Consistency of social anxiety in psychiatric patients: Properties of persons,situations, response classes,and types of data

The focus of this study was to investigate the consistency of observed overt behaviors, psychophysiological measures, and reported cognitions in high and low socially anxious psychiatric patients. Forty-seven psychiatric patients (25 high and 22 low socially anxious ones) were exposed to two situations: the initiation of a conversation and the refusal of a request. For both groups of subjects, consistency across situations (Situations) and trait indicators (Reactions) was highest for psychophysiological measures. Observed overt behaviors showed the lowest consistency across Situations and Reactions. Substantial evidence was found for the consistency of Persons x Situations and Persons x Reactions interactions. Moreover, high socially anxious subjects showed a higher consistency than low socially anxious patients with respect to observed overt behaviors and reported cognitions. Using psychophysiological measures, low socially anxious patients showed higher consistency than high socially anxious subjects. The implications for the assessment of social anxiety are discussed.