Components Of Social Anxiety Research Articles

The role of maladaptive beliefs in cognitive-behavioral therapy: Evidence from social anxiety disorder

Beliefs that are negatively biased, inaccurate, and rigid are thought to play a key role in the mood and anxiety disorders. Our goal in this study was to examine whether a change in maladaptive beliefs mediated the outcome of individual cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD). In a sample of 47 individuals with SAD receiving CBT, we measured maladaptive interpersonal beliefs as well as emotional and behavioral components of social anxiety, both at baseline and after treatment completion. We found that (a) maladaptive interpersonal beliefs were associated with social anxiety at baseline and treatment completion; (b) maladaptive interpersonal beliefs were significantly reduced from baseline to treatment completion; and (c) treatment-related reductions in maladaptive interpersonal beliefs fully accounted for reductions in social anxiety after CBT. These results extend the literature by providing support for cognitive models of mental disorders, broadly, and SAD, specifically.

Psychometric evaluation of the Fear of Positive Evaluation Scale in patients with social anxiety disorder.

The Fear of Positive Evaluation Scale (FPES; J. W. Weeks, R. G. Heimberg, & T. L. Rodebaugh, 2008) was designed to assess fear of positive evaluation, a proposed cognitive component of social anxiety. Although previous findings on the psychometric properties of the FPES have been highly encouraging, only 1 previous study has examined the psychometric profile of the FPES in a sample of patients with social anxiety disorder (T. A. Fergus et al., 2009). The primary purpose of the present study was to conduct a large multisite examination of the psychometric profile of the FPES among patients with a principal diagnosis of social anxiety disorder (n = 226; generalized subtype = 97.8%). Responses of nonanxious control participants (n = 42) were also examined. The factorial validity, internal consistency, test-retest reliability, construct validity, and treatment sensitivity of the FPES were strongly supported by our findings. Furthermore, an FPES cutoff score was identified for distinguishing levels of fear of positive evaluation characteristic of patients with social anxiety disorder from those characteristic of the control group. Results provide additional support for the psychometric properties of the FPES in clinical samples.

Social Anxiety and Holistic Cognition

Previous cultural psychological studies suggest that East Asians tend to think more holistically than Westerners and that these cultural differences in cognition are accounted for, in part, by psychological processes associated with a predominant social orientation of the self as independent in the West and as interdependent in the East. In addition to examining these self-construal variables as predictors of holistic cognition, the current study also examined the role that a self-focused manifestation of social anxiety ( social phobia tendencies) common in the United States and the role that an other-focused manifestation of social anxiety ( taijin kyofusho, or TKS tendencies) common in Japan play in holistic cognition. Samples of 142 Japanese and 125 Americans completed an instrument that measures degree of skill in holistic cognition and then completed measures of self-construal, social phobia, and TKS. The current study found that, in unpackaging cultural differences in holistic cognition, social phobia tendencies, given their self-focused nature, were associated with decreased levels of holistic cognition while TKS tendencies, given their other-focused nature, were associated with increased levels of holistic cognition. Thus, holistic cognition served as an important basic cognitive feature which distinguishes between the two culturally divergent versions of social anxiety. Furthermore, independent self-construal was found to be more strongly associated with the self-focused component of social anxiety while interdependent self-construal was only associated with the other-focused component of social anxiety.

Addressing revisions to the Brief Fear of Negative Evaluation scale: Measuring fear of negative evaluation across anxiety and mood disorders

The fear of negative evaluation (FNE) represents a fundamental component of social anxiety and social anxiety disorder (SAD) within modern cognitive-behavioral models ( Clark & Wells, 1995; Rapee & Heimberg, 1997). As such, access to comprehensive psychometrics for measures of FNE is an important component of thorough clinical and research efforts. Among the most popular measures of FNE have been variations of the 12-item Brief Fear of Negative Evaluation (BFNE) scale ( Leary, 1983). There are currently three versions of the BFNE based on two psychometric studies (i.e., two 8-item variants and a 12-item variant). There is still substantial debate regarding which of the three alternatives should be used by researchers and clinicians. Normative data for each of the three alternatives are not available across samples of individuals with diagnosed anxiety and mood disorders; moreover, there has been no comparative assessment of responses for such samples. The present investigation was to provide more definitive recommendations about the three alternatives, to provide normative clinical data, and to explore differences in FNE endorsement across anxiety and mood disorders. Clinical participants included 381 individuals (60% women; age M = 35.61, SD = 12.49) from an established anxiety treatment and research center. Diagnoses included those with a principal diagnosis of SAD (32%), those with a diagnosis of SAD as an additional disorder (24%), those without a diagnosis of SAD (41%), and those with features of SAD (3%). Results of descriptive analyses, factor analyses, analysis of variance, and receiver operating curves demonstrated that the 12-item variant of the BFNE was inferior or comparable to the two 8-item variants. FNE scores were consistently higher among all participants with a diagnosis of SAD (either principal or additional) relative to all other diagnostic groups ( p < .05). Accordingly, the current evidence, as well as parsimony and previous research, supports the utility of the 8-item variant that includes only the original straightforwardly worded items from the BFNE. Comprehensive findings, implications, and future research directions are discussed.

Social anxiety moderates memory conformity in adolescents

AbstractWhen two people view the same event and later try to remember it together, what one person says affects what the other person reports. A model is presented which predicts that this memory conformity effect will be moderated, in different ways, by two components of social anxiety. People with higher fear of negative evaluation should be more influenced by their peers than others, but those with higher social anxiety related to avoiding social situations may be less influenced by their peers than others. Pairs of adolescent‐aged participants took part in a face recognition study. For each trial one person responded and then the next person responded. The effect of what the first person said on the second person's response was measured; the size of the effect was moderated by the social anxiety measures as predicted by the model. This is the first study showing the relationship between social anxiety and memory suggestibility. Copyright © 2009 John Wiley &amp; Sons, Ltd.

Exploring the Effect of Alcohol on Post-Event Processing Specific to a Social Event

Inconsistent findings regarding the relationship between social anxiety and alcohol use suggest that further research is needed to explore how alcohol affects various components of social anxiety. Post-event processing, or rumination after social events, is an element of cognitive models of social anxiety that is related to increased levels of social anxiety. The goal of the current study was to explore the interrelationships among social anxiety, post-event processing, and alcohol use. A sample of 208 university students completed online questionnaires to assess their levels of trait social anxiety and trait depression as well as their alcohol consumption at a specific social event. Participants then completed questionnaires to assess levels of post-event processing specific to the social event they attended. Results revealed that the amount of alcohol individuals consumed at the event predicted increased levels of post-event processing above and beyond levels of trait social anxiety and depression. As such, drinking may lead to increased post-event processing in student samples.

A Tale of Two Threats: Social Anxiety and Attention to Social Threat as a Function of Social Exclusion and Non-Exclusion Threats

To attain and maintain social acceptance, people may attend to cues of possible social rejection or exclusion. Attention to such cues can be influenced by social anxiety. Two competing theories address social anxiety and attention: hypervigilance to versus avoidance of negative social cues. We propose a synthesis of these models such that, in the absence of social exclusion, socially anxious people may be hypervigilant to negative social cues. However, after experiencing social exclusion, they may avoid negative cues in favor of cues signaling social acceptance. Eyetracking was used to examine attention to negative, happy, and neutral faces after social exclusion threat or a non-exclusion threat (N = 27, 69.2% female). Fear of negative evaluation, a core component of social anxiety, was assessed using the Brief Fear of Negative Evaluation (BFNE) scale (Leary 1983). Among individuals with high BFNE, non-exclusion threat elicited greater attention toward negative faces than did social exclusion threat. However, social exclusion threat relative to non-exclusion threat was related to greater attention to positive faces among those with high BFNE. These effects were not observed among those with low BFNE. Thus, data provide preliminary support for a synthesized model.

Perfectionism and social anxiety: Rethinking the role of high standards

Some researchers contend that high standards are an essential component of social anxiety. We tested this hypothesis in two independent samples. The consistent finding across samples was that higher scores on measures of high standards from two perfectionism scales predicted lower scores for social anxiety measures. These findings suggest lower, not higher, standards are involved in social anxiety, but more research is needed to clarify the implications of perfectionism, particularly the maladaptive form, in the context of social anxiety.

Exploring the latent structure of two cognitive components of social anxiety: taxometric analyses of fears of negative and positive evaluation

Recent evidence suggests that social anxiety disorder is best characterized as having a dimensional latent structure. In this study, we examined the latent structure of two cognitive components of social anxiety, fear of negative evaluation (FNE) and fear of positive evaluation (FPE), in a large undergraduate sample. Two taxometric procedures (MAMBAC, Mean Above Minus Below a Cut and MAXEIG, MAXimum EIGenvalue) were performed with indicator sets drawn from self-report measures of FNE and FPE. Taxometric analyses, as well as comparison analyses utilizing simulated dimensional and taxonic datasets, yielded converging evidence that both FNE and FPE have a dimensional latent structure.

The Fear of Positive Evaluation Scale: Assessing a proposed cognitive component of social anxiety

Cognitive–behavioral models propose that fear of negative evaluation is the core feature of social anxiety disorder. However, it may be that fear of evaluation in general is important in social anxiety, including fears of positive as well as negative evaluation. To test this hypothesis, we developed the Fear of Positive Evaluation Scale (FPES) and conducted analyses to examine the psychometric properties of the FPES, as well as test hypotheses regarding the construct of fear of positive evaluation (FPE). Responses from a large ( n = 1711) undergraduate sample were utilized. The reliability, construct validity, and factorial validity of the FPES were examined; the distinction of FPE from fear of negative evaluation was evaluated utilizing confirmatory factor analysis; and the ability of FPE to predict social interaction anxiety above and beyond fear of negative evaluation was assessed. Results provide preliminary support for the psychometric properties of the FPES and the validity of the construct of FPE. The implications of FPE with respect to the study and treatment of social anxiety disorder are discussed.

Stuttering and social anxiety

The aim of the present study was to investigate the presence of social anxiety in adults who stutter. This was done by administering the Inventory of Interpersonal Situations (IIS) ( Van Dam-Baggen & Kraaimaat, 1999), a social anxiety inventory, to a group of 89 people who stuttered and 131 people who did not stutter. Two components of social anxiety were measured by the ISS, the extent to which emotional tension or discomfort is perceived in social situations and the frequency with which social responses are executed. The people who stuttered displayed significantly higher levels of emotional tension or discomfort in social situations. They also reported a significantly lower frequency of social responses compared to their nonstuttering peers. In addition, about 50% of the scores of the people who stuttered fell within the range of a group of highly socially anxious psychiatric patients. The results of the study suggest that the measurement of social anxiety is an important element in the assessment of adults who stutter. Educational objectives: The reader will learn about and be able to describe (1) the IIS as an assessment procedure for evaluating social anxiety, (2) the level of discomfort expressed by adult stutterers in social situations, and (3) the effect of social anxiety on stutterers’ responsiveness in social situations.

Cognitive Components of Social Anxiety: An Investigation of the Integration of Self-Presentation Theory and Self-Efficacy Theory

This study tested the utility of the integration of self-efficacy theory and self-presentation theory of social anxiety. The study examined: (1) the relationship between general social anxiousness and expectancies concerning specific anxiety-producing social situations, and (2) the relationship between situational expectancies and situational social anxiety. Results supported the usefulness of distinguishing between the expectancy of executing a particular self-presentation relevant behavior (presentational self-efficacy expectancy) and the expectancy that a particular behavior, if successfully executed, will achieve one's interpersonal goal (presentational outcome expectancy). The results suggest that: (1) social anxiety is related to low expectations regarding one's ability to execute certain self-presentational behaviors, and (2) socially anxious people may be characterized by a pessimistic view of interactions in which others are not expected to respond favorably even when one's behavior is appropriate and successfully executed.

Cognitive components of social anxiety.

Designed a self-report questionnaire to measure the frequency of occurrence of self-relevant cognitions that accompany the experience of social distress. Male and female college students were asked to recall an experience of social anxiety and to report associated cognitions. One hundred and seventeen representative cognitions were selected and administered to a second sample, along with the Fear of Negative Evaluation Scale and the Social Avoidance and Distress Scale. Twenty-one items were selected on the basis of their ability to predict social anxiety. Factor-analysis indicated a four-factor solution. This new measure may provide a means of identifying cognitive targets for treatment planning as well as an instrument for assessing change in cognitions associated with psychotherapeutic intervention.

Interactive effects of generalized and situational expectancies on the arousal of cognitive and emotional components of social anxiety

This study examined the arousal of social anxiety in an interview setting as a function of anticipated self-disclosure. Of 88 college students who completed the Social Avoidance and Distress (SAD) scale and other measures of social anxiety, self-disclosure, need to affiliate, and interpersonal trust, 24 volunteered for the interview. During the interview, both components of anxiety (worry and emotionality) were affected by expectancy conditions, and emotionality was higher for high- than for low-SAD subjects. The prediction of an interaction between SAD level and expectancy condition on worry was confirmed: only high-SAD subjects exposed to the negative-expectancy condition experienced significant elevations in worry. Though social anxiety and self-disclosure measures correlated negatively, anxiety did not affect self-disclosure during the interview.