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12-09-2020 | Original Article

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

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2021

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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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Literatuur
go back to reference Akibar, A., Niemann, Y. F., Blumenthal, H., & Vosvick, M. (2019). Dimensions of sexuality and social anxiety in emerging adulthood. Journal of Gay & Lesbian Mental Health, 23(2), 244–266.CrossRef Akibar, A., Niemann, Y. F., Blumenthal, H., & Vosvick, M. (2019). Dimensions of sexuality and social anxiety in emerging adulthood. Journal of Gay & Lesbian Mental Health, 23(2), 244–266.CrossRef
go back to reference Blackhart, G. C., Nelson, B. C., Knowles, M. L., & Baumeister, R. F. (2009). Rejection elicits emotional reactions but neither causes immediate distress nor lowers self-esteem: A meta-analytic review of 192 studies on social exclusion. Personality and Social Psychology Review, 13(4), 269–309. https://doi.org/10.1177/1088868309346065.CrossRefPubMed Blackhart, G. C., Nelson, B. C., Knowles, M. L., & Baumeister, R. F. (2009). Rejection elicits emotional reactions but neither causes immediate distress nor lowers self-esteem: A meta-analytic review of 192 studies on social exclusion. Personality and Social Psychology Review, 13(4), 269–309. https://​doi.​org/​10.​1177/​1088868309346065​.CrossRefPubMed
go back to reference Blumenthal, H., Cloutier, R. M., Douglas, M. E., Kearns, N. T., & Carey, C. N. (Under Review). Desire to drink as a function of laboratory-induced social stress among adolescents. Blumenthal, H., Cloutier, R. M., Douglas, M. E., Kearns, N. T., & Carey, C. N. (Under Review). Desire to drink as a function of laboratory-induced social stress among adolescents.
go back to reference Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., et al. (2005). Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. American Journal of Psychiatry, 162(6), 1179–1187. https://doi.org/10.1176/appi.ajp.162.6.1179.CrossRef Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., et al. (2005). Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. American Journal of Psychiatry, 162(6), 1179–1187. https://​doi.​org/​10.​1176/​appi.​ajp.​162.​6.​1179.CrossRef
go back to reference Cloutier, R. M., Dunham, K. J., Cochrane, B., & Blumenthal, H. (In Press). Beyond the binary: A ‘real world’ example to inform identity-affirming laboratory methods with substance using youth. Cloutier, R. M., Dunham, K. J., Cochrane, B., & Blumenthal, H. (In Press). Beyond the binary: A ‘real world’ example to inform identity-affirming laboratory methods with substance using youth.
go back to reference Cole, D. A., Martin, N. C., Sterba, S. K., Sinclair-McBride, K., Roeder, K. M., Zelkowitz, R., et al. (2014). Peer victimization (and harsh parenting) as developmental correlates of cognitive reactivity, a diathesis for depression. Journal of Abnormal Psychology, 123(2), 336–349. https://doi.org/10.1037/a0036489.supp.CrossRefPubMed Cole, D. A., Martin, N. C., Sterba, S. K., Sinclair-McBride, K., Roeder, K. M., Zelkowitz, R., et al. (2014). Peer victimization (and harsh parenting) as developmental correlates of cognitive reactivity, a diathesis for depression. Journal of Abnormal Psychology, 123(2), 336–349. https://​doi.​org/​10.​1037/​a0036489.​supp.CrossRefPubMed
go back to reference Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). New York: The Guilford Press. Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). New York: The Guilford Press.
go back to reference Kujawa, A., Arfer, K. B., Klein, D. N., & Proudfit, G. H. (2014). Electrocortical reactivity to social feedback in youth: A pilot study of the Island Getaway task. Developmental Cognitive Neuroscience, 10, 140–147.CrossRef Kujawa, A., Arfer, K. B., Klein, D. N., & Proudfit, G. H. (2014). Electrocortical reactivity to social feedback in youth: A pilot study of the Island Getaway task. Developmental Cognitive Neuroscience, 10, 140–147.CrossRef
go back to reference Lindner, P., Martell, C., Bergström, J., Andersson, G., & Carlbring, P. (2013). Clinical validation of a non-heteronormative version of the Social Interaction Anxiety Scale (SIAS). Health and Quality of Life Outcomes, 11(1), 1.CrossRef Lindner, P., Martell, C., Bergström, J., Andersson, G., & Carlbring, P. (2013). Clinical validation of a non-heteronormative version of the Social Interaction Anxiety Scale (SIAS). Health and Quality of Life Outcomes, 11(1), 1.CrossRef
go back to reference Scheveneels, S., Boddez, Y., Vervliet, B., & Hermans, D. (2016). The validity of laboratory-based treatment research: Bridging the gap between fear extinction and exposure treatment. Behaviour Research and Therapy, 86, 87–94.CrossRef Scheveneels, S., Boddez, Y., Vervliet, B., & Hermans, D. (2016). The validity of laboratory-based treatment research: Bridging the gap between fear extinction and exposure treatment. Behaviour Research and Therapy, 86, 87–94.CrossRef
go back to reference Venturini, E., Riva, P., Serpetti, F., Romero, L., Pallavincini, F., Mantovani, F., et al. (2016). A comparison of 3D versus 2D virtual environments on the feelings of social exclusion, inclusion and over-inclusion. Annual Review of CyberTherapy and Telemedicine, 14, 89–94. Venturini, E., Riva, P., Serpetti, F., Romero, L., Pallavincini, F., Mantovani, F., et al. (2016). A comparison of 3D versus 2D virtual environments on the feelings of social exclusion, inclusion and over-inclusion. Annual Review of CyberTherapy and Telemedicine, 14, 89–94.
go back to reference Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press. Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.
Metagegevens
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
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-020-10152-x