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Adult Anxiety Clinic of Temple University, Department of Psychology, Temple University, Weiss Hall,
1701 North 13th Street, Philadelphia, PA 19122-6085, United States
b
Department of Psychology, Washington University in Saint Louis, MO, United States
Received 24 April 2007; received in revised form 27 July 2007; accepted 3 August 2007
Abstract
Cognitivebehavioral models propose that fear of negative evaluation is the core feature of social anxiety disorder. However, it
may be that fear of evaluation in general is important in social anxiety, including fears of positive as well as negative evaluation. To
test this hypothesis, we developed the Fear of Positive Evaluation Scale (FPES) and conducted analyses to examine the
psychometric properties of the FPES, as well as test hypotheses regarding the construct of fear of positive evaluation (FPE).
Responses from a large (n = 1711) undergraduate sample were utilized. The reliability, construct validity, and factorial validity of
the FPES were examined; the distinction of FPE from fear of negative evaluation was evaluated utilizing confirmatory factor
analysis; and the ability of FPE to predict social interaction anxiety above and beyond fear of negative evaluation was assessed.
Results provide preliminary support for the psychometric properties of the FPES and the validity of the construct of FPE. The
implications of FPE with respect to the study and treatment of social anxiety disorder are discussed.
# 2007 Elsevier Ltd. All rights reserved.
Keywords: Anxiety; Social anxiety disorder; Social phobia; Fear of positive evaluation; Fear of negative evaluation; Assessment
1. Introduction
Social anxiety disorder (social phobia) is the fourth
most common psychiatric disorder, with a lifetime
prevalence rate of 12.1% (Kessler et al., 2005). It is
characterized by excessive fear of social or performance
situations. The majority of patients seeking treatment
for social anxiety disorder report at least moderate
0887-6185/$ see front matter # 2007 Elsevier Ltd. All rights reserved.
doi:10.1016/j.janxdis.2007.08.002
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1
The FPES was developed to examine whether fear of positive
evaluation is a cognitive feature of social anxiety, not as a specific test
of Gilberts (2001) ethological/psychobiological model.
47
Table 1
The Fear of Positive Evaluation Scale
1.
2.
3.
4.
5
6.
7.
8.
9.
10.
I am uncomfortable exhibiting my talents to others, even if I think my talents will impress them.
It would make me anxious to receive a compliment from someone that I am attracted to.
I try to choose clothes that will give people little impression of what I am like.
I feel uneasy when I receive praise from authority figures.
If I have something to say that I think a group will find interesting, I typically say it.
I would rather receive a compliment from someone when that person and I were alone than when in the presence of others.
If I was doing something well in front of others, I would wonder whether I was doing too well.
I generally feel uncomfortable when people give me compliments.
I dont like to be noticed when I am in public places, even if I feel as though I am being admired.
I often feel under-appreciated, and wish people would comment more on my positive qualities.
Read each of the following statements carefully and fill in a numbered bubble on the answer sheet to indicate the degree to which you feel the
statement is characteristic of you, using the following scale. For each statement, respond as though it involves people that you do not know very well.
Rate each situation from 0 to 9. Please fill in only one bubble for each statement. Note: Items 5 and 10 are not included in the FPES score, which is the
sum of the remaining eight items.
control for familiarity biases, because greater familiarity with a conversation partner has been linked to
lower social anxiety (Vittengl & Holt, 1998).
FPES items were rationally generated and designed
to exclusively assess fear of positive evaluation; thus,
items that could potentially be construed as pertaining
to fear of negative evaluation include qualifiers
specifying that the relevant situation indeed involves
positive evaluation (e.g., I dont like to be noticed in
public places, even if I feel as though I am being
admired). Furthermore, FPES items are structured to
incorporate social hierarchy dynamics. For example,
several items pertain to group settings, thereby
providing context for a hierarchical interpretation. In
addition, other FPES items refer to individuals who
would rank high on a social hierarchy relative to the
respondent (e.g., authority figures, individuals to whom
the respondent is attracted). FPES items and rating
instructions are provided in Table 1.
2.2.2. Measures of convergent validity
2.2.2.1. Social Interaction Anxiety ScaleStraightforward score (SIAS-S; Rodebaugh, Woods, & Heimberg,
2007). The Social Interaction Anxiety Scale (SIAS;
Mattick & Clarke, 1998) is a measure of anxiety in
dyads and groups and consists of 20 items which are
scored on a 5-point Likert-type scale ranging from 0
(not at all characteristic or true of me) to 4 (extremely
characteristic or true of me). Examples of SIAS items
include I find it easy to make friends of my own age
and When mixing in a group, I find myself worrying I
will be ignored. Rodebaugh et al. have reported that
the 17 straightforwardly worded items of the SIAS are
Results using the SIAS total score are available upon request and
are substantively identical to the current results.
48
evaluation than the reverse-scored items in undergraduate and clinical samples, respectively. Consequently, Rodebaugh et al. and Weeks et al. suggested the
scoring strategy of utilizing only the straightforward
BFNE items to calculate the total score, thereby
yielding an 8-item BFNE-S score. The BFNE-S has
demonstrated excellent internal consistency (all
as > .92), factorial validity, and construct validity in
undergraduate (Rodebaugh et al., 2004) and clinical
(Weeks et al., 2005) samples, respectively. The 12-item
BFNE was administered only to the first subsample and
was completed by 410 participants. However, only the
straightforward items (BFNE-S) were utilized in the
present analyses and demonstrated excellent internal
consistency (a = .95). The BFNE-S was included in the
present study to examine how the FPES relates to fear of
negative evaluation, as well as to examine how FPE and
FNE relate to social anxiety.
2.2.3. Measures for the assessment of other
constructs (discriminant validity)
Participant responses to the following measures were
utilized to examine the discriminant validity of the FPES.
Discriminant validity would be demonstrated if higher
correlations were exhibited between the FPES and the
measure of social interaction anxiety (the SIAS-S) than
with the following measures.
2.2.3.1. Generalized Anxiety Disorder Questionnaire
for DSM-IV (GAD-Q-IV; Newman et al., 2002). The
GAD-Q-IV is a self-report measure for the diagnosis of
generalized anxiety disorder (GAD) based on DSM-IV
(American Psychiatric Association, 1994) criteria. The
first three items inquire about the excessive and
uncontrollable nature of the respondents worry.
Subsequent items inquire about the presence of worry
about day-to-day matters and whether the respondents
worries are bothersome more days than not. The
measure also includes a section in which the respondent
lists the topics that he/she worries about most frequently
and a checklist of physical symptoms experienced in
association with worry over the past 6 months. Finally,
the degree of interference and distress caused by worry
and the associated physical symptoms are rated by the
respondent on separate 9-point Likert-type scales,
ranging from 0 (none or no distress) to 8 (very severely
or very severe distress). In a study by Newman et al.
(2002), the GAD-Q-IV demonstrated adequate 2-week
testretest reliability in an undergraduate sample,
k = .64, and 92% of the sample showed stability of
diagnosis over time. Furthermore, there was adequate
agreement between diagnosis on the GAD-Q-IV and
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Table 2
Means and standard deviations of study measures
Measure
S.D.
23.36
22.51
19.72
5.13
13.07
13.01
8.06
3.33
50.18
11.94
14.18
9.67
Comparative Fit Index (CFI; Bentler, 1990); the rootmean-square error of approximation (RMSEA; Steiger
and Lind, 1980), with 90% confidence intervals; and the
standardized root-mean-square residual (SRMR; Bentler, 1995; Joreskog and Sorbom, 1981).
3. Results
See Table 2 for means and standard deviations for
participants responses to the study questionnaires.
3.1. Preliminary analyses
FPES scores were normally distributed (skewness = .40, SE = .06; kurtosis = .28, SE = .12) in the
overall sample. Furthermore, no gender difference was
found in the analysis of FPES scores, F(1, 1694) = .53,
p = .47.5
3.2. Internal consistency and testretest reliability
of the FPES
FPES scores were internally consistent (a = .80) in the
overall sample. Moreover, the FPES demonstrated good
5-week testretest reliability in the subsample of 65
participants who completed the FPES at time 2, with a
two-way random intraclass correlation coefficient (ICC)
for the absolute agreement of the single measure of .70
( p < .001). This ICC provides a more conservative
estimate of retest reliability than a standard correlation
coefficient because it models error variance both in
regard to person and time of administration.
3.3. Factorial validity of the FPES
A confirmatory structural model with all 8 straightforward FPES items serving as indicators of a single
5
50
Fig. 1. Completely standardized solution of hypothesized 8-item factorial validity model. *p < .01.
51
Fig. 2. Completely standardized solution of hypothesized two-factor construct validity model. *p < .01.
52
Table 3
Correlations among all measures
1.
2.
3.
4.
5.
6.
.48 *
.45 *
.34 *
.33 *
.40 *
.51*
.42*
.39*
.42*
.48 *
.51 *
.38 *
.74 *
.57 *
.38 *
Note: Bonferroni correction was calculated based on number of comparisons per measure.
*
p = (.05/5) = .01.
Table 4
Regression weights from hierarchical regression analysis examining
the unique variance in social interaction anxiety accounted for by the
Fear of Positive Evaluation Scale (FPES) above and beyond the
contribution of the straightforwardly worded items of the Brief Fear
of Negative Evaluation scale (BFNE-S)
Variable
SE b
Beta
Step 1
BFNE-S
.79
.06
.54
Step 2
BFNE-S
FPES
.57
.29
.06
.04
.39
.33
4. Discussion
Existing models specify that persons with social
anxiety fear negative evaluation; we hypothesized that
they might also fear positive evaluation. To begin to
11
Indeed, the relationship between FNE and social interaction
anxiety (SIAS-S) upon controlling for FPE (r = .41, p < .001) was
only slightly larger than the relationship between FPE and social
interaction anxiety (SIAS-S) upon controlling for FNE (r = .36,
p < .001).
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