Subgroups based on fears of evaluation exhibited different social anxiety levels.

IF 3.4 2区 医学 Q2 PSYCHIATRY BMC Psychiatry Pub Date : 2025-01-30 DOI:10.1186/s12888-024-06454-z
Yifei Zhang, Junwen Chen, Haiping Liao, Limei Zhou, Hua Zhang, Yunglung Tang, Aiyue Huang, Ofir Turel, Yin Wu, Qinghua He
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Abstract

The bivalent fear of evaluation model proposes that fear of negative evaluation (FNE) and fear of positive evaluation (FPE) are distinct but related constructs, and that social anxiety arises when they are elevated. This represents a variable-centered perspective. However, a recent review suggested that individuals may be affected by unique combinations of FNE and FPE because they have different functions, mechanisms, and outcomes. Such patterns can be revealed by taking a person-centered approach. To explore this, the current study employed latent profile and k-means clustering analyses in four independent samples (total n = 2,913) to identify subgroups based on FNE and FPE levels. Between-group levels of social anxiety were further examined. Results demonstrated that participants could be classified into four groups: (1) high bivalent fears of evaluation group, (2) high FNE group, (3) high FPE group, and (4) low fears of evaluation group. Importantly, significant differences in social anxiety levels were found among these groups. Our findings extend the bivalent fear of evaluation model to a person-centered perspective and enable clinicians to tailor interventions that specifically address distinct underlying fears of evaluation. This may facilitate more effective treatment for individuals with social anxiety.

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基于评估恐惧的亚组表现出不同的社交焦虑水平。
评价的二价恐惧模型认为,消极评价恐惧(FNE)和积极评价恐惧(FPE)是两种不同但相关的构念,当它们升高时,社交焦虑就会产生。这表示以变量为中心的透视图。然而,最近的一项综述表明,个体可能受到FNE和FPE的独特组合的影响,因为它们具有不同的功能、机制和结果。这种模式可以通过采取以人为本的方法来揭示。为了探讨这一点,本研究在四个独立样本(总n = 2,913)中采用了潜在剖面和k-均值聚类分析,以FNE和FPE水平为基础确定亚群。进一步检查了组间社交焦虑水平。结果表明,被试可分为四组:高二价恐惧评价组、高FNE组、高FPE组和低恐惧评价组。重要的是,这些群体在社交焦虑水平上存在显著差异。我们的研究结果将评估的二元恐惧模型扩展到以人为中心的视角,并使临床医生能够定制干预措施,具体解决不同的潜在评估恐惧。这可能有助于对社交焦虑症患者进行更有效的治疗。
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来源期刊
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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