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Physical Appearance Anxiety Impedes the Therapeutic Effects of Video Feedback in High Socially Anxious Individuals

Published online by Cambridge University Press:  15 January 2013

Elizabeth M. J. Orr  and
David A. Moscovitch
Elizabeth M. J. Orr*
Affiliation:
University of Waterloo, Ontario, Canada
David A. Moscovitch
Affiliation:
University of Waterloo, Ontario, Canada
*
Reprint requests to Elizabeth Orr, Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, CanadaN2L 3G1. E-mail: eorr@uwaterloo.ca
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Abstract

Background: Video feedback (VF) interventions effectively reduce social anxiety symptoms and negative self-perception, particularly when they are preceded by cognitive preparation (CP) and followed by cognitive review. Aims: In the current study, we re-examined data from a study on the efficacy of a novel VF intervention for individuals high in social anxiety to test the hypothesis that physical appearance anxiety would moderate the effects of VF. Method: Data were analyzed from 68 socially anxious participants who performed an initial public speech, and were randomly assigned to an Elaborated VF condition (VF plus cognitive preparation and cognitive review), a Standard VF condition (VF plus cognitive preparation) or a No VF condition (exposure alone), and then performed a second speech. Results: As hypothesized, when appearance concerns were low, both participants who received Elaborated and Standard VF were significantly less anxious during speech 2 than those in the No VF condition. However, when levels of appearance concern were high, neither Elaborated nor Standard VF reduced anxiety levels during speech 2 beyond the No VF condition. Conclusions: Results from our analog sample suggest the importance of tailoring treatment protocols to accommodate the idiosyncratic concerns of socially anxious patients.

Keywords

Social anxietyself-perceptionvideo feedbackphysical appearancecognitive behavioral therapy
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 1 , January 2014 , pp. 92 - 104
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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