caa a22 4500 467897557 CHVBK 20180406152808.0 cr unu---uuuuu 170328e20060601xx s 000 0 eng 10.1007/s10608-006-9050-9 doi (NATIONALLICENCE)springer-10.1007/s10608-006-9050-9 Social Anxiety and the Fear of Causing Discomfort to Others [Elektronische Daten] [Neil Rector, Nancy Kocovski, Andrew Ryder] Patients with social phobia frequently report fearing that their symptoms of anxiety will adversely affect the comfort and performance of others, but these fears are not typically included in traditional measures. In Study 1, an initial 26-item pool was developed to assess this fear dimension and then administered in conjunction with measures of social phobia, anxiety and depression, to undergraduate students (n=277), patients with social phobia (n=101) and patients with panic disorder (n=25). A unidimensional scale, the Social Anxiety—Discomfort to Others Scale (SA-DOS), was derived based on exploratory factor analyses and item-response theory. The unitary structure of the SA-DOS was replicated in a second sample of patients with social phobia (n=100). In Study 2, participants with social phobia were found to have significantly higher SA-DOS scores than patients with panic disorder and student controls. Further, the SA-DOS was found to possess convergent and divergent validity in relation to validated measures assessing fear of negative evaluation and psychopathological constructs from the cross-cultural literature. In Study 3, baseline SA-DOS scores were found to be associated with poorer treatment response in a sample of patients with social phobia (n=55) receiving Cognitive-Behavioral Group Therapy. These preliminary findings suggest that fear of causing discomfort to others is a related but distinct fear dimension of social phobia requiring greater attention in the conceptualization and treatment of the disorder. Springer Science+Business Media, Inc., 2006 Social phobia nationallicence Anxiety nationallicence Cognitive processes nationallicence Conceptualization nationallicence Treatment nationallicence Rector Neil Anxiety Disorders Clinic, Centre for Addiction and Mental Health, 250 College Street, M5T 1R8, Toronto, Ontario, Canada aut Kocovski Nancy Anxiety Disorders Clinic, Centre for Addiction and Mental Health, 250 College Street, M5T 1R8, Toronto, Ontario, Canada aut Ryder Andrew Department of Psychology, Concordia University, Montreal, Quebec, Canada aut Cognitive Therapy and Research Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 30/3(2006-06-01), 279-296 0147-5916 30:3<279 2006 30 10608 https://doi.org/10.1007/s10608-006-9050-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10608-006-9050-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rector Neil Anxiety Disorders Clinic, Centre for Addiction and Mental Health, 250 College Street, M5T 1R8, Toronto, Ontario, Canada aut NATIONALLICENCE 700 1- Kocovski Nancy Anxiety Disorders Clinic, Centre for Addiction and Mental Health, 250 College Street, M5T 1R8, Toronto, Ontario, Canada aut NATIONALLICENCE 700 1- Ryder Andrew Department of Psychology, Concordia University, Montreal, Quebec, Canada aut NATIONALLICENCE 773 0- Cognitive Therapy and Research Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 30/3(2006-06-01), 279-296 0147-5916 30:3<279 2006 30 10608 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer