Enhancing the Efficacy of Cognitive Bias Modification for Social Anxiety

Cognitive bias modification for interpretation (CBM-I) is a promising treatment modality for social anxiety disorder, but effect sizes are relatively small across investigations (Hallion & Ruscio, 2011). Additionally, the extent to which CBM-I impacts other cognitive, emotional, and behavioral outcomes is unclear. This study investigated whether two empirically supported treatment components for anxiety disorders, imaginal exposure (IE) and relaxation, augment the effects of CBM-I and increase the extent to which the effects of CBM-I generalize to behavioral and affective outcomes. We randomly assigned 111 undergraduate students with social anxiety to undergo IE, relaxation, or neutral thinking prior to CBM-I, then measured their interpretation biases, as well as their speaking time, anxiety, and subjective evaluations of performance during a speech task. Results indicated that individuals who received IE prior to CBM-I evidenced more adaptive interpretation biases and less behavioral avoidance during the speech task than did individuals who engaged in relaxation or neutral thinking. However, they did not report differential anxiety, habituation, or evaluations of their performance on the speech task. These findings suggest that the combination of CBM-I with adjunct components that target behavioral, rather than cognitive, mechanisms can facilitate transfer of the effects of CBM-I to reducing behavioral avoidance.     

Adult attachment avoidance and automatic affective response to sad facial expressions

The present work represents the first study to investigate the relationship between adult attachment avoidance and anxiety and automatic affective responses to basic facial emotions. Subliminal affective priming methods allowed for the assessment of unconscious affective reactions. An affective priming task using masked sad and happy faces, both of which are approach‐related facial expressions, was administered to 30 healthy volunteers. Participants also completed the Relationship Scales Questionnaire and measures of anxiety and depression. Attachment avoidance was negatively associated with affective priming due to sad (but not happy) facial expressions. This association occurred independently of attachment anxiety, depressivity, and trait anxiety. Attachment anxiety was not correlated with priming due to sad or happy facial expressions. The present results are consistent with the assumption that attachment avoidance moderates automatic affective reaction to sad faces. Our data indicate that avoidant attachment is related to a low automatic affective responsivity to sad facial expressions.     

Examining Safety Behavior Subtypes Across Distinct Social Contexts in Social Anxiety Disorder and Major Depression

People with social anxiety disorder (SAD) use different types of safety behaviors that have been classified as avoidance vs. impression management. The current study investigated differences in safety behavior subtype use in 132 individuals with principal diagnoses of social anxiety disorder (SAD, n = 69), major depressive disorder (MDD, n = 30), and nonpatient controls (n = 33) across two social contexts: an interpersonal relationship-building task (social affiliation) and a speech task (social performance). We examined whether diagnostic groups differed in safety behavior subtype use and whether group differences varied by social context. We also explored relationships between avoidance and impression management safety behaviors, respectively, and positive and negative valence affective and behavioral outcomes within the social affiliation and social performance contexts. Safety behavior use varied by diagnosis (SAD > MDD > nonpatient controls). The effect of diagnosis on impression management safety behavior use depended on social context: use was comparable for the principal SAD and MDD groups in the social performance context, whereas the SAD group used more impression management safety behaviors than the MDD group in the social affiliation context. Greater use of avoidance safety behaviors related to higher negative affect and anxious behaviors, and lower positive affect and approach behaviors across contexts. Impression management safety behaviors were most strongly associated with higher positive affect and approach behaviors within the social performance context. These findings underscore the potential value of assessing safety behavior subtypes across different contexts and within major depression, in addition to SAD.     

Application of a behavioral theory of motivation to the concepts of anxiety and impulsivity

Gray's model has been employed in attempts to formulate theories concerning the processes underlying various types of psychopathology. In the most direct application of his model, the dominant mood is assumed to reflect the strength of the underlying motivational system—i.e., strong anxiety with a strong behavioral inhibition system (BIS), strong positive affect with a strong behavioral activation system (BAS). This approach would predict strong anxiety to be associated with a dominance of passive avoidance and extinction and, similarly, strong positive affect with a dominance of impulsivity and other approach behaviors.The present paper has argued that these expectations are based on an implicit assumption that equally stressful environments are encountered—an assumption that would be undermined by individual differences in the very motivational systems under consideration. Examination of the approach-avoidance conflict paradigm supported the argument that, at least in the case of anxiety, one should not expect a strong association between behavior and motivational states. In particular, a weak behavioral inhibition system or strong behavioral activation system is likely to facilitate anxiety-producing impulsive behavior, whereas a strong behavioral inhibition system or weak behavioral activation system may facilitate anxiety-reducing cautious behavior. Other factors were also thought to promote independence of affective states and behavioral traits across individuals.On this argument, trait anxiety conceptualized as resulting from a strong BIS may not be highly correlated with frequent anxiety. Stating this another way, the behavioral correlates of a dominant BIS may be relatively independent of a trait involving a dominance of anxious mood. Using Tellegen's (1985) discussion of self-report measures of mood and personality traits, it was proposed that the trait factor of Constraint may be more strongly associated with behavioral consequences of the BAS and BIS, whereas the Negative Emotionality dimension is largely unrelated to the behavioral effects of the BIS. Since Negative Emotionality corresponds to the traditional anxiety/neuroticism factor, this proposal differs from the customary assumptions about the alignment of Gray's motivational systems and personality traits. The personality trait of Positive Emotionality (cf. extraversion) may be associated with individual differences in the strength of the BAS, with both affective and behavioral components. Thus, the hypothesis of motivational-behavioral uncoupling offers an alternative to the usual intepretations of the three major dimensions seen in most personality inventories. Unfortunately, it remains unclear as to how well the three major personality traits (Positive Emotionality, Negative Emotionality, and Constraint) are aligned with the hypothesized underlying motivational dimensions, and any hypotheses must be seen as extremely tentative.Finally, the question of the validity of self-report measures was discussed briefly. Of greatest interest is the possibility that a subset of subjects are unable to accurately report their emotional states, and that methods are available for identifying these individuals. If so, the validity of these self-report measures may be significantly improved, facilitating research on anxiety and impulsivity.     

Parental Stress and Children’s Social and Behavioral Outcomes: The Role of Abuse Potential over Time

Parental stress is a well-established risk factor for adverse child outcomes, including the development of aggression, externalizing behavior problems, and anxiety, as well as compromised emotional coping, impaired social cognition, and diminished treatment response. Abuse potential represents a mechanism by which parental stress may impact child social competence and behavior; evidence links parental stress to abuse potential, and abuse potential to a range of negative child social competence and behavioral outcomes. The current study assessed relationships between parental stress, abuse potential, and child social and behavioral outcomes over time. Parents of children ages 2–6 years (N?=?610, 44% girls) reported on perceived parental stress and attitudes towards abuse and neglect, as well as child social competence and behavior problems, before and after a caregiver-directed, community-based intervention. Changes in parental stress, abuse potential, and child social and behavioral outcomes were examined using panel analyses, while controlling for intervention effects and demographic variables. Parental stress predicted child social competence, anxiety/withdrawal, and anger/aggression over time; while the links between stress and anxiety/withdrawal, and stress and social competence, were mediated by child abuse potential, the link between stress and anger/aggression was not mediated by child abuse potential. Findings suggest that abuse potential represents a mechanism by which parental stress and child social and behavioral outcomes are linked. Further, screening for child social competence deficits may identify children at risk for abuse, as well as parents in need of services to reduce stress.     

安全依恋启动效应的内在机制：非安全依恋风格调节下情绪与认知的协同作用

安全依恋启动具有一系列积极心理效应,且表现出启动效应普遍性与特异性的共存。两种属性的区别在于个体非安全依恋风格是否参与调节,这一调节与个体的依恋策略使用和概念联结程度紧密相关。当前,对于安全依恋启动内在机制的探讨集中在情绪缓冲与认知调控过程,本文回顾现有关于安全依恋启动的主要结论与解释,整合安全依恋启动的神经基础,并纳入依恋风格的调节因素,提出一个安全依恋启动的情绪/认知协同作用模型。最后围绕需要深入探讨的关键问题进行了展望。     

Rumination, worry, cognitive avoidance, and behavioral avoidance: examination of temporal effects

Recently, cross-sectional research has demonstrated that depressive rumination is significantly associated with the tendency to engage in cognitive and behavioral avoidance. This evidence suggests that rumination may be the result of attempts to avoid personally threatening thoughts, in a manner suggested by multiple contemporary theories of worry. This investigation examined the temporal relationship among daily levels of cognitive avoidance, behavioral avoidance, rumination, worry, and negative affect. Seventy-eight adolescents completed baseline questionnaires and then electronically completed daily measures of rumination, worry, behavioral avoidance, and cognitive avoidance, as well as sad and anxious affect for 7 days. Lagged-effect multilevel models indicated that increases in daily sadness were predicted by greater daily rumination and cognitive avoidance. Increases in daily anxiety were predicted by greater daily rumination, worry, and both cognitive and behavioral avoidance. Further, both daily rumination and worry were positively predicted by daily cognitive, but not behavioral, avoidance. Mediation analyses suggested that rumination mediated the effect of cognitive avoidance on both sadness and anxiety. Also, worry mediated the effect of cognitive avoidance on anxiety. Implications for models of avoidance, rumination, and worry are discussed.     

The affective regulation of cognitive priming

Semantic and affective priming are classic effects observed in cognitive and social psychology, respectively. The authors discovered that affect regulates such priming effects. In Experiment 1, positive and negative moods were induced before one of three priming tasks; evaluation, categorization, or lexical decision. As predicted, positive affect led to both affective priming (evaluation task) and semantic priming (category and lexical decision tasks). However, negative affect inhibited such effects. In Experiment 2, participants in their natural affective state completed the same priming tasks as in Experiment 1. As expected, affective priming (evaluation task) and category priming (categorization and lexical decision tasks) were observed in such resting affective states. Hence, the authors conclude that negative affect inhibits semantic and affective priming. These results support recent theoretical models, which suggest that positive affect promotes associations among strong and weak concepts, and that negative affect impairs such associations (Clore & Storbeck, 2006; Kuhl, 2000).     

家庭功能与学前儿童行为问题的关系:依恋回避和社交焦虑的多重中介作用

采用纵向的研究设计,对上海市两所公办幼儿园192名学前儿童进行为期一年半的追踪调查,探讨了家庭功能与学前儿童行为问题之间的关系以及依恋回避和社交焦虑的中介作用。结果发现：（1）家庭功能、依恋回避、社交焦虑和儿童行为问题之间存在两两相关;（2）家庭功能能够显著负向预测儿童行为问题;（3）依恋回避和社交焦虑分别在家庭功能和行为问题之间起独立中介作用;（4）依恋回避和社交焦虑在家庭功能和行为问题之间起序列中介作用。研究结果进一步揭示了家庭功能对学前儿童行为问题影响的内在机制。     

家庭功能与学前儿童行为问题的关系:依恋回避和社交焦虑的多重中介作用

采用纵向的研究设计,对上海市两所公办幼儿园192名学前儿童进行为期一年半的追踪调查,探讨了家庭功能与学前儿童行为问题之间的关系以及依恋回避和社交焦虑的中介作用。结果发现：（1）家庭功能、依恋回避、社交焦虑和儿童行为问题之间存在两两相关;（2）家庭功能能够显著负向预测儿童行为问题;（3）依恋回避和社交焦虑分别在家庭功能和行为问题之间起独立中介作用;（4）依恋回避和社交焦虑在家庭功能和行为问题之间起序列中介作用。研究结果进一步揭示了家庭功能对学前儿童行为问题影响的内在机制。     

Affect Is Greater Than,Not Equal to,Condition: Condition and Person Effects in Affective Priming Paradigms

Affective primes may impact ensuing behavior through condition and person effects. However, previous research has not experimentally disentangled these two sources of influence in affective priming paradigms. In the current research, we simultaneously examine the influence of condition factors, in terms of prime valence, and person factors, in terms of affect reactivity and personality. In both studies, undergraduate participants (total N = 174) were primed with either positive or negative affective stimuli (words, Study 1; pictures, Study 2) prior to judging the likability of a neutral target (Arabic characters, Study 1; inkblots, Study 2). Although we did observe between‐condition differences for positive and negative primes, person‐level effects were more consistent predictors of target ratings. Affect reactivity (affect Time 2, controlling Time 1) to the primes predicted evaluative judgments, even in the absence of condition effects. In addition, the personality traits of Neuroticism (Study 1) and behavioral inhibition system sensitivity (Study 2) predicted evaluative judgments of neutral targets following negative affective primes. With effects for condition, affect reactivity, and personality, our results suggest that affective primes influence ensuing behaviors through both informational and affective means. Research using affective priming methodologies should take into account both condition and person‐level effects.     

Mediators in psychological treatment of social anxiety disorder: Individual cognitive therapy compared to cognitive behavioral group therapy

According to cognitive-behavioral models of social anxiety disorder (SAD), four of the important maintaining mechanisms are avoidance, self-focused attention, anticipatory processing and post-event cognitive processing. Individual cognitive therapy (ICT) and cognitive behavioral group therapy (CBGT) both have substantial empirical support. However, it is unclear whether they achieve their effects by similar or different mechanisms. The aim of this study was to investigate whether changes in the four maintenance processes mediate clinical improvement in ICT and CBGT for SAD. We analyzed data from participants (N = 94) who received either ICT or CBGT in two separate RCTs. The results showed that ICT had larger effects than CBGT on social anxiety and each of the four potential mediators. More pertinently, moderated mediation analyses revealed significant between-treatment differences. Whereas improvement in ICT was mainly mediated by reductions in avoidance and self-focused attention, improvement in CBGT was mediated by changes in self-focused attention and in anticipatory and post-event processing. These results support the importance of the putative mediators, but suggest that their relative weights are moderated by treatment type.     

The effects of dispositional attachment orientations and contextual priming of attachment security on reckless driving

Three studies examined the effects of dispositional attachment orientations and contextual priming of attachment security on the willingness to drive recklessly. In all three, adolescents were exposed to primes of attachment security (a poster in Study 1, a video in Study 2, a guided imagination task in Study 3), positive affect, or neutral affect, and were then asked to report their willingness to drive recklessly. Participants were also asked to report on their attachment orientations (anxiety, avoidance), self-esteem, and self-relevance of driving. Attachment anxiety was related to higher willingness to drive recklessly. In addition, as compared to positive affect and neutral priming, attachment security priming exacerbated highly anxiously attached participants’ tendency to drive recklessly, but reduced this tendency among participants scoring low on attachment anxiety. Importantly, these effects could not be explained by variables unrelated to attachment. The discussion emphasizes the relevance of attachment theory for understanding risk-taking behavior, and relates to practical implications of the studies.     

Positive affect predicts avoidance goals in social interaction anxiety: testing a hierarchical model of social goals

Models of self-regulation suggest that social goals may contribute to interpersonal and affective difficulties, yet little research has addressed this issue in the context of social anxiety. The present studies evaluated a hierarchical model of approach and avoidance in the context of social interaction anxiety, with affect as a mediating factor in the relationship between motivational tendencies and social goals. This model was refined in one undergraduate sample (N = 186) and cross-validated in a second sample (N = 195). The findings support hierarchical relationships between motivational tendencies, social interaction anxiety, affect, and social goals, with higher positive affect predicting fewer avoidance goals in both samples. Implications for the treatment of social interaction anxiety are discussed.     

Positive Psychology and Attachment: Positive Affect as a Mediator of Developmental Outcomes

Fredrickson’s (1998) broaden-and-build model and Bowlby’s (1969) attachment theory provide alternate explanations for positive cognitive, social, physical, and psychological outcomes, positive affect and secure attachments, respectively. This study examined whether affect mediates the relationship between attachment and positive outcomes. The sample consisted of 99 undergraduate students from a small, public liberal arts college in the mid-Atlantic region. For people high in attachment anxiety, but not those high in attachment avoidance, affect partially mediated social and psychological outcomes and fully mediated health outcomes. People who scored high in attachment anxiety reported less positive affect and more negative affect, which results in poorer social, physical, and psychological outcomes than those with lower levels of attachment anxiety. Perhaps children with caregivers who are more responsive to their needs experience more positive affect; and, it is the experience of positive affect that yields developmental advantages.     

Don't sit so close to me: unconsciously elicited affect automatically provokes social avoidance

Behavior may be automatically prompted by cues in our social environment. Previous research has focused on cognitive explanations for such effects. Here we hypothesize that affective processes are susceptible to similar automatic influences. We propose that exposure to groups stereotyped as dangerous or violent may provoke an anxiety response and, thus, a tendency to move away. In the present experiment, we subliminally exposed participants to images of such a group, and found that they displayed greater avoidance in a subsequent interaction. Critically, this effect was explained by their increased sensitivity to threat-related information. These findings demonstrate an affective mechanism responsible for nonconscious priming effects on interpersonal behavior.     

个体依恋特征的二重性：特质性依恋与状态性依恋

传统依恋理论认为个体依恋心理和行为模式具有相对稳定性, 但无论在信息加工还是个体发展过程中, 个体依恋模式均表现出二重性, 即既具有相对稳定性, 又具有情境敏感性。个体在情境中所表现出的依恋模式是个体相对稳定的特质性依恋和情境特征相互作用的结果。依恋启动研究中特质性依恋特征与依恋启动效应之间的交互作用模式为理解依恋二重特征及其关系提供了窗口。依恋系统激活的两阶段模型为整合和解释这些相互作用模式提供了框架。未来研究应优化依恋二重特征关系研究中启动效应的操作检验, 考虑依恋焦虑和回避维度的交互作用, 关注高焦虑群体内的依恋差异, 以理析依恋二重特征之间的相互作用方式, 同时关注依恋策略影响依恋启动效应的时间进程, 探究依恋二重特征相互作用的机制。     

The influence of alcohol expectancy priming and mood manipulation on subsequent alcohol consumption

Studies showing that verbal priming can implicitly affect alcohol consumption have been used to support cognitive models of expectancies. However, because expectancy words reflect affective states as well as drinking outcomes, mediation through an affective pathway remains theoretically plausible (i.e., such words inadvertently may affect mood, which in turn influences drinking). The primary pathway was identified (and expectancy theory was tested) by comparing memory priming (using alcohol expectancy or neutral words) with mood induction (using positive or neutral music); an unrelated experiment paradigm allowed the priming manipulation to implicitly affect drinking. Men in the alcohol priming group drank significantly more than men in each of the other conditions, and, consistent with theory, men with histories of heavier drinking drank the most when primed with alcohol expectancies, indicating that expectancies can function as automatic memory processes.     

The direction of affective priming as a function of trait anxiety when naming target words with regular and irregular pronunciation

Results from an affective priming experiment confirm the previously reported influence of trait anxiety on the direction of affective priming in the naming task (Maier, Berner, & Pekrun, 2003): On trials in which extremely valenced primes appeared, positive affective priming reversed into negative affective priming with increasing levels of trait anxiety. Using valenced target words with irregular pronunciation did not have the expected effect of increasing the extent to which semantic processes play a role in naming, as affective priming effects were not stronger for irregular targets than for regular targets. This suggests the predominant operation of a whole-word nonsemantic pathway in reading aloud in German. Data from neutral priming trials hint at the possibility that negative affective priming in participants high in trait anxiety is due to inhibition of congruent targets.