The effects of cognitive load on attention control in subclinical anxiety and generalised anxiety disorder

Poor regulation of emotions may involve impaired attention control. In the current paper, we report the results of two studies examining the interaction of anxiety, attention control and cognitive load. In Study I, using a performance-based task to assess attention control, we examined whether anxiety is associated with impaired attention control, and whether these effects are influenced by working memory load. In Study II, we examined these effects in patients with a diagnosis of generalised anxiety disorder (GAD) compared to non-anxious control (NAC) participants. Results of Study I showed that high anxiety was associated with increased attention control, that is decreased interference from distractors, but only under high cognitive load. These results were replicated in Study II such that individuals with GAD showed increased attention control relative to NACs, but only under high cognitive load. These results help clarify previous predictions regarding the effect of anxiety on attention control.     

Interpretation bias and social anxiety: does interpretation bias mediate the relationship between trait social anxiety and state anxiety responses?

Two studies aimed to examine whether high socially anxious individuals are more likely to negatively interpret ambiguous social scenarios and facial expressions compared to low socially anxious individuals. We also examined whether interpretation bias serves as a mediator of the relationship between trait social anxiety and state anxiety responses, in particular current state anxiety, bodily sensations, and perceived probability and cost of negative evaluation pertaining to a speech task. Study 1 used ambiguous social scenarios and Study 2 used ambiguous facial expressions as stimuli to objectively assess interpretation bias. Undergraduate students with high and low social anxiety completed measures of state anxiety responses at three time points: baseline, after the interpretation bias task, and after the preparation for an impromptu speech. Results showed that high socially anxious individuals were more likely to endorse threat interpretations for ambiguous social scenarios and to interpret ambiguous faces as negative than low socially anxious individuals. Furthermore, negative interpretations mediated the relationship between trait social anxiety and perceived probability of negative evaluation pertaining to the speech task in Study 1 but not Study 2. The present studies provide new insight into the role of interpretation bias in social anxiety.     

Development of a Brief Version of the Social Anxiety – Acceptance and Action Questionnaire

The Social Anxiety – Acceptance and Action Questionnaire (SA-AAQ; MacKenzie and Kocovski 2010) is a 19-item self-report measure designed to assess acceptance and action specific to social anxiety symptoms. The present research was designed to evaluate an abbreviated version of the SA-AAQ. This abbreviated scale was confirmed using an undergraduate sample (N = 148) in Study 1 and a clinical sample of individuals with social anxiety disorder in Study 2 (N = 137). Results indicated that an eight-item, two-factor model (acceptance and action) provided a good fit for the Brief SA-AAQ in both samples. Finally, we also found preliminary evidence in support of the convergent, discriminant/divergent, and incremental validity of the shortened scale. The Brief SA-AAQ shows promise as a useful and brief tool for the measurement of acceptance of social anxiety symptoms in socially anxious populations.     

Preliminary Psychometric Evidence for Distinct Affective and Cognitive Mechanisms Mediating Contamination Aversion

Contamination aversion is implicated in a range of psychological disorders, such as obsessive-compulsive disorder and health anxiety. Despite broad implications, the core mechanisms mediating contamination aversion are mixed and have not clearly been elucidated. The present studies are psychometric investigations of the components of contamination aversion and tests of the different mechanisms that mediate the severity of these components. In Study 1, items from existing measures of contamination aversion were compiled into one measure and administered to a large sample of nonclinical participants (N?=?1,286). Exploratory factor analyses demonstrated a two-factor structure, with one factor comprised of items related to intrinsically (direct) contaminated objects and the other factor comprised of items related to extrinsically (indirect) contaminated objects. In Study 2, items were added and confirmatory factor analyses supported a two-factor model in another large nonclinical sample (N?=?612). In Study 3 (N?=?471), structural modeling demonstrated distinct relations between the two factors and affective and cognitive constructs. Affective constructs related more to aversions toward more directly contaminated objects and situations while cognitive constructs related more to aversions toward more indirectly contaminated objects and situations. The present studies help clarify and articulate the unique roles of cognition and affect in specific contamination aversions, and, as such, have important implications for conceptual modeling of contamination-related psychopathology.     

The relationship of self-talk frequency to communication apprehension and public speaking anxiety

This research examines how self-talk is related to the nature and prevalence of communication apprehension and public speaking anxiety. In Study 1, we examined the relationship between general communication apprehension (CA) and the frequency and nature of general self-talk. Results showed that higher CA scores were associated with more frequent self-critical self-talk than lower CA scores. In Study 2, we examined how self-talk pertaining to the preparation for an upcoming speech related to public speaking anxiety. Results showed that self-critical and social-assessing self-talk were positively related to people’s anxiety scores, whereas self-reinforcing self-talk was negatively associated with their anxiety. Implications of these results for the management of public speaking anxiety are discussed.     

Perfectionism: A contributor to social anxiety and its cognitive processes

The present study aimed to examine how perfectionism is contributing to social anxiety and its cognitive processes of post‐event rumination and self‐perception of performance following a speech task. Forty‐eight undergraduate students completed measures of perfectionism and trait social anxiety prior to performing a 3‐min impromptu speech task. Immediately following the speech task, participants rated their state anxiety and self‐perception of performance, and 24 hr later, their level of post‐event rumination was measured. Structural equation modelling revealed that perfectionism, in the form of socially prescribed perfectionism and doubts about actions, directly influences trait social anxiety, and indirectly influences post‐event rumination and self‐perception of performance through its relationship with trait social anxiety and state anxiety. This is the first study to investigate how perfectionism is contributing to social anxiety and its cognitive processes. The findings of this study provide evidence in support of the potential predictive role of perfectionism in social anxiety.     

The Moderating Role of Anxiety in the Associations of Callous-Unemotional Traits with Self-Report and Laboratory Measures of Affective and Cognitive Empathy

In a sample of detained male adolescents (n = 107; Mean age = 15.50; SD = 1.30), we tested whether anxiety moderated the association of CU traits with self-report and computerized measures of affective (emotional reactivity) and cognitive (affective facial recognition and Theory of Mind [ToM]) empathy. Hierarchical regression analyses revealed that CU traits were negatively associated with self-reports of affective empathy and this association was not moderated by level of anxiety. Significant interactions revealed that CU traits were negatively associated with cognitive empathy (self-report) only at high levels of anxiety, whereas CU traits were positively associated with cognitive empathy on the ToM task only at low levels of anxiety. CU traits were also associated with greater fear recognition accuracy at low levels of anxiety. Implications for understanding and treating different variants of CU traits (i.e., primary and secondary) are discussed.     

The structure of the State Hope Scale

The present research aimed to examine the factorial structure of the State Hope Scale (SHS). In Study 1, using confirmatory factorial analyses, two factorial structures were contrasted: a single-factor mode (representing a general hope construct) and a second-order factor model (with general hope characterized by agency and pathways). Results revealed that the two-factor model was more likely to be replicated. Furthermore, invariance analyses revealed that the two-factor structure applied equally across age groups and gender. In Study 2, the factorial structure of the SHS was evaluated again. Once more, results confirmed the superiority of the two-factor model. In addition, hope was positively linked to mental health.     

The heart of control: Proactive cognitive control training limits anxious cardiac arousal under stress

Research and theory suggest that anxious people employ cognitive control on a relatively late and transient basis. This tendency may impair emotion regulation that depends on early, persistent implementation of cognitive control. We examined whether anxious people could be trained to apply cognitive control proactively (i.e., in advance of goal-related action) and whether such training limited anxiety’s rise during stress. In Study 1, 96 high trait-anxious participants completed proactive or reactive training followed by the Trier Social Stress Test (TSST) with measurement of subjective anxiety, heart rate, and skin conductance level (SCL). In Study 2, 59 high trait-anxious participants completed a proactive or no-instruction training for 4 days and then completed the TSST. For Study 2 but not Study 1, the proactive versus control training was associated with lower stress-related increases in subjective anxiety and heart rate, but not sympathetically mediated SCL. Exercising proactive control may leverage the parasympathetic nervous system to inhibit the escalation of anxious arousal during stress.     

Predictive validity of an Implicit Association Test for assessing anxiety

The Implicit Association Test (IAT) was adapted to measure anxiety by assessing associations of self (vs. other) with anxiety-related (vs. calmness-related) words. Study 1 showed that the IAT-Anxiety exhibited good internal consistency and adequate stability. Study 2 revealed that the IAT-Anxiety was unaffected by a faking instruction. Study 3 examined the predictive validity of implicit and explicit measures and showed that the IAT-Anxiety was related to changes in experimenter-rated anxiety and performance decrements after failure. Study 4 found that several behavioral indicators of anxiety during a stressful speech were predicted by the IAT. Taken together, these studies show that the IAT-Anxiety is a reliable measure that is able to predict criterion variables above questionnaire measures of anxiety and social desirability.     

Psychometric Properties of the Anticipatory Social Behaviours Questionnaire

Relative to other components of Clark and Wells’ (1995) model, anticipatory processing has been understudied, despite research that suggests that anticipatory processing may maintain social anxiety through mechanisms such as increased anxiety, negative memory biases, and other negative consequences. Anticipatory processing has only been examined as a unitary process, with no efforts examining the underlying structure of this process. The purpose of the current study was to examine the factor structure of the Anticipatory Social Behaviours Questionnaire (ASBQ, Hinrichsen and Clark Journal of Behavior Therapy and Experimental Psychiatry, 34, 205–218, 2003) and identify relationships between the measure’s factors and other constructs of social anxiety. Study 1 (N?=?861) used exploratory factor analysis and concluded that a two-factor model (Avoidance and Preparation) was the best conceptualization of anticipatory processing. Study 2 confirmed the two factor model in a separate sample (N?=?485) and demonstrated the superiority of the two-factor model over a unitary model. Results of Study 3 suggested that, with a sample of high-socially-anxious undergraduates (N?=?59), the Avoidance factor was more maladaptive than the Preparation factor. Results are discussed in the context of the anticipatory processing literature and future directions are proposed.     

Shame as a predictor of post-event rumination in social anxiety

Evidence shows that people with high social anxiety levels ruminate about distressing social events, which contributes to the maintenance of social anxiety symptoms. The present study aimed to explore the role of shame in maintaining post-event rumination (PER) following a negative social event (an impromptu speech with negative feedback) in a student sample (N?=?104). Participants reported negative rumination related to the event one day and one week after the speech. PER measured one day after the speech was not associated with social anxiety symptoms and state anxiety. One week later, participants with clinically relevant social anxiety symptoms experienced greater PER. State shame was the only significant predictor of PER in a regression equation that also included social anxiety symptoms, state anxiety and self-evaluation of performance. Possible explanations and implications are discussed in light of cognitive models of social anxiety.     

Differential relationships of somatic and cognitive anxiety with measures of processing speed in older adults

Research suggests a reciprocal relationship between late-life anxiety and cognition, particularly attention and executive functions. Whereas evidence supports a conceptual distinction between cognitive and somatic dimensions of anxiety, their differential relationship with cognitive outcomes has not been examined, particularly on tests of attention/executive functions that rely on processing speed. Study goals were threefold: (a) to describe levels of overall, cognitive, and somatic anxiety in a sample of older adults without dementia, (b) to determine if overall anxiety is associated with performance on select measures of attention/executive functions that rely on processing speed, and (c) to determine if a differential relationship exists between cognitive and somatic anxiety and cognitive performance. Participants were 368 community-dwelling older adults. Results showed that elevated levels of somatic, but not cognitive anxiety were associated with poorer performance across measures. Findings suggest that the nature of anxiety symptoms may have important implications for cognitive performance in older adults.     

Social Anxiety is Associated with a Negatively Distorted Perception of One's Own Voice

According to cognitive models of social anxiety, negatively distorted self-images have a central role in the development and maintenance of social anxiety. In the present study, the relationship between social anxiety and the perception of one's own voice was investigated in a sample of 17 undergraduate students. The participants were asked to recount a story aloud in front of a tape recorder, and then to rate their voice characteristics on a Voice Evaluation Questionnaire. Independent observers (speech therapy students) were then asked to listen to the tape recordings and to rate the participants' voice characteristics on an equivalent version of the Voice Evaluation Questionnaire. Two hypotheses were contrasted: a skill deficits hypothesis and a cognitive distortion hypothesis. The results supported the cognitive distortion hypothesis. A high level of social performance anxiety was associated with an underestimation of one's voice qualities, compared with the independent observers. It is suggested that sound-tape feedback with cognitive preparation should be tested as a method for correcting the negatively distorted voice perception that is associated with social anxiety.     

A Self-Modeling Intervention for High School Students with Public Speaking Anxiety

ABSTRACT

The study investigated the effectiveness of self-modeling as an intervention for public speaking anxiety. The participants were six high school students with elevated levels of self-reported public speaking anxiety. Students presented public speeches to randomly selected peer audiences. Direct observations measured the behavioral manifestations of public speaking anxiety. In the intervention phase, students viewed self-modeling videotapes that were edited to remove speech dysfluencies and behavioral symptoms of speech anxiety. The self-modeling tapes depicted only adaptive, exemplary behavior with an edited-in audience feature making it appear that the students were producing a fluent speech to an audience of their peers. All of the participants evidenced substantial decreases in behavioral symptoms of speech anxiety and these changes were maintained throughout follow-up. The range of the participants' effect sizes was 2.7 to 4.9. Self-report measures of state anxiety and confidence as a speaker were used to assess additional effects of treatment. For all participants, there were also substantial decreases in self-reported public speaking anxiety and state anxiety from baseline to follow-up. A post-treatment interview revealed high social validity and self-reported generalization of treatment.     

Anxiety‐induced performance catastrophes: Investigating effort required as an asymmetry factor

Two studies are reported that test the hypothesis that previous support for the cusp catastrophe model of anxiety and performance, and the hysteresis effect in particular, could have been due to a complex interaction between cognitive anxiety and effort required rather than between cognitive anxiety and physiological arousal. We used task difficulty to manipulate effort required in a letter transformation task. Experiment 1 (N=32) used high levels of trait anxiety together with a competitive environment to induce state anxiety. Experiment 2 (N=20) used a competitive environment with social pressure and ego threat instructions to induce high levels of worry. Both studies revealed significant three‐way interactions as hypothesized with follow‐up tests showing some support for the hysteresis hypothesis in Study 1, and strong support for the hysteresis hypothesis in Study 2. The findings support a processing efficiency theory explanation of anxiety‐induced performance catastrophes and indicate that two cusp catastrophe models of performance may exist; one that incorporates the interactive effects of cognitive anxiety and physiological arousal upon performance and the other that incorporates the interactive effects of cognitive anxiety and effort required upon performance.     

Self-reported cognitive failures and neurotic symptomatology

Three studies examined the Cognitive Failures Questionnaire (CFQ) and its psychopathological correlates. In Study 1, the psychometric qualities of the Dutch translation of the CFQ were evaluated in a student sample. Internal consistency and test-retest stability were found to be satisfactory. Furthermore, CFQ was positively correlated with anxiety symptoms, even when the influence of traditional trait variables (i.e., neuroticism and trait anxiety) was partialled out. Study 2 examined the CFQ as a predictor of treatment outcome in spider phobia. No evidence was found to suggest that high CFQ scores are associated with a less favourable treatment outcome. Also, spider phobics had CFQ scores in the normal range. Study 3 evaluated the CFQ in a mixed sample of anxiety disordered and depressive outpatients. Depressive patients, but not anxiety disordered patients, were found to have heightened CFQ scores. Overall, CFQ scores were positively associated with symptom severity. Yet, there were no indications that patients with high CFQ scores profit less from treatment than those with low CFQ scores. Taken together, the results provide support for the view that the CFQ taps daily cognitive routines that are undermined by anxiety and depression. However, the findings do not point to the CFQ being a cognitive vulnerability measure that is related to treatment success.     

Vengefully ever after: destiny beliefs, state attachment anxiety, and forgiveness

Two studies examined how destiny beliefs (that potential relationships are or are not "meant to be") interact with state attachment anxiety to predict forgiveness tendencies. In Study 1, participants experienced an experimental manipulation of attachment anxiety (vs. security) before indicating the degree to which they would forgive a series of hypothetical partner offenses. In Study 2, participants reported every 2 weeks for 6 months (14 waves in total) on offenses enacted by their partner and indicated the degree to which they forgave the partner, both concurrently and 2 weeks later. Consistent with predictions, results revealed Destiny Beliefs x State Attachment Anxiety interaction effects: Strong (relative to weak) destiny beliefs predicted reduced forgiveness tendencies for individuals experiencing state attachment anxiety, but such beliefs were not associated with forgiveness for individuals experiencing state attachment security. Results from Study 2 suggest that this interaction effect was significantly mediated through trust in the partner.     

The structural relationships among generalized anxiety, obsessions-compulsions, and depression at the syndrome and sub-syndrome level

This study explored anxiety's relationship to depression by assessing a group of 592 undergraduate psychology students at Washington State University. Multiple measures of generalized anxiety (GA), obsessions–compulsions (O–C), and depression were used to conduct several confirmatory factor analyses (CFAs). A three-factor model of GA, O–C, and depression was found superior in fit to a one-factor “negative-affect” model, a two-factor model of anxiety and depression, and a second-order three-factor model. Further CFAs divided GA, O–C, and depression into six independent symptom category factors utilizing instrument subscales (e.g., worry, somatic anxiety, obsessions, compulsions, cognitive depression, and somatic depression). The fit for this model was superior to three alternative measurement models. The correlations among the six symptom category constructs revealed differential patterns among the cognitive and somatic symptoms.     

Development and Evaluation of the Anxiety Disorder Diagnostic Questionnaire

A model of anxiety that emphasizes a single common pathology across diagnostic categories is gaining support and influencing nosological and treatment approaches of anxiety disorders. As research in this area continues to grow, a need exists for an assessment tool of the theorized single anxiety pathology that is unbiased toward any particular anxiety diagnosis. The Anxiety Disorder Diagnostic Questionnaire (ADDQ) was developed as a screening tool for the presence of clinical fear and anxiety irrespective of diagnoses. It is a brief four-section index developed to assess fear, anxiety/worry, escape/avoidance behaviors, physiological symptoms, and associated distress and interference. The ADDQ was tested for reliability and validity in two samples: 146 undergraduate students who were given the ADDQ along with a variety of other commonly-used measures of anxiety and 94 outpatients representing a mix of diagnoses (28.2% panic disorder with or without agoraphobia, 44.6% social anxiety disorder, 20.7% generalized anxiety disorder, 3.3% anxiety disorder not otherwise specified, 2.1% obsessive–compulsive disorder, and 1.1% posttraumatic stress disorder). Internal consistency of the instrument was strong, and a one- or two-factor solution was found to be the best fit to the data. Convergent and discriminant validity was also demonstrated. Data from those clinical participants who completed a manualized cognitive–behavioral treatment program indicated a very strong concordance between change on the ADDQ and change in clinician severity ratings from a structured diagnostic interview. The findings offer support for the psychometric validity of the ADDQ in both clinical and nonclinical populations.