Social phobia, fear of negative evaluation and harm avoidance

Eur Psychiatry. 2007 Mar;22(2):75-9. doi: 10.1016/j.eurpsy.2005.07.009. Epub 2006 Nov 13.

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.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Character
  • Cognitive Behavioral Therapy
  • Fear*
  • Female
  • Follow-Up Studies
  • Harm Reduction*
  • Humans
  • Interpersonal Relations*
  • Male
  • Middle Aged
  • Personality Assessment
  • Phobic Disorders / diagnosis*
  • Phobic Disorders / psychology
  • Phobic Disorders / therapy
  • Psychoanalytic Therapy
  • Psychotherapy, Group
  • Social Desirability*