Multimodal Comparisons of Social Phobia Subtypes and Avoidant Personality Disorder
Section snippets
Participants
Participants consisted of 41 outpatients (23 females) who presented at a university-based Psychological Services Center. The mean age of the sample was . Thirty-eight patients were Caucasian, 1 was Latino American, 1 was African American, and 1 was Asian American. Individuals who were included as subjects received a principal diagnosis of social phobia. Diagnoses were assigned according to DSM-III-R (American Psychiatric Association, 1987) criteria based on
Data Processing and Analysis
All 41 participants completed the initial verbal report assessment and had the opportunity to perform in the BATs; therefore, the analysis of initial verbal report data and avoidance/escape behavior included 41 participants. Ten participants, however, completely avoided (i.e., declined) the speech BAT (although none completely avoided the conversation BAT), and equipment failure occurred during one participant’s BAT performance. Thus, the analysis of psychophysiological, skill rating, and
Discussion
The present study utilized a comprehensive, multimodal, and multimethod assessment to compare the behavioral, cardiac, and verbal responses of patients with circumscribed speech phobia, generalized social phobia without APD, and generalized social phobia with APD. Overall, greater psychopathology was found in the generalized social phobia groups compared to the circumscribed speech phobia group. More differences, however, were seen between persons with circumscribed speech phobia and those with
Acknowledgements
This study was supported in part by an award from the Oklahoma Center for the Advancement of Science and Technology (OCAST no. HRO-023) to Daniel W. McNeil.
Some of these data were presented at the meetings of the Association for the Advancement of Behavior Therapy, Boston, MA (November, 1992), the Southwestern Psychological Association, Austin, TX (April, 1992), and Corpus Christi, TX (April, 1993). The present data are part of as a larger project; other current publications from it include
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2012, Behaviour Research and TherapyCitation Excerpt :Consistently, giving a speech or engaging in a conversation have been used most frequently as behavioral tests. Yet, direct comparisons between these two prototypical situations with regard to the triggered anxiety response are sparse and suffer from small sample size (Boone et al., 1999). Whether or not such prototypical social situations differ in the amount of PEP they may elicit is not clear.
- 1
Martin L. Boone and Daniel W. McNeil are presently at West Virginia University, Morgantown, WV.
- 2
Carrie L. Masia is presently at Columbia University, New York, NY.
- 3
Cynthia L. Turk is presently at Temple University, Philadelphia, PA.
- 4
Leslie E. Carter is presently at Northwest Occupational Medicine Center, Portland, OR.
- 5
Barry J. Reis is presently at Minnesota State University, Mankato, MN.
- 6
Michael R. Lewin is presently at the University of California, San Bernadino, CA.