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Constructive Effects of Engaging in Post-Event Processing in High and Low Socially Anxious Individuals

Published online by Cambridge University Press:  18 October 2012

Steve R. Makkar  and
Jessica R. Grisham
Steve R. Makkar*
Affiliation:
School of Psychology, University of New South Wales, Australia
Jessica R. Grisham
Affiliation:
School of Psychology, University of New South Wales, Australia
*
Address for correspondence: Steve R. Makkar, School of Psychology, University of New South Wales, Sydney NSW 2052, Australia. E-mail: [email protected]
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Abstract

Post-event processing (PEP), the act of engaging in a detailed, self-focused, and negative analysis of a prior social situation, has been hypothesised to contribute to the maintenance of social phobia (Clark & Wells, 1995). In light of this proposal, the present study investigated whether deliberate engagement in PEP as opposed to distraction following a speech task elicits unhelpful effects on emotion, cognition, and behaviour in a subsequent speech task in high and low socially anxious participants. The PEP manipulation instructed participants to focus on the anxious thoughts, images, feelings, and somatic sensations relating to the first speech. Contrary to hypotheses, results demonstrated that engaging in PEP as opposed to distraction led to a number of constructive outcomes such as: increased willingness among low socially anxious participants to give the second speech, a reduction in negative performance appraisals and underestimation of performance among high socially anxious participants, and better self-perceived speech quality irrespective of social anxiety level. However, there were no effects of response condition on anxiety, performance appraisals, observable behaviour, and negative cognitions. The findings underscore the need for additional research identifying the precise contents, construals, and processing modes that distinguish between adaptive and maladaptive forms of PEP.

Keywords

social anxietysocial phobiapost-event processingrumination
Type
Standard Papers
Information
Behaviour Change , Volume 29 , Issue 3 , September 2012 , pp. 127 - 147
Copyright
Copyright © The Authors 2012

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References

Abbott, M.J., & Rappe, R.M. (2004). Post-event rumination and negative self-appraisal in social phobia before and after treatment. Journal of Abnormal Psychology, 113, 136–144.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revised). Washington, DC: Author.Google Scholar
Beck, A.T., Steer, R.A., & Brown, G.K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.Google Scholar
Borkovec, T.D., & Sides, J.K. (1979). The contribution of relaxation and expectancy to fear reduction via graded imaginal exposure to feared stimuli. Behaviour Research and Therapy, 17, 529–541.CrossRefGoogle ScholarPubMed
Brehm, J.W. (1966). A theory of psychological reactance. Waltham: Academic Press.Google Scholar
Bruch, M.A., Mattia, J.I., Heimberg, R.G., & Holt, C.S. (1993). Cognitive specificity in social anxiety and depression: Supporting evidence and qualifications due to affective confounding. Cognitive Therapy and Research, 17, 1–21.Google Scholar
Brown, M.A., & Stopa, L. (2007). The spotlight effect and the illusion of transparency in social anxiety. Journal of Anxiety Disorders, 21, 804–819.Google Scholar
Brozovich, F.H., & Heimberg, R.G. (2008). An analysis of post-event processing in social anxiety disorder. Clinical Psychology Review, 28, 891–903.CrossRefGoogle ScholarPubMed
Brozovich, F., & Heimberg, R.G. (2011). The relationship of post-event processing to self-evaluation of performance in social anxiety. Behavior Therapy, 42, 224–235.Google Scholar
Buckner, J.D., DeWall, C.N., Schmidt, N.B., & Maner, J.K. (2009). A tale of two threats: Social anxiety and attention to social threat as a function of social exclusion and non-exclusion threats. Cognitive Therapy and Research, 34, 449–455.CrossRefGoogle Scholar
Chambless, D.L., Foa, E.B., Groves, G.A., & Goldstein, A.J. (1982). Exposure and communications training in the treatment of agoraphobia. Behaviour Research and Therapy, 20, 219–231.CrossRefGoogle ScholarPubMed
Clark, D.M. (2001). A cognitive perspective on social phobia. In Crozier, W.R. & Alden, L.E. (Eds.), International handbook of social anxiety (pp. 405–430). Chichester, UK: Wiley.Google Scholar
Clark, D.M., & McManus, F. (2002). Information processing in social phobia. Biological Psychiatry, 51, 92–100.Google Scholar
Clark, D.M., Ehlers, A., Hackmann, A., McManus, F., & Fennell, M. (2006). Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 568–578.CrossRefGoogle ScholarPubMed
Clark, D.M., Ehlers, A., McManus, F., Hackmann, A., Fennell, M., Campbell, H., Flower, T., Davenport, D., & 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.Google Scholar
Clark, D.M., & Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R., Liebowitz, M., Hope, D.A., & Schneier, F.R. (Eds.), Social phobia: Diagnosis, assessment and treatment (pp. 69–93). New York: Guilford Press.Google Scholar
Cody, M.W., & Teachman, B.A. (2010). Post-event processing and memory bias for performance feedback in social anxiety. Journal of Anxiety Disorders, 24, 468–479.Google Scholar
Collins, K.A., Westra, H.A., Dozois, D.J.A., & Stewart, S.H. (2005). The validity of the brief version of the fear of negative evaluation scale. Anxiety Disorders, 19, 345–359.CrossRefGoogle ScholarPubMed
Dannahy, L., & Stopa, L. (2007). Post-event processing in social anxiety. Behaviour Research and Therapy, 45, 1207–1219.CrossRefGoogle ScholarPubMed
Duke, D., Krishnan, M., Faith, M., & Storch, E.A. (2006). The psychometric properties of the Brief Fear of Negative Evaluation Scale. Journal of Anxiety Disorders, 20, 807–817.Google Scholar
Edwards, S.L., Rapee, R.M., & Franklin, J. (2003). Postevent rumination and recall bias for a social performance event in high and low socially anxious individuals. Cognitive Therapy and Research, 27, 603–617.Google Scholar
Field, A.P., & Morgan, J. (2004). Post-event processing and the retrieval of autobiographical memories in socially anxious individuals. Anxiety Disorders, 18, 647–666.Google Scholar
Foa, E.B., Steketee, G., Turner, R.M., & Fischer, S.C. (1980). Effects of imaginal exposure to feared disasters in obsessive-compulsive checkers. Behaviour Research and Therapy, 18, 449–455.Google Scholar
Foa, E.B., Rothbaum, B.O., Riggs, D.S., & Murdock, T.B. (1991). Treatment of posttraumatic stress disorder in rape victims: A comparison beween cognitive-behavioral procedure and counseling. Journal of Consulting and Clinical Psychology, 59, 715–723.Google Scholar
Foa, E.B., & Kozak, M.J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.Google Scholar
George, L., & Stopa, L. (2008). Private and public self-awareness in social anxiety. Journal of Behaviour Therapy and Experimental Psychiatry, 39, 57–72.CrossRefGoogle ScholarPubMed
Hackmann, A., Surawy, C., & Clark, D.M. (1998). Seeing yourself through others’ eyes: A study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3–12.Google Scholar
Hecker, J.E. (1990). Emotional processing in the treatment of simple phobia: A comparison of imaginal and in vivo exposure. Behavioural Psychotherapy, 18, 21–34.Google Scholar
Heimberg, R.G., Mueller, G.P., Holt, C.S., Hope, D.A., & Liebowitz, 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.Google Scholar
Hook, J.N., Smith, C.A., & Valentiner, D.P. (2008). A short-form of the Personal Report of Confidence as a Speaker. Personality and Individual Differences, 44, 1306–1313.CrossRefGoogle Scholar
Kashdan, T.B., & Roberts, J.E. (2007). Social anxiety, depressive symptoms, and post-event rumination: Affective consequences and social contextual influences. Journal of Anxiety Disorders, 21, 284–301.Google Scholar
Kocovski, N.L., Endler, N.S., Rector, N.A., & Flett, G.L. (2005). Ruminative coping and post-event processing in social anxiety. Behaviour Research and Therapy, 43, 971–984.Google Scholar
Kocovski, N.L., Mackenzie, M.B., & Rector, N.A. (2011). Rumination and distraction periods immediately following a speech task: Effect on postevent processing in social anxiety. Cognitive Behaviour Therapy, 40, 45–56.Google Scholar
Kocovski, N.L., & Rector, N.A. (2007). Predictors of post-event rumination relate to social anxiety. Cognitive Behaviour Therapy, 36, 112–122.Google Scholar
Lang, P.J. (1977). Imagery in therapy: An information processing analysis of fear. Behavior Therapy, 8, 862–886.Google Scholar
Leary, M.R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375.Google Scholar
Leary, M.R., & Kowalski, R.M. (1995). Social anxiety. New York: Guildford Press.Google Scholar
Lovibond, S.H., & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney, Australia: The Psychology Foundation of Australia.Google Scholar
Lyubomirsky, S., Tucker, K.L., Caldwell, N.D., & Berg, K. (1999). Why ruminators are poor problem-solvers: Clues from the phenomenology of dysphoric rumination. Journal of Personality and Social Psychology, 77, 1041–1060.Google Scholar
Makkar, S.R., & Grisham, J.R. (2011a). The predictors and contents of post-event processing in social anxiety. Cognitive Therapy and Research, 35, 118–133.Google Scholar
Makkar, S.R., & Grisham, J.R. (2011b). The contents of post-event processing in social anxiety. Unpublished manuscript, The University of New South Wales, Sydney, Australia.Google Scholar
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.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, 243–257.Google Scholar
Mellings, T.M.B., & Alden, L.E. (2000). Cognitive processes in social anxiety: The effects of self-focus, rumination and anticipatory processing. Behaviour Research and Therapy, 38, 243–257.Google Scholar
Morgan, J., & Banerjee, R. (2008). Post-event processing and autobiographical memory in social anxiety: The influence of negative feedback and rumination. Journal of Anxiety Disorders, 22, 1190–1204.CrossRefGoogle ScholarPubMed
Pham, L.B., & Taylor, S.E. (1999). From thought to action: Effects of process- versus outcome-based mental simulations on performance. Personality and Social Psychology Bulletin, 25, 2560–2260.Google Scholar
Rachman, S., Gruter-Andrew, J., & Shafran, R. (2000). Post-event processing in social anxiety. Behaviour Research and Therapy, 38, 611–617.Google Scholar
Rimes, K.A., & Watkins, E.R. (2005). The effects of self-focused rumination on global negative self-judgments in depression. Behaviour Research and Therapy, 43, 1673–1681.Google Scholar
Rivkin, I.D., & Taylor, S.E. (1999). The effects of mental simulation on coping with controllable stressful events. Personality and Social Psychology Bulletin, 66, 805–818.Google Scholar
Rodebaugh, T.L., Woods, C.M., Thissen, D.M., Heimberg, R.G., Chambless, D.L., & Rapee, R.M. (2004). More information from fewer questions: The factor structure and item properties of the original and brief fear of negative evaluation scale. Psychological Assessment, 16, 169–181.Google Scholar
Spielberger, C.D., Goursuch, R.L., & Lushene, R.E. (1970). Manual for the State-Trait Anxiety Inventory — Form X. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Stopa, L., & Clark, D.M. (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, 423–430.Google Scholar
Tabachnik, B.G., & Fidell, L.S. (2007). Using multivariate statistics: Fifth edition. Boston: Allyn and Bacon.Google Scholar
Tanner, R.J., Stopa, L., & De Houwer, J. (2006). Implicit views of the self in social anxiety. Behaviour Research and Therapy, 44, 1397–1409.CrossRefGoogle ScholarPubMed
Taylor, S.E., Pham, L.B., Rivkin, I.D., & Armor, D.A. (1998). Harnessing the imagination: Mental simulation, self-regulation, and coping. American Psychologist, 53, 429–439.Google Scholar
Vassilopolous, S. (2008). Social anxiety and ruminative self-focus. Journal of Anxiety Disorders, 22, 860–867.CrossRefGoogle Scholar
Watkins, E.R., & Teasdale, J.D. (2001). Rumination and overgeneral memory in depression: Effects of self-focus and analytic thinking. Journal of Abnormal Psychology, 110, 353–357.Google Scholar
Watkins, E.R., & Teasdale, J.D. (2004). Adaptive and maladaptive self-focus in depression. Journal of Affective Disorders, 82, 1–8.Google Scholar
Watkins, E.R., & Moulds, M. (2005). Distinct modes of ruminative self-focus: Impact of abstract versus concrete rumination on problem-solving in depression. Emotion, 5, 319–328.Google Scholar
Watkins, E.R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134, 163–206.Google Scholar
Weeks, J.W., Heimberg, R.G., Fresco, D.M., Hart, T.A., & Turk, C.L. (2005). Empirical validation and psychometric evaluation of the Brief Fear of Negative Evaluation Scale in patients with social anxiety disorder. Psychological Assessment, 17, 179–190.Google Scholar
Wells, A., Stopa, L. & Clark, D.M. (1993). Social cognition questionnaire. Unpublished manuscript, Department of Psychiatry, University of Oxford, Warnerford Hospital, Oxford, United Kingdom.Google Scholar
Wells, A. (1997). Cognitive therapy of Anxiety Disorders. West Sussex: John Wiley and Sons.Google Scholar
Wilson, J.K., & Rapee, R.M. (2006). Self-concept certainty in social phobia. Behaviour Research and Therapy, 44, 113–136.Google Scholar
Wong, Q.J.J., & Moulds, M.L. (2009). Impact of rumination versus distraction on anxiety and negative self-beliefs in socially anxious individuals. Behaviour Research and Therapy, 47, 861–867.Google Scholar
Zigmond, A.S., & Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar