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Interpersonal Sensitivity and Response Bias in Social Phobia and Depression: Labeling Emotional Expressions

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Abstract

Interpersonal sensitivity to ambiguous facial expressions of emotions was examined using individual growth modeling. Generalized socially phobic (n = 54), depressed (n = 44), comorbidly socially phobic and depressed individuals (n = 39), and non-clinical controls (n = 65) were assessed on an emotion labeling task. Patients were as good as controls in labeling happy expressions as positive, and better than controls in labeling faint angry and sad expressions as negative. Depression and social anxiety (SA) were positively correlated with a response bias, and negatively correlated with sensitivity, to angry expressions. Depression was also correlated with higher sensitivity, and SA with higher response bias, to sad expressions. The effects of depression and SA on the identification of negative expressions were sub-additive. Finally, depression, but not SA, was associated with longer examination of happy, but not angry emotional expressions. Implications of these findings for the understanding of interpersonal impairments in social phobia and depression are discussed.

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Notes

  1. A correct identification in our study is defined as identification of the emotion used to generate the expression. Note, however, that for faint emotional expression, the normative response may be “neutral”.

  2. In a sense, this distinction parallels the distinction between beta and d’ in signal detection theory. Whereas signal detection theory applies to binary inputs, the regression analysis conducted here suggests a conceptually similar distinction for continuous stimuli.

References

  • Adolphs, R., & Tranel, D. (2004). Impaired judgments of sadness but not happiness following bilateral amygdala damage. Journal of Cognitive Neuroscience, 16(3), 453–462.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed., rev.). Washington, DC.

  • Amir, N., Foa, E. B., & Coles, M. (1998). Negative interpretation biases in social phobia. Behavioral Research and Therapy, 36, 954–957.

    Google Scholar 

  • Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

    Google Scholar 

  • Beck, A. T., & Steer, R. A. (1987). Beck Depression Inventory manual. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Berenbaum, H., & Oltmanns, T. F. (1992). Emotional experience and expression in schizophrenia and depression. Journal of Abnormal Psychology, 101, 37–44.

    Article  PubMed  CAS  Google Scholar 

  • Bimler, D., & Kirkland, J. (2001). Categorical perception of facial expressions of emotions: Evidence from multidimensional scaling. Cognition and Emotion, 15, 633–658.

    Article  Google Scholar 

  • Bouhuys, A., Geerts, E., & Gordijn, M. C. M. (1999). Depressed patients’ perceptions of facial emotion in depressed and remitted states are associated with relapse: A longitudinal study. Journal of Nervous and Mental Disease, 187, 595–602.

    Article  PubMed  CAS  Google Scholar 

  • Bower, G. H. (1981). Mood and memory. American Psychologist, 36(2), 129–148.

    Article  PubMed  CAS  Google Scholar 

  • Boyce, P., & Parker, G. (1989). Development of a scale to measure interpersonal sensitivity. Australian and New Zealand Journal of Psychiatry, 23, 341–351.

    Article  PubMed  CAS  Google Scholar 

  • Bruder, G. E., Stewart, J. W., McGrath, P. J., Ma, G. J., Wexler, B. E., & Quitkin, F. M. (2002). Atypical depression: Enhanced right hemispheric dominance for perceiving emotional chimeric faces. Journal of Abnormal Psychology, 111, 446–454.

    Article  PubMed  Google Scholar 

  • Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety. Advances in Behavioral Research and Therapy, 5, 51–62.

    Article  Google Scholar 

  • Clark, D. M., & McManus, F. (2002). Information processing in social phobia. Biological Psychiatry, 51, 92–100.

    Article  PubMed  Google Scholar 

  • Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336.

    Article  PubMed  CAS  Google Scholar 

  • Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.

    Google Scholar 

  • Constans, J. I., Penn, D. L., Ihen, G. H., & Hope, D. A. (1999). Interpretative biases for ambiguous stimuli in social anxiety. Behaviour Research and Therapy, 37, 643–651.

    Article  PubMed  CAS  Google Scholar 

  • Cooley, E. L., & Nowicki, S. (1989). Discrimination of facial expressions of emotion by depressed subjects. Genetic, Social, & General Psychology Monographs, 115, 449–565.

    CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  • Dimberg, U. (1982). Facial reactions to facial expressions. Psychophysiology, 19(6), 643–647.

    Article  PubMed  CAS  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured clinical interview for DSM-IV Axis I disorders—Patient edition. New York: Biometric Research Department.

    Google Scholar 

  • Foa, E. B., Franklin, M. E., Perry, K. J., & Herbert, J. D. (1996). Cognitive biases in generalized social phobia. Journal of Abnormal Psychology, 3, 433–439.

    Article  Google Scholar 

  • Gilboa-Schechtman, E., Franklin, M. E., & Foa, E. (2000). Anticipated reactions to social events: Differences among individuals with generalized social phobia, obsessive compulsive disorder and non-anxious controls. Cognitive Therapy & Research, 24(6), 731–746.

    Article  Google Scholar 

  • Gur, R. C., Erwin, R. J., Gur, R. E., Zwill, A. S., Heimberg, C., & Kraemer, H. (1992). Facial emotion discrimination: II. Behavioral findings in depression. Psychiatry Research, 241–251.

  • Halberstadt, J. B., & Niedenthal, P. M. (1997). Emotional state and the use of stimulus dimensions in judgment. Journal of Personality & Social Psychology, 72(5), 1017–1033.

    Article  CAS  Google Scholar 

  • Hale, W. W. H. (1998). Judgment of facial expressions and depression persistence. Psychiatry Research, 80, 265–274.

    Article  PubMed  Google Scholar 

  • Harb, G. C., Heimberg, R. G., Fresco, D. M., Schneier, F. R., & Liebowitz, M. R. (2002). The psychometric properties of the Interpersonal Sensitivity Measure in social anxiety disorder. Behavioural Research and Therapy, 40, 961–979.

    Article  CAS  Google Scholar 

  • Heinrichs, N., & Hofman, S. G. (2001). Information processing in social phobia: A critical review. Clinical Psychology Review, 21(5), 751–770.

    Article  PubMed  CAS  Google Scholar 

  • Joiner, T. (2000). Depression’s vicious scree: Self-propagating and erosive processes in depression chronicity. Clinical Psychology: Science & Practice, 7, 203–218.

    Article  Google Scholar 

  • Lara, M. E., & Klein, D. N. (1999). Psychosocial processes underlying the maintenance and persistence of depression: Implications for understanding chronic depression. Clinical Psychology Review, 19, 553–570.

    Article  PubMed  CAS  Google Scholar 

  • Lawson, C., MacLeod, C., & Hammond, G. (2002). Interpretation revealed in the blink of an eye: Depressive bias in the resolution of ambiguity. Journal of Abnormal Psychology, 111, 321–328.

    Article  PubMed  Google Scholar 

  • Liebowitz, M. R. (1987). Social phobia. Modern Problems of Pharmacopsychiatry, 22, 141–173.

    PubMed  CAS  Google Scholar 

  • MacLeod, C., & Cohen, I. (1993). Anxiety and the interpretation of ambiguity: A text comprehension study. Journal of Abnormal Psychology, 102, 238–247.

    Article  PubMed  CAS  Google Scholar 

  • McCann, C. D., & Lalonde, R. N. (1993). Dysfunctional communication and depression: Social cognitive processes. American Behavioral Scientist, 36, 271–287.

    Article  Google Scholar 

  • Melfsen, S., & Florin, F. (2002). Do socially anxious children show deficits in classifying facial expressions of emotions? Journal of Nonverbal Behavior, 26, 109–126.

    Article  Google Scholar 

  • Mikhailova, E. S., Vladimirova, T. V., Iznak, A. F., & Tsusulkovskaya, E. J. (1996). Abnormal recognition of facial expression of emotions in depressed patients with major depression disorder and schizotypal personality disorder. Biological Psychiatry, 40, 697–705.

    Article  PubMed  CAS  Google Scholar 

  • Morris, W. N., & Reilly, N. P. (1987). Toward the self-regulation of mood: Theory and research. Motivation and Emotion, 11, 215–249.

    Article  Google Scholar 

  • Nelson, C. A. (1993). The recognition of facial expressions in infancy: Behavioral and electrophysiological evidence. In B. de Boysson-Bardies & S. de Schonen (Eds.), Developmental neurocognition: Speech and face processing in the first year of life (pp. 187–198). Norwell, MA: Kluwer Academic Publishers.

    Google Scholar 

  • Niedenthal, P. M., Brauer, M., Halberstadt, J. B., & Inner-Ker, A. H. (2001). When did her smile drop? Facial mimicry and the influence of emotional state on the detection of change in emotional expression. Cognition and Emotion, 15, 853–864.

    Article  Google Scholar 

  • Niedenthal, P. M., Halberstadt, J. B., Margolin, J., & Innes-Ker, Å. H. (2000). Emotional state and the detection of change in facial expression of emotion. European Journal of Social Psychology, 30(2), 211–222.

    Article  Google Scholar 

  • Niedenthal, P., Halberstadt, J. B., & Setterlund, M. (1997). Being happy and seeing ‘happy’: Emotional state mediates visual word recognition. Cognition and Emotion, 11, 403–432.

    Article  Google Scholar 

  • Ogawa, T., & Suzuki, N. (1999). Response differentiation to facial expression of emotion as increasing exposure duration. Perceptual & Motor Skills, 89, 557–563.

    CAS  Google Scholar 

  • Ohman, A., & Mineka, S. (2001). Fears, phobias, and preparedness: Toward an evolved module of fear and fear learning. Psychological Review, 108, 483–522.

    Article  PubMed  CAS  Google Scholar 

  • Persad, S. M., & Polivy, J. (1993). Differences between depressed and nondepressed individuals in the recognition of and response to facial emotional cues. Journal of Abnormal Psychology, 102, 358–368.

    Article  PubMed  CAS  Google Scholar 

  • Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research & Therapy, 35(8), 741–756.

    Article  CAS  Google Scholar 

  • Richards, A., French, C. C., Webb, B., Fox, R., & Young, A. W. (2002). Anxiety-related biases in the classification of emotionally ambiguous facial expressions. Emotion, 2, 273–287.

    Article  PubMed  Google Scholar 

  • Rubinow, D. R., & Post, R. M. (1992). Impaired recognition of affect in facial expression in depressed patients. Biological Psychiatry, 31, 947–953.

    Article  PubMed  CAS  Google Scholar 

  • Simonian, S. J., Beidel, D. C., Turner, S. M., Berkes, J. L., & Long, J. H. (2001). Recognition of facial affect by children and adolescents diagnosed with social phobia. Child Psychiatry and Human Development, 32, 137–145.

    Article  PubMed  CAS  Google Scholar 

  • Sloan, D. M., Strauss, M. E., & Wisner, K. L. (2001). Diminished response to pleasant stimuli by depressed women. Journal of Abnormal Psychology, 110, 488–493.

    Article  PubMed  CAS  Google Scholar 

  • Spielberg, C. D., Gorsuch, R. L., & Lusherne, R. E. (1970). Manual for the state-trait anxiety inventory (Self-evaluation questionnaire). Palo Alto, CA: Consulting Psychological Press.

    Google Scholar 

  • Stopa, L., & Clark, D. M. (2000). Social phobia and interpretation of social events. Behavior Research and Therapy, 38, 273–283.

    Article  CAS  Google Scholar 

  • Surguladze, S. A., Young, A. W., Senior, C., Brebion, G., Travis, M. J., & Phillips, M. L. (2004). Recognition accuracy and response bias to happy and sad facial expressions in patients with major depression. Neuropsychology, 18, 212–218.

    Article  PubMed  Google Scholar 

  • Tickle-Degnen, L., & Rosenthal, R. (1990). The nature of rapport and its nonverbal correlates. Psychological Inquiry, 1, 285–293.

    Article  Google Scholar 

  • Williams, M. J., Watts, F. N., MacLeod, C., & Mathews, A. (1997). Cognitive psychology and the emotional disorders (2nd ed.). Chichester: John Wiley.

    Google Scholar 

  • Winton, E. C., Clark, D. M., & Edelmann, R. J. (1995). Social anxiety, fear of negative evaluation and the detection of negative emotion in others. Behaviour Research & Therapy, 33, 193–196.

    Article  CAS  Google Scholar 

  • Young, A. W., Rowland, D., Calder, A. J., & Etcoff, N. L. (1997). Facial expression megamix: Tests of dimensional and category accounts of emotion recognition. Cognition, 63(3), 271–313.

    Article  PubMed  CAS  Google Scholar 

  • Zeiss, A. M., Lewinsohn, P. M., & Munoz, R. F. (1979). Nonspecific improvement effects in depression using interpersonal skills training, pleasant activity schedules, or cognitive training. Journal of Consulting & Clinical Psychology, 47, 427–439.

    Article  CAS  Google Scholar 

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Acknowledgements

This study was supported by the Israeli Science Foundation Grant No. 866-99. The first author thanks the Department of Psychology at Yale University for its hospitality.

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Correspondence to Eva Gilboa-Schechtman.

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Gilboa-Schechtman, E., Foa, E., Vaknin, Y. et al. Interpersonal Sensitivity and Response Bias in Social Phobia and Depression: Labeling Emotional Expressions. Cogn Ther Res 32, 605–618 (2008). https://doi.org/10.1007/s10608-008-9208-8

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