Cognitive Therapy and Research最新文献

{"title":"Associations Between Self-Criticism, Basic Psychological Needs Frustration, and Self-Damaging Behaviors: An Application of Self-Determination Theory","authors":"Christina L. Robillard, Andrew C. Switzer, Nicole K. Legg, Emily L. Spargo, Brianna J. Turner","doi":"10.1007/s10608-024-10533-6","DOIUrl":"https://doi.org/10.1007/s10608-024-10533-6","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Self-determination theory suggests that the associations between self-criticism and self-damaging behaviors (SDBs; e.g., nonsuicidal self-injury [NSSI], disordered eating [i.e., binge eating, purging, restrictive eating], and alcohol or drug misuse) are mediated by basic psychological needs frustration (i.e., autonomy, competence, and relatedness frustration). However, limited research has tested this hypothesis, precluding our understanding of <i>why</i> or <i>how</i> self-criticism is associated with SDBs.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We addressed this research gap among 1018 adults with a recent history of SDBs (54.6% male, 83.6% White, <i>M</i>_age = 35.41). Participants were recruited on Amazon’s Mechanical Turk (MTurk) and completed an online survey assessing self-criticism, basic psychological needs frustration, and engagement in SDBs. Structural equation modeling investigated the direct and indirect effects between these variables.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Self-criticism was positively associated with NSSI, purging, alcohol misuse, and drug misuse. Autonomy frustration indirectly linked self-criticism to NSSI. Competence frustration indirectly linked self-criticism to NSSI, binge eating, restrictive eating, and drug misuse. Relatedness frustration indirectly linked self-criticism to alcohol misuse, drug misuse, binge eating, and restrictive eating, but the direction of these associations differed across SDBs. Specifically, self-criticism was associated with higher relatedness frustration, which in turn was associated with more severe substance misuse and less frequent disordered eating.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Overall, results support the applicability of self-determination theory to understanding how self-criticism is associated with a variety of distinct SDBs.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"31 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distress Tolerance Among Firefighters: Examining Main and Interactive Effects of Resilience and Mindful Attention","authors":"Shelby J. McGrew, Maya Zegel, Antoine Lebeaut, Rebecca M. Schwartz, Adam Gonzalez, Anka A. Vujanovic","doi":"10.1007/s10608-024-10526-5","DOIUrl":"https://doi.org/10.1007/s10608-024-10526-5","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Firefighting is an intrinsically stressful occupation, and firefighters are routinely confronted with potentially traumatic experiences. Abilities to tolerate distress and to recover from stressful experiences (i.e., resilience) are pertinent to firefighting. Various facets of distress tolerance (DT), defined as the ability to withstand negative emotional and/or physical states, are thus of relevance to fire culture. Emotional distress tolerance (EDT) is the perceived ability to tolerate negative emotional states; distress intolerance (DI) is the perceived <i>inability</i> to tolerate such states; and distress overtolerance (DO) is the tendency to persist through distress despite negative consequences. Resilience may be related to DT among firefighters. Mindful attention, defined as present-focused awareness, may attenuate or moderate that association.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The present investigation examined the association of resilience and mindful attention with three distinct DT constructs, including perceived EDT, DI, and DO, among a sample of firefighters (<i>N</i> = 106; 93.4% male; 84.9% White; <i>M</i>_age = 42.6, <i>SD</i> = 1.1).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The associations between resilience and (1) EDT; (2) DI; and (3) DO varied across levels of mindful attention. Findings were significant above and beyond the effects of theoretically-relevant covariates.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The present study extends prior research on risk and resilience variables among firefighters. By focusing on psychological mechanisms that are clinically malleable, this work has the potential to inform specialized interventions for firefighter mental wellness.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"34 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Specificity of Emotion Regulation Processes in Depression: A Network Analysis","authors":"Jente Depoorter, Rudi De Raedt, Matthias Berking, Kristof Hoorelbeke","doi":"10.1007/s10608-024-10530-9","DOIUrl":"https://doi.org/10.1007/s10608-024-10530-9","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p><i>Maladaptive</i> emotion regulation has received a lot of attention as a potential mechanism underlying major depressive disorder (MDD). However, less is known about the role of <i>adaptive</i> emotion regulation skills and its specificity for MDD. The Adaptive Coping with Emotions model provides a framework for this, distinguishing early (Awareness, Sensations, Clarity, Understanding) and later processes (Modification, Acceptance, Tolerance, Readiness to confront and Effective Self-Support) relevant for emotion regulation.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The current study (<i>N</i> = 291) applied Network Analysis with Fused Graphical Lasso to jointly estimate emotion regulation networks in MDD (<i>N</i> = 160) and a control sample (<i>N</i> = 131). Within the two obtained network models, we investigated how different aspects of emotion regulation cluster together. In addition, level of centrality and unique associations between constructs were modeled. Permutation tests were applied to identify significant differences between both networks.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Two communities were detected, with one including variables related to preparatory processes in emotion regulation and the other including variables related to regulation processes. Additionally, ‘Identifying and Labeling’ was ranked among the most central nodes. Furthermore, our results suggest similar pathways connecting emotion regulation skills in MDD and controls.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The results highlight the existence of different processes in emotion regulation and provide further evidence for emotion regulation as a transdiagnostic concept.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"60 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relapse prevention following guided self-help for common health problems: A Scoping Review","authors":"Saher Nawaz, Penny Bee, Hannah Devaney, Cintia Faija","doi":"10.1007/s10608-024-10520-x","DOIUrl":"https://doi.org/10.1007/s10608-024-10520-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>To gain an in-depth understanding of interventions, tools, and resources available focused on maintaining recovery and preventing relapse for patients with anxiety and/or depression symptoms following guided self-help (GSH).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The literature search was conducted on four electronic databases from inception until May 2024 (PsycINFO, CINAHL Plus, PubMed and Web of Science). Additional searches were also conducted through other sources, including Grey Literature Databases, Google Search Engine, Citations and contacting experts in the field. All identified articles were screened for eligibility by two independent reviewers and quality appraised.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A total of 1277 records across databases and other sources were identified. After removing duplicates, 511 were screened for eligibility. A total of six references met the inclusion criteria and were included in the review. Three peer-reviewed publications were identified, and all reported an intervention targeting relapse prevention following GSH which included monthly telephone follow-up calls. The other three sources included two workbooks and a mobile application developed and completed towards the final GSH sessions and used following treatment. All of the articles highlight the importance of independently learning and practicing skills and strategies to ease an individuals’ symptoms following discharge from GSH.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The current review found limited evidence surrounding recovery and relapse prevention interventions following GSH. Developing this field of research by further creating and testing relapse prevention interventions can provide an understanding of the core components needed in such tools, to successfully maintain treatment gains over time and support individuals to continue their recovery journey.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"8 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network Analysis of Cognitive-Behavioral Symptom Connectivity in OCD Subtypes: Evaluating SSRI Treatment Response and Resistance","authors":"Mohammadreza Davoudi, Rasha Mohammad Abdelrahman, Abdulnaser Fakhrou, Abbas Pourshahbaz","doi":"10.1007/s10608-024-10529-2","DOIUrl":"https://doi.org/10.1007/s10608-024-10529-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>This study employed network analysis to predict treatment responses, focusing on obsessive beliefs and symptoms within the contamination/cleaning and danger/checking subtypes of obsessive–compulsive disorder (OCD).</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The study analyzed pre-test and post-test data from a 12-week open-label phase involving 140 patients who underwent a 12-week regimen of Selective Serotonin Reuptake Inhibitors (SSRIs), followed by evaluations. Participants were categorized based on their response to therapy and OCD subtypes. Network analysis was used to assess the interconnections among obsessive beliefs, symptoms, and treatment responses before and after the intervention within the identified OCD subtypes. Additionally, the study explored the network structure among patients with treatment-responsive OCD and those with treatment-resistant OCD within each subtype.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>In both subtypes, the pre-test network structure of treatment-resistant OCD exhibited stronger interconnections compared to treatment-responsive OCD. Additionally, a significant difference in global strength (<i>P</i> &lt; 0.05) was observed between treatment-resistant OCD and treatment responders. In the initial assessment, which included both responders and non-responders, global strength and symptom connectivity were higher in the Checking subtype compared to the Contamination/Cleaning subtype (<i>P</i> &lt; 0.05). Notably, the central symptoms in contamination/cleaning treatment-resistant OCD were obsessive beliefs related to \"Disgust,” \"Sexual,\" and \"Punishment.\" In contrast, in the check/danger treatment-resistant OCD, the most central symptoms were \"Sinful,” \"Accident,\" and \"Unsafe\" obsessive beliefs, along with \"Throwaway\" obsessive symptoms.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Obsessive symptoms and beliefs can serve as predictors of treatment responses across different OCD subtypes.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"14 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Cross-Cultural Invariance of Common Mental Disorder Symptom Measures in the United States and Singapore","authors":"Natalia Van Doren, Nur Hani Zainal, Ryan Y. Hong, Michelle G. Newman","doi":"10.1007/s10608-024-10519-4","DOIUrl":"https://doi.org/10.1007/s10608-024-10519-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Constructs of common mental disorder (CMD) symptoms, including anxiety, depression, obsessions, compulsions, and worry, are observed in a wide range of psychiatric conditions. Reliable and valid measurements of these CMD symptoms are essential for building a generalizable science of psychopathology and ensuring valid comparisons of scores across distinct groups. Accordingly, the current study determined the psychometric properties of four widely used CMD symptom measures in the United States (U.S.) and Singapore.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>Participants comprised college students (U.S.: <i>n</i> = 292; SG: <i>n</i> = 144) who completed the Beck Anxiety Inventory (BAI), Beck Depression Inventory-II (BDI-II), Obsessive-Compulsive Inventory-Revised (OCI-R), and Penn State Worry Questionnaire-Abbreviated (PSWQ-A).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Strict measurement invariance (equal factor loadings, item thresholds, residual variances) was observed for all measures across cultures. Singapore had higher latent mean scores of worry than the U.S. sample.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Overall, findings suggest a strong degree of cross-cultural construct compatibility. Given this finding, higher latent factor means for worry, perfectionism, and uncertainty scores likely reflect true group differences, suggesting that these symptom measures can be used to aid further study and assessment of cross-cultural differences in symptom prevalence and presentation in CMDs.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"22 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpersonal Emotion Regulation in Young Adults With Low and High Psychosis Proneness: A Diary Study","authors":"Marcel Riehle, Saskia Brauer, Tania M. Lincoln, Luise Pruessner","doi":"10.1007/s10608-024-10525-6","DOIUrl":"https://doi.org/10.1007/s10608-024-10525-6","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Emotion regulation is a complex process that often involves the presence of others, also known as <i>interpersonal emotion regulation</i> (IER). However, little is known about how psychotic symptoms relate to IER. We investigated whether young adults with elevated psychosis proneness engage in IER less frequently and find it less helpful than those with low psychosis proneness.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Psychosis-prone young adults with attenuated negative (PP-NES, <i>n</i> = 37) and positive symptoms (PP-POS, <i>n</i> = 20) and a low psychosis-prone control group (CG, <i>n</i> = 52) were recruited based on a priori defined cut-offs for the Community Assessment of Psychic Experiences. Participants provided daily diaries over one week, reporting negative symptoms, paranoia, positive and negative affect, and the frequency and efficacy of IER strategies to upregulate positive and downregulate negative emotions.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Multilevel models showed that PP-NES reported using IER less frequently and found it less effective compared to CG. PP-POS reported turning to others for advice in distressing situations more than the CG. These group differences were related to aberrant affect levels in PP-NES. Across groups, participants used IER less on days on which they reported more negative symptoms and used it more on days on which they reported more paranoia.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>These findings suggest symptom-specific aberrations in everyday IER in psychosis-prone young adults. Moreover, from day to day, young adults (psychosis-prone or not) appear to adjust their use of IER depending on current social motivation and distress levels. Future research should investigate whether these aberrations are dysfunctional regarding social inclusion and symptom trajectories.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"39 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Reliability of the Word-Sentence Association Paradigm (WSAP) as an Interpretation bias Assessment across Ethnoracial Groups","authors":"IreLee Ferguson, Grace George, Christina Wu, Irene Xu, Eliza Passel, Laura T. Germine, Courtney Beard","doi":"10.1007/s10608-024-10523-8","DOIUrl":"https://doi.org/10.1007/s10608-024-10523-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>The tendency to negatively interpret ambiguous situations (i.e., interpretation bias) is associated with the development and maintenance of emotional disorders. Reliable measures of this transdiagnostic construct are critical for mechanistic studies and for evaluating treatment effects. However, few studies have validated common measures of interpretation bias across different ethnoracial groups. The Word-Sentence Association Paradigm (WSAP) is a commonly used measure of interpretation biases that has previously shown good reliability (Gonsalves, Whittles, Weisberg, Beard, &amp; 2019). This study evaluated two versions of the WSAP in two different samples across four ethnoracial groups (Asian/Pacific Islander, Black/African, Hispanic, non-Hispanic White) in the United States.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The first sample included adults (<i>N</i> = 762) with ages ranging from 18 to 94 years old (<i>M</i> = 40.92 years, <i>SD</i> = 17.57). The second sample included adults (<i>N</i> = 1218) ages ranging from 18 to 90 years (<i>M</i> = 39.81, <i>SD</i> = 17.37).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Both versions of the WSAP demonstrated acceptable split-half reliability across ethnoracial groups. There were not any group differences in WSAP scores across ethnoracial groups for either version of the WSAP.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Results provide preliminary support for the WSAP as a reliable measure of interpretation bias across ethnoracial groups. Future work with larger samples is needed to replicate these findings, as well as to examine validity of the WSAP across ethnoracial groups.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"77 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Interplay of Interpersonal and Intrapersonal Emotion Regulation Strategies in College Students","authors":"Yanze Li, Yunlei Yu, Yaokun Duan, Yufei Shao, Lei Zhu","doi":"10.1007/s10608-024-10527-4","DOIUrl":"https://doi.org/10.1007/s10608-024-10527-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Emotion regulation (ER) is important for psychological well-being. While previous research has focused on intrapersonal ER, few studies address intrapersonal and interpersonal ER concurrently. Using a person-centered approach, this study aimed to identify subgroups of college students based on different intra- and interpersonal ER profiles and examine how ER profiles related to psychological well-being.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This cross-sectional study included 548 Chinese college students. Self-reported questionnaires were used to collect levels of intra- and interpersonal ER, and psychological well-being (i.e., valued living, depressive and anxiety symptoms, positive and negative affect). Latent profile analysis was conducted to identify different intra- and interpersonal ER profiles. We used three-step multinomial regression analyses to explore how socio-demographic variables related to ER profiles, and applied the Bolck–Croon–Hagenaars approach to examine how the ER profiles related to psychological well-being.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Five distinct profiles were identified: “low ER” (6.9%), “moderate intrapersonal ER” (14.4%), “average ER” (31.6%), “high ER with frequent expressive suppression use” (25.9%), and “adaptive high ER” (21.2%). Females and individuals in relationship were more likely to report “adaptive high ER” profile. People with an “adaptive high ER” profile reported best psychological well-being.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>We identified five profiles with different combinations of six facets of intra- and interpersonal ER. People with distinct profiles differed in psychological well-being. An engagement in relationship may enhance adaptive emotion regulation. Future research should adopt a longitudinal design and explore factors predicting adaptive ER strategies.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"38 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142219752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Internal, External, and Neutral Attentional Allocation on Post-Event Processing in Social Anxiety","authors":"Alexandra M. Adamis, Sarah C. Jessup, Bunmi O. Olatunji","doi":"10.1007/s10608-024-10521-w","DOIUrl":"https://doi.org/10.1007/s10608-024-10521-w","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Excessive attentional allocation towards threats has been theorized to play a maintaining role in social anxiety disorder (SAD). However, it is unclear if both heightened attentional focus towards internal threats (i.e., interoceptive signals of anxiety) and external threats (i.e., negative social-evaluative cues) are pathogenic. Further, evidence for the causal pathways by which biased attention maintains SAD is limited. The present study tested the effects of experimentally induced internally and externally oriented attention towards threats relative to a neutral control on state anxiety and post-event processing (PEP) in a highly socially anxious sample.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>During an impromptu speech task, participants (<i>N</i> = 123) were randomized to allocating their attention to their own thoughts, actions, or body sensations (internal condition; <i>n</i> = 41), to an audience member’s reactions and evaluations (external condition; <i>n</i> = 42), or to a neutral object (control condition; <i>n</i> = 40). State anxiety and PEP were assessed immediately following the speech and 24 h later.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Although no differences between the control condition and the external and internal conditions were observed, participants in the internal condition reported significantly higher state anxiety immediately after the speech and higher PEP 24 h later compared to the external condition. State anxiety immediately after the speech mediated heightened PEP 24 h later among the internal condition compared to the external condition.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Findings support the theorized maladaptive role of self-focused attention in the maintenance of SAD and suggest that attending internally may be more harmful than attending externally, despite the presence of socio-evaluative threats in the environment.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"0 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141936580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}