自我关注与社交焦虑：负面评价恐惧的中介与关系型自我构念的调节

为明确自我关注对社交焦虑的影响机制,建构了一个有调节的中介模型,考察负面评价恐惧、关系型自我构念的作用以及性别差异。选取446名大学生进行问卷调查。结果表明：（1）自我关注部分通过负面评价恐惧的中介作用间接预测社交焦虑;（2）关系型自我构念调节中介模型的前半路径：在高关系型自我构念下,自我关注可以显著预测负面评价恐惧;在低关系型自我构念下,该预测作用不显著;（3）有调节的中介模型存在性别差异：在女生群体中,负面评价恐惧的中介效应大于男生群体,且关系型自我构念的调节作用显著;而在男生群体中,该调节效应不显著。     

The causal role of self-awareness in blushing-anxious,socially-anxious and social phobics individuals

This study examined the effect of attentional focus on social anxiety in three groups of subjects: high versus low blushing-anxious participants (n=48); high versus low socially anxious participants (n=60); and social phobic patients compared to patients with other anxiety disorders (n=48). Participants were asked to imagine two series of social situations, in which the hero was in the centre of others' attention. In the first series of stories, the type of feedback from the audience (positive, negative and neutral) and the direction of attention of the hero (self- versus task-focused) were manipulated, and in the second series of stories, the presence or absence of blushing and the direction of attention of the hero were manipulated. In line with the expectations, self-focused attention (SFA) led to more social anxiety than task-focused attention (TFA) in all the three experiments, and high blushing-anxious, socially anxious, and social phobic groups reported higher levels of self-awareness than their low-anxious comparison groups. No evidence was found for the idea that self-focusing is specifically detrimental for participants who are already socially anxious, blushing-anxious, or socially phobic. Also, attentional focus did not interact with the valence of social feedback. Finally, results provided some support for the hypothesis that fear of blushing is mediated by self-focusing. The results suggest that irrespective of trait social anxiety, and irrespective of the outcome of a social situation (positive, neutral or negative), SFA increases state social anxiety, or TFA decreases state social anxiety.     

The Role of Self‐focused Attention and Negative Self‐thought in Interview Anxiety: A test of two interventions

Job interview anxiety is an unpleasant experience for many candidates that can cause them significant distress in the days leading up to the interview. As a result, many candidates are motivated to overcome their feelings of anxiety, however, few empirical studies have examined strategies aimed at lowering nervous jitters. This study looked at the relation between interview anxiety and ‘self‐focused attention’ (the tendency to focus on oneself during the interview), and also negative self‐thoughts during the interview. We tested two training interventions that are grounded in the social anxiety literature, positive imagery (fostering positive self‐images), and field perspective taking (focusing attention externally), which were designed to reduce self‐focused attention and negative thought. Both interventions decreased interview anxiety and increased interview self‐efficacy, but did not affect interview performance scores.     

Not self-focused attention but negative beliefs affect poor social performance in social anxiety: An investigation of pathways in the social anxiety-social rejection relationship

Patients with social anxiety disorder (SAD) not only fear negative evaluation but are indeed less likeable than people without SAD. Previous research shows social performance to mediate this social anxiety-social rejection relationship. This study studied two pathways hypothesized to lead to poor social performance in social anxiety: increased self-focused attention and negative beliefs. State social anxiety was experimentally manipulated in high and low-blushing-fearful individuals by letting half of the participants believe that they blushed intensely during a 5 min getting-acquainted interaction with two confederates. Participants rated their state social anxiety, self-focused attention, and level of negative beliefs. Two confederates and two video-observers rated subsequently likeability (i.e., social rejection) and social performance of the participants. In both groups, the social anxiety-social rejection relationship was present. Although state social anxiety was related to heightened self-focused attention and negative beliefs, only negative beliefs were associated with relatively poor social performance. In contrast to current SAD models, self-focused attention did not play a key-role in poor social performance but seemed to function as a by-product of state social anxiety. Beliefs of being negatively evaluated seem to elicit changes in behavioral repertoire resulting in a poor social performance and subsequent rejection.     

Online attention modification for social anxiety disorder: replication of a randomized controlled trial

Social anxiety disorder (SAD) models posit vigilance for external social threat cues and exacerbated self-focused attention as key in disorder development and maintenance. Evidence indicates a modified dot-probe protocol may reduce symptoms of SAD; however, the efficacy when compared to a standard protocol and long-term maintenance of treatment gains remains unclear. Furthermore, the efficacy of such protocols on SAD-related constructs remains relatively unknown. The current investigation clarified these associations using a randomized control trial replicating and extending previous research. Participants with SAD (n = 113; 71% women) were randomized to complete a standard (i.e. control) or modified (i.e. active) dot-probe protocol consisting of 15-min sessions twice weekly for four weeks. Self-reported symptoms were measured at baseline, post-treatment, and 4-month and 8-month follow-ups. Hierarchical linear modeling indicated significant self-reported reductions in symptoms of social anxiety, fear of negative evaluation, trait anxiety, and depression, but no such reductions in fear of positive evaluation. Symptom changes did not differ based on condition and were maintained at 8-month follow-up. Attentional biases during the dot-probe task were not related to symptom change. Overall, our results replicate support for the efficacy of both protocols in reducing symptoms of SAD and specific related constructs, and suggest a role of exposure, expectancy, or practice effects, rather than attention modification, in effecting such reductions. The current results also support distinct relationships between fears of negative and positive evaluation and social anxiety. Further research focused on identifying the mechanisms of change in attention modification protocols appears warranted.     

Social anxiety,self‐regulation,and fear of negative evaluation

Social anxiety was investigated in a self‐regulation framework in a sample of 174 undergraduates (124 females; 50 males). As expected, individuals higher in social anxiety were lower on the expectancy to achieve goals, lower on self‐esteem and lower on the frequency on self‐reinforcement. Multiple regression analyses revealed that expectancy to achieve goals, fear of negative evaluation, and public self‐consciousness accounted for 33 per cent of the variance in social anxiety. Fear of negative evaluation was found to mediate between (i) self‐esteem and social anxiety (as hypothesized) and (ii) self‐reinforcement and social anxiety (investigated in an exploratory nature). Copyright © 2000 John Wiley & Sons, Ltd.     

负面评价恐惧与大学生网络过度使用的关系：社交焦虑和自我控制的中介作用

本研究以864名大学生为被试,探讨负面评价恐惧与网络过度使用的关系以及社交焦虑和自我控制在这一关系中的中介作用。结果发现：（1）负面评价恐惧与社交焦虑和网络过度使用之间均呈显著正相关,与自我控制存在显著负相关;（2）负面评价恐惧通过社交焦虑和自我控制的中介作用对网络过度使用产生影响,这一中介作用包含了三条路径：社交焦虑和自我控制的单独中介作用以及社交焦虑-自我控制的序列中介作用。这一结论有助于促进对大学生网络过度使用的干预与预防。     

Self-focused attention and safety behaviors across group therapies for social anxiety disorder

Background: Self-focused attention (SFA) and safety behaviors are two variables implicated in the maintenance of social anxiety disorder (SAD).

Design: The present study examined SFA and safety behaviors across two therapies for SAD, cognitive behavioral group therapy (CBGT) and mindfulness and acceptance-based group therapy (MAGT).

Method: Participants with symptoms meeting criteria for SAD (N?=?137) were randomly assigned to the 12-week-treatment groups (n?=?53 for each condition) or a waitlist control (n?=?31). Variables were assessed at baseline, midtreatment, posttreatment, and a 3-month follow-up.

Results: Both treatment conditions reported significantly lower SFA and safety behaviors compared to control, but did not differ from one another at posttreatment. Mediation analyses supported the following models: (1) safety behaviors mediating the relationship between SFA and social anxiety, and (2) SFA mediating the relationship between safety behaviors and social anxiety. These models were supported for both treatment groups.

Conclusions: Both treatments may have the potential to reduce the SFA and safety behaviors that serve to maintain SAD.     

The effect of attentional focus on social anxiety

The aim of the present study was to examine the effect of attentional focus on social anxiety in a group of high and low blushing-anxious subjects. One hundred and fourteen psychology undergraduate students were screened using the Fear of Blushing subscale of the Blushing Questionnaire [B?gels, S. M., & Reith, W. (1999). Validity of two questionnaires to assess social fears: The Dutch social phobia and anxiety questionnaire and the blushing, trembling and sweating questionnaire. Journal of Psychopathology and Behavioral Assessment, 21, 51-66]. Those with the most extreme scores in the top and bottom 20% of the distribution were selected to form a high (n=22) and a low (n=22) blushing-anxious group. Subjects were randomly allocated to either a self-focused attention (SFA) condition or a task-focused attention (TFA) condition. They were asked to engage in a 5 min conversation with the first author, and were instructed to either self-focus (SFA condition) or task-focus (TFA condition). Levels of social anxiety and self-awareness were measured using visual analogue scales. Results suggest that the there was a significant condition by group interaction, with high blushing individuals showing considerably higher levels of social anxiety in the SFA condition compared to the TFA condition while low blushing individuals showed no significant difference across the two conditions.     

Social Exclusion and Disengagement of Covert Attention from Social Signs: The Moderating Role of Fear of Negative Evaluation

Previous research has demonstrated that social exclusion motivates individuals with low fear of negative evaluation (FNE) to pay attention to signs of social acceptance, but it does not motivate individuals with high FNE to do so. However, it remains unclear whether this finding reflects overt or covert attentional bias because the researchers employed a dot‐probe task. In order to resolve this ambiguity, the present study solely assessed disengagement of covert attention from social signs after exclusion manipulation in an experiment with university students (N = 60). As a result, exclusion delayed disengagement of covert attention from facial stimuli regardless of their types of expression for participants with low FNE, but such delay was not observed for participants with high FNE. The result indicated that social exclusion enhances attention to social information in individuals with low FNE, whereas it does not in individuals with high FNE. We discuss the possibility that a decline in inclusionary status affects overt and covert attentional processes differently.     

自我聚焦对社交焦虑的影响：抽离与正念的调节作用

本文旨在探讨抽离和正念在自我聚焦对社交焦虑影响关系中的作用。两个研究分别采用相关法和实验法,探究自我聚焦内容（冗思、正念）和反思方式（浸入、抽离）对社交焦虑的交互影响。结果：问卷数据显示,抽离在自我聚焦注意影响社交焦虑的关系中起着调节作用,无论低抽离倾向还是高抽离倾向,自我聚焦注意都能预测社交焦虑,高抽离倾向减弱个体的社交焦虑感;实验结果表明,聚焦内容与反思方式两者交互作用于社交焦虑,浸入-聚焦冗思内容引发最强的社交焦虑,抽离-聚焦正念内容引发最弱的社交焦虑。结论：抽离和聚焦正念内容都最能有效缓解自我聚焦对社交焦虑的不良影响。     

The bivalent fear of evaluation model of social anxiety: further integrating findings on fears of positive and negative evaluation

Accumulating evidence supports the premise that fear of evaluation in general is important in social anxiety, including fear of positive evaluation (FPE) as well as fear of negative evaluation (FNE). This study tested various hypotheses pertaining to a novel, expanded conceptualization of social anxiety involving these two distinct fears: the bivalent fear of evaluation (BFOE) model. Responses from a large undergraduate sample (N = 585) were examined. In addition, responses from a subsample of participants qualifying for a probable diagnosis of social anxiety disorder (SAD; n = 133) were examined, via mediational analyses, for potential mechanisms underlying FPE within highly socially anxious individuals. FPE exhibited a unique and significantly stronger relationship with concerns of social reprisal due to making positive impressions than did FNE. FPE related uniquely and negatively to trait positive affect/automatic thoughts, whereas FNE, FPE, and social anxiety all related uniquely and positively to trait negative affect/automatic thoughts. FPE, FNE, and social anxiety all related uniquely and positively to disqualification of positive social outcomes (DPSO). However, FPE related most strongly to DPSO attributions at the level of the self, and these attributions mediated the relationship between FPE and negative automatic thoughts in an analog clinical sample. Concerns of social reprisal due to making positive impressions on others mediated the relationship between FPE and DPSO attributions to others in an analog clinical sample. The obtained findings replicate and extend support for the BFOE model of social anxiety. Implications for the theoretical conceptualization and treatment of SAD are discussed.     

Self‐oriented perfectionism and its relationship to selective attention: An experimental examination using social cognitive paradigm1

The cognitive biases associated with perfectionism include a selective attention to failure and the discounting of success. The present study experimentally focused on the relation between self‐oriented perfectionism (SOP) and selective attention using the social cognitive paradigm. Forty undergraduate students who were identified as either high or low in SOP were asked to perform modified versions of the Stroop task. The results suggest that participants with high SOP did not take longer to respond to failure words than to neutral words, but their reaction time to failure words was longer than that of participants with low SOP. These findings provided the basis for cognitive behavioral biases for perfectionism.     

The Effects of Social Anxiety and State Anxiety on Visual Attention: Testing the Vigilance–Avoidance Hypothesis

A growing theoretical and research literature suggests that trait and state social anxiety can predict attentional patterns in the presence of emotional stimuli. The current study adds to this literature by examining the effects of state anxiety on visual attention and testing the vigilance–avoidance hypothesis, using a method of continuous visual attentional assessment. Participants were 91 undergraduate college students with high or low trait fear of negative evaluation (FNE), a core aspect of social anxiety, who were randomly assigned to either a high or low state anxiety condition. Participants engaged in a free view task in which pairs of emotional facial stimuli were presented and eye movements were continuously monitored. Overall, participants with high FNE avoided angry stimuli and participants with high state anxiety attended to positive stimuli. Participants with high state anxiety and high FNE were avoidant of angry faces, whereas participants with low state and low FNE exhibited a bias toward angry faces. The study provided partial support for the vigilance–avoidance hypothesis. The findings add to the mixed results in the literature that suggest that both positive and negative emotional stimuli may be important in understanding the complex attention patterns associated with social anxiety. Clinical implications and suggestions for future research are discussed.     

The motivational and emotional consequences of considering positive or negative possibilities for an upcoming event.

The hypothesis that attention to negative possibilities for an upcoming event can have advantages for performance in comparison with a more optimistic approach was examined in 2 studies. Focus of attention to positive or negative possibilities for a social interaction was manipulated for Ss previously identified as optimists or defensive pessimists in the social domain. In Study 1, negatively focused defensive pessimists performed better in their conversations than positively focused defensive pessimists on several dimensions (e.g., talk time, perceived effort, and sociability). Optimists' behavior was unaffected by the focus manipulation. However, all negatively focused Ss felt worse after their conversations than did positively focused subjects. Study 2 examined the cognitive process by which a negative focus may lead to positive behaviors. Some pessimists may benefit from an initial negative focus that is not accompanied by lowered expectations and that actually facilitates positive thoughts about the self.     

评价恐惧理论及相关研究述评

社交焦虑认知行为模型将负面评价恐惧作为社交焦虑的核心特征, Weeks和Heimberg提出评价恐惧概念并认为, 无论是正面评价恐惧还是负面评价恐惧, 都是社交焦虑的核心特征。Watson和Friend提出负面评价恐惧至今已有40年, 负面评价恐惧的测量工具、遗传特质、注意偏向及其在学习等领域中的应用已有相关研究。而正面评价恐惧的研究才刚刚开展。评价恐惧测量工具的完善、研究内容的拓展、临床干预的充实、跨文化研究的加强等都是未来的研究方向。     

Adaptive and Maladaptive Self-Focus: A Pilot Extension Study With Individuals High and Low in Fear of Negative Evaluation

Previous research in depressed participants has supported the differentiation of self-focus into distinct modes of self-attention with distinct functional effects. In particular, Rimes and Watkins (2005) investigated the effects of self-focused rumination on overgeneral thinking and found that analytical, evaluative self-focus increased global negative self-judgments, whereas self-focus low in analytical thinking decreased such judgments in depressed participants. Given that self-focused attention and rumination have been implicated in the maintenance of social anxiety, the present study investigated the effects of these two distinct forms of self-focused attention on global negative self-judgments in an analogue sample for social anxiety (high and low fear of negative evaluation, FNE). Individuals high and low in FNE (n = 41 per group) were randomly allocated to analytic (abstract, evaluative) or experiential (concrete, process-focused) self-focused manipulations. As predicted, in high FNE individuals, the experiential self-focus condition decreased ratings of the self as worthless and incompetent pre- to post-manipulation, whereas the analytical self-focus condition maintained such negative self-judgments. Analytical and experiential self-focus did not differ in their effects on mood. The results suggest that an experiential mode of self-focused rumination may be adaptive in social anxiety.     

Long‐Term Outcomes of Lesbian,Gay, Bisexual,and Transgender Recalled School Victimization

The authors examined relationships among recalled and current bullying, shame‐focused coping, and fear of negative evaluation in an adult lesbian, gay, bisexual, and transgender (LGBT) sample. Findings indicated that attack self, withdrawal, and attack other shame‐focused coping fully mediated the relationship between recalled bullying and fear of negative evaluation. Fear of negative evaluation and current bullying victimization were predicted by shame‐focused coping. Findings suggested the importance of addressing histories of school‐related bullying and shame‐focused coping when counseling LGBT persons.     

Dispositional aspects of body focus and idiopathic environmental intolerance attributed to electromagnetic fields (IEI‐EMF)

Body focus is often considered an undesirable characteristic from medical point of view as it amplifies symptoms and leads to higher levels of health anxiety. However, it is connected to mindfulness, well‐being and the sense of self in psychotherapy. The current study aimed to investigate the contribution of various body focus related constructs to acute and chronic generation and maintenance of medically unexplained symptoms (MUS). Thirty‐six individuals with idiopathic environmental intolerance to electromagnetic fields (IEI‐EMF) and 36 controls were asked to complete questionnaires assessing negative affect, worries about harmful effects of EMFs, health anxiety (HA), body awareness, and somatosensory amplification (SSA), and to report experienced symptoms evoked by a sham magnetic field. Body awareness, HA, SSA, and EMF‐related worries showed good discriminative power between individuals with IEI‐EMF and controls. Considering all variables together, SSA was the best predictor of IEI‐EMF. In the believed presence of a MF, people with IEI‐EMF showed higher levels of anxiety and reported more symptoms than controls. In the IEI‐EMF group, actual symptom reports were predicted by HA and state anxiety, while a reverse relationship between symptom reports and HA was found in the control group. Our findings show that SSA is a particularly important contributor to IEI‐EMF, probably because it is the most comprehensive factor in its aetiology. IEI‐EMF is associated with both a fear‐related monitoring of bodily symptoms and a non‐evaluative body focus. The identification of dispositional body focus may be relevant for the management of MUS.     

Comparison of group and individual cognitive-behavioral therapy in reducing fear of negative evaluation

Previous studies have established the efficacy of group and individual formats of cognitive-behavioral therapy in reducing fear of negative evaluation in social anxiety disorder, but the effectiveness of the group and individual therapies has not been widely assessed. This study was conducted to compare the effectiveness of cognitive-behavior group therapy to individual cognitive-behavioral therapy in social anxiety disorder. 28 patients were randomly allocated to two groups of 14. Each group participated in 12 weekly sessions. The final sample was 22 participants after drop-out. Pretest and posttest data were collected using the Brief Fear of Negative Evaluation Scale and the Beck Depression Inventory-II. Controlling for pretest fear of negative evaluation and depression, cognitive-behavioral group therapy was more effective than individual cognitive-behavioral therapy in reducing fear of negative evaluation, but the clinical significance and improvement rates of the two treatment formats were equivalent.