The structure of feared social situations among individuals with a lifetime diagnosis of social anxiety disorder in two independent nationally representative mental health surveys

The present study employed both exploratory and confirmatory factor analytic approaches with nationally representative samples of individuals with a lifetime diagnosis of social anxiety disorder (n=1123; n=3091, respectively) using split-halves of the National Comorbidity Replication Survey (n=9282) and cross-validated with the Canadian Community Health Survey on Mental Health and Wellbeing (n=36,984). Strong support was found for a three-factor solution. This model was obtained from exploratory factor analysis and was further evaluated using two confirmatory factor analytic investigations in the two national samples. The three social situational domains reflected (1) Social Interaction Fears, (2) Observation Fears, and (3) Public Speaking Fears. Individuals with generalized social anxiety disorder (i.e., those who endorsed 7 or more of 13 feared social situations assessed in the survey) were significantly more likely to report Social Interaction Fears and Observation Fears compared to individuals with non-generalized social anxiety disorder (i.e., those who endorsed only 6 or fewer of 13 feared social situations). Individuals with generalized social anxiety were particularly characterized by combinations of Public Speaking Fears plus Social Interaction Fears and Observation Fears. The clinical and classification implications of our study for DSM-V are discussed.     

Is There a Place for Traditional Values and Virtues in Society Today?

This paper argues that rather than looking to the past for a previously developed set of traditional values and virtues we should instead look to the past for ways of thinking about morality and ethics which may be found in the “tradition” and which may also be relevant for the contemporary situation. It examines the causes of the disconnection between traditional ways of thinking and the contemporary situation at two levels: the marginalization of morality and the disarray in ethics. Both aspects are found to be rooted in the emergence of the empirical scientific differentiation of consciousness. The paper then goes on to ask what resources in the tradition may be found to overcome the gap between ancient and modern, or traditional and contemporary, ways of thinking about morality and ethics. The contemporary relevance of the thought of Bernard Lonergan to this issue is examined.     

Definability and Invariance

In his thesis Para uma Teoria Geral dos Homomorfismos (1944), the Portuguese mathematician José Sebastião e Silva constructed an abstract or generalized Galois theory, that is intimately linked to F. Klein’s Erlangen Program and that foreshadows some notions and results of today’s model theory; an analogous theory was independently worked out by M. Krasner in 1938. In this paper, we present a version of the theory making use of tools which were not at Silva’s disposal. At the same time, we tried to keep in mind, so much as possible, the gist of his standpoint.     

Nonparametric item response theory axioms and properties under nonlinearity and their exemplification with knowledge space theory

This paper investigates the dichotomous Mokken nonparametric item response theory (IRT) axioms and properties under incomparabilities among latent trait values and items. Generalized equivalents of the unidimensional nonparametric IRT axioms and properties are formulated for nonlinear (quasi-ordered) person and indicator spaces. It is shown that monotone likelihood ratio (MLR) for the total score variable and nonlinear latent trait implies stochastic ordering (SO) of the total score variable, but may fail to imply SO of the nonlinear latent trait. The reason for this and conditions under which the implication holds are specified, based on a new, simpler proof of the fact that in the unidimensional case MLR implies SO. The approach is applied in knowledge space theory (KST), a combinatorial test theory. This leads to a (tentative) Mokken-type nonparametric axiomatization in the currently parametric theory of knowledge spaces. The nonparametric axiomatization is compared with the assumptions of the parametric basic local independence model which is fundamental in KST. It is concluded that this paper may provide a first step toward a basis for a possible fusion of the two split directions of psychological test theories IRT and KST.     

Dimensions of perceived control: A factor analysis of three measures and an examination of their relation to activity level and mood in a student and cross-cultural patient sample

Abstract

This study investigated whether measures of three perceived control (PC) concepts tapped independent dimensions, were invariant to population characteristics of health and culture, were differentially sensitive to health outcomes, and were discriminable from self-report disability. The Multidimensional Health Locus of Control, Generalized Self-efficacy, and Perceived Health Competence (PHC) Scales were administered to 106 Scottish students and 145 Scottish, Spanish and Irish patients, who also completed versions of the Sickness Impact Profile. Principal Components analyses revealed five factors reflecting scale constructions for students and six factors for patients, as PHC items fell on two factors. Disability items fell on a separate factor from all PC items. Results suggest: (a) PC is multidimensional regardless of health and culture; (b) adequate assessment requires multiple PC measures; and (c) it is meaningful to consider PC as a possible influence on disability.     

A preliminary investigation of impulsivity in generalized anxiety disorder

Few studies have examined the association between impulsivity and generalized anxiety disorder (GAD). This study examined whether individuals with probable GAD display impulsivity in a particular way, and the extent to which impulsivity uniquely predicts GAD severity and GAD status, over and above intolerance of uncertainty (IU), a key cognitive factor in GAD. Individuals with (n = 63) and without (n = 77) probable GAD completed self-report measures of impulsivity and IU. Results revealed that elevations in the severity of GAD symptoms and in IU were associated with impulsive actions in the face of negative affect (i.e., negative urgency), but also greater premeditation and lower “functional” impulsivity (i.e., the ability to take quick action when it is advantageous to do so). Impulsivity led to an increment in the prediction of GAD symptoms and GAD status, over and above IU. Negative urgency and lower functional impulsivity were significant unique predictors of GAD severity or GAD status. The findings highlight a need to consider impulsivity in theories that implicate intolerance of negative affect and uncertainty in excessive and uncontrollable worry.     

The happy cyclist: Examining the association between generalized authoritarianism and subjective well-being

Although authoritarianism can negatively impact others (e.g., by predicting prejudiced intergroup attitudes), implications for the self are mixed and require clarification. Extending previous research, we examined the association between generalized authoritarianism (GA, indicated by right-wing authoritarianism and social dominance orientation) and subjective well-being (SWB, indicated by positive affect, negative affect, and life satisfaction) by testing simultaneously the general-level association between GA and SWB as well as specific residual associations between GA and SWB components, independent of basic personality dimensions. We observed a significant general-level association between GA and SWB whereby heightened authoritarianism predicted greater SWB. No residual associations were found between specific GA and SWB components. Despite being “bad” for others, generalized authoritarianism may be “good” for the self.     

Affective flexibility and generalized anxiety disorder: valence-specific shifting difficulties

ABSTRACT

Background: Growing evidence suggests that generalized anxiety disorder (GAD) is associated with poor affective flexibility, defined as the ability to switch between emotional aspects and non-emotional aspects of a situation. However, it is unclear whether affective inflexibility is valence-specific in GAD.

Methods: Participants with GAD (n?=?21) and non-clinical control participants (n?=?28) were tested on an Affective Switching Task during which participants were asked to categorize pictures either by the valence or by the number of humans present in the pictures.

Results: Individuals with GAD, but not healthy controls, exhibited greater difficulty shifting from emotional aspects of negative material compared to emotional aspects of positive material and shifting to the emotional aspects of positive material compared to emotional aspects of negative material.

Conclusions: These findings suggest that GAD is associated with valence-specific affective flexibility biases. The relevance of the findings and directions for future research are discussed.     

Perseverative thought: a robust predictor of response to emotional challenge in generalized anxiety disorder and major depressive disorder

Generalized anxiety disorder (GAD) and major depressive disorder (MDD) frequently co-occur, yet the reasons for their comorbidity remain poorly understood. In the present experiment, we tested whether a tendency to engage in negative, repetitive thinking constitutes a common risk process for the two disorders. A mixed sample of adults with comorbid GAD–MDD (n = 50), GAD only (n = 35), MDD only (n = 34), or no lifetime psychopathology (n = 35) was administered noncontingent failure and success feedback on consecutive performance tasks. Perseverative thought (PT), measured by negative thought intrusions during a baseline period of focused breathing, emerged as a powerful prospective predictor of responses to this experimental challenge. Participants reporting more frequent negative thought intrusions at baseline, irrespective of thought content or diagnostic status, exhibited a stronger negative response to failure that persisted even after subsequent success. Higher PT over the course of the experiment was associated with later behavioral avoidance, with negative affect and other traits closely linked to anxiety and depression, and with the presence and severity of GAD and MDD. These findings provide evidence for a broadly-defined PT trait that is shared by GAD and MDD and contributes to adverse outcomes in these disorders.     

Generalized others and imaginary audiences: A neo-Meadian approach to adolescent egocentrism

Piaget’s conception of adolescent egocentrism, as interpreted and extended by Elkind (1967) is discussed, and research that has related Elkind’s egocentric ideations of personal fable and imaginary audience to age and intellectual development is considered. Alternative theories of adolescent egocentrism and its decentration are examined, and a neo-Meadian framework is discussed that understands the imaginary audience ideation of adolescents as a possibly functional, highly variable response to the complex task of coordinating individual and social perspectives as part of the adolescent’s search for identity.