Interpersonal style and anxiety

Agoraphobic anxiety has been linked to traditional feminine sex role attitudes and related dyadic interactions. This research correlated measures of panic experience and agoraphobic anxiety with interpersonal style in a college student population. Significant positive correlations were observed between anxiety scores and the following interpersonal styles: submissive/deferent, self-effacing/obedient, mistrusting/cold, submissive, inhibited, and unassured. Results lend support to clinical reports that some individuals may develop agoraphobic symptoms as a result of the interaction of interpersonal style with relationship patterns.     

Rejection sensitivity prospectively predicts increased rumination

Converging research findings indicate that rumination is correlated with a specific maladaptive interpersonal style encapsulating submissive (overly-accommodating, non-assertive and self-sacrificing) behaviours, and an attachment orientation characterised by rejection sensitivity. This study examined the prospective longitudinal relationship between rumination, the submissive interpersonal style, and rejection sensitivity by comparing two alternative hypotheses: (a) the submissive interpersonal style and rejection sensitivity prospectively predict increased rumination; (b) rumination prospectively predicts the submissive interpersonal style and rejection sensitivity. Currently depressed (n = 22), previously depressed (n = 42) and never depressed (n = 28) individuals completed self-report measures assessing depressive rumination and key psychosocial measures of interpersonal style and behaviours, at baseline and again six months later. Baseline rejection sensitivity prospectively predicted increased rumination six months later, after statistically controlling for baseline rumination, gender and depression. Baseline rumination did not predict the submissive interpersonal style or rejection sensitivity. The results provide a first step towards delineating a potential casual relationship between rejection sensitivity and rumination, and suggest the potential value of clinical assessment and intervention for both rejection sensitivity and rumination in individuals who present with either difficulty.     

Submissive interpersonal style mediates the effect of brooding on future depressive symptoms

Theoretical models and empirical evidence suggest that brooding, the maladaptive sub-component of depressive rumination, is associated with a sub-set of depressogenic interpersonal difficulties characterised by submissive interpersonal behaviours and rejection sensitivity. This study tested whether these cognitive and interpersonal vulnerability factors independently predicted future depression and investigated their interdependence in predicting depression. A heterogeneous adult sample completed self-report measures assessing depressive symptoms, brooding, reflection, rejection sensitivity and maladaptive interpersonal behaviours, at baseline and six months later. When examined separately, brooding and an interpersonal component reflecting submissive, (overly-accommodating, non-assertive, and self-sacrificing) interpersonal behaviours each prospectively predicted increased depressive symptoms six months later, after controlling for baseline depressive symptoms and gender. When examined together, the submissive interpersonal style but not brooding predicted depression, indicating that this maladaptive interpersonal style may mediate the effect of brooding on future depression. Thus, the effects of brooding on depression may in part depend on its association with an interpersonal style characterised by submissiveness.     

Cognitive factors in panic disorder, agoraphobic avoidance and agoraphobia

There remains a lack of consensus regarding the possibility that especially high levels of panic-related cognitions characterise panic disorder with agoraphobia. We administered the Anxiety Sensitivity Index, the Agoraphobic Cognitions Questionnaire and the Anxious Thoughts and Tendencies Scale as well as measures of agoraphobic avoidance to patients diagnosed with panic disorder with agoraphobia (n=75) and without agoraphobia (n=26). Patients with panic disorder with agoraphobia did not score significantly higher on any of the cognitive variables than did panic disorder patients without agoraphobia. However, most of the cognitive variables showed small to moderate-strength correlations with self-report measures of agoraphobic avoidance. Our findings suggest that anxiety sensitivity, catastrophising of the consequences of panic and a general anxiety-prone cognitive style, although to some extent associated with agoraphobic avoidance, do not discriminate panic disorder with agoraphobia from panic disorder without agoraphobia.     

Interpersonal subtypes within generalized anxiety disorder

In this study, we addressed the heterogeneity in interpersonal problems across patients with generalized anxiety disorder (GAD). We assessed interpersonal problems by the Inventory of Interpersonal Problems (IIP-C; Horowitz, Alden, Wiggins, & Pincus, 2000) in a sample of 78 GAD patients. We used IIP-C profiles describing interpersonal characteristics of the total GAD sample as well as clustered GAD interpersonal subtypes. Although the overall sample was located in the friendly submissive quadrant of the circumplex model, this was true only for the Exploitable cluster, which includes more than 50% of the patients. Importantly, clusters of GAD patients with other locations reporting predominantly Cold, Nonassertive, or Intrusive interpersonal problems were also identified. The 4 clusters did not differ in terms of gender, comorbid disorders, or the severity of depression or anxiety. Thus, the assessment of interpersonal problems provides additional diagnostic information covering the heterogeneity of GAD patients. This information could be used for differential indication and individual case formulation in GAD.     

Social anxiety and fear of bodily sensations in panic disorder and agoraphobia: A matched comparison

This study tests the hypothesis that social anxiety and fear of bodily sensations are associated with the development of agoraphobic avoidance behavior in panic disorder patients. Twenty patients with panic disorder were compared to 20 patients with panic disorder with agoraphobia, matched by sex and duration of disorder. The two groups did not differ on measures of fear and frequency of assertive social responses. However, the agoraphobics scored higher on measures of interpersonal sensitivity, depression, feelings of inadequacy, and hostility. They also reported higher fear of bodily sensations. Although definitive conclusions need to be postponed until prospective studies have been conducted, there is evidence suggesting that the development of agoraphobia in panic patients is associated with hypersensitivity to bodily sensations and interpersonal situations.This research was supported by Grant 560-268-009 of the Dutch Organization for Scientific Research.     

Interpersonal cognitive self-focus as a function of neuroticism: Basal tendencies and priming effects

Self-focus is one mechanism that may account for the social-evaluative anxiety of individuals high in neuroticism. The present two studies (total N = 183) sought to cognitively model interpersonal self-focus. The cognitive task was a simple one in which participants simply categorized dyadic interpersonal pronouns, with reaction times as the dependent measure. When others engage us, the pronoun “me” refers to the other and the pronoun “you” refers to the self. Study 1 found a neuroticism by pronoun interaction on categorization time consistent with implicit interpersonal self-focus at high (but not low) levels of neuroticism establishing a basal tendency. Study 2 examined boundary conditions. Individuals high in neuroticism exhibited implicit self-focus particularly to the extent that they had been primed to think of themselves as submissive rather than dominant in their interpersonal interactions. Implications for understanding neuroticism, self-focus, and relationship functioning are discussed.     

Psychosocial correlates of depressive rumination

The study examined the relationship between brooding, the maladaptive sub-component of depressive rumination, an important cognitive mechanism implicated in the aetiology of depression, and a range of depressogenic psychosocial factors, including insecure attachment styles and maladaptive interpersonal behaviours. It was hypothesised that brooding (but not the more adaptive reflection component) is associated with an attachment pattern characterised by fear of rejection, and an interpersonal style characterised by submissiveness. Currently depressed (n = 29), previously depressed (n = 42) and never-depressed (n = 32) adults completed self-report measures assessing depressive symptoms, rumination (brooding and reflection), attachment orientation and maladaptive interpersonal behaviours. The study hypotheses were partially supported: After controlling for gender and depressive symptoms, brooding was significantly associated with one indicator of underlying rejection concerns (rejection sensitivity, p = .05), but was not associated with another indicator of underlying rejection concerns (anxious attachment style) or with avoidant attachment style. After controlling for depressive symptoms, brooding was uniquely associated with the submissive interpersonal style (p < .01). Brooding was not correlated with needy or cold interpersonal styles after controlling for depressive symptoms.     

Cross cultural evaluation of smokers risk for panic and anxiety pathology: a test in a Russian epidemiological sample

The present study evaluated the main and interactive effects of level of smoking (cigarettes per day) and anxiety sensitivity (fear of anxiety and anxiety related sensations) in predicting panic and anxiety variables in an epidemiologically-defined sample of smokers from Moscow (n=95). The combination of high levels of anxiety sensitivity and smoking predicted agoraphobic avoidance, but not frequency of panic attacks during the past week. These findings suggest anxiety sensitivity may moderate the relation between level of smoking and prototypical panic psychopathology variables (panic attacks and agoraphobic avoidance) even after controlling for the theoretically-relevant factors of alcohol abuse and negative affect.     

Psychological states and traits in female agoraphobics: A controlled study

Recent surveys on the psychology of agoraphobia point to the paucity of sound empirical studies addressing personality and symptomatology factors related to the disorder. In the present study, a sample of female agoraphobics was compared with control groups of nonphobic psychiatric and of nonpatient normal female Ss on a relatively large number of psychological state and trait measures. Besides scoring clearly higher than both groups of controls on agoraphobic symptoms, agoraphobics, as a group, scored significantly higher in terms of (a) anxiety, (b) certain components of depression, (c) interpersonal difficulties, (d) general psychological malaise, and (e) fears of bodily injury, illness, and death as well. Further, compared to both groups of controls, agoraphobics could be characterized by higher levels of (a) neuroticism, (b) seclusion (low on extraversion and sociability and showing greater tendencies toward isolating themselves from social contacts), (c) situational dependency (higher scores on a restrictive style of living), (d) passivity (greater hypoactivity), and (e) intropunitiveness (scores in more intropunitive than extrapunitive direction). The claim, frequently made in the clinical literature, that agoraphobics have dependent personalities was not confirmed.     

Interpersonal Negotiation Strategies in a Sample of Older Women

Suppressed anger resulting from poorly resolved interpersonal conflicts can increase morbidity. The current generation of older women may be particularly susceptible to morbidity caused by anger inhibition due to socialization to be submissive in interpersonal conflicts. For purposes of disease prevention, we asked 35 older women to describe an interpersonal conflict experienced recently, and how they responded to it. Data coding was based on Selman's model of interpersonal negotiation strategies, which has been used to assess the conflicts of children, adolescents, and young adults, but not older adults. We found that many participants used strategies in which they expressed their point of view in order to persuade the other person. Of those who were expressive, however, many ended up submitting to the other person's demands nonetheless. Thus, overall, most participants used submissive strategies. Conflicts with strangers and acquaintances were frequently reported, and reports included comments about feeling vulnerable. Stereotypic beliefs about age and health also emerged in reports, and seemed related to submissive responses. Our findings suggest that older women would benefit from training in constructive strategies for resolving interpersonal conflicts. Training efforts should reflect the ways in which stereotypic beliefs about age, health, and vulnerability may interfere with constructive strategy choice, and should emphasize the health benefits of constructively dealing with conflict.     

Negative cognitive style and looming cognitive style synergistically predict stress generation

There is a growing body of evidence that suggests that cognitive vulnerabilities to depression or anxiety may lead individuals to generate negative interpersonal life events. However, there has been no study to date that examines the effects of co-occurring vulnerabilities to depression and anxiety. In a sample of 304 participants, we examined the potential interaction of co-occurring negative cognitive style, a vulnerability to depression and looming cognitive style, vulnerability to anxiety. Results indicate that co-occurring cognitive vulnerabilities synergistically predict higher levels of negative interpersonal life events six weeks later, even when controlling for initial levels of stressful life events and symptoms of depression and anxiety. Thus, co-occurring vulnerabilities may have stronger stress generating effects than would be expected from the additive effects of each vulnerability considered separately. This finding highlights the importance of examining cognitive vulnerabilities as interactive effects rather than as individual vulnerabilities.     

The Agoraphobia Scale: an evaluation of its reliability and validity

This article presents the Agoraphobia Scale (AS), and evidence for its reliability, validity, and sensitivity to change after treatment. The scale consists of 20 items depicting various typical agoraphobic situations, which are rated for anxiety/discomfort (0-4) and avoidance (0-2). The results show that AS has high internal consistency. Regarding concurrent validity it correlated significantly with other self-reported measures of agoraphobia (Mobility Inventory and Fear Questionnaire). The scale's predictive validity was shown as it correlated with avoidance behavior and self-rated anxiety during both an individualized and a standardized behavioral test of agoraphobia. The AS also discriminated between an agoraphobic sample and a normal sample, and a sample of simple phobia patients. Finally, it was sensitive to changes after behavioral treatment. The AS is useful both as a state, and as an outcome self-report measure of agoraphobia.     

Habituation of subjective anxiety during flooding in imagery

Patterns of habituation of subjective anxiety during flooding in fantasy are delineated for eleven obsessive-compulsive and six agoraphobic patients. The majority showed a curvilinear pattern of subjective anxiety response, while three patients showed a linear decelerating pattern. Habituation was found both within and across sessions. The results are compared with habituation patterns in physiological responses during flooding in fantasy and in vivo.     

Body posture and interpersonal perception in a dyadic interaction: A Big Two analysis

Body posture influences feelings about the self, but little is known about its impact on social cognition more generally. We apply the Big Two framework (Agency/Competence, Communion/Warmth) and study how body posture influences interpersonal perception in a dyadic interaction. In three experiments, we studied dyads with different body postures (Exps. 1 and 2: expanded/restricted; Exp. 3: expanded/neutral). Dyad members worked on a joint task, and rated self and other. Findings showed that participants in an expanded posture rated the self higher and the other lower on agency, whereas those in a submissive (or neutral) posture rated the self lower and the other higher on agency. In Experiment 2, participants in a submissive posture also rated their communion lower. Results are important both for the impact of body posture on interpersonal perception and for context effects in the relationship of Agency versus Communion ratings of self and others.     

The relationship between interaction patterns and agoraphobic fears among college students

In the present study, we investigated the relationships between self-reports of agoraphobic-like anxiety (fear of open, crowded places), panic experiences, childhood separation anxiety, and family interaction patterns in a college student population. The research was conducted in two parts. Correlational analyses of the results of Study 1 revealed significant relationships between anxiety, difficulties in managing life transitions, and measures of family interaction (intergenerational and peer individuation, intergenerational and peer intimacy) as measured by the Personal Authority in the Family System (Questionnaire (Williamson, Bay, Harvey, & Malone, 1985). In Study 2, we observed significant correlations between agoraphobic anxiety and measures of childhood separation anxiety, state and trait anxiety, and patterns of family enmeshment. The results were interpreted in the context of a broad perspective, which includes the role of developmental and interactional variables in the onset and maintenance of agoraphobic anxiety.     

Interpersonal attachment predicts identification with groups

We propose a model documenting the relationship between interpersonal attachment style and identification with groups. We hypothesized that following threat to a romantic interpersonal relationship higher attachment anxiety would be associated with lowered tendencies to identify with groups. In two studies using varied social groups we observed support for this hypothesis. In Experiment 1 we found that participants higher in attachment anxiety identified less with a salient ingroup after imagining a distressing argument with their romantic partner. In Experiment 2 we replicated these findings using an implicit measure of social identification and additionally observed a moderating role for attachment avoidance. We discuss the implications of these findings for theoretical models of interpersonal attachment and social identification.     

“Digging in” or “Giving in”: Attachment-related threat moderates the association between attachment orientation and reactions to conflict

Prior research suggests that individuals higher in attachment anxiety react to conflict in a more hostile manner than those lower in attachment anxiety. Although less pronounced, there is also evidence that attachment anxiety is associated with submissive behavior in conflict. Thus, the literature presents a paradox, as attachment anxiety is associated with both domineering and submissive responses to relationship conflict. We proposed that attachment-related threat moderates the effects of attachment orientations on conflict behavior, such that under conditions of low threat attachment anxiety would be associated with dominance, whereas under conditions of high threat attachment anxiety would be associated with submission. Further, we expected that this interaction between attachment anxiety and threat condition would be stronger for individuals lower in attachment avoidance, relative to those higher in avoidance. We found support for our hypotheses, such that attachment anxiety, attachment avoidance, and threat interacted to predict responses to relationship conflict.     

An Interpersonal Analysis of Adult Attachment Style: Circumplex Descriptions, Recalled Developmental Experiences, Self-Representations, and Interpersonal Functioning in Adulthood

Previous research suggests that the structure of adult attachment is dimensional, but the specific dimensions remain unclear. Given its relational nature, studies should examine attachment structure in association with conceptually related interpersonal constructs. The interpersonal model ( Kiesler, 1996 ) provides an integrative framework to examine this structure and associations between dimensions of attachment security (i.e., Anxiety and Avoidance) and: 1) the dimensions of the interpersonal circumplex, 2) the five‐factor model of personality, 3) recollections of mothers and fathers, and 4) current self‐processes and adult social functioning. In two samples of undergraduates, the Anxiety and Avoidance dimensions were associated with a hostile‐submissive interpersonal style. Canonical correlation analyses revealed that dimensions representing combinations of Anxiety and Avoidance, and roughly corresponding to the dimensions from Secure (i.e., low Anxiety and Avoidance) to Fearful (i.e., high Anxiety and Avoidance) attachment and from Preoccupied (i.e., high Anxiety and low Avoidance) to Dismissive (i.e., low Anxiety and high Avoidance) attachment related to the interpersonal constructs. The Secure to Fearful dimension (i.e., overall attachment security) seemed to share relatively more variance with the interpersonal constructs. These dimensions were associated with theoretically consistent characteristics, recollections of early experiences with parents, self‐representations, and social functioning.     

Flux, pulse, and spin: dynamic additions to the personality lexicon

Personality constructs were proposed to describe intraindividual variability in interpersonal behavior. Flux refers to variability about an individual's mean score on an interpersonal dimension and was examined for the 4 poles of the interpersonal circumplex. Pulse and spin refer to variability about an individual's mean extremity and mean angular coordinate on the interpersonal circumplex. These constructs were measured using event-contingent recording. Latent state-trait analyses indicated high stability of flux in submissive, agreeable, and quarrelsome behaviors and some stability in the flux of dominance. Further analyses indicated moderate to high stability in pulse and spin. Neuroticism predicted greater pulse, spin, and submissive behavior flux. Extraversion predicted greater flux in agreeable behavior. In contrast, Agreeableness predicted reduced spin and quarrelsome behavior flux. Social environmental variables predicted greater flux in dominant behavior. Flux, pulse, and spin provide reliable and distinctive additions to the vocabulary for describing individual differences.