Incidental Emotion Regulation Deficits in Public Speaking Anxiety
Affect labeling (putting feelings into words) decreases subjective emotional distress and is a form of incidental or unintentional emotion regulation. Anxiety is associated with deficits in explicit emotion regulation, but far less is known about incidental emotion regulation. This study examined whether participants with public speaking anxiety showed deficits in incidental emotion regulation compared to non-anxious participants. Ninety-five public speaking anxious and fifteen non-anxious participants completed an affect-labeling task. They viewed negative images, and on half of the trials, they labeled the content of the image, and on the other half, viewed the image without labeling. They then rated their subjective distress after each image. Following the affect-labeling task, participants gave a brief speech in front of a live audience. Physiological reactivity (heart rate and skin conductance) was assessed prior to and following the speech, and participants reported on speech-related cognitions and fear levels. Incidental emotion regulation deficits were significantly correlated with more depressive symptoms, and more negative and fewer positive speech-related cognitions during the speech task. Further, distress decreased on labeling compared to non-labeling trials for non-anxious participants, but not for participants with public speaking anxiety. This is the first study to show that individuals with public speaking anxiety may not benefit from affect labeling, implying deficits in incidental emotion regulation.
KeywordsSocial anxiety Emotion regulation Affect labeling Implicit emotion regulation Incidental emotion regulation Public speaking anxiety
Compliance with Ethical Standards
Conflict of Interest
Drs. Niles and Craske have no potential conflicts of interest pertaining to this submission to Cognitive Therapy and Research.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Ahs, F., Pissiota, A., Michelgård, A., Frans, O., Furmark, T., Appel, L., & Fredrikson, M. (2009). Disentangling the web of fear: Amygdala reactivity and functional connectivity in spider and snake phobia. Psychiatry Research, 172(2), 103–108. https://doi.org/10.1016/j.pscychresns.2008.11.004.CrossRefPubMedGoogle Scholar
- Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In Handbook of emotion regulation (pp. 3–24). New York: Guilford Press.Google Scholar
- Heeren, A., Reese, H. E., McNally, R. J., & Philippot, P. (2012). Attention training toward and away from threat in social phobia: Effects on subjective, behavioral, and physiological measures of anxiety. Behaviour Research and Therapy, 50(1), 30–39. https://doi.org/10.1016/j.brat.2011.10.005.CrossRefPubMedGoogle Scholar
- Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (1999). International affective picture system (IAPS): Technical manual and affective ratings. Gainesville: The Center for Research in Psychophysiology, University of Florida.Google Scholar
- LeDoux, J. (2015). Anxious: Using the brain to understand and treat fear and anxiety. New York: Viking.Google Scholar
- Lieberman, M. D., Eisenberger, N. I., Crockett, M. J., Tom, S. M., Pfeifer, J. H., & Way, B. M. (2007). Putting feelings into words: Affect labeling disrupts amygdala activity in response to affective stimuli. Psychological Science, 18(5), 421–428. https://doi.org/10.1111/j.1467-9280.2007.01916.x.CrossRefPubMedGoogle Scholar
- Niles, A. N., Mesri, B., Burklund, L. J., Lieberman, M. D., & Craske, M. G. (2013). Attentional bias and emotional reactivity as predictors and moderators of behavioral treatment for social phobia. Behaviour Research and Therapy, 51(10), 669–679. https://doi.org/10.1016/j.brat.2013.06.005.CrossRefPubMedGoogle Scholar
- Ochsner, K. N., Silvers, J. A., & Buhle, J. T. (2012). Functional imaging studies of emotion regulation: A synthetic review and evolving model of the cognitive control of emotion. Annals of the New York Academy of Sciences, 1251, E1–E24. https://doi.org/10.1111/j.1749-6632.2012.06751.x.CrossRefPubMedPubMedCentralGoogle Scholar
- Salters-Pedneault, K., Roemer, L., Tull, M. T., Rucker, L., & Mennin, D. S. (2006). Evidence of broad deficits in emotion regulation associated with chronic worry and generalized anxiety disorder. Cognitive Therapy and Research, 30(4), 469–480. https://doi.org/10.1007/s10608-006-9055-4.CrossRefGoogle Scholar
- Tull, M. T., & Roemer, L. (2007). Emotion regulation difficulties associated with the experience of uncued panic attacks: Evidence of experiential avoidance, emotional nonacceptance, and decreased emotional clarity. Behavior Therapy, 38(4), 378–391. https://doi.org/10.1016/j.beth.2006.10.006.CrossRefPubMedGoogle Scholar
- Tull, M. T., Stipelman, B. A., Salters-Pedneault, K., & Gratz, K. L. (2009). An examination of recent non-clinical panic attacks, panic disorder, anxiety sensitivity, and emotion regulation difficulties in the prediction of generalized anxiety disorder in an analogue sample. Journal of Anxiety Disorders, 23(2), 275–282. https://doi.org/10.1016/j.janxdis.2008.08.002.CrossRefPubMedGoogle Scholar
- Werner, K. H., Goldin, P. R., Ball, T. M., Heimberg, R. G., & Gross, J. J. (2011). Assessing emotion regulation in social anxiety disorder: The emotion regulation interview. Journal of Psychopathology and Behavioral Assessment, 33(3), 346–354. https://doi.org/10.1007/s10862-011-9225-x.CrossRefGoogle Scholar