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Unique Relationships Between Self-Related Constructs, Social Anxiety, and Depression in a Non-Clinical Sample

Published online by Cambridge University Press:  29 August 2017

Bree Gregory  and
Lorna Peters
Bree Gregory*
Affiliation:
Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
Lorna Peters
Affiliation:
Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
*
Address for correspondence: Bree Gregory, Centre for Emotional Health, Department of Psychology, Macquarie University, NSW 2109, Australia. Email: [email protected]
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Abstract

Self-related constructs feature prominently in cognitive models of both social anxiety and depression. However, few studies have simultaneously investigated the unique relationship between self-related constructs and social anxiety and depression, while also controlling for the association between the two variables. In the present study, 522 undergraduate students completed measures of maladaptive self-beliefs, self-esteem, self-criticism, self-focused attention, self-concept clarity, social comparison, and social anxiety and depression. Bivariate correlations demonstrated that self-related constructs not only significantly correlated with social anxiety but also with depression and other self-variables. When entered simultaneously, multiple regression analyses indicated that maladaptive self-beliefs were uniquely and positively associated with social anxiety and depression, while self-esteem and self-concept clarity were uniquely and negatively associated with social anxiety and depression. A unique positive association between private self-consciousness and depression was also found. Maladaptive self-beliefs and self-esteem were the constructs most strongly associated with social anxiety and depression respectively. These findings underscore the importance of a negative self-concept even in subclinical presentations and suggest that several key self-related constructs may represent transdiagnostic vulnerability factors linking social anxiety and depression. Future research should continue to uncover unique relationships between self-related variables and social anxiety and depression in both clinical and non-clinical samples.

Keywords

selfunique relationshipsocial anxietydepression
Type
Standard Papers
Information
Behaviour Change , Volume 34 , Issue 2 , June 2017 , pp. 117 - 133
Copyright
Copyright © The Author(s) 2017 

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References

Alden, L.E., & Regambal, M.J. (2010). Social anxiety, social anxiety disorder, and the self. In Hofmann, S.G. & DiBartolo, P.M. (Eds.), Social anxiety, second edition: Clinical, developmental, and social perspectives (pp. 423–447). Waltham, MA: Academic Press.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
Antony, M.M., Bieling, P.J., Cox, B.J., & 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, 196–181. doi:10.1037/1040-3590.10.2.176 Google Scholar
Antony, M.M., Rowa, K., Liss, A., Swallow, S.R., & Swinson, R.P. (2006). Social comparison processes in social phobia. Behavior Therapy, 36, 65–75. doi:10.1016/S0005-7894(05)80055-3 CrossRefGoogle Scholar
Beck, A.T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York, NY: Harper & Row.Google Scholar
Beck, A.T., & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York, NY: Basic Books.Google Scholar
Beck, A.T., Steer, R.A., & Epstein, N. (1992). Self-concept dimensions of clinically depressed and anxious outpatients. Journal of Clinical Psychology, 48, 423–432. doi:10.1002/1097-4679(199207)48 Google Scholar
Beck, A.T., Steer, R.A., Epstein, N., & Brown, G. (1990). Beck Self-Concept Test. Psychological Assessment, 2, 191–197. doi:10.1037/1040-3590.2.2.191 Google Scholar
Bigler, M., Neimeyer, G.J., & Brown, E. (2001). The divided self revisited: Effects of self-concept clarity and self-concept differentiation on psychological adjustment. Journal of Social and Clinical Psychology, 20, 396–415. doi:10.1521/jscp.20.3.396.22302 Google Scholar
Blatt, S.J., D'Afflitti, J.P., & Quinlan, D.M. (1976). Experiences of depression in normal young adults. Journal of Abnormal Psychology, 85, 383–389. doi:10.1037/0021-843X.85.4.383 Google Scholar
Bögels, S.M., Rijsemus, W., & de Jong, P.J. (2002). Self-focused attention and social anxiety: The effects of experimentally heightened self-awareness on fear, blushing, cognitions, and social skills. Cognitive Therapy and Research, 26, 461–472. doi:10.1023/A:1016275700203 Google Scholar
Butzer, B., & Kuiper, N.A. (2006). Relationships between the frequency of social comparisons and self-concept clarity, intolerance of uncertainty, anxiety, and depression. Personality and Individual Differences, 41, 167–176. doi:10.1016/j.paid.2005.12.017 Google Scholar
Campbell, J. (1990). Self-esteem and clarity of the self-concept. Journal of Personality and Social Psychology, 59, 538–549. doi:10.1037/0022-3514.59.3.538 CrossRefGoogle ScholarPubMed
Campbell, J.D., Trapnell, P.D., Heine, S.J., Katz, I.M., Lavallee, L.F., & Lehman, D.R. (1996). Self-concept clarity: Measurement, personality correlates, and cultural boundaries. Journal of Personality and Social Psychology, 70, 141–156. doi:10.1037/0022-3514.70.6.1114 Google Scholar
Cantazaro, A., & Wei, M. (2010). Adult attachment, dependence, self-criticism, and depressive symptoms: A test of a mediational model. Journal of Personality, 78, 1135–1162. doi:10.1111/j.1467-6494.2010.00645.x Google Scholar
Clark, L.A., Watson, D., & Mineka, S. (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology, 103, 103–116. doi:10.1037/0021-843X.103.1.103 Google Scholar
Clark, D.M., & Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R.G., Liebowitz, M.R., Hope, D.A., & Schneier, F.R. (Eds.). Social phobia: diagnosis, assessment, and treatment (pp. 69–93). New York, NY: Guilford Press.Google Scholar
Coyne, J.C., Gallo, S.M., Klinkman, M.S., & Calarco, M.M. (1998). Effects of recent and past major depression and distress on self-concept and coping. Journal of Abnormal Psychology, 107, 86–96. doi:10.1037/0021-843X.107.1.86 Google Scholar
Cox, B.J., Rector, N.A., Bagby, R.M., Swinson, R.P., Levitt, A.J., & Joffe, R.T. (2000). Is self-criticism unique to depression? A comparison with social phobia. Journal of Affective Disorders, 57, 223–228. doi:10.1016/S0165-0327(99)00043-9 CrossRefGoogle ScholarPubMed
Cox, B.J., Fleet, C., & Stein, M.B. (2004). Self-criticism and social phobia in the US National Comorbity Survey. Journal of Affective Disorders, 82, 227–234. doi:10.1016/j.jad.2003.12.012 Google Scholar
Crocker, J., & Park, L.E. (2004). The costly pursuit of self-esteem. Psychological Bulletin, 130, 392–414. doi:10.1037/0033-2909.130.3.392 Google Scholar
Crome, E., Baillie, A., Slade, T., & Ruscio, A.M. (2010). Social phobia: Further evidence of dimensional structure. Australian and New Zealand Journal of Psychiatry, 44, 1014–1020. doi:10.3109/00048674.2010.507544 Google Scholar
Gibbons, F.X., & Buunk, B.P. (1999). Individual differences in social comparison: Development of a scale of Social Comparison Orientation. Journal of Personality and Social Psychology, 76, 129–142. doi:10.1037/0022-3514.76.1.129 Google Scholar
Gregory, B., & Peters, L. (2017). Changes in the self during cognitive behavioural therapy for social anxiety disorder: A systematic review. Clinical Psychology Review, 52, 1–18. doi:10.1016/j.cpr.2016.11.008 Google Scholar
Gregory, B., Peters, L., & Rapee, R.M. (2016). The self in social anxiety. In Kyrios, M., Moulding, R., Nedeljkovic, M., Bhar, S.S., Doron, G., & Mikulincer, M. (Eds.), The self in psychological disorders (pp. 91–101). Cambridge, England: Cambridge University Press. doi:10.1017/CBO9781139941297.011 Google Scholar
Hankin, B.L., Fraley, R.C., Lahey, B.B., & Waldman, I.D. (2005). Is depression best viewed as a continuum or discrete category? A taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology, 114, 96–110. doi:10.1037/0021-843X.114.1.96 Google Scholar
Heimberg, R.G., Mueller, G.P., Holt, C.S., Hope, D.A., & Leibowitz, M.R. (1992). Assessment of anxiety in social interaction and being observed by others: The Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy, 23, 53–73. doi:10.1016/S0005-7894(05)80308-9 Google Scholar
Hope, D.A., Burns, J.A., Hayes, S.A., Herbert, J.D., & Warner, M.D. (2010). Automatic thoughts and cognitive restructuring in cognitive behavioural group therapy for social anxiety disorder. Cognitive Research and Therapy, 34, 1–12. doi:10.1007/s10608-007-9147-9 Google Scholar
Iancu, I., Bodner, E., & Ben-Zion, I.Z. (2015). Self esteem, dependency, self-efficacy, and self-criticism in social anxiety disorder. Comprehensive Psychiatry, 58, 165–171. doi:10.1016/j.comppsych.2014.11.018 Google Scholar
Ingram, R.E. (1990). Self-focused attention in clinical disorders: Review and a conceptual model. Psychological Bulletin, 107, 156–176. doi:10.1037/0033-2909.107.2.156 Google Scholar
Jakymin, A.K., & Harris, L.M. (2012). Self-focused attention and social anxiety. Australian Journal of Psychology, 64, 61–67. doi:10.1111/j.1742-9536.2011.00027.x Google Scholar
Kopala-Sibley, D.C., Zuroff, D.C., Russell, J.J., & Moskowitz, D.S. (2014). Understanding heterogeneity in social anxiety disorder: Dependency and self-criticism moderate fear responses to interpersonal cues. British Journal of Clinical Psychology, 53, 141–156. doi:10.1111/bjc.12032 CrossRefGoogle ScholarPubMed
Little, R.J.A., & Rubin, D.B. (1989). The analysis of social science data with missing values. Sociological Methods & Research, 18, 292–326. doi:10.1177/0049124189018002004 Google Scholar
Lovibond, P.F., & Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335–343. doi:10.1016/0005-7967(94)00075-U Google Scholar
Mattick, R.P., & Clarke, J.C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470. doi:10.1016/S0005-7967(97)10031-6 Google Scholar
Maxwell, S.E., & Cole, D.A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12, 23–44. doi:10.1037/1082-989X.12.1.23 Google Scholar
Minor, K.L., Champion, J.E., & Gotlib, I.H. (2005). Stability of DSM-IV criterion symptoms for major depressive disorder. Journal of Psychiatric Research, 39, 415–420. doi:10.1016/j.jpsychires.2004.11.001 Google Scholar
Mitchell, M.A., & Schmidt, N.B. (2014). An experimental manipulation of social comparison in social anxiety. Cognitive Behaviour Therapy, 43, 221–229. doi:10.1080/16506073.2014.914078 Google Scholar
Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: A meta-analysis. Psychological Bulletin, 128, 638–662. doi:10.1037/0033-2909.128.4.638 Google Scholar
Moscovitch, D.A. (2009). What is the core fear in social phobia? A new model to facilitate individualized case conceptualisation and treatment. Cognitive and Behavioral Practice, 16, 123–134. doi:10.1016/j.cbpra.2008.04.002 Google Scholar
Moscovitch, D.A., Orr, E., Rowa, K., Reimer, S.G., & Antony, M.M. (2009). In the absence of rose-colored glasses: Ratings of self-attributes and their differential certainty and importance across multiple dimensions in social phobia. Behaviour Research and Therapy, 47, 66–70. doi:10.1016/j.brat.2008.10.007 Google Scholar
Moscovitch, D.A., Rowa, K., Paulitzki, J.R., Antony, M.M., & McCabe, R.E. (2015). What if I appear boring, anxious, or unattractive? Validation and treatment sensitivity of the Negative Self Portrayal Scale in clinical samples. Cognitive Therapy and Research, 39, 178–192. doi:10.1007/s10608-014-9645-5 Google Scholar
Norton, A.R., & Abbott, M.J. (2016). Self-focused cognition in social anxiety: A review of the theoretical and empirical literature. Behaviour Change, 33, 44–64. doi:10.1017/bec.2016.2 CrossRefGoogle Scholar
Ohayon, M.M., & Schatzberg, A.F. (2010). Social phobia and depression: Prevalence and comorbidity. Journal of Psychosomatic Research, 68, 235–243. doi:10.1016/j.jpsychores.2009.07.018 Google Scholar
Orth, U., & Robins, R. (2013). Understanding the link between low self-esteem and depression. Current Directions in Psychological Science, 22, 455–460. doi:10.1177/0963721413492763 Google Scholar
Osman, A., Gutierrez, P.M., Barrios, F.X., Kopper, B.A., & Chiros, C.E. (1998). The Social Phobia and Social Interaction Scales: Evaluation of psychometric properties. Journal of psychopathology and Behavioral Assessment, 20, 249–264. doi:10.1023/A:1023067302227 Google Scholar
Persons, J.B., Roberts, N.A., & Zalecki, C.A. (2003). Anxiety and depression change together during treatment. Behavior Therapy, 34, 149–163. doi:10.1016/S0005-7894(03)80010-2 Google Scholar
Peters, L. (2000). Discriminant validity of the Social Phobia and Anxiety Inventory (SPAI), the Social Phobia Scale (SPS), and the Social Interaction Anxiety Scale (SIAS). Behaviour Research and Therapy, 38, 943–950. doi:10.1016/S0005-7967(99)00131-X Google Scholar
Rapee, R.M., & Abbott, M.J. (2006). Mental representation of observable attributes in people with social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 37, 113–126. doi:10.1016/j.jbtep.2005.01.001 Google Scholar
Rapee, R.M., & Heimberg, R.G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756. doi:10.1016/S0005-7967(97)00022-3 CrossRefGoogle ScholarPubMed
Rodebaugh, T.L. (2009). Hiding the self and social anxiety: The Core Extrusion Schema measure. Cognitive Therapy and Research, 33, 90–109. doi:10.1007/s10608-007-9143-0 Google Scholar
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.Google Scholar
Schafer, J.L., & Graham, J.W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. doi:10.1037/1082-989X.7.2.147 Google Scholar
Scheier, M.F., & Carver, C.S. (1985). The Self-Consciousness Scale: A revised version for use with general populations. Journal of Applied Social Psychology, 15, 687–699. doi:10.1111/j.1559-1816.1985.tb02268.x Google Scholar
Sowislo, J.F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139, 213–240. doi:10.1037/a0028931 Google Scholar
Stopa, L. (2009). Why is the self important in understanding and treating social phobia? Cognitive Behaviour Therapy, 38, 48–54. doi:10.1080/16506070902980737 Google Scholar
Stopa, L., Brown, M.A., Luke, M.A., & Hirsch, C.R. (2010). Constructing a self: The role of self-structure and self-certainty in social anxiety. Behaviour Research and Therapy, 48, 955–965. doi:10.1016/j.brat.2010.05.028 Google Scholar
Stopa, L., & Clark, D.M. (1993). Cognitive processes in social phobia. Behavioural Research and Therapy, 31, 255–267. doi:10.1016/0005-7967(93)90024-O Google Scholar
Turner, R.G., Carver, C.S., Scheier, M.F., & Ickes, W. (1978). Correlates of self-consciousness. Journal of Personality Assessment, 42, 285–289. doi:10.1207/s15327752jpa4203_10 Google Scholar
Turner, S.M., Johnson, M.R., Beidel, D.C., Heiser, N.A., & Lydiard, R.B. (2003). The Social Thoughts and Beliefs Scale: A new inventory for assessing cognitions in social phobia. Psychological Assessment, 15, 384–391. doi:10.1037/1040-3590.15.3.384 Google Scholar
Watson, D., Suls, J., & Haig, J. (2002). Global self-esteem in relation to structural models of personality and affectivity. Journal of Personality and Social Psychology, 83, 185–197. doi:10.1037/0022-3514.83.1.185 Google Scholar
Wheeler, L. (2013). Individual differences in social comparison. In Suls, J. & Wheeler, L. (Eds.), Handbook of social comparison (pp. 141–158). New York, NY: Oxford University Press. doi:10.1093/oxfordhb/9780199859870.013.13 Google Scholar
Wills, T.A. (1981). Downward comparison principles in social psychology. Psychological Bulletin, 90, 245–271. doi:10.1037/0033-2909.90.2.245 Google Scholar
Wilson, J.K., & Rapee, R.M. (2006). Self–concept certainty in social phobia. Behaviour Research and Therapy, 44, 113–136. doi:10.1016/j.brat.2005.01.006 CrossRefGoogle ScholarPubMed
Woody, S.R., Chambless, D.L., & Glass, C.R. (1997). Self-focused attention in the treatment of social phobia. Behaviour Research and Therapy, 35, 117–129. doi:10.1016/S0005-7967(96)00084-8 Google Scholar
Wong, Q.J.J., Gregory, B., Gaston, J.E., Rapee, R.M., Wilson, J.K., & Abbott, M.J. (2017). Development and validation of the Core Belief Questionnaire in a sample of individuals with social anxiety disorder. Journal of Affective Disorders, 207, 121–127. doi:10.1016/j.jad.2016.09.020 Google Scholar
Wong, Q.J.J., & Moulds, M.L. (2009). Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals. Behaviour Research and Therapy, 47, 861–867. doi:10.1016/j.brat.2009.06.014 CrossRefGoogle ScholarPubMed
Wong, Q.J.J., & Moulds, M.L. (2011). Erratum to: A new measure of the maladaptive Self-Belief in Social Anxiety: Psychometric properties in a non-clinical sample. Journal of Psychopathology and Behavioral Assessment, 33, 285–297. doi:10.1007/s10862-011-9232-y Google Scholar
Wong, Q.J.J., Moulds, M.L., & Rapee, R.M. (2014). Validation of the self-beliefs related to Social Anxiety Scale: A replication and extension. Assessment, 21, 300–311. doi:10.1177/1073191113485120 Google Scholar