Children with social phobia have lower quality friendships than children with other anxiety disorders

Background and Objective: Whilst shy, socially anxious or socially withdrawn children in nonclinical community samples report lower friendship quality (FQ) than nonanxious children, no study has examined the FQ of clinically anxious children. The aim of the study was to examine the FQ of children with anxiety disorders; and whether it differs for clinical children with or without a diagnosis of social phobia (SP). Design: The study design was cross-sectional self-report. Methods: Clinical children – 39 anxiety-disordered children with SP and 28 anxiety-disordered children without SP (No-SP) – presented for psychological treatment, and 29 nonclinical children were recruited from the community. Same-sex close friends were invited to participate using an unrestricted nomination procedure. All children were aged between 7 and 13 years. Both target child and friend completed the Friendship Quality Questionnaire and the Spence Children's Anxiety Scale. Results: Using multilevel modeling within the framework of the Actor–Partner Interdependence Model, SP dyads were found to report lower overall FQ than No-SP dyads. SP dyads did not report lower overall FQ than nonclinical dyads. Conclusion: Children with SP in their diagnostic profile may be unique in their friendship experiences relative to children with other anxiety disorders.     

Symptom-positive and symptom-negative items in the state-trait anxiety inventory: A comparison and replication

Substantially higher mean scores on symptom-negatively versus symptom-positively worded items have consistently been reported in the literature for the balanced Stait-Trait Anxiety Inventory. In this study we aimed at replicating and comparing these findings for the Dutch adaptation of the inventory. Results indicated significantly higher mean subscale scores for symptom-negative as opposed to symptompositive items of both the Trait and State version, across sexes and age groups as well as across different levels of distress in students, policemen and psychiatric out-patients. Positive-negative mean difference scores were consistently larger for the State than for the Trait version. State and Trait mean difference scores were found to be mainly confined to symptom-positive subscales. Scale intercorrelations were lowest between symptom-positive and symptom-negative subscales both within and across measures. Factor analyzing the combined versions identified separate symptom-negative and symptom-positive factors, tentatively labeled “absence of positive affect” and “presence of negative affect”. Several explanations of the findings among which item-intensity specificity, the response style of social desirability and the model of positive and negative affectivity are discussed.     

Measurement and correlates of sport-specific cognitive and somatic trait anxiety: The sport anxiety scale

Abstract

Previous research indicates the viability of a distinction between cognitive and somatic components of the anxiety response, and multidimensional anxiety scales have proven useful in relating cognitive and somatic anxiety to behavioral outcomes. This article describes the development and validation of a sport-specific measure of cognitive and somatic trait anxiety. The Sport Anxiety Scale measures individual differences in Somatic Anxiety and in two classes of cognitive anxiety, Worry and Concentration Disruption. Both exploratory and confirmatory factor analyses supported these dimensions in several different athlete samples. Psychometric properties of the Sport Anxiety Scale are described, as are its relations with other psychological measures and with precompetition affective state measures. In the last of the four studies reported, scores on the Concentration Disruption scale were negatively related to the performance of college football players over the course of a season. The studies suggest that the Sport Anxiety Scale may be useful in defining sport-related anxiety more sharply and assessing how the cognitive and somatic anxiety components relate to performance and other outcome measures in sport.     

Hassles,anxiety, and negative well-being

Adult volunteers (N = 234) responded to a “decontaminated” hassles scale plus measures of trait anxiety, perceived stress, psychiatric symptomatology, and minor physical ailments. All but the anxiety scale were time-referenced to the past month. Major findings were as follows: (1) Hassles and trait anxiety contributed positively to perceived stress, both individually and interactively, accounting altogether for 55% of the variance; highly anxious subjects showed lower increments in perceived stress with increasing hassles-exposure than did low anxious subjects. (2) Hassles and trait anxiety had a positive synergistic effect on psychiatric symptomatology which, along with the nonsignificant marginal main effects, accounted for 64% of the variance. (3) Hassles and trait anxiety had a positive synergistic effect on minor physical ailments in men; however, highly anxious women, who showed very high levels of illness under even low hassles-exposure, responded less to incremental stress than did low-anxious women. The significant Sex x Hassles x Trait-Anxiety interaction effect and all the implicated lower-order effects jointly accounted for 22% of the variance in minor ailments.     

Self-efficacy conception of anxiety

Abstract

In social cognitive theory, perceived self-efficacy to exercise control over potential threats plays a central role in anxiety arousal. Threat is a relational property reflecting the match between perceived coping capabilities and potentially hurtful aspects of the environment. People who believe they can exercise control over potential threats do not engage in apprehensive thinking and are not perturbed by them. But those who believe they cannot manage threatening events that might occur experience high levels of anxiety arousal. Experimental analyses of the microrelation between perceived self-efficacy and anxiety arousal reveal that perceived coping inefficacy is accompanied by high levels of subjective distress, autonomic arousal and catecholamine secretion. Environmental events are not always completely under personal control and most human activities contain some potential risks. The exercise of control over anxiety arousal, therefore, requires not only development of behavioral coping efficacy but also efficacy in controlling dysfunctional apprehensive cognitions. It is not frightful cognitions per se but the perceived self-inefficacy to turn them off that is the major source of anxiety arousal. Analyses of the causal structure of self-protective behavior show that anxiety arousal and avoidant behavior are mainly co-effects of perceived coping inefficacy.     

Conceptualizing stress to study effects on health: Environmental,perceptual, and emotional components

Abstract

Stress has been operationalized in numerous ways across studies of physical and mental health, raising questions about the appropriate definition of stress and the construct validity of stress measures. The present paper discusses the theoretical and operational strengths of three prominent approaches to stress definition and then attempts to integrate them into a comprehensive and robust multidimensional definition of stress. In a study of socioeconomically disadvantaged pregnant women, structural equation modelling techniques were used to test whether a single latent construct underlies environmental, perceptual, and response-based indicators of stress. Results suggested a two-factor, rather than a single-factor, model of stress. Stress perception and emotion were part of a single underlying latent factor, a phenomenological stress construct, whereas environmental conditions in the form of major life events represented a second and distinct component of stress. Failure to find a single latent stress construct is interpreted as evidence for the importance of individual perception or appraisal as a mediator of response to difficult environmental conditions. The findings suggest that multidimensional models of stress are theoretically justified and that enhancement of stress measurement in this manner may enable researchers to better identify health effects of stress.     

Test anxiety and ego-threatening stress: Over- (and under-) estimation of emotional reactivity

Abstract

This study examined discrepancies between subjective and objective measures of state anxiety as a function of test anxiety in undergraduates. Under evaluative stress conditions, state anxiety was assessed in terms of (a) self-reported cognitive and somatic anxiety, (b) behavioral reactivity (motor and facial tension, avoidance comments and avoidance of eye contact), (c) physiological arousal (heart rate and skin resistance), and (d) cognitive and motor task performance. Participants high in test anxiety showed disproportionately greater self-reported than objective state anxiety. In contrast, those low in test anxiety showed lower self-reported than objective anxiety. The high- and the low-test-anxiety groups differed only in self-reported emotional reactivity. In line with current cognitive theories of anxiety, overestimation of reactivity in high-test anxiety, as well as underestimation in low-test anxiety, are conceptualized as a hypervigilance bias and an avoidance bias, respectively, in processing internal cues, i.e., prioritization and inhibition of attention to one's own behavioral and physiological signs of distress.     

Worry: A critical analysis of some theoretical approaches

Abstract

It is suggested that worry has not been given serious academic attention due to problems of definition, and a prevailing belief that it is an unnecessary addition to the theorists vocabulary given the term “anxiety”. However, an increasing awareness of the importance of cognitive factors in emotional disorders makes the study of worry a necessary endeavour. Furthermore, inclusion of worry in DSM III-R as the principle diagnostic index of Generalised Anxiety Disorder has given the term clinical credibility. Three theoretical approaches to the subject of worry are considered: the test anxiety literature, which has focused on the effects of worry on performance, and two largely clinical accounts, a tripartite theory of worry and anxiety proposed by Borkovec, Metzger, and Pruzinsky (1986), and the model of anxious apprehension proposed by Barlow (1988). All approaches are critically evaluated, and suggestions made for future formulations.     

The influence of situational and personal variables on the effectiveness of social support during childbirth

Abstract

This study examined the proposition that the efficacy of social support depends upon situational and personality variables. Specifically, it was hypothesized that women high on trait anxiety or undergoing their first experience of childbirth, would profit more from the presence of the husband during delivery than women low on trait anxiety or who had previously given birth. One hundred and twenty new mothers were asked to rank the level of state anxiety, state anger, tension and pain they had experienced during childbirth. Changes in their blood pressure and the amount of tranquilizing medication they had received were also measured. Results obtained with negative affectivity measures almost fully confirmed the hypotheses. Hypotheses regarding blood pressure were confirmed in part, but no support was found when using pain level and amount of tranquilizing medication as dependent variables. The findings are discussed in relation to the stress-buffering hypothesis and the manner in which trait anxiety might mediate the relationship between level of social support and individuals' stress reactions.     

The interaction model of anxiety: An empirical test in a parachute training situation

The interaction model of anxiety was examined by assessing both state and trait anxiety in 64 male military personnel on a Basic Parachutist Course. Two separate tests of the interactional model of anxiety were conducted, involving physical danger and social evaluation situations. The same subjects participated in both studies. In both physical danger and social evaluation studies, measures of state anxiety and cognitive appraisal (perception) of anxiety were obtained in both high-stress and non-stress conditions. Measures of social evaluation and physical danger trait anxiety were obtained in a low-stress condition. The interactional model was strongly supported for the physical danger situation. As predicted, high physical danger trait anxiety subjects experienced greater increases in state anxiety than low physical danger subjects proceeding from the non-stress to the high stress physical danger condition. The interaction model was not supported in the social evaluation situation; although not significant, mean levels of state anxiety were in the predicted direction. Results are discussed in the context of person perception and the need for testing personality models in realistic field settings.