Skip to main content
Log in

Is Social Anxiety Associated With Both Interpersonal Avoidance and Interpersonal Dependence?

  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

We tested the hypothesis that social anxiety is associated with both interpersonal avoidance and interpersonal dependency. Specifically, we predicted that dependence would be evident in developmentally salient close relationships upon which socially anxious people may rely. One hundred sixty-eight young people undergoing the transition to adulthood completed self-report measures of anxiety and interpersonal patterns. Results indicated that both dependent and avoidant interpersonal styles in romantic relationships, but not other relationships, were uniquely associated with social anxiety. These results remained when controlling for depressive symptoms, anxiety sensitivity, and trait anxiety. Our findings illustrate that social anxiety is not characterized solely by interpersonal avoidance as current conceptualizations suggest. Implications for models and treatment of social anxiety are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alden, L. E., Beiling, P. J., & Meleshko, K. G. A. (1995). An interpersonal comparison of depression and Social anxiety. In K. D. Craig & K. S. Dobson (Eds.), Anxiety and depression in adults and children (pp. 57–81). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Alden, L. E., & Phillips, N. (1990). An interpersonal analysis of social anxiety and depression. Cognitive Therapy and Research, 14, 499–513.

    Google Scholar 

  • Alden, L. E., & Wallace, S. T. (1995). Social phobia and social appraisal in successful and unsuccessful social interaction. Behavior Research and Therapy, 33, 497–505.

    Google Scholar 

  • Alnaes, R., & Torgersen, S. (1988). The relationship DSM-III symptom disorders (Axis I) and personality disorders (Axis II) in an outpatient population. Acta Psychiatrica Scandinavica, 78, 348–355.

    PubMed  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and Statistical Manual for Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford.

    Google Scholar 

  • Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7, 147–178.

    Google Scholar 

  • Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226–244.

    PubMed  Google Scholar 

  • Beck, A. T. (1983). Cognitive therapy for depression: New perspectives. In P. J. Clayton & J. E. Barrett (Eds.), Treatment of depression: Old controversies and new approaches (pp. 265–290). New York: Raven.

    Google Scholar 

  • Beck, A. T., & Steer, R. A. (1993). BDI Manual. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck depression inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 5, 462–467.

    PubMed  Google Scholar 

  • Beidel, D. C., Turner, S. M., Stanley, M. A., & Dancu, C. V. (1989). The Social Phobia and Anxiety Inventory: Concurrent and external validity. Behavior Therapy, 20, 417–427.

    Google Scholar 

  • Blatt, S. J., Quinlan, D. M., Chevron, E. S., McDonald, C., & Zuroff, D. (1982). Dependency and self-criticism: Psychological dimensions of depression. Journal of Consulting and Clinical Psychology, 50, 113–134.

    PubMed  Google Scholar 

  • Bornstein, R. F. (1995). Comorbidity of dependent personality disorders and other psychological disorders: An integrative review. Journal of Personality Disorders, 9, 286–303.

    Google Scholar 

  • Bornstein, R. F. (1997). Dependent personality disorder in the DSM-IV and beyond. Clinical Psychology: Science and Practice, 4, 175–187.

    Article  Google Scholar 

  • Carnelley, K. B., Pietromonaco, P. R., & Jaffe, K. (1994). Depression, working models of others, and relationship functioning. Journal of Personality and Social Psychology, 66, 127–140.

    PubMed  Google Scholar 

  • Carter, M. M., Hollon, S. D., Carson, R., & Shelton, C. (1995). Effects of a safe person on induced distress following a biological challenge in panic disorder with agoraphobia. Journal of Abnormal Psychology, 104, 156–163.

    PubMed  Google Scholar 

  • Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58, 644–663.

    PubMed  Google Scholar 

  • Coyne, J. C. (1976). Toward an interactional description of depression. Psychiatry, 39, 28–40.

    PubMed  Google Scholar 

  • Daley, S. E., Burge, D., & Hammen, C. (2000). Borderline personality disorder symptoms as predictors of 4-year romantic relationship dysfunction in young women: Addressing issues of specificity. Journal of Abnormal Psychology, 109, 451–460.

    PubMed  Google Scholar 

  • Davila, J. (2001). Paths to unhappiness: The overlapping courses of depression and relationship dysfunction. In S. R. H. Beach (Ed.), Marital and family processes in depression: A scientific foundation for clinical practice (pp. 71–87). Washington, DC: American Psychological Association.

    Google Scholar 

  • Davila, J., & Beck, J. G. (2002). Is social anxiety associated with impairment in close relationships? A preliminary investigation. Behavior Therapy, 33, 427–446.

    Google Scholar 

  • Davila, J., Bradbury, T. N., Cohan, C. L., & Tochluk, S. (1997). Marital functioning and depressive symptoms: Evidence for a stress generation model. Journal of Personality and Social Psychology, 73, 849–861.

    PubMed  Google Scholar 

  • Davila, J., & Cobb, R. (2003). Predicting change in self-reported and interviewer-assessed adult attachment: Tests of the individual difference and life stress models of attachment change. Personality and Social Psychology Bulletin, 29, 859–870.

    PubMed  Google Scholar 

  • Dow, M. G., Biglan, A., & Glaser, S. R. (1985). Multidimensional assessment of socially anxious and non socially anxious women. Behavioral Assessment, 7, 273–282.

    Google Scholar 

  • Eng, W., Heimberg, R. G., Hart, T. A., Schneier, F. R., & Liebowitz, M. R. (2001). Attachment in individuals with social anxiety disorder: The relationship among adult attachment styles, social anxiety, and depression. Emotion, 1, 365–380.

    PubMed  Google Scholar 

  • Fraley, R. C., & Davis, K. E. (1997). Attachment formation and transfer in young adults’ close friendships and romantic relationships. Personal Relationships, 4, 131–144.

    Google Scholar 

  • Fraley, R. C., & Shaver, P. R. (2000). Adult romantic attachment: Theoretical developments, emerging controversies, and unanswered questions. Review of General Psychology, 42, 132–154.

    Google Scholar 

  • Gotlib, I. H., & Meltzer, S. J. (1987). Depression and the perception of social skill dyadic interaction. Cognitive Therapy and Research, 11, 41–53.

    Google Scholar 

  • Hammen, C. L. (1991). The generation of stress in the course of unipolar depression. Journal of Abnormal Psychology, 100, 555–561.

    PubMed  Google Scholar 

  • Hazan, C., & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511–534.

    PubMed  Google Scholar 

  • Hazan, C., & Shaver, P. R. (1994). Attachment as an organizational framework for research on close relationships. Psychological Inquiry, 5, 1–22.

    Google Scholar 

  • Hazen, A. L., & Stein, M. B. (1995). Clinical phenomenology and comorbidity. In M. B. Stein (Ed.), Social phobia: Clinical and research perspectives (pp. 77–117). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Hirschfeld, R. M. A., Klerman, G. L., Gough, H. G., Barrett, J., Korchin, S. L., & Chodoff, P. (1977). A measure of interpersonal dependency. Journal of Personality Assessment, 41, 611–618.

    Google Scholar 

  • Holloway, W., & McNally, R. J. (1987). Effects of anxiety sensitivity on the response to hyperventilation. Journal of Abnormal Psychology, 96, 330–334.

    PubMed  Google Scholar 

  • Holt, C. S., Heimberg, R. G., Hope, D. A., & Liebowitz, M. R. (1992). Situational domains of social phobia. Journal of Anxiety Disorders, 6, 63–67.

    Google Scholar 

  • Johnson, M. R., Turner, S. M., Beidel, D. C., & Lydiard, R. B. (1995). Personality function. In M. B. Stein (Ed.), Social phobia: Clinical and research perspectives (pp. 77–117). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Joiner, T. E., Katz, K., & Lew, A. (1999). Harbingers of depressotypic reassurance seeking: Negative life events, increased anxiety, and decreased self-esteem. Personality and Social Psychology Bulletin, 25, 646–653.

    Google Scholar 

  • Joiner, T. E., Metalsky, G. I., Katz, J., & Beach, S. R. H. (1999). Depression and excessive reassurance seeking. Psychological Inquiry, 10, 269–278.

    Google Scholar 

  • Kabacoff, R. I., Segal, D. L., Hersen, M., & Van Hasselt, V. B. (1997). Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State Trait Anxiety Inventory in older adult psychiatric outpatients. Journal of Anxiety Disorders, 11, 33–47.

    PubMed  Google Scholar 

  • Kocovoski, N. L., & Endler, N. S. (2000). Social anxiety, self regulations, and fear of negative evaluation. European Journal of Personality, 14, 347–358.

    Google Scholar 

  • Leary, M. R., Knight, P. D., & Johnson, K. A. (1987). Social anxiety and dyadic conversation: A verbal response analysis. Journal of Social and Clinical Psychology, 5, 34–50.

    Google Scholar 

  • Leary, M. R., & Kowalski, R. M. (1995). Self presentation 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. 94–112). New York: Guilford.

    Google Scholar 

  • Libet, J. M., & Lewinsohn, P. M. (1973). Concept of social skill with special preference to the behavior of depressed persons. Journal of Consulting and Clinical Psychology, 40, 304–312.

    PubMed  Google Scholar 

  • Liebowitz, M. R., Gorman, J. M., Fryer, A. J., & Klein, D. F. (1985). Social phobia: Review of a neglected anxiety disorder. Archives of General Psychiatry, 42, 729–736.

    PubMed  Google Scholar 

  • Maller, R. G., & Reis, S. (1992). Anxiety sensitivity in 1984 and panic attacks in 1987. Journal of Anxiety Disorders, 6, 241–247.

    Google Scholar 

  • Mannuzza, S., Fyer, A. J., Liebowitz, M. R., & Klein, D. F. (1990). Delineating the boundary of social phobia: Its relationship to panic disorder and agoraphobia. Journal of Anxiety Disorders, 4, 41–59.

    Google Scholar 

  • Mavissakalian, M. R., Hamann, M. S., Haidar, S. A., & de Groot, C. M. (1995). Correlates of DSM-III personality disorder in generalized anxiety disorder. Journal of Anxiety Disorders, 9, 103–115.

    Google Scholar 

  • Meng, X.-L., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172–175.

    Google Scholar 

  • Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology, 73, 1092–1106.

    PubMed  Google Scholar 

  • Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49, 377–412.

    PubMed  Google Scholar 

  • Murphy, B., & Bates, G. W. (1997). Attachment patterns and vulnerability to depression. Personality and Individual Differences, 22, 835–844.

    Google Scholar 

  • Ouimette, P. C., Klein, D. N., Anderson, R., Riso, L. P., & Lizardi, H. (1994). Relationship between sociotropy/autonomy and dependency/self criticism in DSM-III personality disorders. Journal of Abnormal Psychology, 103, 743–749.

    PubMed  Google Scholar 

  • Overholser, J. C. (1997). Treatment of excessive interpersonal dependency: A cognitive behavioral model. Journal of Contemporary Psychotherapy, 27, 283–301.

    Google Scholar 

  • Peterson, R. A., & Heilbronner, R. L. (1987). The Anxiety Sensitivity Index: Construct validity and factor analytic structure. Journal of Anxiety Disorders, 1, 117–121.

    Google Scholar 

  • Rachman, S. (1984). Agoraphobia: A safety-signal perspective. Behaviour Research and Therapy, 22, 59–70.

    PubMed  Google Scholar 

  • Rapee, R. M. (1995). Descriptive psychopathology of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 41–66). New York: Guilford.

    Google Scholar 

  • Rapee, R. M., Sanderson, W. C., & Barlow, D. H. (1988). Social phobic features across the DSM-III anxiety disorders. Journal of Psychopathology and Behavioral Assessment, 10, 287–299.

    Google Scholar 

  • Reiss, S., Peterson, R. A., Gurski, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behavior Research and Therapy, 24, 1–8.

    Google Scholar 

  • Robins, C. J., & Luten, A. G. (1991). Sociotropy and autonomy: Differential patterns of clinical presentation and unipolar depression. Journal of Abnormal Psychology, 100, 74–77.

    PubMed  Google Scholar 

  • Rosenstein, D. S., & Horowitz, H. A. (1996). Adolescent attachment in psychopathology. Journal of Consulting and Clinical Psychology, 64, 244–253.

    PubMed  Google Scholar 

  • Scharfe, E., & Bartholomew, K. (1994). Reliability and stability of adult attachment patterns. Personal Relationships, 1, 23–43.

    Google Scholar 

  • Schmidt, N. B., Lerew, D. R., & Jackson, R. J. (1999). The role of anxiety sensitivity in the pathogenesis of panic: Replication and extension. Journal of Abnormal Psychology, 108, 532–537.

    PubMed  Google Scholar 

  • Shaver, P. R., Belsky, J., & Brennan, K. (2000). The adult attachment interview and self-reports of romantic attachment: Associations across domains and methods. Personal Relationships, 7, 25–43.

    Google Scholar 

  • Shaver, P. R., & Mikulincer, M. (2004). What do self-report measures of attachment assess? In W. S. Rholes, & J. A. Simpson (Eds.), Adult attachment: New directions and emerging issues (pp. 159–195). New York: Guilford Press.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1983). Manual for the State Trait Anxiety Inventory (Form V). Palo Alto, CA: Consulting Psychologists.

    Google Scholar 

  • Taylor, S. (1999). Anxiety sensitivity. Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Telch, M. J., Shermis, M. D., & Lucas, J. A. (1989). Anxiety sensitivity: Unitary personality trait or domain specific appraisals. Journal of Anxiety Disorders, 3, 25–32.

    Google Scholar 

  • Trull, T. J., Widiger, T. A., & Frances, A. (1987). Covariation of criteria for avoidant, schizoid, and dependent personality disorders. American Journal of Psychiatry, 144, 767–771.

    PubMed  Google Scholar 

  • Turner, S. M., Beidel, D. C., Dancu, C. V., & Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychological Assessment, 1, 35–40.

    Google Scholar 

  • Turner, S. M., Beidel, D. C., & Townsley, R. M. (1992). Social phobia: A comparison of specific and generalized subtypes and avoidant personality disorder. Journal of Abnormal Psychology, 101, 326–331.

    PubMed  Google Scholar 

  • Vertue, F. (2003). From adaptive emotion to dysfunction: An attachment perspective on social anxiety disorder. Personality and Social Psychology Review, 7, 170–191.

    PubMed  Google Scholar 

  • Zuroff, D. C., & Mongrain, M. (1987). Dependency and self criticism: Vulnerability factors for depressive affective states. Journal of Abnormal Psychology, 96, 14–22.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joanne Davila.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Darcy, K., Davila, J. & Beck, J.G. Is Social Anxiety Associated With Both Interpersonal Avoidance and Interpersonal Dependence?. Cogn Ther Res 29, 171–186 (2005). https://doi.org/10.1007/s10608-005-3163-4

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-005-3163-4

Keywords

Navigation