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The Contribution of Experiential Avoidance and Social Cognitions in the Prediction of Social Anxiety

  • Brittain L. Mahaffey (a1), Michael G. Wheaton (a1), Laura E. Fabricant (a1), Noah C. Berman (a1) and Jonathan S. Abramowitz (a1)...

Abstract

Background: Cognitive models propose that social anxiety arises from specific dysfunctional cognitions about the likelihood and severity of embarrassment. Relational frame theory (RFT), on the other hand, posits that social anxiety arises from the unwillingness to endure unpleasant internal experiences (i.e. experiential avoidance [EA]). Although cognitive models have garnered empirical support, it may be that newer models such as RFT can improve our ability to predict and treat social anxiety. Aims: We aimed to elucidate the relationship between dysfunctional cognitions and EA, as well as their independent and relative contributions to the prediction of social anxiety symptoms. We hypothesized that dysfunctional cognitions and EA would each be associated with social anxiety, as well as with each other. We also predicted that both EA and dysfunctional cognitions would remain independent predictors of social anxiety symptoms after controlling for each other and general distress. Method: Undergraduates high (n = 173) and low (n = 233) in social anxiety completed measures of social anxiety, dysfunctional cognitions, EA, and general distress. The overall sample was 66.3% female; mean age = 20.01 years (SD = 2.06). Results: Correlational analyses revealed that EA, dysfunctional cognitions, and social anxiety symptoms were moderately correlated with one another. Additionally, hierarchical regression analyses revealed that dysfunctional cognitions predicted social anxiety symptoms even after controlling for EA; the reverse was not found. Conclusions: Results suggest that EA and social anxiety specific cognitive distortions overlap to a moderate extent. EA does not add to the prediction of social anxiety symptoms above and beyond dysfunctional cognitions. Additional theoretical and treatment implications of the results are discussed.

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Corresponding author

Reprint requests to Jonathan S. Abramowitz, 255 Davie Hall, Psychology Dept. UNC-CH, Chapel Hill, NC 27599–3270, USA. E-mail: jabramowitz@unc.edu

References

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Abramowitz, J. S., Lackey, G. and Wheaton, M. G. (2009). Obsessive-compulsive symptoms: the contribution of obsessive beliefs and experiential avoidance. Journal of Anxiety Disorders, 23, 160166. doi: 10.1016/j.janxdis.2008.06.00
Amir, N., Foa, E. B. and Coles, M. E. (1998a). Automatic activation and strategic avoidance of threat-relevant information in social phobia. Journal of Abnormal Psychology, 107, 285290. doi: 10.1037/0021-843X.107.2.285
Amir, N., Foa, E. B. and Coles, M. E. (1998b). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36, 945957. doi: 10.1016/S0005-7967(98)00060-6
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W. and Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10, 176181. doi: 10.1037//1040-3590.10.2.176
Ashbaugh, A., Antony, M., McCabe, R., Schmidt, L. and Swinson, R. (2005). Self-Evaluative Biases in Social Anxiety. Cognitive Therapy and Research, 29, 387398. doi: 10.1007/s10608-005-2413-9
Asmundson, G. J. G. and Stein, M. B. (1994). Selective processing of social threat on patients with generalized social phobia: evaluation using a dot-probe paradigm. Journal of Anxiety Disorders, 8, 107117. doi: 10.1016/0887-6185(94)90009-4
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. Oxford: International Universities Press.
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.
Berrocal, C., Bernini, O. and Cosci, F. (2010, March). Experiential Avoidance in Subjects with Social Anxiety. Paper presented at the 18thEuropean Congress of Psychiatry, Munich, Germany.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K., Orcutt, H. K., Waltz, T., et al. (2008). Preliminary psychometric properties of the Acceptance and Action Questionnaire—II: a revised measure of psychological flexibility and acceptance. Manuscript submitted for publication.
Chambless, D. L., Tran, G. Q. and Glass, C. R. (1997). Predictors of response to cognitive-behavioral group therapy for social phobia. Journal of Anxiety Disorders, 11, 221240. doi: 10.1016/S0887-6185(97)00008-X
Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461470. doi: 10.1016/0005-7967(86)90011-2
Clark, D. M. (1999). Anxiety disorders: why they persist and how to treat them. Behaviour Research and Therapy, 37, S5S27. doi: 10.1016/S0005-7967(99)00048-0
Clark, D. M. and Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R. G., Liebowitz, M., Hope, D. and Schneier, F. (Eds), Social Phobia: diagnosis, assessment and treatment (pp. 6993). New York: Guilford.
Coles, M. E., Cook, L. M., and Blake, T. R. (2006) Assessing obsessive compulsive symptoms and cognitions on the internet: evidence for the comparability of paper and Internet administration. Behaviour Research and Therapy, 45, 22322240. doi: 10.1016/j.brat.2006.12.009
Connor, K., Davidson, J., Churchill, L., Sherwood, A., Foa, E. and Weisler, R. (2000). Psychometric properties of the Social Phobia Inventory (SPIN): new self-rating scale. British Journal of Psychiatry, 176, 379386. doi: 10.1192/bjp.176.4.379
Eifert, G. H. and Forsyth, J. P. (2005) Acceptance and Commitment Therapy for Anxiety Disorders: a practitioner's treatment guide to using mindfulness, acceptance, and values-based behavior change strategies. Oakland, CA: New Harbinger.
Fergus, T. A., Valentiner, D. P., Kim, H. S. and Stephenson, K. (2009). The Social Thoughts and Beliefs Scale: psychometric properties and its relation with interpersonal functioning in a non-clinical sample. Cognitive Therapy and Research, 33, 425431. doi: 10.1007/s10608-008-9214-x
Forman, E., Herbert, J., Moitra, E., Yeomans, P. and Geller, P. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31, 772799. doi: 10.1177/0145445507302202.
Gould, R., Buckminster, S., Pollack, M., Otto, M. and Yap, L. (2006). Cognitive-behavioral and pharmacological treatment for social phobia: a meta-analysis. Clinical Psychology Science and Practice, 4, 291306. doi: 10.1111/j.1468-2850.1997.tb00123.x
Hayes, S. C. and Gifford, E. V. (1997). The trouble with language: experiential avoidance, rules, and the nature of verbal events. Psychological Science, 8, 170173. doi: 10.1111/j.1467-9280.1997.tb00405.x
Hayes, S. C., Luoma, J., Bond, F., Masuda, A. and Lillis, J. (2006). Acceptance and Commitment Therapy: model, processes, and outcomes. Behaviour Research and Therapy, 44, 125. doi: 10.1016/j.brat.2005.06.006
Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: a preliminary test of a working model. The Psychological Record, 54, 553578.
Hayes, S. C., Wilson, K. G., GiffordE., V. E., V., Follette, V. M. and Stroahl, K. D. (1996). Experiential avoidance and behavior disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 11521168. doi: 10.1037/0022-006X.64.6.1152
Heimberg, R. G. (2002). Cognitive behavioral therapy for social anxiety disorder: current status and future directions. Biological Psychiatry, 51, 101108. doi: 10.1016/S0006-3223(01)01183-0
Henry, J. D. and Crawford, J. R. (2005). The 21-item version of the Depression Anxiety Stress Scales (DASS–21): normative data and psychometric evaluation in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227239. doi: 10.1348/014466505×29657
Hewson, C. M., Yule, P., Laurent, D. and Vogel, C. M. (2003). Internet Research Methods: a practical guide for the social and behavioural sciences. London: SAGE.
Hope, D. A., Heimberg, R. G. and Bruch, M. A. (1995. Dismantling cognitive–behavioral group therapy for social phobia. Behaviour Research and Therapy, 33, 637650. doi: 0.1016/0005-7967(95)00013-N
Hope, D. A., Rapee, R. M., Heimberg, R. G. and Dombeck, M. J. (1990): Representations of the self in social phobia: vulnerability to social threat. Cognitive Therapy and Research, 14, 477485. doi: 10.1007/BF01176208
Kessler, R. C., Chiu, W. T., Demler, O. and Walters, E. E. (2005) Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617627. doi: 10.1001/archpsyc.62.6.617
Lee, H., and Telch, M. J. (2008). Attentional biases in social anxiety: an investigation using the inattentional blindness paradigm. Behaviour Research and Therapy, 46, 819835. doi: 10.1016/j.brat.2008.04.001
Lovibond, S. H. and Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foundation. doi: 10.1016/0005-7967(94)00075-U,
Magee, W., Eaton, W., Wittchen, U., McGonagle, K. and Kessler, R. (1996). Agoraphobia, simple phobia, and social phobia in the national comorbidity survey. Archives of General Psychiatry, 53, 159168. doi: 10.1001/archpsyc.1996.01830020077009
Mattick, R., Peters, L. and Clarke, J. (1989). Exposure and cognitive restructuring for social phobia: a controlled study. Behavior Therapy, 20, 323. doi: 10.1016/S0005-7894(89)80115-7
McManus, F., Clark, D. M. and Hackmann, A. (2000). Specificity of cognitive biases in social phobia and their role in recovery. Behavioural and Cognitive Psychotherapy, 28, 201209. doi: 10.1017/S1352465800003015
McNally, R. J. (1996). Cognitive bias in the anxiety disorders. In Hope, D. A. (Ed.), Nebraska Symposium on Motivation: Vol. 43. Perspectives on anxiety, panic, and fear (pp. 211250). Lincoln: University of Nebraska Press.
Mellings, T. and Alden, L. (2000). Cognitive processes in social anxiety: the effects of self-focus, rumination and anticipatory processing. Behaviour Research and Therapy, 38, 243257. doi: 10.1016/S0005-7967(99)00040-6.
Orsillo, S. M. and Roemer, L. (Eds.) (2005). Acceptance and Mindfulness-Based Approaches to Anxiety: conceptualization and treatment. New York: Springer.
Ossman, W., Wilson, K., Storaasli, R. and McNeil, J. (2006). A preliminary investigation of the use of Acceptance and Commitment Therapy in a group treatment for social phobia. International Journal of Psychology and Psychological Therapy, 6, 397416.
Page, A. C., Hooke, G. R. and Morrison, D. L. (2007). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in depressed clinical samples. British Journal of Clinical Psychology. 46, 283297. doi: 10.1348/014466506×158996
Powers, M. B., Zum Vorde Sive Vording, M. B. and Emmelkamp, P. M. (2009). Acceptance and commitment therapy: a meta-analytic review. Psychotherapy and Psychosomatics, 78, 7380. doi: 10.1159/000190790
Ranta, K., Kaltiala-Heino, R., Ranteen, P., Tuomisto, M. T. and Marttunen, M. (2007). Screening social phobia in adolescents from general population: the validity of the Social Phobia Inventory (SPIN) against a clinical interview. European Psychiatry, 22, 244251. doi: 10.1016/j.eurpsy.2006.12.002
Rapee, R. M. and Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741756. doi: 10.1016/S0005-7967(97)00022-3
Rodebaugh, T. L., Holaway, R. M. and Heimberg, R. G. (2008). The treatment of social anxiety disorder. Clinical Psychology Review, 24, 883908. doi: 10.1016/j.cpr.2004.07.007
Scholing, A. and Emmelkamp, P. M. G. (1999). Prediction of treatment outcome in social phobia: a cross-validation. Behaviour Research and Therapy, 37, 659670. doi: 10.1016/S0005-7967(98)00175-2
Stein, M. B., Torgrud, L. J. and Walker, J. (2000) Social phobia symptoms, subtypes, and severity: findings from a community survey. Archives of General Psychiatry. 57, 10461052. doi: 10.1001/archpsyc.57.11.1046
Stopa, L. and Clark, D. M. (2000). Social phobia and interpretation of social events. Behaviour Research and Therapy, 38, 273283. doi: 10.1016/S0005-7967(99)00043-1
Stopa, L. and Clark, D. (2001). Social phobia: comments on the viability and validity of an analogue research strategy and British norms for the fear of negative evaluation questionnaire. Behavioural and Cognitive Psychotherapy, 29, 423430. doi: 10.1017/S1352465801004039.
Turner, S. M., Johnson, M. R., Beidel, D. C., Heiser, N. A. and Lydiard, R. B. (2003). The Social Thoughts and Beliefs Scale: a new inventory for assessing cognitions in social phobia. Psychological Assessment, 15, 384391. doi: 10.1037/1040-3590.15.3.384
Wheaton, M. G., Abramowitz, J. S., Franklin, J. C., Berman, N. C. and Fabricant, L. E. (2010). Experiential avoidance and saving cognitions in the prediction of hoarding symptoms. Cognitive Therapy and Research. doi: 10.1007/s10608-010-9338-7
Wheaton, M. G., Berman, N. C. and Abramowitz, J. S. (2010). The contribution of experiential avoidance and anxiety sensitivity in the prediction of health anxiety. Journal of Cognitive Psychotherapy, 24, 229239. doi: 10.1891/0889-8391.24.3.22

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The Contribution of Experiential Avoidance and Social Cognitions in the Prediction of Social Anxiety

  • Brittain L. Mahaffey (a1), Michael G. Wheaton (a1), Laura E. Fabricant (a1), Noah C. Berman (a1) and Jonathan S. Abramowitz (a1)...
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