Skip to main content
Log in

Preliminary Psychometric Evaluation of a New Self-Efficacy Scale and Its Relationship to Treatment Outcome in Social Anxiety Disorder

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders(4th ed.). Washington, DC: Author.

    Google Scholar 

  • Arch, E. C. (1992). Affective control efficacy as a factor in willingness to participate in a public performance situation. Psychological Reports, 71, 1247-1250.

    Google Scholar 

  • Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • 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.

    Google Scholar 

  • Beck, A. T., & Steer, R. A. (1987). Manual for the Beck Depression Inventory. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Brown, T. A., Di Nardo, P. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV). Albany, NY: Graywind.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Foa, E. B., Herbert, J. D., & Bellack, A. S. (1995). Behavior therapy manual for social phobia. Unpublished manuscript, Medical College of Pennsylvania, Philadelphia, PA.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Kent, G., & Gibbons, R. (1987). Self-efficacy and the control of anxious cognitions. Journal of Behavior Therapy and Experimental Psychiatry, 18, 33-40.

    Google Scholar 

  • Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-375.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Liebowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141-173.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Marks, I. M., & Mathews, A. M. (1979). Brief standard rating for phobic patients. Behaviour Research and Therapy, 17, 263-267.

    Google Scholar 

  • 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.

    Google Scholar 

  • Mattick, R. P., Peters, L., & Clarke, J. C. (1989). Exposure and cognitive restructuring for social phobia: A controlled study. Behavior Therapy, 20, 3-23.

    Google Scholar 

  • Moe, K. O., & Zeiss, A. M. (1982). Measuring self-efficacy expectations for social skills: A methodological inquiry. Cognitive Therapy and Research, 6, 191-205.

    Google Scholar 

  • Nunnally, J. C. (1978). Psychometric theory(2nd ed.). New York: McGraw-Hill.

    Google Scholar 

  • 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.

    Google Scholar 

  • Rapee, R. M., & Lim, L. (1992). Discrepancy between self and observer ratings of performance in social phobics. Journal of Abnormal Psychology, 101, 727-731.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Stevens, J. P. (1986). Applied multivariate statistics for the social sciences. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Stopa, L., & Clark, D. M. (1993). Cognitive processes in social phobia. Behaviour Research and Therapy, 31, 255-267.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Taylor, S. (1996). Meta-analysis of cognitive–behavioral treatments for social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 27, 1-9.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Watson, J., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457.

    Google Scholar 

  • Wheeler, V. A., & Ladd, G. W. (1982). Assessment of children's self-efficacy for social interactions with peers. Developmental Psychology, 18, 795-805.

    Google Scholar 

  • 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.

    Google Scholar 

  • Wolpe, J., & Lazarus, A. A. (1969). Behavior therapy techniques. New York: Pergamon.

    Google Scholar 

  • 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.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brandon A. Gaudiano.

Rights and permissions

Reprints 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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1026355004548

Navigation