Abstract
Background
Individuals with social anxiety disorder (SAD) report interpreting social events negatively regardless of valence. Fear of causing discomfort to others and intolerance of uncertainty (IU) are associated with negative interpretations of positive social situations. However, no studies have examined whether these negative interpretations change over CBT for SAD, nor predictors of such changes. This study examined if: negative interpretations of positive social events improve during CBT for SAD; these negative interpretations correlate with social anxiety symptom severity, fear of causing discomfort to others, and IU at the start of treatment; and fear of causing discomfort to others, IU and its subfactors at the start of treatment predict changes in these negative interpretations over treatment.
Methods
Eighty-five treatment-seeking DSM diagnosed individuals with primary SAD completed measures of the tendency to interpret positive events negatively pre-post CBT, and IU and fears of causing discomfort to others at pre-treatment.
Results
Results demonstrated significant pre-post decreases after CBT for SAD in negative interpretations of positive social events. All measures were significantly correlated with each other. None of the pre-treatment variables significantly predicted decreases in negative interpretations of positive social events over treatment.
Conclusions
CBT may be effective in reducing these negative interpretations.
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Data Availability
The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.
Notes
The data collected for this study were from before the SCID-5 diagnostic interview was released.
Participants with comorbid bipolar disorder and substance abuse/dependence had not met diagnostic criteria for not less than six months for mania or not less than three months for substance abuse/dependence before starting treatment.
Data based on n = 84.
Participants also completed measures of rumination, distress tolerance, anxiety sensitivity, treatment expectancy for change, and reassurance seeking, which are not part of the current study.
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This research was hospital funded and not supported by Grant funding. The authors wish to thank Jane Yating Ding, Argie Gingoyon, Ailya Salman, and Robyn Wong Lee for their assistance with data management.
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The study was funded by the hospital and was not supported by Grant funding. Funding was provided by Centre for Addiction and Mental Health.
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JL contributed to the study conception and design. Material preparation and data collection were performed by JL, JL and YN contributed to data analysis. The first draft of the manuscript was written by YN and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Yasunori Nishikawa, Katie Fracalanza, Neil A. Rector, Judith M. Laposa declare that they have no conflict of interest.
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Nishikawa, Y., Fracalanza, K., Rector, N.A. et al. Now I Always have to Perform Well! Effects of CBT for Social Anxiety Disorder on Negative Interpretations of Positive Social Events. Cogn Ther Res 46, 1126–1136 (2022). https://doi.org/10.1007/s10608-022-10322-z
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DOI: https://doi.org/10.1007/s10608-022-10322-z