Levinson Cheri A, Rodebaugh Thomas L, Lim Michelle H, Fernandez Katya C
Washington University in St. Louis, MO, USA
Washington University in St. Louis, MO, USA.
Assessment. 2017 Jan;24(1):83-94. doi: 10.1177/1073191115596568. Epub 2015 Jul 30.
Cognitive behavioral models of social anxiety disorder (SAD) suggest that fear of negative evaluation is a core fear or vulnerability for SAD. However, why negative evaluation is feared is not fully understood. It is possible that core beliefs contribute to the relationship between fear of negative evaluation and SAD. One of these beliefs may be a core extrusion schema: a constellation of beliefs that one's true self will be rejected by others and therefore one should hide one's true self. In the current study (N = 699), we extended research on the Core Extrusion Schema and created a shortened and revised version of the measure called the Core Extrusion Schema-Revised The Core Extrusion Schema-Revised demonstrated good factor fit for its two subscales (Hidden Self and Rejection of the True Self) and was invariant across gender and ethnicity. The Hidden Self subscale demonstrated excellent incremental validity within the full sample as well as in participants diagnosed with generalized SAD. Specifically, the Hidden Self subscale may help explain severity of social interaction anxiety. This measure could be used with individuals diagnosed with generalized SAD to design exposures targeting these core beliefs.
社交焦虑障碍（SAD）的认知行为模型表明，对负面评价的恐惧是社交焦虑障碍的核心恐惧或易感性。然而，为何会害怕负面评价尚未完全明确。核心信念可能在对负面评价的恐惧与社交焦虑障碍之间的关系中起作用。其中一种信念可能是核心外显模式：一系列认为真实自我会被他人拒绝，因此应该隐藏真实自我的信念。在当前研究（N = 699）中，我们扩展了对核心外显模式的研究，并创建了一个缩短并修订后的量表版本，称为核心外显模式修订版。核心外显模式修订版在其两个子量表（隐藏自我和对真实自我的拒绝）上显示出良好的因子拟合，并且在性别和种族上具有不变性。隐藏自我子量表在全样本以及被诊断为广泛性社交焦虑障碍的参与者中显示出优异的增量效度。具体而言，隐藏自我子量表可能有助于解释社交互动焦虑的严重程度。该量表可用于被诊断为广泛性社交焦虑障碍的个体，以设计针对这些核心信念的暴露疗法。
