The interaction model of anxiety and dental treatment

An empirical test of the interaction model of anxiety was provided by assessing the state anxiety and trait anxiety of 20 female and 7 male dental patients undergoing periodontal surgery. Measures of A-State (PARQ IV), A-Trait (S-R GTA), and perceptions (PSRF) were administered in both a high-stress condition (30 min prior to surgery) and a low-stress condition (4 to 6 days after surgery). It was hypothesized that undergoing periodontal surgery would be perceived as a combination ambiguous/physical danger situation. Accordingly it was predicted that high-ambiguous A-Trait subjects would experience greater decreases in A-State than low-ambiguous A-Trait subjects in proceeding from the high-stress to the low-stress condition. Similarly it was predicted that high-physical danger A-Trait subjects would show greater decreases in A-State than low-physical danger A-Trait subjects. Significant A-Trait × stress condition interactions were not expected to occur for noncongruent A-Trait facets (social evaluation and innocuous). Results indicated that, while the high-stress condition was perceived as an ambiguous/physical danger situation, the A-Trait × stress condition interactions were not significant for ambiguous, physical danger, or innocuous A-Trait facets. Contrary to prediction, a significant interaction was observed between social evaluation A-Trait and stress condition. This finding was explained in terms of the complex relationship between situation perception and situation reaction.     

Multidimensionality of state and trait anxiety: A cross-cultural study comparing american,canadian, israeli and german young adults

Abstract

The psychometric adequacy of the Endler Multidimensional Anxiety Scales (EMAS) was examined in samples of American, Canadian, Israeli, and West German male and female young adults. Also investigated was the generalizability of the interactional model of anxiety to a diverse set of cultural contexts. This interactional model distinguishes between multidimensional dimensions of state and trait anxiety. The EMAS was developed to both reliably and independently assess multidimensional state and trait anxiety. Three hundred and seventy-four American undergraduates, 292 Canadian undergraduates, 326 Israeli undergraduates, and 304 West German undergraduates completed the EMAS in a non-stressful situation. The EMAS subscales were found to be highly reliable scales in all four cultural groups. Consistent empirical support was found across cultural groups for both the distinction between state and trait anxiety and the multidimensionality of these two constructs. Significant gender and cultural differences were found across the various EMAS subscales. Women were more likely than men to report being anxious in social evaluation and physical danger situations. In comparison to the other 3 groups, the Israelis reported being less anxious in social evaluation and physical danger situations. Results are discussed in terms of cultural differences between Canada, the United States, West Germany and Israel.     

The interaction model of anxiety: An empirical test in an athletic competition situation

The person by situation interaction model of anxiety was tested in the field setting of a track and field meet. Forty-one male runners served as subjects. State anxiety was assessed just prior to a routine training session and again 2 weeks later just before a meet. Five facets of trait anxiety were measured after the routine training session. As predicted there was a significant interaction between social evaluation trait anxiety and the stressful meet situation. No interactions were observed for the interpersonal, ambiguous, and physical danger facets of trait anxiety. In general, the results supported the interaction model of anxiety.     

The interactional model of anxiety: an evaluation of the differential hypothesis

The interactional model of anxiety states that individuals who score high on trait anxiety measure for a specific situation dimension will respond with elevated state anxiety only in reaction to encounters with congruent situations. We tested this model by presenting subjects who scored high or low on ego threat, physical danger, novelty ambiguity, and daily routine trait measures with stressors representative of the four situation dimensions. The interactional model was partially supported for ego threat trait anxiety. However, results generally supported the influence of situation rather than the trait or interaction on anxiety response. The lack of trait factor independence for the novelty ambiguity and daily routine trait dimensions is discussed as a potential reason for the nonsupport of the interactional model. Finally, we suggest that the experimental design used in this study is a more accurate and vigorous test of the differential hypothesis than past research.     

The gulf war: Distressful reactions to scud missiles attacks

This study investigated the relationships among coping strategies, trait anxiety and distressful reactions (State anxiety and fears and symptoms) of Israeli civilians under missile attack during the 1991 Gulf war. During the war sixty-six subjects (46 females and 20 males) completed a questionnaire that measured their distressful reactions and included fears in various situations (e.g., during the night, in the sealed room) and various symptoms (e.g., sleep disturbances, sensitivity to noise). In addition each subject completed the Coping Inventory for Stressful Situations (CISS, Endler & Parker, 1990a), a multidimensional self-report measure of coping which measures three major coping strategies: task-oriented, emotion-oriented and avoidance-oriented. Subjects also completed the State and Trait anxiety scales of the Endler Multidimensional Anxiety Scales (EMAS, Endler, Edwards, & Vitelli, 1991). The state anxiety scales measure two components of the individual's state anxiety, cognitive worry and autonomic emotional reactions. The trait anxiety scales measure the individual's predisposition to experience anxiety in four different situations: social evaluation, physical danger, ambiguous situations and daily routines. The results showed that individuals who used emotion-oriented coping more frequently, experienced more state anxiety and symptoms and fears, (i.e., experienced greater distress) during the war. Task-oriented and avoidance-oriented coping were not related to the distressful reactions. It was further found that subjects high on physical danger trait anxiety and social evaluation trait anxiety experienced greater fears and more symptoms (i.e., experienced greater distress) during the war. Persons high on social evaluation trait anxiety also experienced great cognitive-worry state anxiety. The results are discussed within the framework of the multidimensional model of stress, anxiety and coping (Endler, 1988; Endler & Parker, 1990a, 1990b) and the special characteristics of the Gulf war situation.     

The trait anxiety-perception score: a composite predictor for state anxiety

This article describes the development and initial evaluation of the A-Trait-Perception (ATP) score, a composite predictor for state anxiety. The ATP score is constructed from trait anxiety and situation perception data derived from the Endler Multidimensional Anxiety Scales (EMAS; Endler, Edwards, & Vitelli, 1989). ATP mathematically combines the individual's trait anxiety and situation perception profiles and adjusts these with a multiplier that reflects the individuals' sensitivity to particular types of situational elements in terms of state anxiety inducement. The utility of the resulting composite variable as a predictor of state anxiety was examined in the context of two field studies. Results of both studies indicated that the ATP variable offered a superior prediction of state anxiety, as compared to four individual trait anxiety facets (social evaluation, physical danger, ambiguous and daily routines). The theoretical import of these results is discussed.     

Anxiety,coping and academic performance

Anxiety is a frequent response to stressful evaluation situations and may be correlated with the performance being evaluated. The present study investigated individual differences in social evaluation trait anxiety and coping dimensions as predictors of state anxiety and performance on a university examination. Separate multiple regressions were computed for coping assessed as a style, an individual difference measure, and as situational specific responses. Emotion-oriented coping predicted state anxiety in the evaluation situation. Social evaluation trait anxiety and task-oriented and emotionoriented coping responses predicted exam performance. The regression models predicted approximately a quarter of the variance in course grades. When coping was measured as a response, task-oriented coping response was a significant predictor of course grade. When coping was measured as a style or individual difference, avoidance-oriented coping style predicted aggregated course grade. It was suggested that different coping dimensions predict different outcomes and that coping be assessed over time to better understand its relation to performance.     

Academic examinations and anxiety: The interaction model empirically tested

The person-by-situation interaction model of anxiety was tested in the reallife setting of an academic examination. Twenty-eight male and 79 female university students served as subjects. State anxiety (A-State) was assessed just prior to the examination (Trial 2) and approximately 1 week before (Trial 1) and after (Trial 3) the examination. Five facets of trait anxiety (A-Trait) were measured in a nonstressful situation 1 week prior to the examination. The subject's cognitive appraisal of the various situations was assessed by a self-report index of the type and degree of threat involved in the situation just experienced. As predicted, a significant A-Trait-by-situation interaction in eliciting A-State was observed for social evaluation A-Trait. There were no interactions for the other, noncongruent facets of trait anxiety. The results also indicated that individuals' perception of situations may be the most important factor affecting reactions to stressful situations. In general, the results were interpreted as providing support for the multidimensionality of A-Trait and further validation of the interaction model of anxiety.     

Individual differences in anxiety and executive functioning: A multidimensional view

The relationship between individual differences in anxiety and executive functioning was investigated in a sample of young adults. Verbal and spatial working memory, resistance to interference, negative priming, and task‐switching measures were used to assess three executive functioning dimensions: updating, inhibition, and shifting. An additional index of basic psychomotor speed was added to this cognitive battery. According to the multidimensional interaction model of anxiety proposed by Endler (1997), state (cognitive–worry and autonomic–emotional) and trait (related to social evaluation, physical danger, ambiguous situations, and daily routines) anxiety were assessed in this evaluation context. Results indicated that shifting and inhibition (negative priming) efficiency were negatively related to state (cognitive–worry) and trait (related to social evaluation) anxiety. However, there was a relative advantage of subjects higher in social evaluation apprehensions in their memory updating performance. The results are consistent with several predictions of the attentional control theory (Eysenck, Derakshan, Santos, & Calvo, 2007), and are relevant for research regarding the interaction of situational, personality, and cognitive functioning dimensions.     

Predicting post-event processing in social anxiety disorder following two prototypical social situations: State variables and dispositional determinants

This study investigated self-reported state (anxiety, physical symptoms, cognitions, internally focused attention, safety behaviors, social performance) and trait (social anxiety, depressive symptoms, dysfunctional self-consciousness) predictors of post-event processing (PEP) subsequent to two social situations (interaction, speech) in participants with a primary diagnosis of social anxiety disorder (SAD) and healthy controls (HC). The speech triggered significantly more intense PEP, especially in SAD. Regardless of the type of social situation, PEP was best predicted by situational anxiety and dysfunctional cognitions among the state variables. If only trait variables were considered, PEP following both situations was accounted for by trait social anxiety. In addition, dysfunctional self-consciousness contributed to PEP-speech. If state and trait variables were jointly considered, for both situations, situational anxiety and dysfunctional cognitions were confirmed as the most powerful PEP predictors above and beyond trait social anxiety (interaction) and dysfunctional self-consciousness (speech). Hence, PEP as assessed on the day after a social situation seems to be mainly determined by state variables. Trait social anxiety and dysfunctional self-consciousness also significantly contribute to PEP depending on the type of social situation. The present findings support dysfunctional cognitions as a core cognitive mechanism for the maintenance of SAD. Implications for treatment are discussed.     

竞赛特质焦虑干扰抑制功能:对注意控制理论的检验

基于注意控制理论,采用反向眼跳范式,邀请48名运动员参加2项实验,考察竞赛特质焦虑对抑制功能的干扰效应。实验1(25人)为单因素组间设计,探讨竞赛特质焦虑对加工效能和操作成绩的影响。结果发现,竞赛特质焦虑提高眼跳方向错误率,不影响眼跳潜伏期,部分支持竞赛特质焦虑降低加工效能的假设;竞赛特质焦虑不影响按键准确率,支持竞赛特质焦虑不影响操作成绩的假设。实验2(23人)为两因素混合设计,在压力情境下探讨竞赛特质焦虑对加工效能和操作成绩的影响。结果发现,无论是在压力还是非压力情境下,竞赛特质焦虑均提高眼跳方向错误率,延长眼跳潜伏期,但不影响按键准确率,支持压力下竞赛特质焦虑降低加工效能而对操作成绩影响效果不明显的假设。综合2项实验,竞赛特质焦虑干扰抑制功能表现为降低抑制功能的加工效能但对操作成绩的影响效果不明显。本研究提示,注意控制理论适用于解释竞技运动领域焦虑与操作表现的关系。     

Multidimensionality of state and trait anxiety: factor structure of the Endler Multidimensional Anxiety Scales

The Endler Multidimensional Anxiety Scales (EMAS) are derived from an interactional model of personality that proposes that anxiety is a function of the interaction of person and situation variables. The EMAS distinguish between state and trait anxiety and assume that both are multidimensional constructs. The EMAS were administered to 2,009 students in a neutral situation. Three factor analyses were performed to clarify the empirical relation between state and trait anxiety and the variables within the 2 domains. Results support the distinction between state and trait anxiety. Factor analysis of the state items provided support for the separate dimensions of cognitive and autonomic state anxiety. Factor analysis of the trait items provided support for trait anxiety multidimensionality. Four congruent factors were associated with increases in state anxiety in 4 general situations: Social Evaluation, Physical Danger, Ambiguous, and Daily Routines.     

An investigation into the jumping-to-conclusions bias in social anxiety

‘Jumping-to-Conclusions’ (JTC) is a data-gathering bias characterised by hasty decision-making, and is typically seen in individuals with high levels of delusions or paranoia. JTC has also been found in people with high trait and state anxiety. The present study aimed to explore the relationship between JTC and trait social anxiety and state anxiety, given paranoia is common in both social anxiety and psychotic disorders. One-hundred-and-eighty-six undergraduate students were allocated to a manipulation or control condition, and classified as high or low socially anxious. All participants completed the ‘beads task’ to assess JTC, and the State-Trait Anxiety Inventory (state subscale) to assess state anxiety. Participants in the manipulation condition were given an anxiety-inducing situation. Although the manipulation was effective in inducing state anxiety, there was no significant correlation between JTC and trait or state social anxiety. High socially anxious individuals showed more conservative decision-making than controls over time, which was posited to be caused by inhibited working memory resulting from increased state anxiety.     

Modelling relationships between cognitive variables during and following public speaking in participants with social phobia

Cognitive models of social phobia predict that several cognitive processes will mediate the relationship between trait levels of social anxiety and the extent of anxiety experienced in a specific social-evaluative situation. The current study aimed to provide a test of these relationships. Over 200 clinical participants with social phobia completed measures of their general social anxiety and a week later performed a brief impromptu speech. They completed a measure of state anxiety in response to the speech as well as questionnaires assessing several cognitive constructs including focus of perceived attention, perceived performance, and probability and cost of negative evaluation. A week later, they completed measures of negative rumination experienced over the week, as well as a measure of the recollection of their perceived performance. Path analysis provided support for a model in which the cognitive factors mediated between general social anxiety and the degree of anxiety experienced in response to the speech. A second model supported the theory that negative rumination mediated between characteristic social anxiety and negative bias in the recollection of performance.     

Interpretive bias,repressive coping,and trait anxiety

Objectives: According to vigilance–avoidance theory, repressors have an avoidant interpretive bias, i.e., they interpret ambiguous self-relevant situations in a nonthreatening fashion. This study sought to demarcate the range of situations associated with avoidant interpretive bias in repressors. Design: Four groups of participants, representing the four combinations of low- and high-trait anxiety and defensiveness, were identified. Those low in trait anxiety and high in defensiveness were categorized as repressors. Methods: Participants (N = 163) rated their likelihood of making both threatening and nonthreatening interpretations of 32 ambiguous scenarios over four domains: social, intellectual, physical, and health. Half the scenarios were self-relevant and half were other relevant. Brief measures of state anxiety were taken after each likelihood rating. Results: Repressors displayed an avoidant interpretive bias for ambiguous threats in the social and intellectual domains but not the health or physical domains. This was due to repressors' low level of trait anxiety rather than their high defensiveness. Conclusions: Individuals high in trait anxiety are especially sensitive to situations involving social evaluation but not those characterized by danger to their health or physical well-being.     

Anxiety and performance in runners: Effects of stress and anxiety on physical performance

Abstract

The aim of this study was to investigate the effects of state and trait anxiety on physical performance under both neutral and stressful conditions. In Study I, 43 male and female track athletes answered the State-Trait Anxiety Inventory and twice underwent ergometric testing in the physiology laboratory after receiving a neutral or a stress-inducing instruction. In Study II, these 43 runners completed the state scale shortly before a test run in a practice session and once again just before the start in an official competition. Results showed a significant increase in self-reported state anxiety under the stress condition in both the laboratory and the field setting. At the same time, the mean physical performance, measured as physiological performance parameters (maximum oxygen intake, physical work capacity) or as running performance, significantly deteriorated under stress. The induced stress affected the heart rate in addition to the mere physical work load, with no sign of compensation occurring during the entire period of ergometric testing. Effects of anxiety on performance were tested by separate 2(trait) × 3(state) ANOVAs for each situation. For both laboratory situations, and for the practice situation as well, no significant relationships, neither linear nor nonlinear, were detected. In the competition situation, however, an inverted-U relationship was found in the low trait-anxious subgroup.     

Fear of fear,trait anxiety and aerobic fitness in relation to state anxiety during adrenalin provocation

Abstract

Psychological explanations of both spontaneous and experimentally induced panic anxiety stress the role of fear of fear, especially fear of bodily symptoms of arousal. Fear of fear is conceptually different from trait anxiety but may be associated with repeated experience of arousal symptoms in fearful situations, while frequent physical exercise may lead to habituation to these symptoms. To test this hypothesis, 44 healthy male volunteers, classified as having high or low trait anxiety and high or low aerobic fitness, underwent a single-dose adrenalin infusion (80 nanogram/kilogram bodyweight/minute). In both groups, during the experiment a significant rise in state anxiety was found; compared to the group with low trait anxiety, subjects with high trait anxiety reported higher levels of state anxiety, which could be attributed to differences in aerobic fitness. In the high-anxious group, subjects showed a greater decrease in state anxiety during the recovery phase. State anxiety during adrenalin was strongly associated with fear of bodily symptoms only in the high-anxious group. Correlations between trait anxiety and somatic anxiety were not significant; state anxiety scores tended to correlate negatively with physical fitness. It is concluded that these results lend support to a fear of fear-model of panic anxiety.     

Perfectionism and components of state and trait anxiety

The association between dimensions of perfectionism and state and trait anxiety was examined in three studies. Study 1 and Study 2 were correlational studies that investigated the link between dimensions of perfectionism (i.e., self-oriented, other-oriented, and socially prescribed perfectionism) and the Endler Multidimensional Anxiety Scales (EMAS). Taken together, the results indicated that self-oriented and socially prescribed perfectionsim are correlated significantly with both the cognitive-worry and autonomic-arousal components of state anxiety. As for the trait anxiety measures, self-oriented perfectionism was associated with the ambiguous and social evaluation facets in Study 1, and socially prescribed perfectionism was associated with the ambiguous and daily routines facets in Study 2. The purpose of Study 3 was to examine perfectionism and state anxiety under conditions of high versus low ego involvement. It was found that socially prescribed perfectionism was associated with higher state anxiety, but only in the high ego involvement condition. Self-oriented perfectionism was unrelated to state anxiety in either experimental condition. Overall, the findings indicate that socially prescribed perfectionism is the dimension linked most closely with components of state and trait anxiety, especially under conditions of ego threat. The results are discussed in terms of the need for an interactional approach to the study of the social aspects of both perfectionism and anxiety.     

Social Anxiety and the Quality of Everyday Social Interactions: The Moderating Influence of Alcohol Consumption

Most research on the link between social anxiety and alcohol consumption has examined problematic outcomes without consideration of potential adaptive functions. Alcohol is an anxiolytic that has the short-term benefit of reducing anxiety; consumption may act as a social lubricant that facilitates higher quality social interactions. Using experience-sampling methodology, we examined how consuming alcohol attenuates the adverse effects of social anxiety in naturally occurring social interactions. Participants (N = 160) completed demographic and trait measures, then completed daily assessments for 14 consecutive days. Results from multilevel model analyses revealed that during face-to-face social interactions, state social anxiety was inversely related to 10 indicators of healthy social interactions (e.g., enjoyment, laughter, feelings of acceptance). Alcohol consumption moderated seven of these associations, such that when participants consumed alcohol in social situations, state social anxiety was no longer associated with social interaction quality. The quantity of alcoholic drinks consumed moderated two of these associations. Furthermore, we found evidence for directionality, such that social anxiety in a given social interaction predicted alcohol consumption in a subsequent social interaction, but not the reverse (i.e., alcohol consumption did not prospectively predict state social anxiety). In social situations that involved alcohol, experiences of social anxiety no longer thwarted one’s ability to derive social benefits. These results should be interpreted in the context of a participant sample with relatively low levels of trait social anxiety and frequency of alcohol use. Nonetheless, obtaining social rewards may be a reinforcement mechanism that maintains the link between social anxiety and alcohol consumption.     

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.