Abstract
Interpretation bias, defined as the tendency to interpret ambiguous stimuli as threatening, is thought to play a central role in the maintenance of social phobia. However, the effect of cognitive-behavioral therapy (CBT) on this bias has not been determined. The present study examined interpretation bias in individuals with generalized social phobia (GSP) who had been treated with CBT, untreated GSPs, and nonanxious controls (NACs). Results indicated that untreated GSPs had higher negative bias scores than treated GSPs and NACs on a forced-choice measure of interpretation bias, although the latter two groups did not differ. Following study hypotheses, the interpretation bias found in untreated GSPs was specific to social items, and was evident when raters coded participants’ initial written responses to the scenarios, when compared with control subjects. Treated patients had open-ended responses that did not differ from controls or untreated GSPs. Findings are discussed in the context of other GSP interpretation bias studies, and future research directions are recommended.
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References
Amir, N., Foa, E. B., & Coles, M. E. (1998). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36, 945–957.
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.
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.
Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety. Advances in Behaviour Research & Therapy, 5, 51–62.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences, (2nd ed.). Mahwah, NJ: Lawrence Erlbaum.
Clark, D. B., & 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: Guilford Press.
Eysenck, M. W., Mogg, K., May, J., Richards, A., & Mathews, A. (1991). Bias in interpretation of ambiguous sentences related to threat in anxiety. Journal of Abnormal Psychology, 100, 144–150.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1995). Structured clinical interview for DSM-IV axis I disorders -patient edition (SCID-I/P,version 2.0). New York: Columbia University.
Foa, E. B., Franklin, M. E., Herbert, J. D., & Bellack, A. S. (1995). Comprehensive cognitive behavior therapy for generalized social phobia: A treatment manual. Unpublished manuscript.
Foa, E. B., Franklin, M. E., & Kozak, M. J. (2001). Social phobia: An information processing perspective. In S. Hofman & P. M. DiBartolo (Eds.), From social anxiety to social phobia: Multiple perspectives (pp. 268–280). Needham, MA: Allyn & Bacon.
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.
Franklin, M. E., Jaycox, L. H., & Foa, E. B. (1999). Social phobia: Social skills training. In M. Hersen & A. Bellack (Eds.), Handbook of comparative interventions for adult disorders (2nd ed.), (pp. 317–339). New York: Wiley.
Gotlib, I. H., & Hammen, C. L. (1992). Psychological aspects of depression: Toward a cognitive-interpersonal integration. Chichester, UK: Wiley.
Herbert, J. D., Bellack, A. S., Hope, D. A., & Mueser, K. T. (1992). Scoring the social phobia and anxiety inventory: Reply to Beidel and Turner. Journal of Psychopathology and Behavioral Assessment, 14, 381–383.
Hirsch, C., & Mathews, A. (1997). Interpretative inferences when reading about emotional events. Behaviour Research and Therapy, 35, 1123–1132.
Hirsch, C., & Mathews, A. (2000). Impaired positive inferential bias in social phobia. Journal of Abnormal Psychology, 109, 705–712.
Huppert, J. D., Foa, E. B., Furr, J., Filips, J., & Mathews, A. M. (2003). Interpretation bias in social anxiety: A dimensional perspective. Cognitive Therapy and Research, 27, 569–577.
Lawson, C., & MacLeod, C. (1999). Depression and the interpretation of ambiguity. Behaviour Research and Therapy, 37, 463–474.
Mattia, J. I., Heimberg, R. G., & Hope, D. A. (1993). The revised Stroop color-naming task in social phobics. Behaviour Research and Therapy, 31, 305–313.
Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109, 602–615.
Mathews, A., & MacLeod, C. (2002). Induced processing biases have causal effects on anxiety. Cognition and Emotion, 16, 331–354.
McManus, F., Clark, D. M., and Hackmann, A. (2000). Specificity of cognitive biases in social phobia and their role in recovery. Behavioural and Cognitive Psychotherapy, 28, 201–209.
McNally, R. J., & Foa, E. B. (1987). Cognition and agoraphobia: Bias in the interpretation of threat. Cognitive Therapy and Research, 11, 567–581.
Rapee, R. M., & Heimberg, R. G. (1997). A cogntive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756.
Ries, B. J., McNeil, D. W., Boone, M. L., Turk, C. L., Carter, L. E., & Heimberg, R. G. (1998). Assessment of contemporary social phobia verbal report instruments. Behavior Research and Therapy, 36, 983–994.
Stopa, L., & Clark, D. M. (2000). Social phobia and interpretation of social events. Behaviour Research and Therapy, 38, 273–283.
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 scale. Psychological Assessment, 1, 35–40.
Turner, S. M., Beidel, D. C., & Jacob, R. G. (1994). Social phobia: A comparison of behavior therapy and atenolol. Journal of Consulting and Clinical Psychology, 62, 350–358.
Voncken, M. J., Bogels, S. M., & de Vries, K. (2003). Interpretation and judgmental biases in social phobia. Behavior Research and Therapy, 41, 1481–1488.
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Franklin, M.E., Huppert, J., Langner, R. et al. Interpretation Bias: A Comparison of Treated Social Phobics, Untreated Social Phobics, and Controls1. Cogn Ther Res 29, 289–300 (2005). https://doi.org/10.1007/s10608-005-2412-8
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DOI: https://doi.org/10.1007/s10608-005-2412-8