Abstract
The concept of self-efficacy as applied to individuals with social anxiety disorder (SAD) represents a person's confidence in being able to convey a favorable impression to others. The current study investigated the psychometric properties and clinical usefulness of a new measure called the Self-Efficacy for Social Situations (SESS) Scale. Results provide preliminary evidence for the reliability and validity of the SESS in a clinical sample of individuals with SAD. Pre- to posttreatment change in self-efficacy was a significant and independent predictor of change in social anxiety symptoms. Implications for treatment are discussed.
Similar content being viewed by others
References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders(4th ed.). Washington, DC: Author.
Arch, E. C. (1992). Affective control efficacy as a factor in willingness to participate in a public performance situation. Psychological Reports, 71, 1247-1250.
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.
Bandura, A. (1991). Self-efficacy conception of anxiety. In R. Schwarzer & R. A. Wicklund (Eds.), Anxiety and self-focused attention(pp. 89-110). New York: Harwood Academic.
Beck, A. T., & Steer, R. A. (1987). Manual for the Beck Depression Inventory. San Antonio, TX: Psychological Corporation.
Beck, A. T., Steer, R. A., & Garbin, R. A. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
Becker, R. A. (1988). Self-efficacy scale. In M. Hersen & A. S. Bellack (Eds.), Dictionary of behavioral assessment techniques(pp. 397-398). New York: Pergamon.
Beidel, D. C., Turner, S. M., Stanley, M. A., & Dancu, C. V. (1989). The Social Phobia and Anxiety Inventory: Concurrent and external validity. Behavior Therapy, 20, 417-427.
Brown, T. A., Di Nardo, P. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV). Albany, NY: Graywind.
Bryant, F. B., & Yarnold, P. R. (1995). Principal-components analysis and exploratory and confirmatory factor analysis. In L. G. Grimm & P. R. Yarnold (Eds.), Reading and understanding multivariate statistics(pp. 99-136). Washington, DC: American Psychological Association.
Chambless, D. L., & Hope, D. A. (1996). Cognitive approaches to the psychopathology and treatment of social phobia. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy(pp. 345-382). New York: Guilford.
Clark, D. A., & de Sliva, P. (1985). The nature of depressive and anxious thoughts: Distinct or uniform phenomena? Behavior Research and Therapy, 23, 383-393.
Cox, B. J., Parker, J. D. A., & Swinson, R. P. (1996). Confirmatory factor analysis of the Fear Questionnaire with social phobia patients. British Journal of Psychiatry, 168, 497-499.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured Clinical Interview for Axis I DSM-IV Disorders—Patient Edition (SCID-I/P, version 2.0). New York: New York State Psychiatric Institute, Biometrics Research Department.
First, M. B., Spitzer, R. L., Gibbon, M., Williams, J. B. W., & Benjamin, L. (1994). Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II, version 2.0). New York: New York State Psychiatric Institute, Biometrics Research Department.
Foa, E. B., Herbert, J. D., & Bellack, A. S. (1995). Behavior therapy manual for social phobia. Unpublished manuscript, Medical College of Pennsylvania, Philadelphia, PA.
Franklin, M. E., Jaycox, L. H., & Foa, E. B. (1999). Social phobia: Social skills training. In M. Hersen & A. Bellack (Eds.), Handbook of comparative interventions for adult disorders(2nd ed., pp. 317-339). New York: Wiley.
Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., et al. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31, 1025-1035.
Hartfield, C. R., Herbert, J. D., Goldstein, S. G., Kadish, D. A., Nordman, J. E., & Maffie, K. (1997, November). Self-efficacy in social phobia: A work in progress. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Miami, FL.
Heimberg, R. G. (1991). Cognitive–behavioral group therapy for social phobia: A treatment manual. Unpublished manuscript, The University at Albany, State University of New York.
Heimberg, R. G., & Becker, R. E. (2002). Cognitive–behavioral group therapy for social phobia: Basic mechanisms and clinical change strategies. New York: Guilford.
Heimberg, R. G., & Juster, H. R. (1995). Cognitive–behavioral treatments: Literature review. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment(pp. 261-309). New York: Guilford.
Herbert, J. D., Bellack, A. S., & Hope, D. A. (1991). Concurrent validity of the Social Phobia and Anxiety Inventory. Journal of Psychopathology and Behavioral Assessment, 14, 357-368.
Herbert, J. D., Gaudiano, B. A., Rheingold, A. A., Harwell, V. D., Dalrymple, K. L., & Nolan, B. M. (2003). Social skills training augments the efficacy of cognitive behavior group therapy for Social Anxiety Disorder. Manuscript submitted for publication.
Herbert, J. D., Rheingold, A. A., & Brandsma, L. L. (2001). Assessment of social anxiety and social phobia. In S. G. Hofmann & P. M. Di Bartolo (Eds.), From social anxiety to social phobia: Multiple perspectives(pp. 20-45). Boston: Allyn & Bacon.
Herbert, J. D., Rheingold, A. A., Gaudiano, B. A., & Harwell, V. D. (2003). Standard versus extended cognitive behavior therapy for Social Anxiety Disorder: A randomized-controlled trial. Manuscript submitted for publication.
Herbert, J. D., Rheingold, A. A., & Goldstein, S. G. (2002). Brief cognitive behavioral group therapy for Social Anxiety Disorder. Cognitive and Behavioral Practice, 9, 1-8.
Kent, G., & Gibbons, R. (1987). Self-efficacy and the control of anxious cognitions. Journal of Behavior Therapy and Experimental Psychiatry, 18, 33-40.
Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-375.
Leary, M. R., & Atherton, S. C. (1986). Self-efficacy, social anxiety, and inhibition in interpersonal encounters. Journal of Social and Clinical Psychology, 4, 256-267.
Leon, A. C., Olfson, M., Portera, L., Farbert, L., & Sheehan, D. V. (1997). Assessing psychiatric impairment in primary care with the Sheehan Disability Scale. International Journal of Psychiatry in Medicine, 27, 93-105.
Leon, A. C., Shear, M. K., Portera, L., & Klerman, G. L. (1992). Assessing impairment in patients with panic disorder: The Sheehan Disability Scale. Social Psychiatry and Psychiatric Epidemiology, 27, 78-82.
Liebowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141-173.
Liebowitz, M. R., Gorman, J. M., Fyer, A. J., Campeas, R., Levin, A. P., Sandberg, D., et al. (1988). Pharmacotherapy of social phobia: An interim report of a placebo-controlled comparison of phenelzine and atenolol. Journal of Clinical Psychiatry, 49, 252-257.
Maddux, J. E., Norton, L. W., & Leary, M. R. (1988). Cognitive components of social anxiety: An integration of self-presentational theory and self-efficacy research. Journal of Social and Clinical Psychology, 6, 180-190.
Maffie, K., Herbert, J. D., Rheingold, A., Dalrymple, K., Goldstein, S., Greenberg, R., et al. (1999). Cognition and social skills in adult social phobia. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Toronto, Canada.
Mahone, E. M., Bruch, M. A., & Heimberg, R. G. (1993). Focus of attention and social anxiety: The role of negative self-thoughts and perceived positive attributes of the other. Cognitive Therapy and Research, 17, 209-224.
Marks, I. M., & Mathews, A. M. (1979). Brief standard rating for phobic patients. Behaviour Research and Therapy, 17, 263-267.
Mattick, R. P., & Peters, L. (1988). Treatment of severe social phobia: Effects of guided exposure with and without cognitive restructuring. Journal of Consulting and Clinical Psychology, 56, 251-260.
Mattick, R. P., Peters, L., & Clarke, J. C. (1989). Exposure and cognitive restructuring for social phobia: A controlled study. Behavior Therapy, 20, 3-23.
Moe, K. O., & Zeiss, A. M. (1982). Measuring self-efficacy expectations for social skills: A methodological inquiry. Cognitive Therapy and Research, 6, 191-205.
Nunnally, J. C. (1978). Psychometric theory(2nd ed.). New York: McGraw-Hill.
Pajares, F. (1997). Current directions in self-efficacy research. In M. Maehr & P. R. Pintrich (Eds.), Advances in motivation and achievement(Vol. 10, pp. 1-49). Greenwich, CT: JAI Press.
Rapee, R. M., & Lim, L. (1992). Discrepancy between self and observer ratings of performance in social phobics. Journal of Abnormal Psychology, 101, 727-731.
Saluck, R. G., Herbert, J. D., Rheingold, A. A., & Harwell, V. (2000, November). Validity of the brief and full versions of the FNE scales. Paper presented at the meeting of the Association for Advancement of Behavior Therapy, New Orleans.
Schwarzer, R., Babler, J., Kwiatek, P., Schroder, K., & Xin Zhang, J. (1997). The assessment of optimistic self-beliefs: Comparison of the German, Spanish, and Chinese versions of the General Self-Efficacy Scale. Applied Psychology: An International Review, 46, 68-88.
Schwarzer, R., & Jerusalem, M. (1989). Assessment of performance-related and general control and competence beliefs. In G. Krampen (Ed.), Diagnostik von Attributionem and Kontrolluberzeugungen [German](pp. 127-133). Gottingen, Germany: Hogrefe.
Schwarzer, R., & Jerusalem, M. (1992). Advances in anxiety theory: A cognitive process approach. In K. A. Hagtvet & T. B. Johnsen (Eds.), Advances in test anxiety research(Vol. 7, pp. 2-17). Amsterdam, The Netherlands: Swets & Zeitliger.
Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The Self-Efficacy Scale: Construction and validation. Psychological Reports, 51, 663-671.
Stevens, J. P. (1986). Applied multivariate statistics for the social sciences. Hillsdale, NJ: Erlbaum.
Stopa, L., & Clark, D. M. (1993). Cognitive processes in social phobia. Behaviour Research and Therapy, 31, 255-267.
Stravynski, A., & Amado, D. (2001). Social phobia as a deficit in social skills. In S. G. Hofmann & P. M. Di Bartolo (Eds.), From social anxiety to social phobia: Multiple perspectives(pp. 107-129). Boston: Allyn & Bacon.
Stravynski, A., Marks, I., & Yule, W. (1982). Social skills problems in neurotic outpatients: Social skills training with and without cognitive modification. Archives of General Psychiatry, 39, 1378-1385.
Taylor, S. (1996). Meta-analysis of cognitive–behavioral treatments for social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 27, 1-9.
Turner, S. M., Beidel, D. C., Cooley, M. R., Woody, S. R., & Messer, S. C. (1994). A multicomponent behavioral treatment of social phobia: Social Effectiveness Therapy. Behaviour Research and Therapy, 32, 381-390.
Turner, S. M., Beidel, D. C., Dancu, C. V., & Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 35-40.
Watson, J., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457.
Wheeler, V. A., & Ladd, G. W. (1982). Assessment of children's self-efficacy for social interactions with peers. Developmental Psychology, 18, 795-805.
Wlazlo, Z., Schroeder-Hartwig, K., Hand, I., Kaiser, G., & Münchau, N. (1990). Exposure in vivo vs. social skills training for social phobia: Long-term outcome and differential effects. Behaviour Research and Therapy, 28, 181-193.
Wolpe, J., & Lazarus, A. A. (1969). Behavior therapy techniques. New York: Pergamon.
Zoellner, L. A., Echiverri, A., & Craske, M. G. (2000). Processing of phobic stimuli and its relationship to outcome. Behaviour Research and Therapy, 38, 921-931.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gaudiano, B.A., Herbert, J.D. Preliminary Psychometric Evaluation of a New Self-Efficacy Scale and Its Relationship to Treatment Outcome in Social Anxiety Disorder. Cognitive Therapy and Research 27, 537–555 (2003). https://doi.org/10.1023/A:1026355004548
Issue Date:
DOI: https://doi.org/10.1023/A:1026355004548