Teale Sapach Michelle J N, Carleton R Nicholas, Mulvogue Myriah K, Weeks Justin W, Heimberg Richard G
a Department of Psychology , University of Regina , Regina , SK , Canada.
Cogn Behav Ther. 2015;44(1):63-73. doi: 10.1080/16506073.2014.961539. Epub 2014 Oct 3.
Pioneering models of social anxiety disorder (SAD) underscored fear of negative evaluation (FNE) as central in the disorder's development. Additional cognitive predictors have since been identified, including fear of positive evaluation (FPE), anxiety sensitivity, and intolerance of uncertainty (IU), but rarely have these constructs been examined together. The present study concurrently examined the variance accounted for in SAD symptoms by these constructs. Participants meeting criteria for SAD (n = 197; 65% women) completed self-report measures online. FNE, FPE, anxiety sensitivity, and IU all accounted for unique variance in SAD symptoms. FPE accounted for variance comparable to FNE, and the cognitive dimension of anxiety sensitivity and the prospective dimension of IU accounted for comparable variance, though slightly less than that accounted for by FNE and FPE. The results support the theorized roles that these constructs play in the etiology of SAD and highlight both FNE and FPE as central foci in SAD treatment.
社交焦虑障碍（SAD）的开创性模型强调，对负面评价的恐惧（FNE）是该障碍发展的核心。此后又确定了其他认知预测因素，包括对正面评价的恐惧（FPE）、焦虑敏感性和对不确定性的不耐受（IU），但这些构念很少被同时研究。本研究同时考察了这些构念在社交焦虑障碍症状中所占的方差。符合社交焦虑障碍标准的参与者（n = 197；65%为女性）在线完成了自我报告测量。FNE、FPE、焦虑敏感性和IU均在社交焦虑障碍症状中占独特方差。FPE占的方差与FNE相当，焦虑敏感性的认知维度和IU的预期维度占的方差相当，尽管略低于FNE和FPE占的方差。结果支持了这些构念在社交焦虑障碍病因中所起的理论作用，并突出了FNE和FPE作为社交焦虑障碍治疗的核心焦点。
