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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 2/2016

12-09-2015

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

Auteurs: Bethany Shikatani, Martin M. Antony, Stephanie E. Cassin, Janice R. Kuo

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2016

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Abstract

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.
Voetnoten
1
These analyses were specifically requested by an anonymous reviewer.
 
2
To facilitate study participation near the end of the study, total compensation was increased to $40 Canadian (n = 8), and no significant differences were found between these two groups on any study variables.
 
3
Inclusion criteria also required that participants not have a history of cognitive behavioral or mindfulness-based treatment, which was important for the larger study.
 
Literatuur
go back to reference Abbott, M. J., & Rapee, R. M. (2004). Postevent rumination and negative self-appraisal in social phobia before and after treatment. Journal of Abnormal Psychology, 113, 136–144. CrossRefPubMed Abbott, M. J., & Rapee, R. M. (2004). Postevent rumination and negative self-appraisal in social phobia before and after treatment. Journal of Abnormal Psychology, 113, 136–144. CrossRefPubMed
go back to reference Alden, L. E., Taylor, C. T., Mellings, T. M. B., & Laposa, J. M. (2008). Social anxiety and the interpretation of positive social events. Journal of Anxiety Disorders, 22, 577–590. CrossRefPubMed Alden, L. E., Taylor, C. T., Mellings, T. M. B., & Laposa, J. M. (2008). Social anxiety and the interpretation of positive social events. Journal of Anxiety Disorders, 22, 577–590. CrossRefPubMed
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
go back to reference Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998a). Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10, 176–181. CrossRef Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998a). Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10, 176–181. CrossRef
go back to reference Antony, M. M., Purdon, C. L., Huta, V., & Swinson, R. P. (1998b). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36, 1143–1154. CrossRefPubMed Antony, M. M., Purdon, C. L., Huta, V., & Swinson, R. P. (1998b). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36, 1143–1154. CrossRefPubMed
go back to reference Antony, M. M., Coons, M. J., McCabe, R. E., Ashbaugh, A., & Swinson, R. P. (2006). Psychometric properties of the social phobia inventory: further evaluation. Behaviour Research and Therapy, 44, 1177–1185. CrossRefPubMed Antony, M. M., Coons, M. J., McCabe, R. E., Ashbaugh, A., & Swinson, R. P. (2006). Psychometric properties of the social phobia inventory: further evaluation. Behaviour Research and Therapy, 44, 1177–1185. CrossRefPubMed
go back to reference Ashbaugh, A., Antony, M. M., Liss, A., Summerfeldt, L. J., McCabe, R. E., & Swinson, R. P. (2007). Changes in perfectionism following cognitive-behavioral treatment for social phobia. Depression and Anxiety, 24, 169–177. CrossRefPubMed Ashbaugh, A., Antony, M. M., Liss, A., Summerfeldt, L. J., McCabe, R. E., & Swinson, R. P. (2007). Changes in perfectionism following cognitive-behavioral treatment for social phobia. Depression and Anxiety, 24, 169–177. CrossRefPubMed
go back to reference Brown, J. R., & Kocovski, N. L. (2014). Perfectionism as a predictor of post-event rumination in a socially anxious sample. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 32, 150–163. CrossRef Brown, J. R., & Kocovski, N. L. (2014). Perfectionism as a predictor of post-event rumination in a socially anxious sample. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 32, 150–163. CrossRef
go back to reference Brunello, N., den Boer, J. A., Judd, L. L., Kasper, S., Kelsey, J. E., Lader, M., Lecrubier, Y., Lepine, J. P., Lydiard, R. B., Mendlewicz, J., Montgomery, S. A., Racagni, G., Stein, M. B., & Wittchen, H. U. (2000). Social phobia: Diagnosis and epidemiology, neurobiology and pharmacology, comorbidity and treatment. Journal of Affective Disorders, 60, 61–74. CrossRefPubMed Brunello, N., den Boer, J. A., Judd, L. L., Kasper, S., Kelsey, J. E., Lader, M., Lecrubier, Y., Lepine, J. P., Lydiard, R. B., Mendlewicz, J., Montgomery, S. A., Racagni, G., Stein, M. B., & Wittchen, H. U. (2000). Social phobia: Diagnosis and epidemiology, neurobiology and pharmacology, comorbidity and treatment. Journal of Affective Disorders, 60, 61–74. CrossRefPubMed
go back to reference Buhr, K., & Dugas, M. J. (2002). the intolerance of uncertainty scale: psychometric properties of the english version. Behaviour Research and Therapy, 40, 931–945. CrossRefPubMed Buhr, K., & Dugas, M. J. (2002). the intolerance of uncertainty scale: psychometric properties of the english version. Behaviour Research and Therapy, 40, 931–945. CrossRefPubMed
go back to reference Carleton, R. N., Collimore, K. C., & Asmundson, G. J. G. (2010). “It’s not just the judgements—it’s that I don’t know”: intolerance of uncertainty as a predictor of social anxiety. Journal of Anxiety Disorders, 24, 189–195. CrossRefPubMed Carleton, R. N., Collimore, K. C., & Asmundson, G. J. G. (2010). “It’s not just the judgements—it’s that I don’t know”: intolerance of uncertainty as a predictor of social anxiety. Journal of Anxiety Disorders, 24, 189–195. CrossRefPubMed
go back to reference Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press. Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.
go back to reference Connor, K. M., Davidson, J. R. T., Churchill, E. L., Sherwood, A., Weisler, R. H., & Foa, E. (2000). Psychometric properties of the social phobia inventory: new self-rating scale. British Journal of Psychiatry, 176, 379–386. CrossRefPubMed Connor, K. M., Davidson, J. R. T., Churchill, E. L., Sherwood, A., Weisler, R. H., & Foa, E. (2000). Psychometric properties of the social phobia inventory: new self-rating scale. British Journal of Psychiatry, 176, 379–386. CrossRefPubMed
go back to reference Crippa, J. A. S., De Lima Osório, F., Del-Ben, C. M., Filho, A. S., Da Silva Freitas, M. C., & Loureiro, S. R. (2008). Comparability between telephone and face-to-face structured clinical interview for DSM-IV in assessing social anxiety disorder. Perspectives in Psychiatric Care, 44, 241–247. CrossRefPubMed Crippa, J. A. S., De Lima Osório, F., Del-Ben, C. M., Filho, A. S., Da Silva Freitas, M. C., & Loureiro, S. R. (2008). Comparability between telephone and face-to-face structured clinical interview for DSM-IV in assessing social anxiety disorder. Perspectives in Psychiatric Care, 44, 241–247. CrossRefPubMed
go back to reference Daly, J. A. (1978). The assessment of social-communicative anxiety via self-reports: a comparison of measures. Communication Monographs, 45, 204–218. CrossRef Daly, J. A. (1978). The assessment of social-communicative anxiety via self-reports: a comparison of measures. Communication Monographs, 45, 204–218. CrossRef
go back to reference Dannahy, L., & Stopa, L. (2007). Postevent processing in social anxiety. Behaviour Research and Therapy, 45, 1207–1219. CrossRefPubMed Dannahy, L., & Stopa, L. (2007). Postevent processing in social anxiety. Behaviour Research and Therapy, 45, 1207–1219. CrossRefPubMed
go back to reference Edwards, S. L., Rapee, R., & Franklin, J. (2003). Postevent rumination and recall bias for social performance event in high and low socially anxious individuals. Cognitive Therapy and Research, 27, 603–617. CrossRef Edwards, S. L., Rapee, R., & Franklin, J. (2003). Postevent rumination and recall bias for social performance event in high and low socially anxious individuals. Cognitive Therapy and Research, 27, 603–617. CrossRef
go back to reference Field, A. P., & Morgan, J. (2004). Postevent processing and the retrieval of autobiographical memories in socially anxious individuals. Journal of Anxiety Disorders, 18, 647–663. CrossRefPubMed Field, A. P., & Morgan, J. (2004). Postevent processing and the retrieval of autobiographical memories in socially anxious individuals. Journal of Anxiety Disorders, 18, 647–663. CrossRefPubMed
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured clinical interview for DSM-IV axis I disorders—patient edition. New York: New York Psychiatric Institute, Biometrics Research Department. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured clinical interview for DSM-IV axis I disorders—patient edition. New York: New York Psychiatric Institute, Biometrics Research Department.
go back to reference Fisak, B., & Hammond, A. N. (2013). Are positive beliefs about post-event processing related to social anxiety? Behaviour Change, 30, 36–47. CrossRef Fisak, B., & Hammond, A. N. (2013). Are positive beliefs about post-event processing related to social anxiety? Behaviour Change, 30, 36–47. CrossRef
go back to reference Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802. CrossRef Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry? Personality and Individual Differences, 17, 791–802. CrossRef
go back to reference Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468. CrossRef Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468. CrossRef
go back to reference Frost, R. O., Heimberg, R. G., Holt, C. S., Mattia, J. L., & Neubauer, A. L. (1993). A comparison of two measures of perfectionism. Personality and Individual Differences, 14, 119–126. CrossRef Frost, R. O., Heimberg, R. G., Holt, C. S., Mattia, J. L., & Neubauer, A. L. (1993). A comparison of two measures of perfectionism. Personality and Individual Differences, 14, 119–126. CrossRef
go back to reference Gilkinson, H. (1942). Social fears reported by students in college speech classes. Speech Monographs, 9, 131–160. CrossRef Gilkinson, H. (1942). Social fears reported by students in college speech classes. Speech Monographs, 9, 131–160. CrossRef
go back to reference Heimberg, R. G., Salzman, D. G., Holt, C. S., & Blendell, K. A. (1993). Cognitive-behavioral group treatment for social phobia: effectiveness at five-year follow-up. Cognitive Therapy and Research, 17, 325–339. CrossRef Heimberg, R. G., Salzman, D. G., Holt, C. S., & Blendell, K. A. (1993). Cognitive-behavioral group treatment for social phobia: effectiveness at five-year follow-up. Cognitive Therapy and Research, 17, 325–339. CrossRef
go back to reference Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2010). A cognitive behavioral model of social anxiety disorder: Update and extension. In S. G. Hofmann & P. M. DiBartolo (Eds.), Social anxiety: Clinical, development, and social perspectives (pp. 396–422). San Diego: Academic. Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2010). A cognitive behavioral model of social anxiety disorder: Update and extension. In S. G. Hofmann & P. M. DiBartolo (Eds.), Social anxiety: Clinical, development, and social perspectives (pp. 396–422). San Diego: Academic.
go back to reference Hofmann, S. G., Newman, M. G., Ehlers, A., & Roth, W. T. (1995). Psychophysiological differences between subgroups of social phobia. Journal of Abnormal Psychology, 104, 224–231. CrossRefPubMed Hofmann, S. G., Newman, M. G., Ehlers, A., & Roth, W. T. (1995). Psychophysiological differences between subgroups of social phobia. Journal of Abnormal Psychology, 104, 224–231. CrossRefPubMed
go back to reference Juster, H. R., Heimberg, R. G., Frost, R. O., Holt, C. S., Mittia, J. I., & Faccenda, K. (1996). Social phobia and perfectionism. Personality and Individual Differences, 21, 403–410. CrossRef Juster, H. R., Heimberg, R. G., Frost, R. O., Holt, C. S., Mittia, J. I., & Faccenda, K. (1996). Social phobia and perfectionism. Personality and Individual Differences, 21, 403–410. CrossRef
go back to reference Kocovski, N. L., Endler, N. S., Rector, N. A., & Flett, G. L. (2005). Ruminative coping and postevent processing in social anxiety. Behaviour Research and Therapy, 43, 971–984. CrossRefPubMed Kocovski, N. L., Endler, N. S., Rector, N. A., & Flett, G. L. (2005). Ruminative coping and postevent processing in social anxiety. Behaviour Research and Therapy, 43, 971–984. CrossRefPubMed
go back to reference Laposa, J. M., Cassin, S. E., & Rector, N. A. (2010). Interpretation of positive social events in social phobia: an examination of cognitive correlates and diagnostic distinction. Journal of Anxiety Disorders, 24, 203–210. CrossRefPubMed Laposa, J. M., Cassin, S. E., & Rector, N. A. (2010). Interpretation of positive social events in social phobia: an examination of cognitive correlates and diagnostic distinction. Journal of Anxiety Disorders, 24, 203–210. CrossRefPubMed
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343. CrossRefPubMed Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343. CrossRefPubMed
go back to reference Lundh, L., & Öst, L. (2001). Attentional bias, self-consciousness and perfectionism in social phobia before and after cognitive-behaviour therapy. Scandinavian Journal of Behaviour Therapy, 30, 4–16. CrossRef Lundh, L., & Öst, L. (2001). Attentional bias, self-consciousness and perfectionism in social phobia before and after cognitive-behaviour therapy. Scandinavian Journal of Behaviour Therapy, 30, 4–16. CrossRef
go back to reference Mahoney, A. E. J., & McEvoy, P. M. (2012). Changes in intolerance of uncertainty during cognitive behavior group therapy for social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 43, 849–854. CrossRefPubMed Mahoney, A. E. J., & McEvoy, P. M. (2012). Changes in intolerance of uncertainty during cognitive behavior group therapy for social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 43, 849–854. CrossRefPubMed
go back to reference McEvoy, P. M., & Mahoney, A. E. J. (2011). Achieving certainty about the structure of intolerance of uncertainty in a treatment-seeking sample with anxiety and depression. Journal of Anxiety Disorders, 25, 112–122. CrossRefPubMed McEvoy, P. M., & Mahoney, A. E. J. (2011). Achieving certainty about the structure of intolerance of uncertainty in a treatment-seeking sample with anxiety and depression. Journal of Anxiety Disorders, 25, 112–122. CrossRefPubMed
go back to reference Mellings, T. M. B., & Alden, L. E. (2000). Cognitive processes in social anxiety: the effects of self-focus, rumination and anticipatory process. Behaviour Research and Therapy, 38, 243–257. CrossRefPubMed Mellings, T. M. B., & Alden, L. E. (2000). Cognitive processes in social anxiety: the effects of self-focus, rumination and anticipatory process. Behaviour Research and Therapy, 38, 243–257. CrossRefPubMed
go back to reference Paul, G. L. (1966). Insight vs desensitization in psychotherapy. Stanford: Stanford University Press. Paul, G. L. (1966). Insight vs desensitization in psychotherapy. Stanford: Stanford University Press.
go back to reference Perini, S. J., Abbott, M. J., & Rapee, R. M. (2006). Perception of performance as a mediator in the relationship between social anxiety and negative postevent rumination. Cognitive Therapy and Research, 30, 645–659. CrossRef Perini, S. J., Abbott, M. J., & Rapee, R. M. (2006). Perception of performance as a mediator in the relationship between social anxiety and negative postevent rumination. Cognitive Therapy and Research, 30, 645–659. CrossRef
go back to reference Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756. CrossRefPubMed Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756. CrossRefPubMed
go back to reference Shikatani, B., Antony, M. M., Kuo, J. R., & Cassin, S. E. (2014). The impact of cognitive restructuring and mindfulness strategies on postevent processing and affect in social anxiety disorder. Journal of Anxiety Disorders, 28, 570–579. CrossRefPubMed Shikatani, B., Antony, M. M., Kuo, J. R., & Cassin, S. E. (2014). The impact of cognitive restructuring and mindfulness strategies on postevent processing and affect in social anxiety disorder. Journal of Anxiety Disorders, 28, 570–579. CrossRefPubMed
go back to reference Terry-Short, L. A., Owens, R. G., Slade, P. D., & Dewey, M. E. (1995). Positive and negative perfectionism. Personality and Individual Differences, 18, 663–668. CrossRef Terry-Short, L. A., Owens, R. G., Slade, P. D., & Dewey, M. E. (1995). Positive and negative perfectionism. Personality and Individual Differences, 18, 663–668. CrossRef
go back to reference Wong, Q. J. J., & Moulds, M. L. (2009). Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals. Behaviour Research and Therapy, 47, 861–867. CrossRefPubMed Wong, Q. J. J., & Moulds, M. L. (2009). Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals. Behaviour Research and Therapy, 47, 861–867. CrossRefPubMed
go back to reference Wong, Q. J. J., & Moulds, M. L. (2010). Do socially anxious individuals hold positive metacognitive beliefs about rumination? Behavior Change, 27, 69–83. CrossRef Wong, Q. J. J., & Moulds, M. L. (2010). Do socially anxious individuals hold positive metacognitive beliefs about rumination? Behavior Change, 27, 69–83. CrossRef
Metagegevens
Titel
Examining the Role of Perfectionism and Intolerance of Uncertainty in Postevent Processing in Social Anxiety Disorder
Auteurs
Bethany Shikatani
Martin M. Antony
Stephanie E. Cassin
Janice R. Kuo
Publicatiedatum
12-09-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2016
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-015-9516-8