Collins Kerry A, Westra Henny A, Dozois David J A, Stewart Sherry H
London Health Sciences Centre, W818 Victoria Campus, London, Ont., Canada N6A 4G5.
J Anxiety Disord. 2005;19(3):345-59. doi: 10.1016/j.janxdis.2004.02.003.
The Fear of Negative Evaluation Scale [FNE; J. Consult. Clin. Psychol. 33 (1969) 448] is a commonly used measure of social anxiety. A brief version of the scale (FNEB) is available for convenient administration. Despite being widely advocated for use, the psychometric properties of the FNEB have not been evaluated with clinically anxious samples. The present study addressed the reliability and validity of the FNEB in a clinical sample of individuals with either social phobia (n = 82) or panic disorder (n = 99) presenting for treatment. Factor analysis supported the construct validity of the FNEB. The validity of the FNEB was further demonstrated through significant correlations with social avoidance and depression, and non-significant correlations with agoraphobic avoidance and demographic variables. The scale obtained excellent inter-item reliability (alpha = .97) and 2-week test-retest reliability (r = .94). Discriminant function analysis also supported validity of the FNEB. For example, individuals with social phobia scored significantly higher on the FNEB than those with panic disorder and a group of non-psychiatric community controls (n = 30). The FNEB was sensitive to pre- to post-CBT changes in both social anxiety and panic disorder, and changes on the FNEB correlated significantly with other measures of treatment responsiveness, such as reductions in somatic arousal, depression and other anxiety symptomatology. These research findings strongly support the validity of the FNEB and its clinical utility as an outcome measure in social anxiety treatment.
恐惧消极评价量表[FNE;《咨询与临床心理学杂志》33 (1969) 448]是一种常用的社交焦虑测量工具。该量表有一个简短版本(FNEB),便于施测。尽管被广泛提倡使用,但尚未在临床焦虑样本中对FNEB的心理测量特性进行评估。本研究探讨了FNEB在前来接受治疗的社交恐惧症患者(n = 82)或惊恐障碍患者(n = 99)临床样本中的信度和效度。因素分析支持了FNEB的结构效度。FNEB的效度通过与社交回避和抑郁的显著相关性以及与广场恐怖症回避和人口统计学变量的非显著相关性得到进一步证明。该量表获得了出色的项目间信度(α = .97)和2周重测信度(r = .94)。判别函数分析也支持了FNEB的效度。例如,社交恐惧症患者在FNEB上的得分显著高于惊恐障碍患者和一组非精神科社区对照者(n = 30)。FNEB对社交焦虑和惊恐障碍患者在接受认知行为疗法(CBT)前后的变化敏感,并且FNEB上的变化与其他治疗反应性指标显著相关,如躯体唤醒、抑郁和其他焦虑症状的减轻。这些研究结果有力地支持了FNEB的效度及其作为社交焦虑治疗结果测量指标的临床实用性。