Cognitive Factors that Maintain Social Anxiety Disorder: a Comprehensive Model and its Treatment Implications

Social anxiety disorder (SAD) is a common, distressing and persistent mental illness. Recent studies have identified a number of psychological factors that could explain the maintenance of the disorder. These factors are presented here as part of a comprehensive psychological maintenance model of SAD. This model assumes that social apprehension is associated with unrealistic social standards and a deficiency in selecting attainable social goals. When confronted with challenging social situations, individuals with SAD shift their attention toward their anxiety, view themselves negatively as a social object, overestimate the negative consequences of a social encounter, believe that they have little control over their emotional response, and view their social skills as inadequate to effectively cope with the social situation. In order to avoid social mishaps, individuals with SAD revert to maladaptive coping strategies, including avoidance and safety behaviors, followed by post‐event rumination, which leads to further social apprehension in the future. Possible disorder‐specific intervention strategies are discussed.     

Social Skills Training in Two Subtypes of Psychiatric Inpatients with Generalized Social Phobia

The aim of this study was to investigate the differential effectiveness of broad-spectrum group social skills training (SST) in two subtypes of psychiatric inpatients with a DSM-IV diagnosis of generalized social phobia (GSP). SST participants were assigned to two GSP subtypes on the basis of their level of performance in social situations, i.e., a “reticent” subtype ( n = 28) and a “non-reticent” subtype (n = 28). As hypothesized, it was revealed that the benefit of SST did not differ in the two subtypes. These findings support the effectiveness and feasibility of comprehensive SST for patients with two subtypes of generalized social phobia.     

Clinical effects of biofeedback treatment in migraine: The relation to achieved self-control and pretreatment predictors

Abstract

Factors contributing to the headache reduction six months after treatment of sixty-three migraine subjects were examined in three different studies. Subjects had originally been treated with either peripheral skin temperature biofeedback, biofeedback for blood-volume-pulse amplitude of the temporal artery, or applied relaxation. In Study 1 it was found that biofeedback subjects who had achieved self-control of the trained physiological parameter had significantly greater headache reductions than “nonlearners”. In Studies 2 and 3, potential predicting factors of clinical effects were studied. Age and whether subjects had achieved self-control emerged as (weak) predictors in different analyses using discriminant analysis. Using “PLS” (partial least squares projections to latent structures) a model emerged which gave a more complex picture, and which might indicate for example that there are different sets of factors which predict success and predict nonsuccess in treatment.     

Expectations and Attributions in Social Anxiety Disorder: Diagnostic Distinctions and Relationship to General Anxiety and Depression

Contemporary cognitive models suggest that social anxiety disorder arises from a number of cognitive factors, including tendencies to form pessimistic (rather than optimistic) attributions and expectations for socially-related events. These models also assume that the strengths of such attributions and expectations are more closely linked with social anxiety than with general anxiety or depression. To test these assumptions, a battery of self-report measures was completed by participants with a primary diagnosis of generalized social anxiety disorder (n?=?75), panic disorder with agoraphobia (n?=?44), or post-traumatic stress disorder (n?=?59). To examine differences on these cognitive variables, group comparisons were performed controlling for general anxiety, depression and medication status. Social anxiety disorder, compared with panic disorder with agoraphobia and post-traumatic stress disorder, was characterized by lower expectations for positive social events and higher expectations for negative social events. There was no difference among the groups on expectations for non-social positive or negative events. Stable and global attributions for social negative events were more closely associated with social anxiety disorder than with panic disorder with agoraphobia and post-traumatic stress disorder. Correlational analyses also revealed specific relationships among social-cognitive measures and social anxiety, even after controlling for general anxiety and depression. The results are consistent with cognitive models of social anxiety disorder.     

Cognitive Bias Via the Internet: A Comparison of Web‐Based and Standard Emotional Stroop Tasks in Social Phobia

There is accumulating evidence to suggest that social phobia is associated with attentional bias for words related to social threat. Information processing in individuals with social phobia (n = 87) was investigated in the present study using 2 versions of the emotional Stroop task. Results from a standard emotional Stroop task indicated delayed colour naming of socially threatening words relative to neutral words, in line with previous research, whereas results from a Web‐based emotional Stroop task indicated a facilitation effect, with faster manual indication of colour choice for socially threatening words than for neutral words. Possible explanations for these contrasting findings and issues for further research are discussed.     

题目因素分析：基于SEM和基于IRT的两类方法

心理和教育测量一般只能达到顺序量表的水平,其测量数据与被测因子间并非简单线性关系。题目因素分析是用来描述测量题目与因子间非线性关系的统计模型。题目因素分析主要有基于结构方程模型和基于项目反应理论两类方法,两类方法之间存在紧密的联系,甚至可以看作是同一模型的两种表现形式。本文详细阐述了该关系,同时对两类方法在参数估计、模型拟合指标、测量一致性检验和支撑软件等方面的特点进行了分析和比较,以便研究者选择最为适合其研究的方法。     

Exploring gender differences in body image,eating pathology,and sexual harassment

This study examines the relationship between body image (weight/shape concerns), eating pathology, and sexual harassment among men and women (N = 2446). Hierarchical regressions controlling for depression revealed main effects of gender such that women reported greater weight/shape concerns, eating pathology, dietary restraint, eating concerns, and binge eating compared to men. Main effects for sexual harassment indicated that as harassment increased, participants reported increased weight/shape concerns, eating pathology, dietary restraint, eating concerns, binge eating, and compensatory behaviors. There were small but significant interactions between gender and harassment for eating pathology total score (which included each of the domains listed above), weight/shape concerns, dietary restraint, and eating concerns such that the relationship between increased harassment and increased pathology was stronger for women compared to men. The largest interaction was found for compensatory behaviors, such that while women and men's scores both increased as harassment increased, the relationship was stronger for men.     

生活事件对情感和行为的影响：理论比较与启示

关于生活事件对个体情感反应和行为选择的影响研究, 均试图从不同生活事件和行为决策关系的角度对个体的影响机制进行解释, 但不同理论之间存在争议。行为/经济理论认为人“绝对理性”, 而平均/累加模型、峰-终定律和心理账户认为人“有限理性”。详细比较发现, 各理论在解释的视角、研究方法的选择、生活事件的界定等方面均有不同。未来研究应围绕理论之间的鉴别与整合、生活事件属性与个体属性之间的交互影响以及研究方法的多元化等方面展开。     

任务框架、损益值大小对自恋者风险偏好的影响

以234名大学生为被试,探讨了任务框架、损益值大小对显性/隐性自恋者风险偏好的影响。结果表明：(1)框架效应较稳定的出现在中等风险水平情境下,且在大损益值条件下更易出现。(2)在获益框架下,被试为小金额决策更冒险,在损失框架下,则为大金额决策更冒险。(3)在损失框架下,高显性自恋者比低显性自恋者更为冒险,在获益框架下,高隐性自恋者比低隐性自恋者更为保守;高隐性自恋者的风险偏好受到任务框架和损益值大小的共同影响。     

工作重塑：获得意义性工作与个人成长的新途径

工作重塑是组织行为学中新近出现的一个热点话题,是指员工通过自己对工作进行重新建构来形塑自己的工作认同以及工作角色,其核心目的就是员工对他们的工作进行再设计以获得较高的工作意义感、工作投入以及工作满意度等,进而快乐地工作。在系统梳理有关工作重塑的理论与实证研究文献的基础上,从工作重塑概念的解读、工作重塑的方式与方法、工作重塑的预测因素、工作重塑对个体与组织的影响以及工作重塑的培养策略等方面进行了综述,以便人们更深入地体会其丰富的理论内涵和实践价值;最后,该文指出未来工作重塑的研究应继续注重理论建构的丰富与完善、关注工作重塑的个体与群体差异性以及深化工作重塑与组织之间的关系研究。