Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-17T13:17:41.833Z Has data issue: false hasContentIssue false

Social phobia, fear of negative evaluation and harm avoidance

Published online by Cambridge University Press:  16 April 2020

M. Faytout*
Affiliation:
Adult Psychiatry Service, Hôpital Charles Perrens, Bordeaux, France Laboratory of Clinical Psychology and Psychopathology, University of Bordeaux 2, 3 ter, place de la Victoire, 33076Bordeaux cedex, France
J. Tignol
Affiliation:
Adult Psychiatry Service, Hôpital Charles Perrens, Bordeaux, France
J. Swendsen
Affiliation:
Laboratory of Clinical Psychology and Psychopathology, University of Bordeaux 2, 3 ter, place de la Victoire, 33076Bordeaux cedex, France
D. Grabot
Affiliation:
Adult Psychiatry Service, Hôpital Charles Perrens, Bordeaux, France
B. Aouizerate
Affiliation:
Adult Psychiatry Service, Hôpital Charles Perrens, Bordeaux, France
J.P. Lépine
Affiliation:
Adult Psychiatry Service, Hôpital Fernand Widal, Paris, France
*
*Corresponding author. Laboratory of Clinical Psychology and Psychopathology, University of Bordeaux 2, 3 ter, place de la Victoire, 33076 Bordeaux cedex, France. E-mail address: [email protected] (M. Faytout).
Get access

Abstract

This naturalistic, prospective investigation examined the role of fear of negative evaluation and the personality trait of harm avoidance in the anxiety levels of treated social phobia patients. One hundred and fifty-seven patients with DSM-IV social phobia were assessed before starting treatment and were then followed for up to two years. As expected, greater fear of negative evaluation and higher scores of harm avoidance were associated with greater anxiety at the 6 month follow-up, and harm avoidance remained a significant predictor at 24 months. However, no evidence was found for an interaction between the personality and cognitive variables examined. The findings are discussed in terms of the relative independence of these factors, as well as their potential implications for the treatment of this disorder.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric AssociationDSM-IV Manuel diagnostique et statistique des troubles mentaux, 4° édition(version internationale, Washington DC1995), traduction française par Guelfi JD et al. Paris: Masson; 1996.Google Scholar
Brown, S.L., Svrakic, D.M., Przybeck, T.R., Cloninger, C.R.The relationship of personality to mood and anxiety states: a dimensional approach. Journal Psychiatric Research 1992;26:197211.CrossRefGoogle ScholarPubMed
Chambless, D.L., Tran, G.Q., Glass, C.R.Predictors of response to cognitive-behavioral group therapy for social phobia. Journal of Anxiety disorders 1997;11:221240.CrossRefGoogle ScholarPubMed
Chatterjee, S., Sunitha, T.A., Velayudhan, A., Khanna, S.An investigation into the psychobiology of social phobia: personality domains and serotonergic function. Acta Psychiatrica Scandinavica 1997;95(6):544550.CrossRefGoogle ScholarPubMed
Clark, D.A., Hemsley, D.R.Individual differences in the experience of depressive and anxious, intrusive thoughts. Behaviour Research and Therapy 1985;6:625633.CrossRefGoogle Scholar
Cloninger, C.R., Dragan, M.S., Przybeck, T.R.A psychobiological model of temperament and character. Arch Gen Psychiatry 1993;50:975990.CrossRefGoogle ScholarPubMed
Faul, F., Erdfelder, E.GPower: a priori, post-hoc, and compromise power analyses for MS-DOS (computer program). Bonn, FRG: Bonn University, Dep. of Psychology 1992.Google Scholar
Feske, U., Perry, K.J., Chambless, D.L., Renneberg, B., Goldstein, A.J.Avoidant personality disorder as a predictor for treatment outcome generalized social phobics. Journal of Personality disorders 1996;10:174184.CrossRefGoogle Scholar
Geerts, E., Bouhuys, N.Multi-level prediction of short-term outcome of depression: non-verbal interpersonal processes, cognitions and personality traits. Psychiatry Research 1998;79:5972.CrossRefGoogle ScholarPubMed
Heimberg, R.G., Horner, K., Juster, H.R., Safren, S.A., Brown, E.J., Schneier, F.R.Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine 1999;29:199212.CrossRefGoogle ScholarPubMed
Hofmann, S.G.Self-focused attention before and after treatment of social phobia. Behaviour Research and Therapy 2000;38:717725.CrossRefGoogle ScholarPubMed
Johnson, M.R., Lydiard, R.B.Personality disorders in social phobia. Psychiatric-annals 1995;25:554563.CrossRefGoogle Scholar
Kim, S.W., Hoover, K.M.Tridimensional Personality Questionnaire: assessment in patients with social phobia and control group. Psychology Research 1996;78:4349.Google ScholarPubMed
Lecrubier, Y., Sheehan, D., Weiller, E., Amorim, P., Bonora, I., Sheehan Harnett, K.et al.The Mini International Neuropsychiatric Interview (MINI), a short diagnostic interview: reliability and validity according to the CIDI. European Psychiatry 1997;12:232241.CrossRefGoogle Scholar
Lépine, J.P., Pélissolo, A., Teodorescu, R., Teherani, M.Evaluation of the psychometric properties of the French version of the Tridimensional Personality Questionnaire (TPQ). Encéphale 1994;20(6):747753.Google Scholar
Marteinsdottir, I., Tillfors, M., Furmark, T., Anderberg, U.M., Ekselius, L.Personality dimensions measured by the Temperament and Character Inventory (TCI) in subjects with social phobia. Nordic Journal of Psychiatry 2003;57(1):2935.CrossRefGoogle ScholarPubMed
Pélissolo, A., André, C., Pujol, H., Yao, S.N., Servant, D., Braconnier, A.et al.Personality dimensions in social phobics with or without depression. Acta Psychiatrica Scandinavica 2002;105(2):94103.CrossRefGoogle ScholarPubMed
Pélissolo, A., Lépine, J.P.Normative data and factor structure of the Temperament and Character Inventory (TCI) in the French version. Psychiatry Research 2000;94:6776.CrossRefGoogle ScholarPubMed
Scholing, A., Emmelkamp, P.M.G.Prediction of treatment outcome in social phobia: a cross-validation. Behaviour Research and Therapy 1999;37:659670.CrossRefGoogle ScholarPubMed
Sheehan, D.V., Lecrubier, Y., Sheehan, K.H., Amorim, P., Janavs, J., Weiller, E.et al.The Mini International Neuropsychiatric Interview (M.I.NI.), the development and validation of a structured diagnosis psychiatric interview. Journal of Clinical Psychiatry 1998;59 Suppl. 20):2233.Google Scholar
Svrakic, D.M., Whitehead, C., Przbeck, T.R., Cloninger, C.R.Differential diagnosis of personality disorders by the seven-factor model of temperament and character. Archives of General Psychiatry 1993;50:991999.CrossRefGoogle ScholarPubMed
Watson, D., Friend, R.Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology 1969;33(4):448457.CrossRefGoogle ScholarPubMed
Wittchen, H.-U.Reliability and validity studies of the Composite International Diagnostic Interview (CIDI): a critical review. Journal of Psychiatric Research 1998;28(1):5784.CrossRefGoogle Scholar
Yao, S.N., Note, I., Fanget, F., Albuisson, E., Bouvard, M., Jalenques, I.et al.Social anxiety in patients with social phobia: validation of the Liebowitz social anxiety scale (French version). L'encéphale 1999;XXV:429435.Google Scholar
Submit a response

Comments

No Comments have been published for this article.