Skip to main content
Log in

Social Anxiety and the Interaction of Imagery and Interpretations in Children: An Experimental Test of the Combined Cognitive Biases Hypothesis

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

Abstract

Previous research with adult samples has demonstrated that self-imagery valence influences the emotional interpretations people make about social situations. However, no research has examined the effect of self-imagery valence on interpretations in children. In the present study we examined the causal role of self-imagery valence on interpretations and judgments concerning ambiguous social events. Self-imagery was experimentally induced by asking children to generate and hold in mind a negative or positive self-image while interpretation and judgmental biases were examined using an ambiguous stories task. Our results showed that social anxiety predicts more negative interpretation and judgmental biases in response to hypothetical social events. Additionally, exposing children to negative or positive self-imagery differentially affected their subsequent judgmental biases, although for interpretation biases this was only true for children scoring above the mean on social anxiety. Crucially, self-imagery valence interacted with social anxiety to predict interpretation (but not judgmental) biases. The findings provide early support for the suggestion that cognitive biases interact to maintain childhood social anxiety.

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.

Fig. 1

Similar content being viewed by others

Notes

  1. Of the original 172 students who participated in both sessions of the study, eight participants were dropped due to incomplete data and language difficulties, yielding a total of 164 students.

  2. We also ran a regression analysis to test whether imagery condition interacted with social anxiety to predict the emotional valence of the recalled self-image while controlling for depression scores. This interaction did not significantly predict image valence, β = .16, t (159) = .67, P = .50.

References

  • Alfano, C. A., Beidel, D. C., & Turner, S. M. (2008). Negative self-imagery among with social phobia: A test of an adult model of the disorder. Journal of Clinical Child and Adolescent Psychology, 37, 327–336.

    Article  PubMed  Google Scholar 

  • Amir, N., Foa, E. B., & Coles, M. E. (1998). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36, 945–957.

    Article  Google Scholar 

  • Barrett, P. M., Rapee, R. M., Dadds, M. M., & Ryan, S. M. (1996). Family enhancement of cognitive style in anxious and aggressive children. Journal of Abnormal Child Psychology, 24, 187–203.

    Article  PubMed  CAS  Google Scholar 

  • Beard, C., & Amir, N. (2008). A multi-session interpretation modification program: Changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 46, 1135–1141.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  • Bögels, S. M., Snieder, N., & Kindt, M. (2003). Specificity of dysfunctional thinking in children with symptoms of social anxiety, separation anxiety and generalized anxiety. Behaviour Change, 20, 160–169.

    Article  Google Scholar 

  • Chorpita, B. F., Albano, A. M., & Barlow, D. H. (1996). Cognitive processing in children: Relation to anxiety and family influences. Journal of Clinical Child Psychology, 25, 170–176.

    Article  Google Scholar 

  • Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5–S27.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Fazio, R. H., & Olson, M. A. (2003). Implicit measures in social cognition research: Their meaning and use. Annual Review of Psychology, 54, 297–327.

    Article  PubMed  Google Scholar 

  • Foa, E. B., Franklin, M. E., Perry, K. J., & Herbert, J. D. (1996). Cognitive biases in generalised social phobia. Journal of Abnormal Psychology, 105, 433–439.

    Article  PubMed  CAS  Google Scholar 

  • Hackmann, A., Clark, D. M., & McManus, F. (2000). Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601–610.

    Article  PubMed  CAS  Google Scholar 

  • Hackmann, A., Surawy, C., & Clark, D. M. (1998). Seeing yourself through others’ eyes: A study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3–12.

    Article  Google Scholar 

  • Harvey, A. G., Clark, D. M., Ehlers, A., & Rapee, R. M. (2000). Social anxiety and self-impression: Cognitive preparation enhances the beneficial effects of video feedback following a stressful social task. Behaviour Research and Therapy, 38, 1183–1192.

    Article  Google Scholar 

  • Hirsch, C., & Clark, D. M. (2004). Information-processing bias in social phobia. Clinical Psychology Review, 24, 799–825.

    Article  PubMed  Google Scholar 

  • Hirsch, C., Clark, D. M., & Mathews, A. (2006a). Imagery and interpretations in social phobia: Support for the combined cognitive biases hypothesis. Behavior Therapy, 37, 223–236.

    Article  PubMed  Google Scholar 

  • Hirsch, C. R., Clark, D. M., Mathews, A., & Williams, R. (2003a). Self-images play a causal role in social phobia. Behaviour Research and Therapy, 41, 909–921.

    Article  PubMed  Google Scholar 

  • Hirsch, C., Clark, D. M., Williams, R., Morrison, J., & Mathews, A. (2005). Interview anxiety: Taking the perspective of a confident other changes inferential processing. Behavioural and Cognitive Psychotherapy, 33, 1–12.

    Article  Google Scholar 

  • Hirsch, C., & Mathews, A. (1997). Interpretive inferences when reading about emotional events. Behaviour Research and Therapy, 35, 1123–1132.

    PubMed  CAS  Google Scholar 

  • Hirsch, C. R., Mathews, A., Clark, D. M., Williams, R., & Morrison, J. (2003b). Negative self-imagery blocks inferences. Behaviour Research and Therapy, 41, 1383–1396.

    Article  PubMed  CAS  Google Scholar 

  • Hirsch, C. R., Mathews, A., Clark, D. M., Williams, R., & Morrison, J. A. (2006b). The causal role of negative imagery in social anxiety: A test in confident public speakers. Journal of Behavior Therapy and Experimental Psychiatry, 37, 159–170.

    Article  PubMed  Google Scholar 

  • Holmes, E. A., & Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30, 349–362.

    Article  PubMed  Google Scholar 

  • Holmes, E., Mathews, A., Mackintosh, B., & Dalgleish, T. (2006). Positive interpretation training: Effects of mental imagery versus verbal training on positive mood. Behavior Therapy, 37, 237–247.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Stang, P., Wittchen, H.-U., Stein, M., & Walters, E. E. (1999). Lifetime co-morbidities between social phobia and mood disorders in the US National Comorbidity Survey. Psychological Medicine, 29, 555–567.

    Article  PubMed  CAS  Google Scholar 

  • Kovacs, M. K. (1992). Children’s depression inventory—Short form (CDI). New York: Multi-Health Systems Inc.

    Google Scholar 

  • La Greca, A. M., Dandes, S. K., Wick, P., Shaw, K., & Stone, W. L. (1988). Development of the social anxiety scale for children: Reliability and concurrent validity. Journal of Clinical Child Psychology, 17, 84–91.

    Article  Google Scholar 

  • La Greca, A. M., & Stone, W. L. (1993). The social anxiety scale for children-revised: Factor structure and concurrent validity. Journal of Clinical Child Psychology, 22, 17–27.

    Article  Google Scholar 

  • Mash, E. J., & Wolfe, D. A. (2010). Abnormal child psychology (4th ed.). Belmont, CA: Thomson/Wadsworth.

    Google Scholar 

  • Miers, A. C., Blöte, A. W., Bögels, S. M., & Westenberg, P. M. (2008). Interpretation bias and social anxiety in adolescents. Journal of Anxiety Disorders, 22, 1462–1471.

    Article  PubMed  Google Scholar 

  • Muris, P., Luermans, J., Merckelbach, H., & Mayer, B. (2000a). Danger is lurking everywhere. The relation between anxiety and threat perception abnormalities in normal children. Journal of Behavior Therapy and Experimental Psychiatry, 31, 123–136.

    Article  PubMed  CAS  Google Scholar 

  • Muris, P., Merckelbach, H., & Damsma, E. (2000b). Threat perception bias in non-referred socially anxious children. Journal of Clinical Child Psychology, 29, 348–359.

    Article  PubMed  CAS  Google Scholar 

  • Murphy, R., Hirsch, C. R., Mathews, A., Smith, K., & Clark, D. M. (2007). Facilitating a benign interpretation bias in a high socially anxious population. Behaviour Research and Therapy, 45, 1517–1529.

    Article  PubMed  Google Scholar 

  • Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational tools for probing interactions in multiple linear regression, multilevel modelling, and latent curve analysis. Journal of Educational and Behavioral Statistics, 31, 437–448.

    Article  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  • Turk, C. L., Lerner, J., Heimberg, R. G., & Rapee, R. M. (2001). An integrated cognitive-behavioral model of social anxiety. In S. G. Hofmann & P. M. DiBartolo (Eds.), From social anxiety to social phobia: Multiple perspectives (pp. 281–303). Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • Vassilopoulos, S. P. (2005). Social anxiety and the effects of engaging in mental imagery. Cognitive Therapy and Research, 29, 261–277.

    Article  Google Scholar 

  • Vassilopoulos, S. P. (2006). Interpretation and judgmental biases in socially anxious and nonanxious individuals. Behavioural and Cognitive Psychotherapy, 34, 243–254.

    Article  Google Scholar 

  • Vassilopoulos, S. P., & Banerjee, R. (2008). Interpretations and judgments regarding positive and negative social scenarios in childhood social anxiety. Behaviour Research and Therapy, 46, 870–876.

    Article  PubMed  Google Scholar 

  • Vassilopoulos, S. P., Banerjee, R., & Prantzalou, C. (2009). Experimental modification of interpretation bias in socially anxious children: Changes in interpretation, anticipated interpersonal anxiety, and social anxiety symptoms. Behaviour Research and Therapy, 47, 1085–1089.

    Article  PubMed  Google Scholar 

  • Vassilopoulos, S. P., & Watkins, E. (2009). Adaptive and maladaptive self focus: A pilot extension study with individuals high and low in fear of negative evaluation. Behavior Therapy, 40, 181–189.

    Article  PubMed  Google Scholar 

  • Voncken, M. J., Bögels, S. M., & de Vries, K. (2003). Interpretation and judgmental biases in social phobia. Behaviour Research and Therapy, 41, 1481–1488.

    Article  PubMed  Google Scholar 

  • Voncken, M. J., Bögels, S. M., & Peeters, F. (2007). Specificity of interpretation and judgmental biases in social phobia versus depression. Psychology and Psychotherapy: Theory, Research and Practice, 80, 443–453.

    Article  CAS  Google Scholar 

  • Warren, S. L., Emde, R. N., & Sroufe, L. A. (2000). Internal representations: Predicting anxiety from children’s play narratives. Journal for the American Academy for Child and Adolescent Psychiatry, 39, 100–107.

    Article  CAS  Google Scholar 

  • Wells, A., & Papageorgiou, C. (1999). The observer perspective: Biased imagery in social phobia, agoraphobia, and blood/injury phobia. Behaviour Research and Therapy, 37, 653–658.

    Article  PubMed  CAS  Google Scholar 

  • Wild, J., Hackmann, A., & Clark, D. M. (2007). When the present visits the past: Updating traumatic memories in social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 38, 386–401.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  • Wittchen, H.-U., Lieb, R., Schuster, P., & Oldehinkel, T. (2000). When is onset? Investigations into early developmental stages of anxiety and depressive disorders. In J. L. Rapoport (Ed.), Childhood onset of “adult” psychopathology: Clinical and research advances (pp. 259–302). Washington, DC: American Psychiatric Press.

    Google Scholar 

Download references

Acknowledgments

This study was supported by the “K. Karatheodoris” research grant (contract C919) awarded to the first author by the Research Committee of the University of Patras.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stephanos P. Vassilopoulos.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vassilopoulos, S.P., Moberly, N.J. & Douratsou, KM. Social Anxiety and the Interaction of Imagery and Interpretations in Children: An Experimental Test of the Combined Cognitive Biases Hypothesis. Cogn Ther Res 36, 548–559 (2012). https://doi.org/10.1007/s10608-011-9382-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-011-9382-y

Keywords

Navigation