Emotion Beliefs and Cognitive Behavioural Therapy for Social Anxiety Disorder

Cognitive Behaviour Therapy

Volumn 44, Issue 2, 2015, Pages 128-141

  De Castella, Krista ^a   Goldin, Philippe ^b   Jazaieri, Hooria ^b   Heimberg, Richard G ^c   Dweck, Carol S ^b   Gross, James J ^b  

^a The Australian National University   (Australia)

^b STANFORD UNIVERSITY   (United States)

^c TEMPLE UNIVERSITY   (United States)

Author keywords

beliefs; CBT; emotion; implicit theories; social anxiety

Indexed keywords

ADULT; ANXIETY DISORDERS; COGNITIVE THERAPY; CONTROLLED STUDY; EMOTION; FEMALE; HUMAN; MALE; MIDDLE AGED; PHOBIC DISORDERS; PSYCHOLOGY; RANDOMIZED CONTROLLED TRIAL; THINKING; TREATMENT OUTCOME; YOUNG ADULT;

ADULT; ANXIETY DISORDERS; COGNITIVE THERAPY; EMOTIONS; FEMALE; HUMANS; MALE; MIDDLE AGED; PHOBIC DISORDERS; THINKING; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84927577884     PISSN: 16506073     EISSN: 16512316     Source Type: Journal    
DOI: 10.1080/16506073.2014.974665     Document Type: Article

References (76)

1. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: American Psychiatric.
2. Arnkoff, D.B., Glass, C.R., & Shapiro, D.A. (2002). Expectations and preferences. In J.C.Norcross (Ed.), Psychotherapy relationships that work (pp. 335–356). Oxford: University Press.
3. Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: W.H. Freeman.
4. Baron, R.M., & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. 10.1037/0022-3514.51.
5. Blackwell, L.S., Trzesniewski, K.H., & Dweck, C.S. (2007). Implicit theories of intelligence predict achievement across an adolescent transition: A longitudinal study and an intervention. Child Development, 78, 246–263. 10.1111/j.1467-8624.2007.00995.x.
6. Boden, M.T., John, O.P., Goldin, P.R., Werner, K., Heimberg, R.G., & Gross, J.J. (2012). The role of maladaptive beliefs in cognitive-behavioral therapy: Evidence from social anxiety disorder. Behaviour Research and Therapy, 50, 287–291. 10.1016/j.brat.2012.02.007.
7. Brown, T.A., DiNardo, P., & Barlow, D.H. (1994). Anxiety disorders interview schedule lifetime version (ADIS-IV-L). New York, NY: Oxford University Press.
8. Brozovich, F.A., & Heimberg, R.G. (2011). A treatment refractory case of social anxiety disorder: Lessons learned from a failed course of cognitive-behavioral therapy. Cognitive and Behavioral Practice, 18, 316–325. 10.1016/j.cbpra.2010.07.003.
9. Bruch, M.A., Fallon, M., & Heimberg, R.G. (2003). Social phobia and difficulties in occupational adjustment. Journal of Counseling Psychology, 50, 109–117. 10.1037/0022-0167.50.1.109.
10. Buckner, J.D., & Schmidt, N.B. (2009). A randomized pilot study of motivation enhancement therapy to increase utilization of cognitive-behavioral therapy for social anxiety. Behaviour Research and Therapy, 47, 710–715. 10.1016/j.brat.2009.04.009.
11. Chambless, D.L., Tran, G.Q., & Glass, C.R. (1997). Predictors of response to cognitive-behavioral group therapy for social phobia. Journal of Anxiety Disorders, 11, 221–240. 10.1016/S0887-6185(97)00008-X.
12. Clark, D.M. (2001). A cognitive perspective on social phobia. In W.R.Crozier & L.E.Alden (Eds.), International handbook of social anxiety: Concepts, research and interventions relating to the self and shyness. New York, NY: Wiley.
13. Clark, D.M., Ehlers, A., Hackmann, A., McManus, F., Fennell, M., Grey, N., … & Wild, J. (2006). Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 568–578. 10.1037/0022-006X.74.3.568.
14. Clark, D.M., Ehlers, A., McManus, F., Hackmann, A., Fennell, M., Campbell, H., … & Louis, B. (2003). Cognitive therapy versus fluoxetine in generalized social phobia: A randomized placebo-controlled trial. Journal of Consulting and Clinical Psychology, 71, 1058–1067. 10.1037/0022-006X.71.6.1058.
15. Clark, D.M., & Wells, A. (1995). A cognitive model of social phobia. In R.G.Heimberg, M.R.Liebowitz, D.A.Hope, & F.R.Schneier (Eds.), Social phobia: Diagnosis, assessment and treatment (pp. 69–93). New York, NY: Guilford Press.
16. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum.
17. Cohen, J., Cohen, P., West, S.G., & Aiken, L.S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.
18. De Castella, K., Goldin, P., Jazaieri, H., Ziv, M., Dweck, C.S., & Gross, J.J. (2013). Beliefs about emotion: Links to emotion regulation, well-being, and psychological distress. Basic and Applied Social Psychology, 35, 497–505. 10.1080/01973533.2013.840632.
19. De Castella, K., Goldin, P., Jazaieri, H., Ziv, M., Heimberg, R.G., & Gross, J.J. (2014). Emotion beliefs in social anxiety disorder: Associations with stress, anxiety, and well-being. Australian Journal of Psychology, 66, 130–148. 10.1111/ajpy.12053.
20. Dweck, C.S. (1999). Self-theories: Their role in motivation, personality, and development. Philadelphia, PA: Psychology Press.
21. Foa, E.B., Franklin, M.E., Perry, K.J., & Herbert, J.D. (1996). Cognitive biases in generalized social phobia. Journal of Abnormal Psychology, 105, 433–439. 10.1037/0021-843X.105.3.433.
22. Fresco, D.M., Coles, M.E., Heimberg, R.G., Liebowitz, M.R., Hami, S., Stein, M.B., & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formants. Psychological Medicine, 31, 1025–1035. 10.1017∖S003329170105405.
23. Gaudiano, B.A., & Herbert, J.D. (2003). Preliminary psychometric evaluation of a new self-efficacy scale and its relationship to treatment outcome in social anxiety disorder. Cognitive Therapy and Research, 27, 537–555. 10.1023/A:1026355004548.
24. Goldin, P.R., Ziv, M., Jazaieri, H., Werner, K., Kraemer, H., Heimberg, R.G., & Gross, J.J. (2012). Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder. Journal of Consulting and Clinical Psychology, 80, 1034–1040. 10.1037/a0028555.
25. Good, C., Aronson, J., & Inzlicht, M. (2003). Improving adolescents' standardized test performance: An intervention to reduce the effects of stereotype threat. Journal of Applied Developmental Psychology, 24, 645–662. 10.1016/j.appdev.2003.09.002.
26. Greenwald, A.G., McGhee, D.E., & Schwartz, J.K.L. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74, 1464–1480. 10.1177/0146167205275613.
27. Hayes, A.F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420. 10.1080/03637750903310360.
28. Heimberg, R.G., Brozovich, F.A., & Rapee, R.M. (2010). A cognitive-behavioral model of social anxiety disorder: Update and extension. In S.G.Hofmann & P.M.DiBartolo (Eds.), Social anxiety: Clinical, developmental, and social perspectives (2nd ed., pp. 395–422). New York, NY: Academic Press.
29. Heimberg, R.G., Brozovich, F.A., & Rapee, R.M. (2014). A cognitive-behavioral model of social anxiety disorder. In S.G.Hofmann & P.M.DiBartolo (Eds.), Social Anxiety: Clinical, developmental, and social perspectives (3rd ed., pp. 705–728). Waltham, MA: Academic Press.
30. Heimberg, R.G., Salzman, D.G., Holt, C.S., & Blendell, K.A. (1993). Cognitive-behavioral group treatment for social phobia: Effectiveness at five-year follow-up. Cognitive Therapy and Research, 17, 325–339. 10.1007/BF01177658.
31. Hertel, P.T., & Mathews, A. (2011). Cognitive bias modification. Perspectives on Psychological Science, 6, 521–536. 10.1177/1745691611421205.
32. Hofmann, S.G. (2000). Treatment of social phobia: Potential mediators and moderators. Clinical Psychology, 7, 3–16. 10.1093/clipsy.7.1.3.
33. Hofmann, S.G. (2004). Cognitive mediation of treatment change in social phobia. Journal of Consulting and Clinical Psychology, 72, 393–399. 10.1037/0022-006X.72.3.393.
34. Hofmann, S.G. (2005). Perception of control over anxiety mediates the relation between catastrophic thinking and social anxiety in social phobia. Behaviour Research and Therapy, 43, 885–895. 10.1016/j.brat.2004.07.002.
35. Hofmann, S.G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36, 193–209. 10.1080/16506070701421313.
36. Hofmann, S.G., & Barlow, D.H. (2002). Social phobia (social anxiety disorder). In D.H.Barlow (Ed.), Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed., pp. 454–476). New York, NY: Guilford Press.
37. Hofmann, S.G., Ehlers, A., & Roth, W.T. (1995). Conditioning theory: A model for the etiology of public speaking anxiety?Behaviour Research and Therapy, 33, 567–571. 10.1016/0005-7967(94)00072-R.
38. Hofmann, S.G., Moscovitch, D.A., Kim, H.J., & Taylor, A.N. (2004). Changes in self-perception during treatment of social phobia. Journal of Consulting and Clinical Psychology, 72, 588–596. 10.1037/0022-006x.72.4.588.
39. Hope, D.A., Heimberg, R.G., Juster, H., & Turk, C.L. (2000). Managing social anxiety: A cognitive-behaivoral therapy approach (Client Workbook). New York, NY: Oxford University Press.
40. Hope, D.A., Heimberg, R.G., & Turk, C.L. (2006). Therapist guide for managing social anxiety: A cognitive-behavioral therapy approach. New York, NY: Oxford University Press.
41. Hope, D.A., van Dyke, M., Heimberg, R.G., Turk, C.L., & Fresco, D.M. (2001). Cognitive-behavioral therapy for social anxiety disorder: Therapist adherence scale. Available from Richard G. Heimberg, Adult Anxiety Clinic of Temple University, 1701 North 13th Street, Philadelphia, PA 19122–6085.
42. Kashdan, T.B., & Herbert, J.D. (2001). Social anxiety disorder in childhood and adolescence: Current status and future directions. Clinical Child and Family Psychology Review, 4, 37–61. 10.1023/A:1009576610507.
43. Kendall, P.C., & Treadwell, K.R.H. (2007). The role of self-statements as a mediator in treatment for youth with anxiety disorders. Journal of Consulting and Clinical Psychology, 75, 380–389. 10.1037/0022-006x.75.3.380.
44. Kessler, R., Berglund, P., Demler, O., Jin, R., Merikangas, K.R., & Walters, E.E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. 10.1001/archpsyc.62.6.593.
45. Kessler, R., Chiu, W.T., Demler, O., Merikangas, K.R., & Walters, E.E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617–627. 10.1001/archpsyc.62.6.617.
46. Kessler, R., Chiu, W.T., Jin, R., Ruscio, A.M., Shear, K., & Walters, E.E. (2006). The epidemiology of panic attacks, panic disorder, and agoraphobia in the National Comorbidity Survey Replication. Archives of General Psychiatry, 63, 415–424. 10.1001/archpsyc.63.4.415.
47. Leary, M.R., & Atherton, S.C. (1986). Self-efficacy, social anxiety, and inhibition in interpersonal encounters. Journal of Social and Clinical Psychology, 4, 256–267. 10.1521/jscp.1986.4.3.256.
48. Ledley, D.R., Erwin, B.A., Morrison, A.S., & Heimberg, R.G. (2013). Social anxiety disorder. In W.E.Craighead, D.J.Miklowitz, & L.W.Craighead (Eds.), Psychopathology: History, theory, and empirical foundations (2nd ed., pp. 147–192). New York, NY: Wiley.
49. Ledley, D.R., Heimberg, R.G., Hope, D.A., Hayes, S.A., Zaider, T.I., Dyke, M.V., … & Fresco, D.M. (2009). Efficacy of a manualized and workbook-driven individual treatment for social anxiety disorder. Behavior Therapy, 40, 414–424. 10.1016/j.beth.2008.12.001.
50. Leichsenring, F., Salzer, S., Beutel, M.E., Herpertz, S., Hiller, W., Hoyer, J., … & Leibing, E. (2013). Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: A multicenter randomized controlled trial. American Journal of Psychiatry, 170, 759–767. 10.1176/appi.ajp.2013.12081125.
51. Mansell, W., & Clark, D.M. (1999). How do I appear to others? Social anxiety and processing of the observable self. Behaviour Research and Therapy, 37, 419–434. 10.1016/S0005-7967(98)00148-X.
52. Miller, W.R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York, NY: Guilford Press.
53. Miller, W.R., Zweben, A., DiClemente, C.C., & Rychtarik, R.G. (1992). Motivational enhancement therapy manual: A clinical research guide for therapists treating individuals with alcohol abuse and dependence. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism (NIAAA).
54. Montesi, J.L., Conner, B.T., Gordon, E.A., Fauber, R.L., Kim, K.H., & Heimberg, R.G. (2012). On the relationship among social anxiety, intimacy, sexual communication, and sexual satisfaction in young couples. Archives of Sexual Behavior, 42, 89–91. 10.1007/s10508-012-9929-3.
55. Mortberg, E., Clark, D.M., & Bejerot, S. (2011). Intensive group cognitive therapy and individual cognitive therapy for social phobia: Sustained improvement at 5-year follow-up. Journal of Anxiety Disorders, 25, 994–1000. 10.1016/j.janxdis.2011.06.007.
56. Mortberg, E., Clark, D.M., Sundin, O., & Aberg Wistedt, A. (2007). Intensive group cognitive treatment and individual cognitive therapy vs. treatment as usual in social phobia: A randomized controlled trial. Acta Psychiatrica Scandinavica, 115, 142–154. 10.1111/j.1600-0447.2006.00839.x.
57. Preacher, K.J., & Hayes, A.F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. 10.3758/BRM.40.3.879.
58. Preacher, K.J., & Kelley, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16(2), 93–115. 10.1037/a0022658.
59. Price, M., & Anderson, P.L. (2011). Outcome expectancy as a predictor of treatment response in cognitive behavioral therapy for public speaking fears within social anxiety disorder. Psychotherapy, 49, 1–7. 10.1037/a0024734.
60. Rapee, R.M., Gaston, J.E., & Abbott, M.J. (2009). Testing the efficacy of theoretically derived improvements in the treatment of social phobia. Journal of Consulting and Clinical Psychology, 77, 317–327. 10.1037/a0014800.
61. Reich, J., Goldenberg, I., Vasile, R., Goisman, R., & Keller, M. (1994). A prospective follow-along study of the course of social phobia. Psychiatry Research, 54, 249–258. 10.1016/0165-1781(94)90019-1.
62. Rodebaugh, T.L. (2009). Social phobia and perceived friendship quality. Journal of Anxiety Disorders, 23, 872–878. 10.1016/j.janxdis.2009.05.001.
63. Rucker, D.D., Preacher, K.J., Tormala, Z.L., & Petty, R.E. (2011). Mediation analysis in social psychology: Current practices and new recommendations. Social and Personality Psychology Compass, 5(6), 359–371. 10.1111/j.1751-9004.2011.00355.x.
64. Schneier, F.R., Heckelman, L.R., Garfinkel, R., Campeas, R., Fallon, B.A., Gitow, A., … & Liebowitz, M.R. (1994). Functional impairment in social phobia. Journal of Clinical Psychiatry, 55, 322–331. 1995-04074-001.
65. Smith, H.M., & Betz, N.E. (2000). Development and validation of a scale of perceived social self-efficacy. Journal of Career Assessment, 8, 283–301. 10.1177/106907270000800306.
66. Smits, J.A.J., Julian, K., Rosenfield, D., & Powers, M.B. (2012). Threat reappraisal as a mediator of symptom change in cognitive-behavioral treatment of anxiety disorders: A systematic review. Journal of Consulting and Clinical Psychology, 80, 624–635. 10.1037/a0028957.
67. Sobel, M.E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312. 10.2307/270723.
68. Stangier, U., Schramm, E., Heidenreich, T., Berger, M., & Clark, D.M. (2011). Cognitive therapy vs interpersonal psychotherapy in social anxiety disorder: A randomized controlled trial. Archives of General Psychiatry, 68, 692–700. 10.1001/archgenpsychiatry.2011.67.
69. Tabachnick, B.G., & Fidell, L.S. (2007). Using multivariate statistics(5th ed.). Boston: Pearson.
70. Tamir, M., John, O.P., Srivastava, S., & Gross, J.J. (2007). Implicit theories of emotion: Affective and social outcomes across a major life transition. Journal of Personality and Social Psychology, 92, 731–744. 10.1037/0022-3514.92.4.731.
71. Tamir, M., & Mauss, I.B. (2011). Social cognitive factors in emotion regulation: Implications for well-being. In I.Nyklicek, A.Vingerhoets, M.Zeelenberg, & J.Donellet (Eds.), Emotion regulation and well-being (pp. 31–47). New York, NY: Springer.
72. Wagner, R., Silove, D., Marnane, C., & Rouen, D. (2006). Delays in referral of patients with social phobia, panic disorder and generalized anxiety disorder attending a specialist anxiety clinic. Journal of Anxiety Disorders, 20, 363–371. 10.1016/j.janxdis.2005.02.003.
73. Werner, K.H., Goldin, P.R., Ball, T.M., Heimberg, R.G., & Gross, J.J. (2011). Assessing emotion regulation in social anxiety disorder: The emotion regulation interview. Journal of Psychopathology and Behavioral Assessment, 33, 346–354. 10.1007/s10862-011-9225-x.
74. Werner, K.H., & Gross, J.J. (2009). Emotion regulation and psychopathology: A conceptual framework. In A.M.Kring & D.M.Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 13–37). New York, NY: Guilford Press.
75. Westra, H.A., Arkowitz, H., & Dozois, D.J. (2009). Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders, 23, 1106–1117. 10.1016/j.janxdis.2009.07.014.
76. Wong, J., Gordon, E.A., & Heimberg, R.G. (2012). Social anxiety disorder. In P.Sturmey & M.Hersen (Eds.), Handbook of evidence-based practice in clinical psychology: Volume II, Adult disorders (pp. 621–649). New York, NY: Wiley.