence and adulthood, and there is increasing evidence that these links may be explained by underlying fears of evaluation (Dryman & Heimberg, Reference Dryman and Heimberg2018; Everaert et al., Reference Everaert, Bronstein, Castro, Cannon and Joormann2020; Ford & Gross, Reference Ford and Gross2018; Heimberg et al., Reference Heimberg, Brozovich, Rapee, Hofmann and DiBartolo2014; Spokas et al., Reference Spokas, Luterek and Heimberg2009). Thus, special attention must be paid to these three emotion regulation strategies together with evaluation fears when examining social anxiety in adolescence.

First, a common emotion regulation problem in social anxiety involves the reluctance to accept negative emotions (Mennin et al., Reference Mennin, McLaughlin and Flanagan2009; Rusch et al., Reference Rusch, Westermann and Lincoln2012; Spokas et al., Reference Spokas, Luterek and Heimberg2009). This is consistent with findings on experiential avoidance, showing that socially anxious individuals are uncomfortable when confronted with naturally emerging negative affect (Dryman & Heimberg, Reference Dryman and Heimberg2018; Kashdan et al., Reference Kashdan, Farmer, Adams, Ferssizidis, McKnight and Nezlek2013). Strikingly, there is increasing evidence that socially anxious individuals have difficulties accepting strong positive emotions as well (Kashdan & Breen, Reference Kashdan and Breen2008). This reluctance to accept negative emotions has been assumed to be partially guided by underlying maladaptive beliefs that emotions are inherently negative, outside of one’s control, and a sign of weakness (De castella et al., Reference De castella, Goldin, Jazaieri, Ziv, Heimberg and Gross2014; Ford & Gross, Reference Ford and Gross2018; Spokas et al., Reference Spokas, Luterek and Heimberg2009). Such beliefs have been associated with a lower acceptance of emotions (Ford & Gross, Reference Ford and Gross2018), suggesting that FNE, expressed as a belief that emotions are a sign of weakness and should not be seen by others, may play a crucial role in accepting emotional experiences non-judgmentally. Regarding positive emotions, research has shown that FPE is associated with difficulties in embracing positive social experiences and is associated with fewer positive events and emotions in everyday life (Reichenberger & Blechert, Reference Reichenberger and Blechert2018). Additionally, FPE has been shown to be a sensitive predictor of physiological changes in situations that involve positive feedback (Weeks & Zoccola, Reference Weeks and Zoccola2015), and it is exactly these changes that are less likely to be accepted by socially anxious individuals (Kashdan et al., Reference Kashdan, Zvolensky and McLeish2008). These findings suggest that FPE may be linked with difficulties accepting emotional responses that would have otherwise been nominally positive.

Second, suppression refers to the voluntary inhibition of the verbal and behavioral expression of emotions (Gross, Reference Gross2015). The maladaptive nature of emotion suppression arises from its limited effectiveness in achieving its intended purpose, as negative emotions rather tend to intensify when being suppressed (Dryman & Heimberg, Reference Dryman and Heimberg2018). Conversely, the suppression of positive emotions effectively dulls the intensity of these emotions and is associated with fewer positive emotions and experiences (Blalock et al., Reference Blalock, Kashdan and Farmer2016; Farmer & Kashdan, Reference Farmer and Kashdan2012). According to the bivalent fear of evaluation model (Weeks & Howell, Reference Weeks and Howell2012), socially anxious individuals are ultimately afraid of any kind of evaluation and may thus engage in expressive suppression of positive and negative emotions to avoid attention and subsequent evaluation from their social environment (Dryman & Heimberg, Reference Dryman and Heimberg2018; Jazaieri et al., Reference Jazaieri, Morrison, Goldin and Gross2015). Indeed, a study investigating FNE and expressive suppression in adolescents and young adults found a positive association between the two constructs (Charania & Krishnaveti, Reference Charania and Krishnaveti2021).

Third, rumination encompasses persistent thoughts that are characterized as repetitive, intrusive, difficult to disengage from, and demanding cognitive resources (Ehring et al., Reference Ehring, Zetsche, Weidacker, Wahl, Schönfeld and Ehlers2011). In the context of social anxiety, rumination primarily presents as post-event processing, that is, the tendency to ruminate on past social events by selectively recalling negative information and negatively evaluating one’s behavior in those events (Brozovich & Heimberg, Reference Brozovich and Heimberg2008). The cognitive-behavioral model of social anxiety (Heimberg et al., Reference Heimberg, Brozovich, Rapee, Hofmann and DiBartolo2014) posits that socially anxious individuals often monitor their social behaviors for signs of inadequacy or actions they perceive as embarrassing with the intention of implementing corrective measures and preparing for future interactions. As one of the goals of this self-monitoring behavior is the prevention of negative evaluations, it appears plausible that FNE may be one of the driving factors behind post-event rumination. In fact, a connection between FNE and maladaptive cognitive emotion regulation, a construct that encompasses rumination and catastrophizing, has been demonstrated in a cross-sectional study (Altan-Atalay & Ray-Yol, Reference Altan-Atalay and Ray-Yol2023). Considering the role of FPE against the backdrop of these findings, anxious or arousing emotional responses elicited during the reception of positive feedback could be perceived as embarrassing by the affected individual, subsequently dulled, and ultimately fuel rumination after the event. This is in line with a study that demonstrated that whenever socially anxious individuals are exposed to positive social stimuli the resulting positive emotional response might be dampened, which in turn reinforces any initial negative interpretations (Everaert et al., Reference Everaert, Bronstein, Castro, Cannon and Joormann2020).

While these findings largely stem from studies with adult samples, the majority have also been confirmed in children and adolescents. Specifically, in both clinical and community samples of adolescents, associations have been reported between social anxiety and acceptance (Mathews et al., Reference Mathews, Kerns and Ciesla2014; Schneider et al., Reference Schneider, Arch, Landy and Hankin2016; Young et al., Reference Young, Sandman and Craske2019), suppression (Gómez et al., Reference Gómez, Roldán, Ortega-Ruiz and Garcia-Lopez2018; Klemanski et al., Reference Klemanski, Curtiss, McLaughlin and Nolen-Hoeksema2017), and rumination (Hodson et al., Reference Hodson, McManus, Clark and Doll2008; Klemanski et al., Reference Klemanski, Curtiss, McLaughlin and Nolen-Hoeksema2017; Kley et al., Reference Kley, Tuschen-Caffier and Heinrichs2012; Sackl-Pammer et al., Reference Sackl-Pammer, Jahn, Özlü-Erkilic, Pollak, Ohmann, Schwarzenberg, Plener and Akkaya-Kalayci2019; Schmitz et al., Reference Schmitz, Krämer and Tuschen-Caffier2011).

Fears of evaluation and emotion regulation as bidirectional forces

In summary, FNE and FPE are considered core, yet distinct aspects of social anxiety, with FPE explaining a substantial amount of variance in social anxiety beyond FNE (Cook et al., Reference Cook, Moore, Bryant and Phillips2022). Additionally, these fears may drive suppression as a means to avoid scrutiny from the social environment (Dryman & Heimberg, Reference Dryman and Heimberg2018), hinder the capacity to accept negative and embrace positive social outcomes and emotions (Everaert et al., Reference Everaert, Bronstein, Castro, Cannon and Joormann2020; Weeks & Howell, Reference Weeks and Howell2012), and contribute to a tendency for rumination that selectively fixates on the negative aspects of social situations while neglecting the positive (Alden et al., Reference Alden, Taylor, Mellings and Laposa2008; Brozovich & Heimberg, Reference Brozovich and Heimberg2008). At the same time, emotion regulation difficulties may also amplify fears of evaluation; for instance, difficulties accepting emotional responses may lead to intolerance of the intense emotions triggered by receiving feedback (Kashdan et al., Reference Kashdan, Zvolensky and McLeish2008; Weeks & Zoccola, Reference Weeks and Zoccola2015). Ruminative tendencies may dull positive and intensify negative interpretations following feedback (Everaert et al., Reference Everaert, Bronstein, Castro, Cannon and Joormann2020), and suppression may exacerbate negative and diminish positive affect following both negative and positive evaluations (Dryman & Heimberg, Reference Dryman and Heimberg2018), thereby perpetuating a cycle of dysregulated emotional response patterns that intensify fears of evaluation. This proposed bidirectional relationship is supported by research suggesting that emotion regulation difficulties can serve as both antecedents and outcomes of social anxiety and related symptomatology (Lincoln et al., Reference Lincoln, Schulze and Renneberg2022; McLaughlin et al., Reference McLaughlin, Hatzenbuehler, Mennin and Nolen-Hoeksema2011). Since adolescents have to cope with emotionally challenging everyday social situations in their daily life, especially in terms of peer feedback, and need to deal with being constantly observed and evaluated particularly in the school context, FPE is presumably even more pronounced in adolescence and might therefore constitute a central mechanism for social anxiety at this stage of development (Cook et al., Reference Cook, Moore, Bryant and Phillips2022).

To the best of our knowledge, no study to date has examined the longitudinal and bidirectional associations between social anxiety, evaluation fears, and emotion regulation in adolescents. Moreover, the vast majority of research in this field did not systematically distinguish between-person (interindividual) differences from within-person (intraindividual) fluctuations. Hence, they do not provide insight into the interrelations between variables as they unfold over time within adolescents (e.g., whether intraindividual fluctuations in one construct are associated with future fluctuations in another construct within the same person). Therefore, we deem the disentangling of the two levels of variance (between-person vs. within-person) an important goal and a powerful means to examine the prospective links between social anxiety, fear of positive and negative evaluation, and emotion regulation in adolescents.

The current study

The main objective of this study was to examine the longitudinal and bidirectional associations between social anxiety, evaluation fears, and emotion regulation, in a sample of adolescents that was followed at three time points over the course of 6 months using an online survey. Our aim was to advance the understanding of how these variables are interrelated within adolescents by applying random intercept cross-lagged panel modeling (RI-CLPM; Hamaker et al., Reference Hamaker, Kuiper and Grasman2015; Mulder & Hamaker, Reference Mulder and Hamaker2021), which allowed us to disentangle between-person and within-person associations over time.

This study was preregistered at https://osf.io/fgeb3 on March 10, 2022, with the primary goal of investigating within-person longitudinal effects of adolescents’ FPE on future social anxiety mediated by emotion suppression. Data from the first wave have been previously analyzed regarding cross-sectional associations between the study variables (Tsarpalis-Fragkoulidis et al., Reference Tsarpalis-Fragkoulidis, van Eickels and Zemp2022). The results suggested that fear of evaluation was associated with emotion regulation problems and partially mediated the links between social anxiety and these problems from a cross-sectional perspective. Accordingly, we extended the originally preregistered hypotheses, which concerned only the mediation effects of emotion suppression on the longitudinal association between FPE and social anxiety, and additionally included FNE, acceptance, and rumination. Nevertheless, due to the high intercorrelations between FPE, FNE, and social anxiety (with point estimates nearing or exceeding .8, causing problems of multicollinearity), we chose to conduct separate analyses for FPE, FNE, and social anxiety.

Hence, in the present study, three separate models were tested to examine the prospective and reciprocal associations of FPE, FNE, and social anxiety, respectively, with three emotion regulation strategies (i.e., acceptance, suppression, rumination) among adolescents. In terms of between-person differences, we expected associations between FPE, FNE, social anxiety, and emotion regulation and, specifically, that individuals who reported higher levels of evaluation fears and social anxiety would report lower levels of acceptance and higher levels of suppression and rumination. For the within-person associations, we assumed that intraindividual fluctuations in FPE, FNE, and social anxiety, respectively, would predict intraindividual fluctuations in suppression, rumination, and acceptance, and vice versa. Specifically, we expected reciprocal relationships of higher scores of FPE, FNE, and social anxiety with higher suppression and rumination, but lower acceptance, respectively.

Methods

Open science and data availability statement

All data sets, codes, and outputs are freely accessible at https://osf.io/hzmvc. Due to the wording of our consent form given to the participants, the openly available data sets only contain the mean values of the variables used in the main analyses.

Sample

A convenience sample was drawn from the general German-speaking adolescent population. Inclusion criteria were an age in the range of 14–17 years and sufficient German language skills. The final sample at the first time point (T1) consisted of 684 adolescents (85.8% identifying as female) with an average age of 16.20 years (SD = 0.96). The average time for survey completion at T1 was 14 min and 37 s (877.11 s, SD = 303.31). At T1, a significant majority of participants (72.3%) exceeded the threshold for clinical significance in the Social Phobia Inventory (SPIN; Connor et al., Reference Connor, Davidson, Churchill, Sherwood, Weisler and Foa2000; Von Consbruch et al., Reference Von Consbruch, Stangier and Heidenrich2016), with the cutoff set at 24 according to Ranta et al. (Reference Ranta, Kaltiala-Heino, Rantanen, Tuomisto and Marttunen2007). This implies that the adolescents in this sample experienced notably elevated levels of social anxiety. In this context, a large proportion of study participants reported undergoing psychological or psychotherapeutic treatment at the time of data collection, ranging from a quarter of participants at T1 to a fifth at T3.

Regarding the follow-up survey waves after 3 (T2) and 6 (T3) months, 255 participants (age: M = 16.44 years, SD = 0.97; gender: 87.5% female) completed the survey at T2 and 200 (age: M = 16.68 years, SD = 1.05; gender: 89.5% female) at T3. Of our participants, 49 turned 18 during the course of the study. As we did not assume any specific impact of the transition to adulthood on our results, we did not exclude these individuals from our data set.

The mean survey completion times were 12 min and 18 s (738.48 s, SD = 270.19) at T2 and 10 min and 54 s (654.67 s, SD = 165.74) at T3. These shorter durations for the follow-up waves can be explained by the smaller number of items (exclusion of sociodemographic information and questions about participants’ willingness to participate in the follow-up waves) and respondents’ familiarity with the items. Sample characteristics for all three time points are summarized in Table 1.

Table 1. Sociodemographic characteristics of the final sample across time points

Note. aOther residency = Italy. bOther current household constellation = Changing family constellations, for example, spending alternate weeks with each parent. cOther = Homeschooling and other types of schooling.

Procedure

An anonymous online self-report survey with three time points (i.e., T1, T2, T3) was conducted between February 15, 2022, and February 1, 2023, using the SoSci Survey platform (Leiner, Reference Leiner2019). Participants were recruited via free and paid advertising on social media platforms such as Facebook and Instagram. Upon completion of the first time point (T1), participants were asked to provide their e-mail address if they were willing to participate in two follow-up waves. Personalized invitation links were sent 3 (T2) and 6 (T3) months later. To ensure anonymity, a unique random alphanumeric code was automatically generated by the system and assigned to each participant to link their responses to the three waves of the survey. Respondents also had the opportunity to enter their e-mail address again at the end of each wave for a chance to win a €10 voucher for different selected online stores. A total of 30 vouchers were awarded (ten per time point). The protocol of this study was approved by the Ethics Committee of the University of Vienna before the start of data collection (protocol code 00730, November 18, 2021).

At T1, a total of 1,049 participants started the online survey, of whom 724 completed the survey. Final analyses were conducted exclusively with data from participants who reached the last page of the questionnaire, as participants were informed that they could withdraw their consent regarding study participation by closing their web browser at any time during the course of the survey. In addition, at the end of each page of the questionnaire, participants were prompted to complete all questions if any responses remained unanswered. If they intentionally left a question blank, a check box appeared, giving them the option to continue to the next page. We also found four duplicate cases in our data set, that is, four participants who responded twice to the T1 survey wave, presumably due to confusion about the longitudinal nature of our study. These cases were excluded from the data set. Furthermore, we decided to exclude the 5% fastest respondents at T1, that is, 36 participants who completed the entire questionnaire in less than 460 s (7 min and 40 s), whom we considered unserious respondents. To preserve statistical power for our longitudinal analyses, we chose not to exclude participants based on response time at T2 and T3.

It is worth noting that data collection began approximately 2 months after the lockdowns, and most COVID-19-related school measures had been lifted in Austria and Germany. In our sample, 99% of participants reported that there were no lockdowns at the time of the survey at T1 and 94.9% reported that classes were held on-site, while 3.1% reported that classes were held partially on-site and partially online. At T2 and T3, all participants reported that there were no lockdowns, and 99% and 99.2% of participants, respectively, reported that classes were held on-site.

Measures

Social anxiety

Social anxiety was measured using the SPIN (Connor et al., Reference Connor, Davidson, Churchill, Sherwood, Weisler and Foa2000; Von Consbruch et al., Reference Von Consbruch, Stangier and Heidenrich2016). The SPIN consists of 17 items pertaining to three facets of social anxiety, namely, fear of social situations, avoidance of social situations, and physiological symptoms of anxiety. Participants are asked to indicate on a 5-point rating scale how anxious they have felt about their behavior in social situations in the past 2 weeks, with higher scores indicating greater social anxiety. Given that some items (e.g., “I avoid going to parties”) might have been affected by the COVID-19 pandemic, we included a disclaimer as part of the instructions, asking participants to think of times when COVID restrictions were less severe and changing the time reference from 2 weeks to 3 months. This change was approved by the publisher of the instrument. The statements were rated on a scale from 0 = not at all to 4 = very strongly, with a maximum possible total score of 68. However, for our main analysis, we used mean scores. The SPIN showed high internal consistency across the three time points (T1: Cronbach’s α = .93; T2: α = .93; T3: α = .95). The SPIN has been normed in a large German sample, including individuals from the age of 14. Its applicability with adolescents has been established in both its original English form and in the German and other translations (e.g., Ranta et al., Reference Ranta, Kaltiala-Heino, Rantanen, Tuomisto and Marttunen2007, Reference Ranta, Aalto-Setälä, Heikkinen and Kiviruusu2024).

Fear of negative evaluation

FNE was assessed using the Brief Fear of Negative Evaluation Scale (BFNE; Leary, Reference Leary1983; Schwarz et al., Reference Schwarz, Reichenberger, Schwitalla, König, Wilhelm, Voderholzer, Hillert and Blechert2016). The BFNE encompasses 12 items assessing concerns about being criticized or found wanting by others (e.g., “I am afraid that others will not approve of me”). The items are rated on a 5-point scale from 1 = not at all characteristic of me to 5 = absolutely characteristic of me, with higher scores indicating higher FNE. The items loaded on a single factor and showed high reliability across the time points (T1: Cronbach’s α = 0.95; T2: α = 0.95; T3: α = 0.95). The BFNE scale has not been specifically adapted for adolescents. However, it has been successfully used with adolescent populations in previous studies (e.g., Fredrick & Luebbe, Reference Fredrick and Luebbe2021).

Fear of positive evaluation

FPE was assessed using the Fear of Positive Evaluation Scale (FPES; Schwarz et al., Reference Schwarz, Reichenberger, Schwitalla, König, Wilhelm, Voderholzer, Hillert and Blechert2016; Weeks et al., Reference Weeks, Heimberg and Rodebaugh2008). The FPES comprises 10 statements addressing fear and discomfort when receiving positive attention (e.g., “I feel uncomfortable when praised by authority figures”). These are rated on a 10-point scale from 0 = not at all true to 9 = very true, with higher scores reflecting greater FPE. The total score consisted of eight of the items, which all loaded on a single factor, as suggested by the authors of the scale (Weeks et al., Reference Weeks, Heimberg and Rodebaugh2008). The internal consistency of the scale was acceptable across the time points (T1: Cronbach’s α = .86; T2: α = .88; T3: α = .89). While not specifically adapted for adolescents, the FPE has already been employed in a number of studies with adolescent samples, for example, Karp et al. (Reference Karp, Makol, Keeley, Qasmieh, Deros, Weeks, Racz, Lipton, Augenstein and De Los Reyes2018), Vagos et al. (Reference Vagos, Salvador, Rijo, Santos, Weeks and Heimberg2016), and Fredrick and Luebbe (Reference Fredrick and Luebbe2021).

Emotion regulation

The Affective Style Questionnaire–Youth (Graser et al., Reference Graser, Heimlich, Kelava, Hofmann, Stangier and Schreiber2019; Hofmann & Kashdan, Reference Hofmann and Kashdan2010) was used to assess suppression and acceptance. This questionnaire consists of 20Footnote 1 items referring to participants’ usual reactions to emotional experience, including eight that measure suppression/concealment (e.g., “I often suppress my emotional reactions to things”) and five that measure acceptance/tolerance (e.g., “There is nothing wrong with feeling very emotional”). It is noteworthy that neither subscale differentiates between negative and positive emotions; rather, the subscales focus on negative or strong emotions. The statements were rated on a 5-point scale ranging from 0 = not at all true of me to 4 = extremely true of me, with higher scores indicating higher suppression or acceptance, respectively. Both scales showed satisfactory internal consistency across the time points (suppression: T1: Cronbach’s α = .84; T2: α = .87; T3: α = .87; acceptance: T1: Cronbach’s α = .84; T2: α = .87; T3: α = .86). This scale was validated using a German-speaking adolescent population.

Rumination was assessed using the Perseverative Thinking Questionnaire (PTQ; Ehring et al., Reference Ehring, Zetsche, Weidacker, Wahl, Schönfeld and Ehlers2011). The PTQ consists of 15 items spread across three factors, that is, the core characteristics of repetitive negative thinking (e.g., “The same thoughts keep going through my mind again and again”), the unproductiveness of repetitive negative thinking (e.g., “I think about many problems without solving any of them”), and repetitive negative thinking impairing mental capacity (e.g., “My thoughts take up all my attention”). Participants were asked to rate how they typically reflect on negative experiences and problems on a 5-point scale ranging from 0 = never to 4 = almost always, with higher scores indicating more repetitive negative thinking. The total scale, which was used in the present analysis as recommended by the scale’s creators and is denoted hereinafter as rumination, showed high reliability across the time points (T1: Cronbach’s α = .92; T2: α = .94; T3: α = .94). The English version of the PTQ has been adapted for children but still shows considerable content overlap with the adult version. Given that our sample comprised older adolescents (aged 14–18), we deemed the German adult version of the PTQ suitable for use in the present study. This decision was based on the age and comprehension level of our participants.

Burden of pandemic

Finally, due to the relative temporal proximity of our data collection to the COVID-19 pandemic and the accompanying public health measures, we assessed the overall subjective burden of the pandemic using a visual analog scale ranging from 0 to 100 (e.g., “How burdened do you feel by the COVID-19 measures in general?”).

Attrition and missing data

As is commonly encountered in longitudinal research, many respondents opted out of further study participation after taking part in the initial wave (T1). About one quarter (23.5%; n = 161 participants) did not leave their e-mail address and therefore did not receive any follow-up invitation e-mails. Additionally, 229 participants (33.47%) who had expressed interest in continuing to participate did not respond to T2 or T3. Thus, a total of 390 out of 684 participants (57%) dropped out after T1.

Following the recommendations of Nicholson et al. (Reference Nicholson, Deboeck and Howard2017), we used multiple methods to examine our data for patterns of missingness. We conducted t tests, logistic regression analyses, and chi-square difference tests to compare attritors (who participated only at T1) with continuing responders (who participated at T1 and at least one future time point) regarding their sociodemographic characteristics (gender, country of residence, native language, living situation, school type, psychotherapeutic treatment, chronic somatic illness, lockdown at the time of the survey, quarantine at the time of the survey, satisfaction with COVID-19-related school measures, subjective burden of pandemic restrictions) and the main study variables at T1 (social anxiety, FPE, FNE, acceptance, suppression, rumination). With the exception of one variable (i.e., acceptance), we found no significant differences between attritors and continuing responders. Specifically, attritors reported lower acceptance (M = 3.13, SD = 0.88) than continuing responders (M = 3.28, SD = 0.88, t(682) = −2.18, p = .030). However, the effect size was small (Cohen’s d = 0.168), and it was the only significant result out of 17 statistical tests. Hence, given the number of comparisons calculated, we cannot exclude the possibility of a type I error. Finally, we performed the Little’s Missing Completely at Random test with all of our study variables, which was not significant (χ 2 = 36.165, df = 36, p = .461). For these reasons, full information maximum likelihood was used in our main analyses to address missing data in our sample.

Data analysis

Data were analyzed using IBM SPSS Statistics (Version 28) for descriptive statistics and Mplus 8.5 (Muthén & Muthén, Reference Muthén and Muthén2017) for all structural equation modeling. We used random intercept cross-lagged panel models (RI-CLPM; Hamaker et al., Reference Hamaker, Kuiper and Grasman2015; Mulder & Hamaker, Reference Mulder and Hamaker2021) for our main analyses to disentangle between-person differences and within-person fluctuations. As the time points in our study were approximately equidistant (3 months), we imposed equality constraints for the autoregressive and the cross-lagged paths in order to increase statistical power and model parsimony. Furthermore, due to estimation errors stemming presumably from the high attrition in our data, we imposed additional constraints on the estimation of the residual variance of some of our variables. These constraints led to a more accurate estimation of confidence intervals while maintaining excellent model fit. Detailed descriptions of our model estimation process as well as model comparisons testing the tenability of certain constraints are provided in the supplementary material (see Table S1 and S2). The Mplus code and outputs can be found at https://osf.io/hzmvc.

Ultimately, we fitted three models to the data, namely, one for FPE, one for FNE, and one for social anxiety, in order to test their longitudinal associations with the three emotion regulation strategies (i.e., acceptance, suppression, rumination). A conceptual illustration of one exemplary RI-CLPM conducted in this study is depicted in Figure 1.

Figure 1. Conceptual random intercept cross-lagged panel model. FPE = fear of positive evaluation; ACC = acceptance; SUP = suppression; RUM = rumination. Covariances between the exogenous variables and the relevant residuals of the variables at T2 and T3 are not depicted for the sake of clarity. Gray arrows represent factor loadings and autoregressive paths; black arrows represent cross-lagged paths.

We used bootstrapping with 5,000 samples and bias-corrected confidence intervals. Path coefficients with 95% confidence intervals not including 0 were identified as significant, while path coefficients with 95% confidence intervals being very close to 0 (< |.05|) were identified as potential trends in the data. Significant effects and trends that were identified in the main analyses were examined for robustness in secondary sensitivity analyses that were conducted with a sample of individuals who completed all survey waves. Model fit was evaluated using the root mean square error of approximation (RMSEA), the comparative fit index (CFI), the Tucker–Lewis Index (TLI), and the standardized root mean square residual (SRMR). To determine a good model fit, widely used cutoff values were used: CFI/TLI > .95, RMSEA < 0.06, and SRMR < 0.08 (Little, Reference Little2013). Effects across the three models were compared by imposing weighted constraints on unstandardized parameters and conducting likelihood-ratio tests. This analytical approach is detailed in the supplementary material.

Results

Descriptive statistics

Table 2 provides an overview of the means, standard deviations, and correlations of the main study variables at T1. Tests and visual inspections for multivariate normality, homoscedasticity, linearity, residual independence, and multicollinearity showed no relevant violations of the assumptions of linear regression analysis.

Table 2. Means, standard deviations, and correlations of study variables at T1

Note. N = 684. * indicates p < .05. ** indicates p < .01. SA = social anxiety; FPE = fear of positive evaluation; FNE = fear of negative evaluation; ACC = acceptance; SUP = suppression; RUM = rumination; COV = subjective burden due to the COVID−19 pandemic.

Regarding the burden of the COVID-19 pandemic, we found some noteworthy correlations of this variable with some of the main study variables (i.e., FPE, FNE, social anxiety, and rumination; see Table 2). While these associations were relatively modest, with correlation coefficients ranging from r = .1 to .25, they were nevertheless significant.

Between-person associations

Within each of the three models, the random intercepts showed significant variation. Seven of the 12 parameters across the three models displayed p-values < .001, while the other five ranged from p = .009 to p = .035, indicating stable differences between individuals in all study variables. Furthermore, our results suggest that both types of fear of evaluation, as well as social anxiety, were significantly associated with the three emotion regulation strategies. More specifically, FPE was negatively associated with acceptance (r = −.460 [−.579, -.284]) but positively associated with suppression (r = .322 [.035, .527]) and rumination (r = .551 [.425, .722]). FNE was negatively associated with acceptance (r = −.334 [−.551, −.164]), positively associated with rumination (r = .623, [.441, .723]), but not related with suppression, albeit by a very small margin. In a similar vein, social anxiety was negatively associated with acceptance (r = −.418 [−.531, −.228]) and positively associated with rumination (r = .631 [.442, .712]), but not related with suppression. These findings indicate that adolescents who generally reported greater fears of positive and negative evaluation and social anxiety symptoms also reported greater difficulties with emotion regulation, that is, displayed a greater use of suppression and rumination but lower acceptance of emotions. The associations between the random intercepts for all three models are shown in Tables 35 (upper part).

Table 3. Random intercept cross-lagged panel modeling results for fear of positive evaluation, acceptance, suppression, and rumination

Note. FPE = fear of positive evaluation; ACC = acceptance; SUP = suppression; RUM = rumination. Standardized path coefficients are shown. Significant effects, as indicated by BCCIs not covering 0, are in bold. Italics, as indicated by BCCIs close to 0 (< |.05|), represent trends.

Table 4. Random intercept cross-lagged panel modeling results for fear of negative evaluation, acceptance, suppression, and rumination

Note. FNE = fear of negative evaluation; ACC = acceptance; SUP = suppression; RUM = rumination. Standardized path coefficients are shown. Significant effects, as indicated by BCCIs not covering 0, are in bold. Italics, as indicated by BCCIs close to 0 (< |.05|), represent trends.

Table 5. Random intercept cross-lagged panel modeling results for social anxiety, acceptance, suppression, and rumination

Note. SA = social anxiety; ACC = acceptance; SUP = suppression; RUM = rumination. Standardized path coefficients are shown. Significant effects, as indicated by BCCIs not covering 0, are in bold. Italics, as indicated by BCCIs close to 0 (< |.05|), represent trends.

Within-person associations

With regard to the within-person associations of the model with FPE (see Table 3, lower part), we found significant autoregressive paths for FPE from T1 to T2, β = .229 [.068, .431], and from T2 to T3, β = .229 [.065, .414]. Similarly, for suppression, we found significant autoregressive effects from T1 to T2, β = .303 [.039, .574], and from T2 to T3, β = .350 [.044, .622].

Turning to the cross-lagged effects, we identified negative paths from acceptance to FPE from T1 to T2, β = −.291 [−.483, −.064], as well as from T2 to T3, β = −.283 [−.466, −.067]. There were also path coefficients that, while not reaching statistical significance, revealed some trends in the data (95% CIs < |.05|). These trends included within-person cross-lagged effects of FPE on acceptance from T1 to T2, β = −.325 [−.665, .020], and from T2 to T3, β = −.309 [−.568, .033]. Additionally, at the trend level, lower than typical acceptance at T1 and T2 predicted suppression at T2 (β = −.150 [−.345, .046]) and T3 (β = −.166 [−.399, .042]). The model fit was acceptable, RMSEA = .034 [.016, .051], CFI = .993, TLI = .979, SRMR = .038.

In the model with FNE (as detailed in Table 4, lower part), we observed significant autoregressive paths for suppression from T1 to T2, β = .322 [.074, .594], and from T2 to T3 β = .374 [.076, .644]. These autoregressive patterns were similar to those observed in the model with FPE. However, different from the FPE model, we did not find any significant within-person cross-lagged effects in this model; thus, there were no significant associations between FNE and the three emotion regulation strategies at any of the time points or in any direction at the within-person level. Nonetheless, there were interesting trends in the data that warrant attention. For instance, similar to the FPE model, we found a trend that acceptance predicted subsequent suppression from T1 to T2, β = −.165 [−.370, .017], and from T2 to T3, β = −.199 [−.455, .008]. This model also demonstrated acceptable fit, RMSEA = .000 [.000, .029], CFI = 1.000, TLI = 1.000, SRMR = .028.

In the model with social anxiety (as presented in Table 5, lower part), we identified within-person cross-lagged effects of suppression on social anxiety from T1 to T2, β = .283 [.043, .559], and from T2 to T3, β = .279 [.065, .550]. Additionally, we found a significant cross-lagged effect of social anxiety on rumination from T1 to T2, β = .303 [.012, .617]. However, this significant association was not observed from T2 to T3, β = .264 [−.011, .572]. No other parameters in this model reached statistical significance. We did, however, observe trends in the data regarding the cross-lagged paths from acceptance to social anxiety from T1 to T2, β = −.176 [−.464, .038], and from T2 to T3, β = −.183 [−.492, .033]. Nonetheless, it is important to emphasize that these observed trends were not statistically significant. This model also fit the data well, RMSEA = .026 [.000, .044], CFI = .996, TLI = .989, SRMR = .033.

Sensitivity analyses

To assess the robustness of our results, we conducted sensitivity analyses exclusively using data from individuals who completed the survey at all time points (n = 157). With the exception of the effect of social anxiety on rumination, all cross-lagged effects from our primary models remained statistically significant, supporting their robustness. A more detailed description and tables summarizing the results of these analyses can be found in the supplementary material (see Tables S3 to S5).

Model comparisons

By splitting the analysis into three separate models (each for FPE, FNE, and social anxiety) to mitigate the problem of multicollinearity in our data, the contributions of the individual variables in these models could not be directly compared. To address this limitation, we examined (a) whether the effect of acceptance on FPE was unique to FPE, (b) whether the effect of social anxiety on rumination was unique to social anxiety, and (c) whether the effect of suppression on social anxiety was unique to social anxiety. To this end, we used ratios of unstandardized and standardized path coefficients to transfer coefficients from one model to another, while adequately controlling for differences in scaling and variance between the involved variables. A detailed description of this process can be found in the supplementary material and the table with all weighted coefficients can be found on https://osf.io/hzmvc. In sum, these analyses indicated that (a) the effect of acceptance on FPE did not similarly apply to FNE, but it similarly applied to social anxiety, (b) the effect of social anxiety on rumination similarly applied to both FPE and FNE, and (c) the effect of suppression on social anxiety similarly applied to FPE, but not FNE. Thus, there were differential associations of acceptance with FNE and FPE and of suppression with social anxiety and FNE, respectively.

Discussion

The primary objective of this study was to explore the within-person longitudinal associations between social anxiety, fears of positive and negative evaluation, and three specific emotion regulation strategies relevant to social anxiety in adolescence, namely, acceptance, suppression, and rumination. The results supported some, but not all, of our hypotheses. First, we found significant between-person associations between FPE and all three emotion regulation strategies. Strikingly, only FPE was associated with suppression at the between-person level, while social anxiety and FNE were linked to acceptance and rumination but not to suppression. This specific link suggests that FPE may have a unique double-edged effect on the tendency to avoid feedback or attention. While FNE primarily refers to a preoccupation with receiving negative feedback, FPE is associated with a broader aversion to feedback, regardless of whether it is positive or negative (Weeks et al., Reference Weeks, Jakatdar and Heimberg2010). This broader aversion could consequently lead to a stronger tendency toward suppression of both positive and negative emotions to avoid eliciting feedback from peers, which can be both negative (e.g., annoyance) and positive (e.g., sympathy). This nuanced distinction helps to explain why the links with FPE may be more strongly pronounced than with FNE; individuals with high FPE may use suppression to avoid any attention that could lead to evaluation, which is consistent with the theory that FPE involves a general preference to avoid feedback altogether (Weeks & Howell, Reference Weeks and Howell2012). It should, however, be noted that the between-person association between FNE and suppression did not reach statistical significance by only a very small margin. Furthermore, our findings on the lack of a stable trait-like relationship between social anxiety and suppression contrast with previous literature (Sackl-Pammer et al., Reference Sackl-Pammer, Jahn, Özlü-Erkilic, Pollak, Ohmann, Schwarzenberg, Plener and Akkaya-Kalayci2019). However, our longitudinal data show significant prospective effects suggesting that initially higher levels of suppression may lead to an increase in social anxiety over time. This observation corroborates the concept that the relationship between social anxiety and emotion regulation strategies, such as suppression, may develop gradually over time before solidifying into a more habitual pattern (Golombek et al., Reference Golombek, Lidle, Tuschen-Caffier, Schmitz and Vierrath2020).

Turning to the within-person effects, we found that when adolescents had more difficulties in accepting intense emotional experiences than was typical for this individual at one time point, they reported higher FPE than expected for this individual the next time point. This supports the notion that a non-accepting stance toward strong emotions, be they positive or negative, may contribute to a fear of and tendency to dismiss positive social outcomes in adolescents. Given that social anxiety has been consistently linked to experiential avoidance (Hayes et al., Reference Hayes, Wilson, Gifford, Follette and Strosahl1996; Kashdan et al., Reference Kashdan, Farmer, Adams, Ferssizidis, McKnight and Nezlek2013), it is conceivable that difficulties in dealing with intense emotions potentially contribute to a future heightened FPE, as positive social outcomes likely produce strong affective reactions that might be difficult to manage. We also found a trend in the data suggesting that FPE and acceptance might mutually influence each other. Although the effects of FPE on acceptance did not reach statistical significance in the main analysis, sensitivity analyses using only participants with data from all three survey waves indicated significant effects. This suggests a potential reciprocal relationship between these two variables at the within-person level, which should be further explored in future studies.

Regarding FNE and the three examined emotion regulation strategies, FNE was related with rumination and acceptance at the between-person level, but, contrary to our expectations, no significant within-person associations emerged. This pattern suggests that the relationships between these variables reflect interindividual differences rather than intraindividual variability over time. Interestingly, FNE showed no longitudinal association with acceptance, whereas FPE did. This suggests that similar to the valence-independent feedback aversion mentioned earlier, FPE may be more closely related to challenges with accepting both positive and negative emotions as well (Weeks et al., Reference Weeks, Jakatdar and Heimberg2010). That said, although our measures of emotion regulation encompassed aspects of managing emotions of any valence, they predominantly focused on the regulation of negative emotions. Consequently, our study did not disentangle the effects of FPE and FNE on managing positive and negative emotional states, rendering adequate interpretations difficult. Future studies should more clearly distinguish between positive and negative emotions when studying emotion regulation in response to positive and negative feedback to capture potential differential effects more accurately.

In terms of social anxiety, our within-person findings revealed that higher than average levels of suppression at one time point predicted an intraindividual increase in social anxiety at the next time point. These results are in line with previous research showing that difficulties in emotion regulation can serve as a precursor to subsequent anxiety-related symptoms, including social anxiety (Dryman & Heimberg, Reference Dryman and Heimberg2018). In addition, higher than average social anxiety was found to predict intraindividual rumination over time, but only from T1 to T2 and not the other way around. This finding mirrors similar prospective effects at the between-person level in previous research (Jose et al., Reference Jose, Wilkins and Spendelow2012). Therefore, difficulties in emotion regulation may thus not only predate social anxiety and associated psychopathology but may also be one of its consequences (Lincoln et al., Reference Lincoln, Schulze and Renneberg2022; McLaughlin et al., Reference McLaughlin, Hatzenbuehler, Mennin and Nolen-Hoeksema2011; Schneider et al., Reference Schneider, Arch, Landy and Hankin2016). Future research should examine these relationships over longer time periods (than the present study) to provide more insight into the processes of chronification that are particularly relevant to the development of social anxiety in adolescence (Spence & Rapee, Reference Spence and Rapee2016).

Practical implications

Our findings, especially those at the within-person level that identify relevant processes unfolding across time within adolescents, are of particular importance for informing practice. First and foremost, our results highlight that adolescents with elevated levels of social anxiety often grapple with fears of evaluation, both positive and negative. Therefore, clinicians working with young individuals suffering from social anxiety should pay particular attention to both types of fear of evaluation, as they can affect the therapeutic process. This notion is supported by a study showing that neglecting FPE during treatment might hinder the achievement of adequate fear exposure, thus impeding symptom reduction (Weeks & Howell, Reference Weeks, Howell and Weeks2014). The disqualification of positive social outcomes and the cognitive and emotional avoidance of positive evaluation may further contribute to symptom maintenance. In addition, the potential paradoxical negative effect of a therapist’s positive reinforcement on the patient’s anxiety symptoms might increase the risk of dropout (Cook et al., Reference Cook, Moore, Bryant and Phillips2022; Reichenberger & Blechert, Reference Reichenberger and Blechert2018). Therefore, addressing both types of evaluation fears in therapy with adolescents and young adults, while also recognizing their associations with emotion regulation processes, may improve treatment outcomes, as indicated by a novel and promising treatment protocol by Weeks et al. (Reference Weeks, Wilmer, Potter, Waldron, Versella, Kaplan, Jensen and Heimberg2020).

Considering the growing importance of peer relationships and the school environment during adolescence (Spence & Rapee, Reference Spence and Rapee2016), it is crucial to examine how FPE impacts adolescents in these areas. It can be assumed that FPE can pose particular challenges for students in the school context by potentially hindering their ability to accept positive feedback from teachers and peers alike. Individuals with heightened fears of evaluation, especially of the positive type, tend to reject positive events (Weeks & Howell, Reference Weeks and Howell2012) and perceive positive feedback as less accurate (Alden et al., Reference Alden, Taylor, Mellings and Laposa2008; Barber & Moscovitch, Reference Barber and Moscovitch2016). This could make it more difficult for them to build positive relationships with peers, which in turn increases the risk of social anxiety symptoms (Spence & Rapee, Reference Spence and Rapee2016).

Limitations

There are several limitations that should be taken into account when interpreting the present results. First, although a longitudinal design naturally implies a temporal ordering of variables, we cannot rule out the possibility that unmeasured third variables (e.g., neuroendocrinological changes, family and peer relationships; Cracco et al., Reference Cracco, Goossens and Braet2017; Morris et al., Reference Morris, Silk, Steinberg, Myers and Robinson2007) may have affected the observed associations. Experimental designs are still needed to fully capture the causality of effects. Additionally, the exclusive use of self-report measures not only neglects the perspectives of third parties, such as teachers, classmates, and parents, but also entails the risk of common method bias that could artificially inflate the observed effects.

Furthermore, due to the complex modeling approach used in this study, there might have been limitations in terms of statistical power. For example, Mulder (Reference Mulder2023) reported that a sample size of approximately 1,000 participants may be required to achieve adequate statistical power in models as in the present study, taking into account different proportions of between-person variance and varying numbers of time points. Therefore, some relationships or effects may have required larger sample sizes for a sufficiently powered analysis.

Another notable limitation relates to our sample and recruitment strategy. We observed a high rate of adolescents exceeding the SPIN clinical cut-off of 24 (72.3%; Ranta et al., Reference Ranta, Kaltiala-Heino, Rantanen, Tuomisto and Marttunen2007). These authors reported a mean score of 11.3 (compared to 34 in our sample). However, the same scholars reported that these rates have risen sharply in the last decade: Ranging between 14% and 26% for boys and girls, respectively, in 2013, rates rose slightly in 2015 and increased most notably during the COVID-19 pandemic, with girls reaching rates of up to 47% in 2021 (Ranta et al., Reference Ranta, Aalto-Setälä, Heikkinen and Kiviruusu2024). This pronounced surge of social anxiety in the general population and the fact that our study was conducted during the pandemic with a sample with limited gender diversity (87% identifying as female) might have contributed to the unusually high rates of social anxiety in the present study. This limits the potential generalizability of our results, and we deem it prudent to wait for further research that replicates our findings with community samples. Especially in terms of gender distribution, data from more diverse samples are needed in future studies that could also examine whether the mechanisms studied vary across different genders. Relatedly, we must acknowledge the possibility that the COVID-19 pandemic affected our study, even though the strongest public health measures, such as lockdowns and school closures, had been lifted by the time of data collection. Our findings suggest that adolescents who perceived the pandemic as more burdensome also tended to report higher evaluation fears, social anxiety, and rumination. While these associations were relatively modest, they were nevertheless significant.

Moreover, an important shortcoming concerns our operationalization of emotion regulation. Although previous research has predominantly examined trait-based emotion regulation using self-report measures, more recent reflections criticize the oversimplified categorization of strategies as either adaptive or maladaptive (Aldao et al., Reference Aldao, Sheppes and Gross2015). Since emotion regulation processes are inherently dynamic and context-dependent, adopting a rigid classification into adaptive and maladaptive strategies may fail to cover the full spectrum of functional emotion regulation. Future studies should consider the use of different research designs, such as diary studies using ecological momentary assessment, to further improve our understanding of these processes in real-world settings, more accurately capturing emotion regulation of positive and negative emotions in real-world settings and in different situations.

Finally, we state transparently that our study deviated from the preregistered protocol. Initially, our goal was to explore the longitudinal within-person associations between FPE, suppression, and social anxiety. However, this approach posed issues relating to multicollinearity and estimation difficulties, prompting us to refrain from incorporating these variables into a single model. This decision was also guided by theoretical considerations to also include FNE and two additional emotion regulation strategies relevant to social anxiety. By doing so, we aimed to obtain a more comprehensive understanding of the intricate connections between these variables.

Conclusion

Taken together, the present findings provide novel insights into the tangled interrelations between social anxiety, fears of evaluation, and emotion regulation strategies in adolescents, illuminating both between-person differences and within-person dynamics. By disentangling these two levels of variance, we can better elucidate the complex mechanisms operating between and within individuals. Hence, this novel approach contributes to a better, more nuanced understanding of the links between adolescents’ evaluation fears and emotion regulation difficulties and provides new anchors for developmental psychopathology in general. We believe that such knowledge will improve our understanding of the developmental trajectories of social anxiety during adolescence and help refine targeted interventions for young people.

Supplementary material

The supplementary material for this article can be found at https://doi.org/10.1017/S0954579424001366.

Data availability and open science statement

Data sets, codes, and outputs for the analyses can be found at https://osf.io/hzmvc. The preregistration of this study can be found at https://osf.io/fgeb3.

Acknowledgments

We would like to thank all the participants who took time out of their day to answer our questionnaires. We would also like to thank Sarah Mannion de Hernandez for proofreading the English manuscript.

Author contribution

Conceptualization: ATF, MZ; data curation: ATF; formal analysis: ATF, UST; funding acquisition: ATF, MZ; investigation: ATF; methodology: ATF, UST, MZ; project administration: ATF, MZ; resources: MZ; software: ATF, UST, MZ; supervision: MZ; validation: ATF; visualization: ATF; writing – original draft: ATF; writing – review and editing: ATF, UST, MZ.

Funding statement

The first author is a recipient of a DOC Fellowship of the Austrian Academy of Sciences (grant number 26497) at the Department of Clinical and Health Psychology at the University of Vienna, Austria.

Competing interests

None.

Footnotes

1 Seven items measure adjusting/reappraisal, which were not used for the present analysis.

References

Aldao, A., Sheppes, G., & Gross, J. J. (2015). Emotion regulation flexibility. Cognitive Therapy and Research, 39(3), 263278. https://doi.org/10.1007/s10608-014-9662-4 CrossRefGoogle Scholar
Alden, L. E., Taylor, C. T., Mellings, T. M. J. B., & Laposa, J. M. (2008). Social anxiety and the interpretation of positive social events. Journal of Anxiety Disorders, 22(4), 577590. https://doi.org/10.1016/j.janxdis.2007.05.007 CrossRefGoogle ScholarPubMed
Altan-Atalay, A., & Ray-Yol, E. (2023). Interpersonal and intrapersonal emotion regulation strategies: How do they interact and influence fear of negative evaluation? Current Psychology, 42(6), 44984503. https://doi.org/10.1007/s12144-021-01810-8 CrossRefGoogle Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (4th ed.). American Psychiatric Association.Google Scholar
Barber, K. C., & Moscovitch, D. A. (2016). Reactions to prospective positive vs. negative evaluation in the laboratory: A comparison of high and low socially anxious participants. Journal of Experimental Psychopathology, 7(4), 619631. https://doi.org/10.5127/jep.055116 CrossRefGoogle Scholar
Blalock, D. V., Kashdan, T. B., & Farmer, A. S. (2016). Trait and daily emotion regulation in social anxiety disorder. Cognitive Therapy and Research, 40(3), 416425. https://doi.org/10.1007/s10608-015-9739-8 CrossRefGoogle Scholar
Brozovich, F., & Heimberg, R. G. (2008). An analysis of post-event processing in social anxiety disorder. Clinical Psychology Review, 28(6), 891903. https://doi.org/10.1016/j.cpr.2008.01.002 CrossRefGoogle ScholarPubMed
Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., Shea, M. T., & Keller, M. B. (2005). Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. American Journal of Psychiatry, 162(6), 11791187. https://doi.org/10.1176/appi.ajp.162.6.1179 CrossRefGoogle ScholarPubMed
Charania, I., & Krishnaveti, H. (2021). Relationship between social appearance anxiety, fear of negative evaluation and emotion regulation in adolescents and young adults. International Journal of Indian Psychology, 9(2), 15251531. https://doi.org/10.25215/0902.157 Google Scholar
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. (Ed.), Social phobia: Diagnosis, assessment, and treatment (pp. 6993). The Guilford Press.Google Scholar
Connor, K. M., Davidson, J. R. T., Churchill, L. E., Sherwood, A., Weisler, R. H., & Foa, E. (2000). Psychometric properties of the social phobia inventory (SPIN): New self-rating scale. British Journal of Psychiatry, 176(4), 379386. https://doi.org/10.1192/bjp.176.4.379 CrossRefGoogle ScholarPubMed
Cook, S. I., Moore, S., Bryant, C., & Phillips, L. J. (2022). The role of fear of positive evaluation in social anxiety: A systematic review and meta-analysis. Clinical Psychology: Science and Practice, 29(4), 352369. https://doi.org/10.1037/cps0000082 Google Scholar
Cracco, E., Goossens, L., & Braet, C. (2017). Emotion regulation across childhood and adolescence: Evidence for a maladaptive shift in adolescence. European Child & Adolescent Psychiatry, 26(8), 909921. https://doi.org/10.1007/s00787-017-0952-8 CrossRefGoogle ScholarPubMed
De castella, K., Goldin, P., Jazaieri, H., Ziv, M., Heimberg, R. G., & Gross, J. J. (2014). Emotion beliefs in social anxiety disorder: Associations with stress, anxiety, and well-being. Australian Journal of Psychology, 66(2), 139148. https://doi.org/10.1111/ajpy.12053 CrossRefGoogle Scholar
Dryman, M. T., & Heimberg, R. G. (2018). Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical Psychology Review, 65, 1742. https://doi.org/10.1016/j.cpr.2018.07.004 CrossRefGoogle ScholarPubMed
Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The perseverative thinking questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 225232. https://doi.org/10.1016/j.jbtep.2010.12.003 CrossRefGoogle ScholarPubMed
Everaert, J., Bronstein, M. V., Castro, A. A., Cannon, T. D., & Joormann, J. (2020). When negative interpretations persist, positive emotions don’t! inflexible negative interpretations encourage depression and social anxiety by dampening positive emotions. Behaviour Research and Therapy, 124, 103510. https://doi.org/10.1016/j.brat.2019.103510 CrossRefGoogle ScholarPubMed
Farmer, A. S., & Kashdan, T. B. (2012). Social anxiety and emotion regulation in daily life: Spillover effects on positive and negative social events. Cognitive Behaviour Therapy, 41(2), 152162. https://doi.org/10.1080/16506073.2012.666561 CrossRefGoogle ScholarPubMed
Ford, B. Q., & Gross, J. J. (2018). Emotion regulation: Why beliefs matter. Canadian Psychology / Psychologie Canadienne, 59(1), 114. https://doi.org/10.1037/cap0000142 CrossRefGoogle Scholar
Fredrick, J. W., & Luebbe, A. M. (2020). Fear of positive evaluation and social anxiety: A systematic review of trait-based findings. Journal of Affective Disorders, 265, 157168. https://doi.org/10.1016/j.jad.2020.01.042 CrossRefGoogle ScholarPubMed
Fredrick, J. W., & Luebbe, A. M. (2021). A multi-method, multi-informant test of maternal emotion socialization in relation to adolescent fears off social evaluation. Research on Child and Adolescent Psychopathology, 50(2), 177192.CrossRefGoogle Scholar
Gilbert, P. (2001). Evolution and social anxiety. Psychiatric Clinics of North America, 24(4), 723751. https://doi.org/10.1016/S0193-953X(05)70260-4 CrossRefGoogle ScholarPubMed
Golombek, K., Lidle, L., Tuschen-Caffier, B., Schmitz, J., & Vierrath, V. (2020). The role of emotion regulation in socially anxious children and adolescents: A systematic review. European Child & Adolescent Psychiatry, 29(11), 14791501. https://doi.org/10.1007/s00787-019-01359-9 CrossRefGoogle ScholarPubMed
Gómez, O., Roldán, R., Ortega-Ruiz, R., & Garcia-Lopez, L. (2018). Social anxiety and psychosocial adjustment in adolescents: Relation with peer victimization, self-esteem and emotion regulation. Child Indicators Research, 11, 17191736. https://doi.org/10.1007/s12187-017-9506-3 CrossRefGoogle Scholar
Graser, J., Heimlich, C., Kelava, A., Hofmann, S. G., Stangier, U., & Schreiber, F. (2019). Erfassung der emotionsregulation bei jugendlichen anhand des, affective style questionnaire – youth (ASQ-Y)“. Diagnostica, 65(1), 4959. https://doi.org/10.1026/0012-1924/a000210 CrossRefGoogle Scholar
Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271299. https://doi.org/10.1037/1089-2680.2.3.271 CrossRefGoogle Scholar
Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 126. https://doi.org/10.1080/1047840X.2014.940781 CrossRefGoogle Scholar
Hamaker, E. L., Kuiper, R. M., & Grasman, R. P. P. P. (2015). A critique of the cross-lagged panel model. Psychological Methods, 20(1), 102116. https://doi.org/10.1037/a0038889 CrossRefGoogle ScholarPubMed
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64(6), 11521168. https://doi.org/10.1037/0022-006X.64.6.1152 CrossRefGoogle ScholarPubMed
Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2014). A cognitive-behavioral model of social anxiety disorder. In Hofmann, S. G., & DiBartolo, P. M. (Ed.), Social anxiety: Clinical, developmental, and social perspectives (3rd ed. pp. 705728). Academic Press. https://doi.org/10.1016/B978-0-12-394427-6.00024-8 CrossRefGoogle Scholar
Hodson, K. J., McManus, F. V., Clark, D. M., & Doll, H. (2008). Can Clark and Wells’ (1995) cognitive model of social phobia be applied to young people? Behavioural and Cognitive Psychotherapy, 36(4), 449461., https://doi.org/10.1017/S1352465808004487 CrossRefGoogle Scholar
Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36(4), 193209. https://doi.org/10.1080/16506070701421313 CrossRefGoogle ScholarPubMed
Hofmann, S. G., & Kashdan, T. B. (2010). The affective style questionnaire: Development and psychometric properties. Journal of Psychopathology and Behavioral Assessment, 32(2), 255263. https://doi.org/10.1007/s10862-009-9142-4 CrossRefGoogle ScholarPubMed
IBM Corp. (2021). IBM SPSS Statistics for Windows (Version 28.0) [Computer software]. IBM Corp.Google Scholar
Jazaieri, H., Morrison, A. S., Goldin, P. R., & Gross, J. J. (2015). The role of emotion and emotion regulation in social anxiety disorder. Current Psychiatry Reports, 17, Article No. 531. https://doi.org/10.1007/s11920-014-0531-3 CrossRefGoogle ScholarPubMed
Jose, P. E., Wilkins, H., & Spendelow, J. S. (2012). Does social anxiety predict rumination and co-rumination among adolescents? Journal of Clinical Child & Adolescent Psychology, 41(1), 8691. https://doi.org/10.1080/15374416.2012.632346 CrossRefGoogle ScholarPubMed
Karp, J. N., Makol, B. A., Keeley, L. M., Qasmieh, N., Deros, D. E., Weeks, J. W., Racz, S. J., Lipton, M. F., Augenstein, T. M., & De Los Reyes, A. (2018). Convergent, incremental, and criterion-related validity of multi-informant assessments of adolescents’ fears of negative and positive evaluation. Clinical Psychology & Psychotherapy, 25(2), 217230. https://doi.org/10.1002/cpp.2156 CrossRefGoogle ScholarPubMed
Kashdan, T. B., & Breen, W. E. (2008). Social anxiety and positive emotions: A prospective examination of a self-regulatory model with tendencies to suppress or express emotions as a moderating variable. Behavior Therapy, 39(1), 112. https://doi.org/10.1016/j.beth.2007.02.003 CrossRefGoogle ScholarPubMed
Kashdan, T. B., Farmer, A. S., Adams, L. M., Ferssizidis, P., McKnight, P. E., & Nezlek, J. B. (2013). Distinguishing healthy adults from people with social anxiety disorder: Evidence for the value of experiential avoidance and positive emotions in everyday social interactions. Journal of Abnormal Psychology, 122(3), 645655. https://doi.org/10.1037/a0032733 CrossRefGoogle ScholarPubMed
Kashdan, T. B., Zvolensky, M. J., & McLeish, A. C. (2008). Anxiety sensitivity and affect regulatory strategies: Individual and interactive risk factors for anxiety-related symptoms. Journal of Anxiety Disorders, 22(3), 429440. https://doi.org/10.1016/j.janxdis.2007.03.011 CrossRefGoogle ScholarPubMed
Kessler, R. C., Berglund, P., Demler, O., Jin, 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(6), 593. https://doi.org/10.1001/archpsyc.62.6.593 CrossRefGoogle ScholarPubMed
Klemanski, D. H., Curtiss, J., McLaughlin, K. A., & Nolen-Hoeksema, S. (2017). Emotion regulation and the transdiagnostic role of repetitive negative thinking in adolescents with social anxiety and depression. Cognitive Therapy and Research, 41(2), 206219. https://doi.org/10.1007/s10608-016-9817-6 CrossRefGoogle ScholarPubMed
Kley, H., Tuschen-Caffier, B., & Heinrichs, N. (2012). Safety behaviors, self-focused attention and negative thinking in children with social anxiety disorder, socially anxious and non-anxious children. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 548555. https://doi.org/10.1016/j.jbtep.2011.07.008 CrossRefGoogle ScholarPubMed
Leary, M. R. (1983). A brief version of the fear of negative evaluation scale. Personality and Social Psychology Bulletin, 9(3), 371375. https://doi.org/10.1177/0146167283093007 CrossRefGoogle Scholar
Leiner, D. J. (2019). SoSci Survey (Version 3.1.06). Computer Software.Google Scholar
Lincoln, T. M., Schulze, L., & Renneberg, B. (2022). The role of emotion regulation in the characterization, development and treatment of psychopathology. Nature Reviews Psychology, 1(5), Article–5. https://doi.org/10.1038/s44159-022-00040-4 CrossRefGoogle Scholar
Little, T. D. (2013). Longitudinal structural equation modeling. Guilford Press.Google Scholar
Mathews, B. L., Kerns, K. A., & Ciesla, J. A. (2014). Specificity of emotion regulation difficulties related to anxiety in early adolescence. Journal of Adolescence, 37(7), 10891097. https://doi.org/10.1016/j.adolescence.2014.08.002 CrossRefGoogle ScholarPubMed
McLaughlin, K. A., Hatzenbuehler, M. L., Mennin, D. S., & Nolen-Hoeksema, S. (2011). Emotion dysregulation and adolescent psychopathology: A prospective study. Behaviour Research and Therapy, 49(9), 544554. https://doi.org/10.1016/j.brat.2011.06.003 CrossRefGoogle ScholarPubMed
McLaughlin, K. A., & King, K. (2015). Developmental trajectories of anxiety and depression in early adolescence. Journal of Abnormal Child Psychology, 43(2), 311323. https://doi.org/10.1007/s10802-014-9898-1 CrossRefGoogle ScholarPubMed
Mennin, D. S., McLaughlin, K. A., & Flanagan, T. J. (2009). Emotion regulation deficits in generalized anxiety disorder, social anxiety disorder, and their co-occurrence. Journal of Anxiety Disorders, 23(7), 866871. https://doi.org/10.1016/j.janxdis.2009.04.006 CrossRefGoogle ScholarPubMed
Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development, 16(2), 361388. https://doi.org/10.1111/j.1467-9507.2007.00389.x CrossRefGoogle ScholarPubMed
Mulder, J. D. (2023). Power analysis for the random intercept cross-lagged panel model using the powRICLPM R-package. Structural Equation Modeling: A Multidisciplinary Journal, 30(4), 645658. https://doi.org/10.1080/10705511.2022.2122467 CrossRefGoogle Scholar
Mulder, J. D., & Hamaker, E. L. (2021). Three extensions of the random intercept cross-lagged panel model. Structural Equation Modeling: A Multidisciplinary Journal, 28(4), 638648. https://doi.org/10.1080/10705511.2020.1784738 CrossRefGoogle Scholar
Muthén, L. K., & Muthén, B. O. (1998–2017). Mplus user’s guide (8th ed.). Muthén & Muthén.Google Scholar
Nicholson, J. S., Deboeck, P. R., & Howard, W. (2017). Attrition in developmental psychology: A review of modern missing data reporting and practices. International Journal of Behavioral Development, 41(1), 143153. https://doi.org/10.1177/0165025415618275 CrossRefGoogle Scholar
Ollendick, T. H., Benoit, K. E., & Grills-Taquechell, A. E. (2014). Social anxiety disorder in children and adolescents. In Weeks, J. W. (Ed.), The wiley blackwell handbook of social anxiety disorder (pp. 181200). Wiley Blackwell.Google Scholar
Ranta, K., Aalto-Setälä, T., Heikkinen, T., & Kiviruusu, O. (2024). Social anxiety in Finnish adolescents from 2013 to 2021: Change from pre-COVID-19 to COVID-19 era, and mid-pandemic correlates. Social Psychiatry and Psychiatric Epidemiology, 59(1), 121136. https://doi.org/10.1007/s00127-023-02466-4 CrossRefGoogle ScholarPubMed
Ranta, K., Kaltiala-Heino, R., Rantanen, P., Tuomisto, M. T., & Marttunen, M. (2007). Screening social phobia in adolescents from general population: The validity of the social phobia inventory (SPIN) against a clinical interview. European Psychiatry, 22(4), 244251. https://doi.org/10.1016/j.eurpsy.2006.12.002 CrossRefGoogle ScholarPubMed
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741756. https://doi.org/10.1016/S0005-7967(97)00022-3 CrossRefGoogle ScholarPubMed
Rapee, R. M., Schniering, C. A., & Hudson, J. L. (2009). Anxiety disorders during childhood and adolescence: Origins and treatment. Annual Review of Clinical Psychology, 5(1), 311341. https://doi.org/10.1146/annurev.clinpsy.032408.153628 CrossRefGoogle ScholarPubMed
Reichenberger, J., & Blechert, J. (2018). Malaise with praise: A narrative review of 10 years of research on the concept of fear of positive evaluation in social anxiety. Depression and Anxiety, 35(12), 12281238. https://doi.org/10.1002/da.22808 CrossRefGoogle ScholarPubMed
Rusch, S., Westermann, S., & Lincoln, T. M. (2012). Specificity of emotion regulation deficits in social anxiety: An internet study. Psychology and Psychotherapy: Theory, Research and Practice, 85(3), 268277. https://doi.org/10.1111/j.2044-8341.2011.02029.x CrossRefGoogle ScholarPubMed
Sackl-Pammer, P., Jahn, R., Özlü-Erkilic, Z., Pollak, E., Ohmann, S., Schwarzenberg, J., Plener, P., & Akkaya-Kalayci, T. (2019). Social anxiety disorder and emotion regulation problems in adolescents. Child and Adolescent Psychiatry and Mental Health, 13(1), 37. https://doi.org/10.1186/s13034-019-0297-9 CrossRefGoogle ScholarPubMed
Schäfer, J.Ö., Naumann, E., Holmes, E. A., Tuschen-Caffier, B., & Samson, A. C. (2017). Emotion regulation strategies in depressive and anxiety symptoms in youth: A meta-analytic review. Journal of Youth and Adolescence, 46(2), 261276. https://doi.org/10.1007/s10964-016-0585-0.CrossRefGoogle ScholarPubMed
Schmitz, J., Krämer, M., & Tuschen-Caffier, B. (2011). Negative post-event processing and decreased self-appraisals of performance following social stress in childhood social anxiety: An experimental study. Behaviour Research and Therapy, 49(11), 789795. https://doi.org/10.1016/j.brat.2011.09.001 CrossRefGoogle ScholarPubMed
Schneider, R. L., Arch, J. J., Landy, L. N., & Hankin, B. L. (2016). The longitudinal effect of emotion regulation strategies on anxiety levels in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 47(6), 978991. https://doi.org/10.1080/15374416.2016.1157757 CrossRefGoogle ScholarPubMed
Schwarz, M., Reichenberger, J., Schwitalla, M., König, D., Wilhelm, F. H., Voderholzer, U., Hillert, A., & Blechert, J. (2016). Furcht vor positiver sozialer bewertung: Übersetzung und validierung einer deutschsprachigen version der FPES. Diagnostica, 62(3), 157168. https://doi.org/10.1026/0012-1924/a000147 CrossRefGoogle Scholar
Spence, S. H., & Rapee, R. M. (2016). The etiology of social anxiety disorder: An evidence-based model. Behaviour Research and Therapy, 86, 5067. https://doi.org/10.1016/j.brat.2016.06.007 CrossRefGoogle ScholarPubMed
Spokas, M., Luterek, J. A., & Heimberg, R. G. (2009). Social anxiety and emotional suppression: The mediating role of beliefs. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), Article–2. https://doi.org/10.1016/j.jbtep.2008.12.004 CrossRefGoogle ScholarPubMed
Tsarpalis-Fragkoulidis, A., van Eickels, R. L., & Zemp, M. (2022). Please don’t compliment me! Fear of positive evaluation and emotion regulation—Implications for adolescents’ social anxiety. Journal of Clinical Medicine, 11(20), 205979. https://doi.org/10.3390/jcm11205979 CrossRefGoogle ScholarPubMed
Vagos, P., Salvador, M.do C., Rijo, D., Santos, I. M., Weeks, J. W., & Heimberg, R. G. (2016). Measuring evaluation fears in adolescence. Measurement and Evaluation in Counseling and Development, 49(1), 4662. https://doi.org/10.1177/0748175615596781 CrossRefGoogle Scholar
Von Consbruch, K., Stangier, U., & Heidenrich, T. (2016). Skalen zur sozialen angststörung. Soziale-phobie-inventar (SPIN), soziale-interaktions-angst-skala (SIAS) (1st ed.). Liebowitz-Soziale-Angst-Skala, Hogrefe Verlag.Google Scholar
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(1), 4455. https://doi.org/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(3), 386400. https://doi.org/10.1016/j.janxdis.2007.04.009 CrossRefGoogle ScholarPubMed
Weeks, J. W., & Howell, A. N. (2012). The bivalent fear of evaluation model of social anxiety: Further integrating findings on fears of positive and negative evaluation. Cognitive Behaviour Therapy, 41(2), 8395. https://doi.org/10.1080/16506073.2012.661452 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 wiley blackwell handbook of social anxiety disorder (pp. 433453). Wiley Blackwell.CrossRefGoogle Scholar
Weeks, J. W., Jakatdar, T. A., & Heimberg, R. G. (2010). Comparing and contrasting fears of positive and negative evaluation as facets of social anxiety. Journal of Social and Clinical Psychology, 29(1), 6894. https://doi.org/10.1521/jscp.2010.29.1.68 CrossRefGoogle Scholar
Weeks, J. W., Wilmer, M. T., Potter, C. M., Waldron, E. M., Versella, M., Kaplan, S. C., Jensen, D., & Heimberg, R. G. (2020). Targeting fear of positive evaluation in patients with social anxiety disorder via a brief cognitive behavioural therapy protocol: A proof-of-principle study. Behavioural and Cognitive Psychotherapy, 48(6), 745750. https://doi.org/10.1017/S1352465820000491 CrossRefGoogle Scholar
Weeks, J. W., & Zoccola, P. M. (2015). Having the heart to be evaluated”: The differential effects of fears of positive and negative evaluation on emotional and cardiovascular responses to social threat. Journal of Anxiety Disorders, 36, 115126. https://doi.org/10.1016/j.janxdis.2015.08.004 CrossRefGoogle ScholarPubMed
Yap, M. B. H., Allen, N. B., & Sheeber, L. (2007). Using an emotion regulation framework to understand the role of temperament and family processes in risk for adolescent depressive disorders. Clinical Child and Family Psychology Review, 10(2), 180196. https://doi.org/10.1007/s10567-006-0014-0.CrossRefGoogle ScholarPubMed
Young, K., Sandman, C., & Craske, M. (2019). Positive and negative emotion regulation in adolescence: Links to anxiety and depression. Brain Sciences, 9(4), 76. https://doi.org/10.3390/brainsci9040076 CrossRefGoogle ScholarPubMed
Figure 0

Table 1. Sociodemographic characteristics of the final sample across time points

Figure 1

Figure 1. Conceptual random intercept cross-lagged panel model. FPE = fear of positive evaluation; ACC = acceptance; SUP = suppression; RUM = rumination. Covariances between the exogenous variables and the relevant residuals of the variables at T2 and T3 are not depicted for the sake of clarity. Gray arrows represent factor loadings and autoregressive paths; black arrows represent cross-lagged paths.

Figure 2

Table 2. Means, standard deviations, and correlations of study variables at T1

Figure 3

Table 3. Random intercept cross-lagged panel modeling results for fear of positive evaluation, acceptance, suppression, and rumination

Figure 4

Table 4. Random intercept cross-lagged panel modeling results for fear of negative evaluation, acceptance, suppression, and rumination

Figure 5

Table 5. Random intercept cross-lagged panel modeling results for social anxiety, acceptance, suppression, and rumination

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