From fears of evaluation to social anxiety: The longitudinal relationships and neural basis in healthy young adults

Zhang, Yifei; Chen, Junwen; Gao, Wei; Chen, Wanting; Xiao, Zhibing; Qi, Yanfei; Turel, Ofir; He, Qinghua

doi:10.1016/j.ijchp.2022.100345

Cited by 5 publications

(2 citation statements)

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“…Although not hypothesized, the study results revealed that FNE prospectively predicts social anxiety symptoms. This finding is consistent with previous longitudinal (Fredrick & Luebbe, 2022 ; Johnson et al, 2020 ; Zhang et al, 2023 ) and cross-sectional (Carleton et al, 2007 ; Cook et al, 2022 ; Liu et al, 2022; Teale Sapach et al, 2015 ) studies and cognitive models of SAD (Clark & Wells, 1995 ; Hofmann, 2007 ; Rapee & Heimberg, 1997 ). FNE may make social situations more anxiety-provoking and produce more avoidance contributing to the maintenance of social anxiety (Heimberg et al, 2014 ).…”

Section: Discussionsupporting

confidence: 87%

Fear of positive evaluation differentially predicts social anxiety: a six-month longitudinal panel study

Peker

Akkuş

2023

Curr Psychol

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Section: Discussionsupporting

confidence: 87%

Fear of positive evaluation differentially predicts social anxiety: a six-month longitudinal panel study

Peker

Akkuş

2023

Curr Psychol

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“…While the university setting enables comprehensive approaches for prevention, early intervention, and treatment of students with SAD, students in general are averse to faceto-face counseling centers preferring to solve their problems themselves [13]. In particular, students with SAD face attitudinal barriers (fear of stigmatization and negative evaluation) to help-seeking [14] that may leave them untreated with a chronic condition [15].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcomes and Cost-Effectiveness of an Internet-Based Self-Help Intervention for Social Anxiety Disorder in University Students: Results of a Randomized Controlled Trial

Kählke,

Buntrock,

Smit

et al. 2023

Depression and Anxiety

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Social anxiety disorder (SAD) is widespread among university students and is associated with high costs for the society. While unguided internet- and mobile-based interventions (IMIs) may have short-term effects in reducing SAD symptoms, evidence for their long-term efficacy and cost-effectiveness is still limited. The aim of this study is to examine the 6-month outcomes of an IMI for university students with SAD. Participants were recruited via mass mails sent to enrolled students and included if they were at least 18 years old, met the diagnostic criteria of SAD in a structured clinical interview for DSM-IV axis I disorders (SCID-I), and provided written informed consent. In a prospective study designed as a two-armed randomized-controlled trial, 200 students (mean age 26.7 years) diagnosed with SAD were randomly assigned to an IMI or a waitlist control (WLC) condition. The IMI consisted of nine weekly sessions based on the cognitive-behavioral treatment model for social phobia by Clark and Wells. The primary outcome was SAD symptom severity assessed via the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). A health economic evaluation from a societal and healthcare perspective examined the costs related to the symptom-free status and quality-adjusted life years (QALYs) gained. Statistically significant differences in SAD symptom severity previously found at posttreatment favoring the IMI were maintained at a 6-month follow-up [SIAS (Cohen’s d = 0.59 ; 95% CI, 0.30, 0.87) and SPS (Cohen’s d = 0.83 ; 95% CI, 0.54, 1.1)]. From a societal perspective, at a willingness to pay (WTP) of €0, the intervention was found to have a 92% and 93% probability of cost-effectiveness compared with the WLC per symptom-free status and QALY gained, respectively. From a healthcare perspective, the likelihood of cost-effectiveness of the intervention was 97% per symptom-free status at a WTP of €1000 (US$1326) and 96% per QALY gained at a WTP of €6000 (US$7956). This IMI is effective in treating university students with SAD and has an acceptable likelihood of cost-effectiveness compared with WLC from a societal perspective. This intervention can be integrated into university healthcare to reach students with SAD as it is scalable, shows a high probability of cost-effectiveness, and overcomes known treatment barriers. This trial is registered with DRKS00011424.

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Cross-cultural validation of the BFOE model: Best practices and future directions for psychometric evaluation of the Fear of positive evaluation scale – Insights from a Dutch translation

Lange,

Howell,

Weeks

2024

Journal of Anxiety Disorders

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From fears of evaluation to social anxiety: The longitudinal relationships and neural basis in healthy young adults

Cited by 5 publications

References 70 publications

Fear of positive evaluation differentially predicts social anxiety: a six-month longitudinal panel study

Fear of positive evaluation differentially predicts social anxiety: a six-month longitudinal panel study

Long-Term Outcomes and Cost-Effectiveness of an Internet-Based Self-Help Intervention for Social Anxiety Disorder in University Students: Results of a Randomized Controlled Trial

Cross-cultural validation of the BFOE model: Best practices and future directions for psychometric evaluation of the Fear of positive evaluation scale – Insights from a Dutch translation

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