Implicit self-esteem and social anxiety: differential self-favouring effects in high and low anxious individuals

This study was designed to investigate the role of negative self-image in social phobia. Participants were 19 high and 19 low socially anxious women. Because self-report measures of self-esteem are sensitive to self-presentation and impression management strategies, an implicit association test (IAT) was used to assess participants' self-esteem as well as their general evaluation of others ('other-esteem'). Socially anxious women displayed relatively low levels of self-esteem on self-report measures. However, at the implicit level, low and high anxious women were characterised by a similar, highly positive self-image. Both groups displayed a relatively low 'other-esteem'. Yet, this self-favouring effect was considerably weaker in high than in low anxious participants. The results provide no unequivocal support for the idea that low self-esteem plays an important role in social anxiety. Yet, rather than by low self-esteem per se, socially anxious people are characterised by a small discrepancy between esteem of self and others, and it may be this reduced tendency to self-favouring that is pivotal to social anxiety.     

Automatic processing of pain: the change of implicit pain associations after psychotherapy

This study explores the utility of a pain IAT for the assessment of dysfunctional cognitive beliefs in chronic pain patients before and after a cognitive behaviour therapy. A patient group suffering from chronic pain (N=25) treated with a 4-week cognitive behavioural psychotherapy is compared with an untreated healthy control group (N=27) at two points in time. In addition, both groups completed a self-esteem questionnaire (Rosenberg-scale) and a self-esteem IAT. In the clinical group a questionnaire assessing self-reported pain cognitions was administered. The pain IAT was able to differentiate between chronic pain patients and healthy controls before the treatment. Most important, pain-related implicit associations could be shown to change over the course of treatment in the clinical group of chronic pain patients. Results provide first evidence for an application of the IAT in chronic pain research.     

What does the implicit association test measure? A test of the convergent and discriminant validity of prejudice-related IATs

Drawing on recent criticism of the Implicit Association Test (IAT), the present study tested the convergent and discriminant validity of two prejudice-related IATs to corresponding explicit prejudice measures in a German student sample (N = 61). Confirming convergent validity, (a) an IAT designed to assess negative associations related to Turkish people was significantly related to the explicit endorsement of prejudiced beliefs about Turkish people, and (b) an IAT designed to assess negative associations related to East Asians was significantly related to explicit prejudice against East Asians. Moreover, confirming discriminant validity, (c) the Asian IAT was unrelated to the explicit endorsement of prejudiced beliefs about Turkish people, and (d) the Turkish IAT was unrelated to explicit prejudice against Asian people. These results further corroborate the assumption that the IAT is a valid method to assess the strength of evaluative associations in the domain of prejudice and stereotypes.     

Reactions to the implicit association test as an educational tool: A mixed methods study

We examined reactions to the Race Implicit Association Test (IAT), which has been widely used but rarely examined as an educational tool to raise awareness about racial bias. College students $(N=172)$ were assigned to read that the IAT reflected either personal beliefs or both personal and extrapersonal factors (single vs. multiple explanation conditions). They then completed the IAT and quantitative measures of affect, attitudes, and belief in bias. A subset of participants $(n=32)$ also wrote reaction papers, which were used to develop qualitative themes to more fully describe reactions to the IAT. Quantitative results revealed that participants with a stronger implicit preference for European Americans more strongly believed in implicit bias in the multiple (vs. single) explanation condition. Mixed methods analyses using data transformation and typology development indicated that participants whose qualitative IAT responses were more negative were subsequently more likely to help an African American.     

Assessment of Implicit Health Attitudes: A Multitrait–Multimethod Approach and a Comparison Between Patients With Hypochondriasis and Patients With Anxiety Disorders

Two adaptations of the Implicit Association Task were used to assess implicit anxiety (IAT–Anxiety) and implicit health attitudes (IAT–Hypochondriasis) in patients with hypochondriasis (n = 58) and anxiety patients (n = 71). Explicit anxieties and health attitudes were assessed using questionnaires. The analysis of several multitrait–multimethod models indicated that the low correlation between explicit and implicit measures of health attitudes is due to the substantial methodological differences between the IAT and the self-report questionnaire. Patients with hypochondriasis displayed significantly more dysfunctional explicit and implicit health attitudes than anxiety patients, but no differences were found regarding explicit and implicit anxieties. The study demonstrates the specificity of explicit and implicit dysfunctional health attitudes among patients with hypochondriasis.     

焦虑性神经症的认知和躯体感觉研究

从Ｓｃｈａｃｈｔｅｒ的二因素理论和Ｂｅｃｋ的认知模式观点出发,采用信念量表、广场恐怖认知问卷、躯体感觉问卷、Ｈａｍｉｌｔｏｎ焦虑及抑郁量表,以抑郁患者和正常人两组作对照,调查了焦虑患者的焦虑、认知及躯体感觉的相互关系。初步结论是,“躯体损害性”自动想法和对躯体感觉的过分担心是临床焦虑的特征;“社会、行为后果性”想法似乎是焦虑和抑郁患者共有的。焦虑的认知内容是以“危险”为主题的,躯体感觉和认知错解在焦虑发生发展中起重要作用。“危险”的负性自动想法和焦虑关系密切,而由非理性信念所反映的特定的认知图式可能促使患者过度夸大危险性。这一结果在一定程度上支持了两因素理论和Ｂｅｃｋ的认知模式     

Another Search for the “Hot” Cognitions: Appraisal, Irrational Beliefs, Attributions, and Their Relation to Emotion

One study examined the hypothesized status of appraisal and irrational beliefs relative to attributions, as proximal antecedents of emotion. In our study, which looked at 4 pairs of functional and dysfunctional negative emotions (i.e., concern/anxiety, sadness/depression, remorse/guilt, annoyance/anger), undergraduates (N = 120) reported on their attributions, appraisal, irrational beliefs, and emotions during past encounters associated with various negative events. Congruent with both Smith and Lazarus' (1993) appraisal theory and Ellis' (1994) cognitive theory of emotion, the results of this study indicate that the emotions (both functional and dysfunctional negative emotions) were more directly associated with appraisal and with irrational beliefs (dysfunctional negative emotions only) than they were with attributions. Also, irrational beliefs were strongly associated with appraisal; while demandingness (DEM) was associated more with primary appraisal, awfulizing/catastrophizing, low frustration tolerance, and global evaluation of human worth (including self-downing) were associated more with secondary appraisal. Dysfunctional emotions seem to involve primary appraisal associated with DEM while functional emotions involve primary appraisal associated with preferences. These findings lend to support the status of appraisal and irrational beliefs as the proximal cognitive antecedents of emotion and the status of irrational beliefs as a differencing factor between functional and dysfunctional emotions.     

How much does physical appearance say about the psychological adjustment of competent and dysfunctional children?

Presents a study in which three sets of photographs of socially competent, aggressive, and anxious preschoolers were rated by college students (n = 150 raters per set), blind to the children's group membership. This was done to assess the extent to which adults are able to make valid and reliable evaluations of children's psychological adjustment on the basis of physical appearance alone. Sets 1 and 2 were photographs of different children taken under the same conditions and providing both facial and nonfacial cues. Sets 2 and 3 were of the same children taken under conditions that varied as to the amount of nonfacial cues they provided. Results showed that (a) socially competent children were judged to be better adjusted than their dysfunctional peers (i.e., more competent, less aggressive, less anxious, and less likely to have emotional or behavioral problems); (b) within the dysfunctional group, aggressive and anxious children were distinguished in ways that correspond closely to what is known about them from behavioral and clinical research; (c) irrespective of group membership, girls and boys were generally distinguished in ways that reflect normative beliefs about gender differences from social and developmental research; (d) group differences in ratings of psychological adjustment were generally comparable across photograph sets and could not be accounted for by differences in the children's perceived physical attractiveness; and (e) raters reported that they relied mainly on the children's expression, eyes, and posture to make their judgments of adjustment. These results replicate and extend earlier findings based on 1 of the 3 photograph sets (Serketich & Dumas, 1997). They suggest that when first impressions matter, competent children are at an advantage and their dysfunctional peers at a disadvantage even before their actual behavior comes to confirm or to invalidate these impressions. Theoretical and clinical implications of the findings are discussed.     

Ideological beliefs as determinants of discrimination in positive and negative outcome distributions

Social identity theory proposes that discrimination contributes favourably to group members' social identity. In minimal group paradigm (MGP) studies involving positive outcome distributions (e.g. money), discrimination is associated with a more positive social identity. But studies on the positive‐negative asymmetry effect show that categorization leads to less discrimination when negative (salary cuts) than when positive outcomes (salary increases) are distributed. Using structural equation modelling, this study (N = 279) tested whether discrimination involving negative outcome distributions could contribute as much to group members' positive social identity as discrimination on positive outcomes. The study also tested if ideological beliefs (i.e. social dominance orientation, authoritarianism), measured one month before the MGP experiment, could predict positive and negative outcome discrimination. While the fit of the hypothesized model was adequate, only social dominance orientation predicted both positive and negative outcome discrimination. Also, discrimination on positive outcomes but not on negative ones contributed to positive social identity. Copyright © 2004 John Wiley & Sons, Ltd.     

Associations between insecure attachment and sexual experiences

Associations between insecure attachment and sexual experiences were tested in a sample of 328 college students. Variations in adult attachment previously have been shown to relate to sexual behaviors, with the current study extending earlier work by examining different sexual outcomes and by testing factors that may account for these relations. Avoidant attachment was expected to relate to engagement in casual sex (i.e., a greater number of sexual partners and lower percentage of partners within committed relationships), with less restrictive sexual beliefs mediating the relations. In contrast, anxious attachment was expected to relate to more unwanted but consensual sexual experiences, and to more negative affect about sexual experiences, with low self‐esteem mediating the relations. Results showed some support for the hypotheses. Avoidant attachment was related to the type (but not number) of sexual partners, with sexual beliefs mediating the relations. A greater number of unwanted but consensual sexual experiences related to anxious and avoidant attachment for women and to avoidant attachment for men. Anxiety related to negative affect for women and men, and self‐esteem served as a partial mediator of these relations.     

When the heat is on: romantic partner responses influence distress in socially anxious women

This study provided a preliminary test of whether socially anxious women and their partners would show more negative social support behavior, especially among those with low relationship satisfaction, and whether this would increase the distress of the socially anxious women. Women with (n=22) and without (n=23) heightened social anxiety were observed interacting with their partners under a social-evaluative threat and support behaviors were coded. Unexpectedly, no differences were found between socially and non-socially anxious women and their partners. Although relationship satisfaction influenced this process, it was the more satisfied women who showed more negative behavior. Additionally, the more positive behaviors the partner exhibited, the greater was the distress reported by socially anxious women, particularly among women whose partners reported high relationship satisfaction. Implications for how these findings might expand theories on interpersonal processes in social anxiety are discussed.     

Examining the dynamics of the implicit and the explicit self-concept in social anxiety: changes in the Implicit Association Test-Anxiety and the Social Phobia Anxiety Inventory following treatment

In this study, we analyzed changes in the strength of self-anxiety associations--as measured by the Implicit Association Test-Anxiety (IAT-Anxiety; Egloff & Schmukle, 2002) and the Social Phobia Anxiety Inventory (SPAI; Turner, Beidel, Dancu, & Stanley, 1989)--following treatment of social anxiety. We assessed socially anxious participants (N = 24) prior to and following a group-based treatment; and we assessed healthy controls (N = 24) at matched time points. Results showed (a) higher implicit and explicit anxiety in socially anxious participants (as compared to controls) prior to treatment and (b) reductions in IAT-Anxiety and SPAI scores of socially anxious participants following treatment. We discuss implications of these results for clinical applications of the IAT.     

Ruminative coping and post-event processing in social anxiety

Cognitive models of social anxiety implicate various factors in the initiation and maintenance of socially anxious states, including anticipatory processing, self-focused attention and post-event processing. The present study focused on post-event processing, which is a post-mortem analysis following a social event that is described as ruminative in nature and serves to maintain social anxiety. Participants (N=112; 64 women, 48 men) were presented with vignettes that involved making mistakes in public and were instructed to record their thoughts to allow for the examination of the content of post-event processing. Ruminative coping and distraction were assessed via self-report. Results indicated that participants high in social anxiety (n=55) were more likely to ruminate and less likely to distract when faced with socially anxious stressors compared to those low in social anxiety (n=57). Further, as hypothesized, participants high in social anxiety recorded more negative thoughts and more upward counterfactual thoughts ('if only' type thoughts on how things could have been better; associated with negative affect) compared to those low in social anxiety. These results are discussed in terms of cognitive models of social anxiety.     

Mother's personality and infant temperament

We examined if perfectionism and the perception of being an anxious person were associated with more negative infant temperament ratings by the mothers. 386 women (mean age = 30.08; standard deviation = 4.21) in their last trimester of pregnancy completed the Multidimensional Perfectionism Scale (MPS), the Beck Depression Inventory-II (BDI-II) and an item about their perception of being or not an anxious person. The Portuguese version of the Diagnostic Interview for Genetic Studies and the Operational Criteria Checklist for Psychotic Illness were used to generate diagnoses according to DSM-IV and ICD-10 criteria. After delivery, women completed eight items of the Difficult Infant Temperament Questionnaire (developed by our team) and filled in, again, the BDI-II and were interviewed with the DIGS. Women with depression (DSM-IV/ICD-10) and probable cases of depression using different cut-offs adjusted to Portuguese prevalence (BDI-II), in pregnancy and postpartum, were excluded. The Difficult Infant Temperament Questionnaire showed to have factorial validity and internal consistency. There was a statistically significant negative correlation between perfectionism total scale score and item 6 from the temperament scale (“is your baby irritable or fussy?”). Considering MPS 3-factor solution found for pregnancy there was also a statistically significant negative correlation between SOP and the same item. Women with low SOP differed from those with medium and high SOP in the total temperament score. Moreover, the low SOP group differed from the medium group on items three and four scores. There were no significant associations with SPP, which is the dimension more closely associated with negative outcomes. There was an association between anxiety trait status (having it or not) and scoring low, medium or high in the infant temperament scale. The proportion of anxious vs. non-anxious women presenting a high score on the infant temperament scale was higher (24.2% vs. 12.9%). Linear regressions showed that SOP (low vs. medium/high) offered a significant contribution to the prediction of total temperament scale score and items 3 and 4 scores, but a logistic regression did not confirm trait anxiety as a significant predictor of mother's infant temperament perception. Concluding, a major result concerns the fact that higher levels of adaptive perfectionism (i.e. SOP) are associated (and predict) a less negative view of their infant's temperament. These results on the effect of mother's anxiety and perfectionism on the child temperament perception might have treatment implications. As perfectionism is not always maladaptive, some of its positive features could be used to enhance women's self-efficacy/sense of parental competence in their role as mothers and positive affect towards their infants. Also, antenatal interventions aimed at minimising anxiety could help to optimise infant temperament outcomes, which could, eventually, also, lead to subsequent maternal and infant mental health better outcomes.     

Does Father Know Best? A Formal Model of the Paternal Influence on Childhood Social Anxiety

We explore paternal social anxiety as a specific risk factor for childhood social anxiety in a rational optimization model. In the course of human evolution, fathers specialized in external protection (e.g., confronting the external world) while mothers specialized in internal protection (e.g., providing comfort and food). Thus, children may instinctively be more influenced by the information signaled by paternal versus maternal behavior with respect to potential external threats. As a result, if fathers exhibit social anxiety, children interpret it as a strong negative signal about the external social world and rationally adjust their beliefs, thus becoming stressed. Under the assumption that paternal signals on social threats are more influential, a rational cognitive inference leads children of socially anxious fathers to develop social anxiety, unlike children of socially anxious mothers. We show in the model that mothers cannot easily compensate for anxious paternal behavior, but choose to increase maternal care to maintain the child’s wellbeing. We discuss research directions to test the proposed model as well as implications for the prevention and treatment of child social anxiety.     

Long term consequences of suppression of intrusive anxious thoughts and repressive coping

The current experiment employed a thought suppression paradigm to investigate whether repressors (N=40) are more skilled in suppressing positive and anxious autobiographical thoughts than low anxious (N=40), high anxious (N=40), and defensive high anxious (N=40) individuals, both immediately and over a longer time period (i.e., 7 days). Regardless of suppression instructions, repressors reported during their lab visit fewer target thoughts for their most anxious events than participants in the other three groups. However, over a 7 days period, repressors showed the highest number of intrusive thoughts about their anxious autobiographical events. Thus, our results demonstrate that repressive coping might be adaptive in the short run, but counterproductive in the long run.     

The effects of video and nonnegative social feedback on distorted appraisals of bodily sensations and social anxiety

The effects of video feedback and nonnegative feedback from other people were examined as possibly ameliorating distorted appraisals of bodily sensations, as well as subjective and physiological anxiety in socially anxious individuals. Nonnegative feedback from a confederate emphasized the absence of negative outcomes (e.g., did not seem to tremble) rather than the presence of positive outcomes (e.g., looked calm). Socially anxious students were randomly assigned to either the experimental group, which received video and social feedback (n=12), or the control group (n 13). Participants were asked to give a videotaped speech twice. After the first speech, the experimental group watched the videotape of their speech and received feedback from a confederate, whereas the control group watched the video of another person's speech. The intervention improved distorted appraisal of bodily sensations and anticipatory anxiety for the experimental group. However, there were no differential effects on anxiety between the groups during speeches.     

On being eager and uninhibited: narcissism and approach-avoidance motivation

This article demonstrates the validity and utility of conceptualizing narcissistic personality in terms of relative approach-avoidance motivation. Across three studies (N = 1,319), narcissism predicted high approach and low avoidance motivation. That is, narcissists reported being strongly motivated to approach desirable outcomes but only weakly motivated to avoid negative outcomes. Relative approach-avoidance motivation was shown to be useful in terms of explaining behavioral tendencies associated with narcissism (i.e., functional and dysfunctional impulsivity) and distinguishing different "flavors" of narcissism (i.e., overt and covert narcissism). Discussion focuses on how approach-avoidance motivation may be used to explain prior findings in the narcissism literature and generate novel future hypotheses.