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01-04-2015 | Brief Report

Attention to Emotional Information in Social Anxiety Disorder With and Without Co-Occurring Depression

Auteurs: Katharina Kircanski, Jutta Joormann, Ian H. Gotlib

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2015

Abstract

Despite the high comorbidity of Social Anxiety Disorder (SAD) and Major Depressive Disorder (MDD), we know little about how persons with co-occurring SAD–MDD compare to their counterparts with pure disorders. In the present study we investigated attention to facial emotional stimuli in adult women with SAD only (n = 18), MDD only (n = 24), co-occurring SAD–MDD (n = 24), and healthy controls (CTL; n = 33). Participants were exposed to angry, sad, neutral, and happy faces for 200 and 1,000 ms as cues in a Posner attention task. We examined patterns of attentional engagement, disengagement, and vigilance-avoidance as a function of cue valence. Across the attentional indices, both the SAD and SAD–MDD groups differed most consistently from the MDD and CTL groups: they exhibited differential patterns of attention to angry, sad, and happy faces, including relatively greater vigilance-avoidance for angry faces. There was little evidence for any MDD-associated biases in attention. Findings suggest that the attentional processing of emotional information in SAD generally overrides the potential influence of co-occurring MDD. Implications for the understanding and treatment of co-occurring SAD–MDD are discussed.

vorige artikel Emotion Regulation Difficulties and Maladaptive Behaviors: Examination of Deliberate Self-harm, Disordered Eating, and Substance Misuse in Two Samples

volgende artikel The Impact of Perceived Standards on State Anxiety, Appraisal Processes, and Negative Pre- and Post-event Rumination in Social Anxiety Disorder

The initial sample included 119 participants. We excluded 19 participants: 6 SAD participants scored above the BDI-II cutoff; 1 MDD participant scored below the BDI-II cutoff; 6 MDD participants scored above the SPAI SP subscale cutoff; 1 SAD-MDD participant scored below the BDI-II cutoff; and 5 CTL participants scored above the SPAI SP subscale cutoff.

Supporting this possibility, in the present study the SAD group exhibited marginally greater vigilance-avoidance for neutral faces (M = 17.10) than did the CTL group (M = −4.98), p = .06.

Importantly, we found that depressive symptom severity was not significantly associated with vigilance-avoidance for angry faces within the MDD group (BDI-II: r = −.13, p = .56; HRSD: r = .16, p = .47) or the SAD-MDD group (BDI-II: r = .20, p = .35; HRSD: r = .20, p = .36), or across the two groups (BDI-II: r = .11, p = .48; HRSD: r = .22, p = .13). In addition, participants in the MDD group and SAD-MDD group did not significantly differ in the number of past depressive episodes (MDD: M = 6.18; SAD-MDD: M = 4.38; p = .35) or the duration of the current episode in months (MDD: M = 8.98; SAD-MDD: M = 14.89; p = .32).

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Titel: Attention to Emotional Information in Social Anxiety Disorder With and Without Co-Occurring Depression
Auteurs: Katharina Kircanski
Jutta Joormann
Ian H. Gotlib
Publicatiedatum: 01-04-2015
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2015
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-014-9643-7

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