Negative Post-event Processing Research Articles

A retrospective study of negative and positive post-event processing following stressful and pleasant social interactions

Background and objectivesNegative post-event processing (PEP) is a key maintenance factor of social anxiety, but little is known about the role positive PEP, particularly in relation to situations that are not perceived as stressful. The objective was to examine negative and positive PEP following stressful and pleasant social interactions. We were also interested in how participants remembered and described the interactions. MethodsYoung adults (n = 411) recalled a recent pleasant or stressful social interaction and indicated how much negative and positive PEP they engaged in since the interaction. They also completed questionnaires measuring social anxiety and the memory's phenomenological qualities and wrote a description of the interaction. ResultsHigher social anxiety was linked with more negative and less positive PEP, regardless of whether the interaction was perceived as stressful or pleasant. Participants reporting more negative PEP used more negative words in describing the interaction and their memory was more negative and emotionally intense. Those reporting more positive PEP used more positive and less negative words in their descriptions. For stressful interactions, positive PEP was related to a more positive memory; for pleasant ones, it was related to increased emotional intensity. LimitationsLimitations included the sample type (restricted age range, non-clinical) and the retrospective, cross-sectional nature of the study. ConclusionsResults provide insight into PEP following stressful and pleasant social interactions. We also found preliminary evidence that positive PEP may be helpful and protective. Future studies may benefit from longitudinal and mixed methods designs.

Always Saying the Wrong Thing: Negative Beliefs About Losing Control Cause Symptoms of Social Anxiety.

BackgroundIndividuals with social anxiety disorder (SAD) often report a fear that they will lose control of their emotions or report intense, unpleasant thoughts or images of uncontrollably humiliating themselves in social situations. These fears and associated beliefs that one is likely to lose control may underlie the anxiety and/or cognitive biases (e.g., self-focused attention and negative post-event processing) experienced during and following social situations. The present experiment examined whether manipulating beliefs about losing control would cause changes in symptoms of SAD.MethodsOne hundred and twenty-six undergraduate psychology students were given false feedback that they were either at high or low risk of losing control, and then completed a social interaction task with an actor. Participants rated their anxiety before and during the interaction and completed a post-event processing questionnaire 24-hours later.ResultsParticipants in the high beliefs about losing control (HLC) condition reported significantly greater subjective anxiety than those in the low beliefs about losing control (LLC) condition leading up to the social interaction task, and significantly more negative post-event processing.ConclusionResults suggest beliefs about losing control may play a causal role in the development and maintenance of SAD. These beliefs may represent a novel domain to be targeted in CBT.Supplementary InformationThe online version contains supplementary material available at 10.1007/s10608-022-10325-w.

Does the visual attention and perspective-taking during a speech task predict any negative post-event processing the next day?: A study of using eye-tracking.

Does the visual attention and perspective-taking during a speech task predict any negative post-event processing the next day?: A study of using eye-tracking.

Effects of Group-Based CBT on Post-Event Processing in Children with Social Anxiety Disorder Following an Experimental Social Stressor.

Theoretical models and previous research suggest that post-event processing (PEP) after social situations maintains social anxiety disorder (SAD). To date, little is known about PEP in childhood, a critical period for disorder development, or about possible positive effects of cognitive behavioral therapy (CBT) on PEP in children. Children with SAD (n= 71; aged 9-13years) and healthy controls (n= 55) participated in a social stress task (Trier Social Stress Test for Children, TSST-C), which was repeated in children with SAD after either 12 sessions of CBT or a waiting period. PEP was assessed daily with regard to both valence and frequency, as well as in more detail regarding specific negative and positive ruminative thoughts 1week after each TSST-C. Daily PEP after the TSST-C was more frequent and more negative in children with SAD compared to healthy controls, in particular during the first 2days after the TSST-C. After CBT treatment, children with SAD reported more positive PEP but not less negative PEP compared to children in the waitlist control group. The current study suggests that negative PEP in children with SAD is most pronounced in the first days following social stress. Group-based CBT seems to be effective in building up positive cognitions after social stress in children, but developing specific interventions targeting negative PEP immediately after a social stressor may be necessary to further increase treatment efficacy.

Self-focused attention affects subsequent processing of positive (but not negative) performance appraisals

Background and objectivesCognitive-behavioral models highlight the conjoint roles of self-focused attention (SFA), post-event processing (PEP), and performance appraisals in the maintenance of social anxiety. SFA, PEP, and biased performance appraisals are related to social anxiety; however, limited research has examined how SFA affects information-processing following social events. The current study examined whether SFA affects the relationships between performance appraisals and PEP following a social event.. Methods137 participants with high (n = 72) or low (n = 65) social anxiety were randomly assigned to conditions of high SFA or low SFA while engaging in a standardized social performance. Subsequent performance appraisals and PEP were measured. ResultsImmediate performance appraisals were not affected by SFA. High levels of SFA led to a stronger, inverse relationship between immediate positive performance appraisals and subsequent negative PEP. High levels of SFA also led to a stronger, inverse relationship between negative PEP and changes in positive performance appraisals.. LimitationsFuture research should examine whether the current findings, which involved a standardized social performance event, extend to interaction events as well as in a clinical sample. ConclusionsThese findings suggest that SFA affects the processing of positive information following a social performance event. SFA is particularly important for understanding how negative PEP undermines positive performance appraisals..

Examining the Role of Perfectionism and Intolerance of Uncertainty in Postevent Processing in Social Anxiety Disorder

Postevent processing (PEP) is proposed to be a key maintenance factor of social anxiety disorder (SAD; e.g., Clark and Wells 1995). The goal of the current study was to examine the independent roles of two transdiagnostic variables, namely perfectionism and intolerance of uncertainty (IU), as unique predictors of PEP in SAD above and beyond social anxiety and depressive symptoms. Fifty-six adults with SAD and high levels of speech anxiety completed measures of perfectionism, IU, social anxiety, and depression. They gave an impromptu speech to induce PEP, and completed measures assessing degree of PEP and its associated distress. Significant positive correlations were found between perfectionism and negative PEP degree and distress, as well as between IU and negative PEP distress. The perfectionism subscales of parental expectations and parental criticism significantly predicted negative PEP degree and distress over and above social anxiety and depressive symptoms. Perfectionism, as well as IU, were significantly and positively correlated with positive PEP distress, and significantly predicted positive PEP distress above and beyond social anxiety and depressive symptoms. The study design was cross-sectional; hence, experimental and longitudinal studies are needed to further understand the roles of perfectionism and IU as they relate to PEP. Individuals with SAD who are high in perfectionism or IU appear to be more prone to engaging in, or experiencing distress associated with, negative PEP. Specific strategies for decreasing negative PEP in this vulnerable population, especially for those high in perfectionism, may be necessary for optimal treatment outcome.

Effects of Analytical and Experiential Self-focus on Rumination After a Stress Induction in Patients with Social Anxiety Disorder: A Pilot Study

According to cognitive models, negative post-event processing rumination is a key maintaining factor in social anxiety disorder (SAD). Analogue research has supported the differentiation of self-focus into different modes of self-focused attention with distinct effects on rumination in depression and social anxiety. The purpose of this study was to replicate these effects with a sample of clients with SAD (N = 12) using (a) an experimental, cross-over design and (b) an evaluation situation (impromptu speech) prior to manipulation. Processing an identical list of symptoms, half of a sample was asked to successively adopt an analytic (abstract, evaluative) and an experiential (concrete, process-focused) self-focus; the other half employed the modes in the reversed order. Effects were assessed with a thought-listing (TL) procedure. As predicted, the two modes of self-focused attention affected cognitions differently; participants in the experiential condition showed a tendency for a decreased proportion of negative thoughts, whereas those in the analytical condition reported a decreased proportion of neutral thoughts. No difference was shown on positive cognitions. Furthermore, the participants' self-evaluation following the speech predicted their degree of subsequent negative thinking. After self-focus inductions, however, this effect was only seen in those participants who started by receiving the analytical self-focus induction. The results support previous findings that the analytical and the experiential self-focus modes affect cognitions differently, and that experiential processing may have beneficial effects on rumination in SAD. However, results need to be replicated in a larger sample.

Effect of self-focused attention on post-event processing in social anxiety

The study investigated the relationship between self-focused attention (SFA) and post-event processing (PEP) in social anxiety. SFA is the process of directing attention to internal stimuli during a social interaction. PEP is a detailed review of performance following an interaction. Highly socially anxious students ( N = 82) were randomly assigned to a high SFA ( n = 40) or low SFA condition ( n = 42) and completed baseline measures of social anxiety, depression, trait SFA, and trait rumination. After SFA was manipulated via instructions, participants engaged in a 5-min unstructured conversation with a confederate, followed by a manipulation check. PEP was assessed the next day online. The high SFA group reported a similar amount of positive PEP but more frequent negative PEP over the 24-h period compared to the low SFA group. These results provide support for a causal relationship between SFA and PEP and have important applications for the development of effective cognitive-behavioural interventions.

Negative post-event processing and decreased self-appraisals of performance following social stress in childhood social anxiety: An experimental study

Cognitive models of social phobia (SP) assume that following social evaluative stress, individuals with SP engage into dysfunctional post-event processing (PEP), a detailed negative review of the past event. While previous research has already shown, that children with high levels of social fears suffer from more frequent negative PEP, it remains unclear how stable PEP is across time in this age group and whether it leads to degraded self-appraisals of performance. Therefore in the present study we exposed a group of high (HSA) and low socially anxious children (LSA; both n = 20), aged 10–12 years, to a social evaluative situation and assessed negative and positive PEP as well as self-rated performance at 2.5 h and one week after the task. Our results revealed that HSA children reported more negative PEP than LSA children, independent of levels of depression. Moreover, negative PEP was related to measures of social anxiety and performance ratings within the tasks. Only the performance ratings in HSA children worsened over the course of the following week and were related to more negative PEP. Thus, these results speak for the high clinical relevance dysfunctional PEP may have for the maintenance of social fears already in childhood.

Post-event Processing in Children with Social Phobia

In the aftermath of a distressing social event, adults with social phobia (SP) engage in a review of this event with a focus on its negative aspects. To date, little is known about this post-event processing (PEP) and its relationship with perceived performance in SP children. We measured PEP in SP children (n=24) and healthy controls (HC; n=22), aged from 8 to 12 years, after the Trier Social Stress Test for Children (TSST-C). Children also rated their performance immediately after the TSST-C and 2.5 h later. SP children reported more negative and less positive PEP than controls. Regression analyses indicated that negative PEP was associated with social anxiety and perceived task performance independent of comorbid depression. The SP group rated their performance immediately after the TSST-C as worse compared to HCs and ratings remained stable over the following 2.5 h. Results are discussed in relation to current theories of SP.

Post-event processing in social anxiety

Clark and Wells’ [1995. A cognitive model of social phobia. In: R. Heimberg, M. Liebowitz, D.A. Hope, & F.R. Schneier (Eds.) Social phobia: Diagnosis, assessment and treatment (pp. 69–93). New York: Guildford Press.] cognitive model of social phobia proposes that following a social event, individuals with social phobia will engage in post-event processing, during which they conduct a detailed review of the event. This study investigated the relationship between self-appraisals of performance and post-event processing in individuals high and low in social anxiety. Participants appraised their performance immediately after a conversation with an unknown individual and prior to an anticipated second conversation task 1 week later. The frequency and valence of post-event processing during the week following the conversation was also assessed. The study also explored differences in the metacognitive processes of high and low socially anxious participants. The high socially anxious group experienced more anxiety, predicted worse performance, underestimated their actual performance, and engaged in more post-event processing than low socially anxious participants. The degree of negative post-event processing was linked to the extent of social anxiety and negative appraisals of performance, both immediately after the conversation task and 1 week later. Differences were also observed in some metacognitive processes. The results are discussed in relation to current theory and previous research.

Post-event processing and the retrieval of autobiographical memories in socially anxious individuals

Individuals with social anxiety often report considerable ruminative thoughts following ambiguous social events (post-event processing). The purpose of this study was to determine whether post-event processing affects retrieval of autobiographical memories rated as negative, anxious and shameful in a sample of socially anxious individuals and controls. Results indicated that, compared to controls, socially anxious individuals recalled memories that were rated as significantly more negative and shameful regardless of the type of post-event processing engaged in. Unexpectedly, after negative post-event processing socially anxious individuals recalled memories that although anxious and shameful, were rated as significantly more calming than after other types of post-event processing. The results imply that post-event processing may have some adaptive benefit that could explain why it persists in socially anxious individuals.

Social Anxiety and the Post-Event Processing of Socially Distressing Events

The correlation between social anxiety, as measured by the Social Phobia Scale, and negative post-event processing of socially distressing events, as measured by a diary record, was studied in a sample of 62 undergraduate students during a 1-week period. Of the participants, 55 individuals reported the experience of at least 1 socially distressing event during this time; only 24 of the participants, however, reported distressing events of a negative-evaluational character during the recording week. Although the Social Phobia Scale did not correlate with post-event processing of socially distressing events in general, it showed moderate to strong correlations with post-event processing of negative-evaluational events both on the same day and on the following day. Furthermore, the degree of negative post-event processing that was reported the same day was strongly predictive of the degree of such processing that was reported the following day. The results confirm that negative post-event processing is a real phenomenon with regard to socially distressing situations, and that high social anxiety is associated with higher degrees of such post-event processing of negative-evaluational events. The results also suggest that social anxiety is only one of several forms of interpersonal distress that are characterized by such negative post-event processing; other forms of such distress involve other fears (fears of separation or loneliness, fears of hurting others, etc.) or other kinds of feelings (e.g. guilt and anger).