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메뉴긍정적 평가를 받은 후 경험하는 심리적 과정을 이해하는 것이 사회불안 연구에서 중요한 변수로 최근 부상하고 있으나, 긍정 평가에 대한 부정적인 반응과 관련된 인지적 측면에 관해서는 선행연구가 제한적이다. 본 연구에서는 개별적으로 연구되어 온 세 가지 인지적 측면을 긍정적 평가에 대한 부정적 해석’이라는 통합적인 틀의 연구주제로 보고, 사회불안과의 관계를 살펴보았다. 대학생 190명을 대상으로 긍정적 평가에 대한 부정적 해석의 세 측면(높아진 기대를 충족시키지 못할 것이라는 해석, 상대방이 호의적으로 평가한 것이라는 해석, 상대방의 진정성을 의심하는 해석)이 사회불안에 특정적인 변인인지 확인하였다. 그 결과, 긍정적 평가에 대한 부정적 해석 중 두 측면(높아진 기대를 충족시키지 못할 것이라는 해석, 상대방이 호의적으로 평가한 것이라는 해석)이 사회불안을 유의미하게 설명하였고, 부정적 평가에 대한 두려움과 우울의 영향을 통제한 후에는 상대방이 호의적으로 평가한 것이라고 해석하는 측면이 유의미하게 사회불안을 설명하는 것으로 나타났다. 추가로, 상대방이 호의적으로 평가한 것이라는 해석이 자기 표상과 사회불안 간의 관계를 매개하는지를 검증한 결과, 부분 매개효과를 확인하였다. 이러한 결과를 바탕으로 이론적 및 임상적 함의, 후속 연구를 위한 제언을 논의하였다.
The purpose of this study was to investigate the relationship between negative interpretation of positive evaluation and social anxiety. The negative interpretation of positive evaluation was conceptualized as containing three aspects based on recent literatures: the interpretation that one cannot meet heightened expectations, the interpretation that others favorably evaluated oneself, and the interpretation of doubting the authenticity of the positive evaluation. The relationship between negative interpretation of positive evaluation and social anxiety was examined in a sample of 190 college students. As a result, two aspects of negative interpretation of positive evaluation (the interpretation that one cannot meet heightened expectations and that others favorably evaluated oneself) significantly predicted the severity of social anxiety. When the effects of the fear of negative evaluation and depression were controlled, the interpretation that others favorably evaluated oneself significantly contributed to social anxiety. In addition, the mediating effect of the interpretation that others favorably evaluated oneself was observed in the relationship between the self-presentation sociability factor and social anxiety. The limitations and implications of this study and suggestions for future studies were discussed.
권석만, 김지영 (2002). 자기 및 타인 표상과 대인관계 문제의 관계. 한국심리학회지: 임상, 21(4), 705-726.
김순희 (2010). 부정적 및 긍정적 평가에 대한 두려움, 불확실성에 대한 인내력 부족과 사회불안의 관계. 이화여자대학교 대학원 석사학위논문.
김정호, 조용래, 이민규 (2000). 사회불안과 우울의 자기개념에 대한 비교. Korean Journal of Clinical Psychology, 19(1), 1-15.
김현기, 안정광, & 권정혜 (2015). 사회불안 집단과 비사회불안 집단의 자기상에 따른 자서전적 기억의 변화. 한국심리학회지: 임상심리 연구와 실제, 1(1), 21-41.
박선영 (2003). 사회불안 유발상황의 구분 및 사회불안 하위유형의 차별적 특성. 서울대학교 대학원 석사학위논문.
박신영 (2014). 부모의 심리적 통제가 사회불안에 미치는 영향: 거부민감성과 역기능적 완벽주의의 역할. 서울대학교 대학원 석사학위논문.
오은혜, 노상선, 조용래 (2009). 부정적 사회적 자기개념과 정서조절곤란이 대학생의 사회불안에 미치는 영향. 인지행동치료, 9(1). 75-89.
이강아, 홍혜영 (2013). 대학생의 공적 자의식과 사회불안의 관계에서 부정적 평가에 대한 두려움과 긍정 평가에 대한 두려움의 매개효과. 상담학연구, 14(4), 2271-2290.
이소연, 오인수 (2015). 평가염려 완벽주의와 내현적 자기애가 대학생의 발표불안에 미치는 관계: 사회적 자기효능감과 부정적 평가두려움의 매개효과. 청소년학연구, 22 (8), 53-75.
이정윤, 최정훈 (1997). 한국판 사회공포증 척도(K-SAD, K-FNE)의 신뢰도 및 타당도 연구. Korean Journal of Clinical Psychology, 16(2), 251-264.
이훈진, 원호택 (1995). 편집성 척도(Paranoia Scale)의 신뢰도 타당도 연구. Korean Journal of Clinical Psychology, 14(1), 83-94.
이훈진, 원호택 (1995). 임상분과: 편집증적 경향, 자기개념, 자의식간의 관계에 대한 탐색적 연구. 한국심리학회 연차학술발표대회 논문집, 277-290.
전겸구, 최상진, 양병창 (2001). 통합적 한국판 CES - D 개발. 한국심리학회지: 건강, 6(1), 59-76.
전영주, 박기환 (2011). 긍정 평가에 대한 두려움과 사회불안의 관계: 긍정적인 사회적 상황에 대한 해석편향의 매개효과. 인지행동치료, 11(2), 59-73.
전혜진, 이훈진 (2017). 가해염려 사회불안 집단의 자기 및 타인 표상과 자기초점 특성. 한국심리학회지: 임상심리 연구와 실제, 3(1), 67-94.
정선호, 서동기 (2016). 회귀분석을 이용한 매개된 조절효과와 조절된 매개효과 검증 방법. 한국심리학회지: 일반, 35(1), 257- 282.
조맹제, 김계희 (1993). 主要憂鬱症환자 예비평가에서 the Center for Epidemiologic Studies Depression Scale(CES-D)진단적 타당성 연구. 神經精神醫學, 32(3), 381-399.
조성진, 전홍진, 김무진, 김장규, 김선욱, 류인균, 조맹제 (2001). 한국 일 도시지역 청소년의 우울 증상 유병률과 관련요인에 대한 연구. 神經精神醫學, 40(4), 627-639.
조영일, 김지현, 한우리, 조유정 (2015). 임상 연구에서 조절효과 및 매개효과의 비교 및 통합. Korean Journal of Clinical Psychology, 34(4), 1113-1131.
조용래, 원호택, 표경식 (2000). 사회공포증에 대한 집단인지치료의 효과. Korean Journal of Clinical Psychology, 19(2), 181-206.
한상연 (2015). 긍정적인 사회적 결과의 가치절하와 사회불안의 관계. 서울대학교 대학원 석사학위논문.
Abramson, L. Y., Seligman, M. E., & Teasdale, J. D. (1978). Learned helplessness in humans: critique and reformulation. Journal of Abnormal Psychology, 87(1), 49-74.
Alden, L. E., Taylor, C. T., Mellings, T. M., & Laposa, J. M. (2008). Socail anxiety and the interpretation of positive social events. Journal of Anxiety Disorders, 22(4), 577-590.
Alden, L. E., & Trew, J. L. (2013). If it makes you happy: Engaging in kind acts increases positive affect in socially anxious individuals. Emotion, 13(1), 64-75.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. (5th ed.). Washington, DC: Author.
Amin, N., Foa, E. B., & Coles, M. E. (1998). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36(10), 945- 957.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study. Psychological Bulletin, 133(1), 1.
Barlow, D. H., DiNardo, P. A., Vermilyea, B. B., Vermilyea, J., & Blanchard, E. B. (1986). Co-morbidity and depression among the anxiety disorders: issues in diagnosis and classification. The Journal of Nervous and mental disease, 174(2), 63-72.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
Beck, A. T. (1991). Cognitive therapy as the integrative therapy. Journal of Psychotherapy Integration, 1(3), 191-198.
Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford.
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.
Blanco, I., & Joormann, J. (2017). Examining facets of depression and social anxiety: the relation among lack of positive affect, negative cognitions, and emotion dysregulation. The Spanish Journal of Psychology, 20. e51. Doi:10.1017/sjp.2017.43
Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology. 110(4), 585-599.
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107(2), 179.
Budnick, C. J., Kowal, M., & Santuzzi, A. M. (2015). Social anxiety and the ironic effects of positive interviewer feedback. Anxiety, Stress, & Coping, 28(1), 71-87.
Butler, G., Fennell, M., Robson, P., & Gelder, M. (1991). Comparison of behavior therapy and cognitive behavior therapy in the treatment of generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 59(1), 167- 175.
Chen, Y. P., Ehlers, A., Clark, Y. P., & Mansell, W. (2002). Patients with generalized social phobia direct their attention away from faces. Behaviour Research and Therapy, 40(6), 677-687.
Clark, D. B., Feske, U., Masia, C. L., Spaulding, S. A., Brown, C., Mammen, O., & Shear, M. K. (1997). Systematic assessment of social phobia in clinical practice. Depression and Anxiety. 6(2), 47-61.
Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg (Ed.). Social phobia: Diagnosis, assessment, and treatment. (pp. 69-93). New York: Guilford Press.
Dryman, M. T., Gardner, S., Weeks, J. W., & Heimberg, R. G. (2016). Social anxiety disorder and quality of life: How fears of negative and positive evaluation relate to specific domains of life satisfaction. Journal of Anxiety Disorders, 38, 1-8.
Eisner, L. R., Johnson, S. L., & Carver, C. S. (2009). Positive affect regulation in anxiety disorders. Journal of Anxiety Disorders, 23, 645-649.
Fergus, T. A., Valentiner, D. P., McGrath, P. B., Stephenson, K., Gier, S., & Jencius, S. (2009). The Fear of Positive Evaluation Scale: Psychometric properties in a clinical sample. Journal of Anxiety Disorders, 23(8), 1177-1183.
Grzywacz, J. G., Hovey, J. D., Seligman, L. D., Arcury, T. A., & Quandt, S. A. (2006). Evaluating short-form versions of the CES-D for measuring depressive symptoms among immigrants from Mexico. Hispanic Journal of Behavioral Sciences, 28(3), 404-424.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York: Guilford Press.
Heimberg, R. G., & Becker, R. E. (2002). Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies. New York: Guilford Press.
Heimberg, R. G., Brozovich, F. A., & Rapee, R. M., (2010). A cognitive-behavioral model of social anxiety disorder: Update and extension. In S. Hofmann & P. DiBartolo (Eds.) Social anxiety: Clinical, developmental, and social perspectives, 2, (pp. 395-422). Oxford, England: Academic Press.
Hirsch, C. R., & Clark, D. M. (2004). Information-processing bias in social phobia. Clinical Psychology Review, 24(7), 799-825.
Hirsch, C. R., Clark, D. M., Mathews, A., & Williams, R. (2003). Self-images play a causal role in social phobia. Behaviour Research and Therapy, 41(8), 909-921.
Howell, A. N., Buckner, J. D., & Weeks, J. W. (2016). Fear of positive evaluation and alcohol use problems among college students: the unique impact of drinking motives. Anxiety, Stress, & Coping, 29(3), 274-286.
Jordan, D. G., Winer, E. S., Salem, T., & Kilgore, J. (2017). Longitudinal evaluation of anhedonia as a mediator of fear of positive evaluation and other depressive symptoms. Cognition and Emotion, 1-11.
Kashdan, T. B. (2007). Social anxiety spectrum and diminished positive experience: theoretical synthesis and meta-analysis. Clinical Psychology Review. 27, 348-65.
Kashdan, T. B., Weeks, J. W., Savostyanova, A. A. (2011). Whether, how, and when social anxiety shapes positive experiences and events: A self-regulatory framework and treatment implications. Clinical Psychology Review, 31(5), 786-799.
Kocijan, L., & Harris, L. M. (2016). Fear of Positive Evaluation and Social Anxiety. Behaviour Change, 33(1), 15-26.
Kohout, F. J., Berkman, L. F., Evans, D. A., & Cornoni-Huntley, J. (1993). Two shorter forms of the CES-D depression symptoms index. Journal of Aging and Health, 5(2), 179-193.
Kutner, M., Nachtsheim, C., Neter, J (2004). Applied Linear Statistical Models (5th Edition). Boston: McGraw-Hill Irwin.
Laposa, J. M., Cassin, S. E., & Rector, N. A. (2010). Interpretation of positive social events in social phobia: An examination of cognitive correlates and diagnostic distinction. Journal of Anxiety Disorders, 24(2), 203-210.
Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9(3), 371-375.
Marks, I. M. (1969). Fears and phobias. Oxford, England: Academic Press.
Menatti, A. R., DeBoer, L. B. H., Weeks, J. W., & Heimberg, R. G. (2015). Social anxiety and associations with eating psychopathology: Mediating effects of fears of evaluation. Body Image, 14, 20-28.
Morrison, A. S., & Heimberg, R. G. (2013). Social anxiety and social anxiety disorder. Annual Review of Clinical Psychology, 9, 249-274.
Ng, A. S., & Abbott, M. J. (2016). The Effect of Negative, Positive, and Neutral Self-imagery on Symptoms and Processes in Social Anxiety Disorder. Cognitive Therapy and Research, 40(4), 479-495.
Nichols, K. A. (1974). Severe social anxiety. British Journal of Medical Psychology, 47(4), 301-306.
Pretzer, J. L., & Beck, A. T. (2005). A Cognitive Theory of Personality Disorders. In M. F. Lenzenweger & J. F. Clarkin (Eds.). Major theories of personality disorder (pp. 43-113). New York: Guilford Press.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741-756.
Rapee, R. M., & Spence, S. H. (2004). The etiology of social phobia: empirical evidence and an initial model. Clinical Psychology Review, 24(7), 737-767.
Reichenberger, J., Wiggert, N., Agroskin, D., Wilhelm, F. H., & Blechert, J. (2017). No praise, please: Depressive symptoms, reactivity to positive social interaction, and fear of positive evaluation. Journal of Behavior Therapy and Experimental Psychiatry, 54, 186-194.
Reichenberger, J., Wiggert, N., Wilhelm, F. H., Weeks, J. W., & Blechert, J. (2015). “Don't put me down but don't be too nice to me either”: Fear of positive vs. negative evaluation and responses to positive vs. negative social- evaluative films. Journal of Behavior Therapy and Experimental Psychiatry, 46, 164-169.
Saha, S., Scott, J., Varghese, D., & McGrath, J. (2012). Anxiety and depressive disorders are associated with delusional-like experiences: a replication study based on a National Survey of Mental Health and Wellbeing. BMJ open, 2(3), e001001.
Scholing, A., & Emmelkamp, P. M. (1993). Cognitive and behavioural treatments of fear of blushing, sweating or trembling. Behaviour Research and Therapy, 31(2), 155-170.
Schlenker, B. R., & Leary, M. R. (1982). Social anxiety and Self-presentation: A Conceptualization and Model. Psychological Bulletin, 92(3), 641-669.
Steele, C. M., Spencer, S. J., & Lynch, M. (1993). Self-image resilience and dissonance: the role of affirmational resources. Journal of Personality and Social Psychology, 64(6), 885-896.
Swann, W. B., & Schroeder, D. G. (1995). The search for beauty and truth: A framework for understanding reactions to evaluations. Personality and Social Psychology Bulletin, 21, 1307-1318.
Taylor, C. T., Bomyea, J., & Amir, N. (2010). Attentional bias away from positive social information mediates the link between social anxiety and anxiety vulnerability to a social stressor. Journal of Anxiety Disorders, 24(4), 403-408.
Trew, J. L., & Alden, L. E. (2012). Positive Affect Predicts Avoidance Goals in Social Interaction Anxiety: Testing a Hierarchical Model of Social Goals. Cognitive Behaviour Therapy, 41(2), 174-183.
Turk, C. L., Heimberg, R. G., Luterek, J. A., Mennin, D. S., & Fresco, D. M. (2005). Emotion dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder. Cognitive Therapy and Research, 29(1), 89-106.
Vassilopoulos, S. P., & Banerjee, R. (2010). Social interaction anxiety and the discounting of positive interpersonal events. Behavioural and Cognitive Psychotherapy, 38, 597-609.
Wallace, S. T., & Alden, L. E. (1995). Social anxiety and standard setting following social success or failure. Cognitive Therapy and Research, 19(6), 613-631.
Wallace, S. T., & Alden, L. E. (1997). Social phobia and positive social events: The price of success. Journal of Abnormal Psychology, 106(3), 416-424.
Wang, W. T., Hsu, W. Y., Chiu, Y. C., & Liang, C. W. (2012). The hierarchical model of social interaction anxiety and depression: The critical roles of fears of evaluation. Journal of Anxiety Disorders, 26(1), 215-224.
Weeks, J. W. (2010). The Disqualification of Positive Social Outcomes Scale: A novel assessment of a long-recognized cognitive tendency in social anxiety disorder. Journal of Anxiety Disorders, 24(8), 856-865.
Weeks, J. W. (2015). Replication and extension of a hierarchical model of social anxiety and depression: fear of positive evaluation as a key unique factor in social anxiety. Cognitive Behaviour Therapy, 44(2), 103-116.
Weeks, J. W., Heimberg, R. G., & Rodebaugh, T. L. (2008). The Fear of Positive Evaluation Scale: Assessing a proposed cognitive component of social anxiety. Journal of Anxiety Disorders, 22(1), 44-55.
Weeks, J. W., Heimberg, R. G., Rodebaugh, T. L., & Norton, P. J. (2008). Exploring the relationship between fear of positive evaluation and social anxiety. Journal of Anxiety Disorders, 22(3), 386-400.
Weeks, J. W., Jakatdar, T. A., & Heimberg, R. G. (2010). Comparing and Contrasting Fears of Positive and Negative Evaluation as Facets of Social Anxiety. Journal of Social and Clinical Psychology, 29(1), 68-94.
Weeks, J. W., & Howell, A. N. (2012). The Bivalent Fear of Evaluation Model of Social Anxiety: Further Integrating Findings on Fears of Positive and Negative Evaluation. Cognitive Behaviour Therapy, 41(2), 83-95.
Wells, A., Clark, D. M., Salkovskis, P., Ludgate, J., Hackmann, A., & Gelder, M. (1995). Social phobia: The role of in-situation safety behaviors in maintaining anxiety and negative beliefs. Behavior Therapy, 26(1), 153-161.
Weeks, J. W., & Zoccola, P. M. (2015). “Having the heart to be evaluated”: The differential effects of fears of positive and negative evaluation on emotional and cardiovascular responses to social threat. Journal of Anxiety Disorders, 36, 115-126.
Williams, J. M. G. (2004). Experimental cognitive psychology and clinical practice: Autobiographical memory as a paradigm case. In J. Yiend (Ed.). Cognition, emotion and psychopathology (pp.251-269). Cambridge, UK: Cambridge University Press.
Wilson, J. K., & Rapee, R. M. (2005). Interpretative biases in social phobia: Content specificity and the effects of depression. Cognitive Therapy and Research, 29(3), 315-331.
Yap, K., Gibbs, A. L., Francis, A. J., & Schuster, S. E. (2016). Testing the bivalent fear of evaluation model of social anxiety: The relationship between fear of positive evaluation, social anxiety, and perfectionism. Cognitive Behaviour Therapy, 45(2), 136-149.