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12-09-2020 | Original Article | Uitgave 1/2021

Development of the A-DISS Rejection Task to Demonstrate the Unique and Overlapping Affective Features of Social Anxiety and Depression

Tijdschrift:: Cognitive Therapy and Research > Uitgave 1/2021

Auteurs:: Renee M. Cloutier, Sarah A. Bilsky, Catherine Baxley, Kristen G. Anderson, Heidemarie Blumenthal

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The online version of this article (https://doi.org/10.1007/s10608-020-10152-x) contains supplementary material, which is available to authorized users.

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Abstract

Background

Social anxiety (SA) and depression are prevalent, often comorbid disorders, associated with poor psychosocial functioning. Experimental psychopathology approaches can clarify the transdiagnostic mechanisms underlying these disorders, but most laboratory tasks are limited. We developed and validated the Audio-Dialogue Inductions of Social Stress (A-DISS) experimental task to model real-time rejection sensitivity in a realistic and developmentally relevant context. Participants are asked to imagine overhearing peers at a party talking badly about them (Rejection) or a teacher at their school (Neutral).

Methods

Study 1 focused on identifying and refining stimuli that elicited relevant emotional responses for Rejection (e.g., increased anxiety) and Neutral (e.g., no emotional changes) conditions (N = 48). Study 2 examined whether participants’ SA and depression symptoms moderated the effects of A-DISS condition (N = 52).

Results

The Rejection condition elicited higher negative affect/lower positive affect while the Neutral condition sustained stable affect. Findings were consistent across gender and race/ethnicity. Moderation analyses were statistically significant; participants with elevated SA or depression reported feeling more rejected, insecure, and anxious after Rejection than those with below average symptoms.

Conclusions

Findings provide preliminary validation of a novel peer rejection task for research on understanding the affective experience of real-time rejection overall, especially for those with elevated SA and depression. SA and depression symptoms each uniquely moderating the effects of Rejection exposure on similar affective states, suggests individuals with SA or depression may benefit from interventions targeting specific reactions to rejection/stress and transdiagnostic risk factors.

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Titel: Development of the A-DISS Rejection Task to Demonstrate the Unique and Overlapping Affective Features of Social Anxiety and Depression
Auteurs:: Renee M. Cloutier
Sarah A. Bilsky
Catherine Baxley
Kristen G. Anderson
Heidemarie Blumenthal
Publicatiedatum: 12-09-2020
DOI: https://doi.org/10.1007/s10608-020-10152-x
Uitgeverij: Springer US
Tijdschrift: Cognitive Therapy and Research
Uitgave 1/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819

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Development of the A-DISS Rejection Task to Demonstrate the Unique and Overlapping Affective Features of Social Anxiety and Depression

Electronic supplementary material

Publisher's Note

Abstract

Background

Methods

Results

Conclusions

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Electronic supplementary material

Publisher's Note

Abstract

Background

Methods

Results

Conclusions

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