Weeks Justin W, Heimberg Richard G, Rodebaugh Thomas L, Norton Peter J
Adult Anxiety Clinic of Temple University, Department of Psychology, Philadelphia, PA 19122-6085, United States.
J Anxiety Disord. 2008;22(3):386-400. doi: 10.1016/j.janxdis.2007.04.009. Epub 2007 May 1.
Cognitive-behavioral theorists have proposed that fear of negative evaluation is the core feature of social anxiety [Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In: R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69-93). New York: Guilford Press; Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behavior Research and Therapy, 35, 741-756]. However, we have previously hypothesized that fear of evaluation in general is important in social anxiety, including fears of positive as well as negative evaluation, and we developed the Fear of Positive Evaluation Scale (FPES; Weeks, J. W., Heimberg, R. G., & Rodebaugh, T. L. (2007). The Fear of Positive Evaluation Scale: Assessing a proposed cognitive component of social anxiety disorder. Manuscript submitted for review.) to test this hypothesis. The present paper reviews several studies conducted for the purpose of extending the empirical examination of the construct of fear of positive evaluation (FPE). Consistent with hypothesis, FPE was positively associated with discomfort in response to receipt of positive social feedback and negatively associated with perceived accuracy of the feedback received. Furthermore, the FPES correlated significantly with several measures related to social anxiety, and lower correlations with measures of other constructs provided evidence of discriminant validity. Thus, findings from the present series of studies add to the developing support for the hypothesis that fear of positive evaluation is important in social anxiety.
认知行为理论家提出,对负面评价的恐惧是社交焦虑的核心特征[克拉克,D.M.,& 韦尔斯,A.(1995)。社交恐惧症的认知模型。载于:R.G. 海姆伯格、M.R. 利博维茨、D.A. 霍普 & F.R. 施奈尔(编),《社交恐惧症:诊断、评估与治疗》(第69 - 93页)。纽约:吉尔福德出版社;拉佩,R.M.,& 海姆伯格,R.G.(1997)。社交恐惧症焦虑的认知行为模型。《行为研究与治疗》,35,741 - 756]。然而,我们之前曾假设,一般而言对评价的恐惧在社交焦虑中很重要,包括对正面评价以及负面评价的恐惧,并且我们编制了正面评价恐惧量表(FPES;威克斯,J.W.,海姆伯格,R.G.,& 罗德博,T.L.(2007)。正面评价恐惧量表:评估社交焦虑障碍中一个假定的认知成分。待审稿件)来检验这一假设。本文回顾了为扩展对正面评价恐惧(FPE)这一构念的实证研究而开展的几项研究。与假设一致,FPE与收到正面社会反馈时的不适感呈正相关,与所收到反馈的感知准确性呈负相关。此外,FPES与多项与社交焦虑相关的测量显著相关,而与其他构念测量的较低相关性提供了区分效度的证据。因此,本系列研究的结果进一步支持了正面评价恐惧在社交焦虑中很重要这一假设。