The role of defeat and entrapment in depression, anxiety, and suicide.

Defeat and entrapment are psychological constructs that have played a central role in evolutionary accounts of depression. These concepts have since been implicated in theoretical accounts of anxiety disorders and suicidality. The current article reports on a systematic review of the existing research investigating the links among defeat, entrapment, and psychopathology in the domains of depression, suicidality, posttraumatic stress disorder (PTSD), and other anxiety syndromes. Fifty-one original research articles were identified and critically reviewed. There was strong convergent evidence for a link with depressive symptoms, across a variety of clinical and nonclinical samples. Preliminary support for an association with suicidality was also observed, with effects not readily explainable in terms of comorbid depression. There was strong evidence for an association between defeat and PTSD, although this may have been partly accounted for by comorbid depression. The findings for other anxiety disorders were less consistent. There was, however, evidence that social anxiety in individuals with psychosis may be related to perceptions of entrapment. Overall, there was evidence that perceptions of defeat and entrapment were closely associated with various forms of human psychopathology. These effects were often in the moderate to large range and superseded the impact of other environmental and psychological stressors on psychopathology. We provide a unified theoretical model of how defeat and entrapment may contribute to these different psychopathological conditions. Clinical implications and avenues for future research are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Genetic predisposition to anxiety-related behavior determines coping style, neuroendocrine responses, and neuronal activation during social defeat.

Genetic background may influence an individual's susceptibility to, and subsequent coping strategy for, an acute stressor. When exposed to social defeat (SD), rats bred for high (HAB) or low (LAB) trait anxiety, which also differ in depression-like behavior, showed highly divergent passive and active coping behaviors, respectively. HABs spent more time freezing and emitted more ultrasound vocalization calls during SD than LABs, which spent more time rearing and grooming. Although the behavioral data confirmed the prediction that heightened trait anxiety would make rats more prone to experience stress, adrenocorticotropin and corticosterone were secreted to a higher extent in LABs than in HABs. In the latter, Fos expression upon SD was enhanced in the amygdala and hypothalamic areas compared with LABs, whereas it was diminished in prefrontal and brainstem areas. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changes in children's verbal behavior as a function of social approval and manifest anxiety.

"This study investigated the operant conditioning of a class of verbal behavior as a function of manifest anxiety and of two types of social approval in grade school children. Anxiety levels were inferred from the Children's Manifest Anxiety Scale. Social reinforcers consisted of a 'head nod' and the verbalization 'good.' Acquisition of a verbal conditioned response was obtained in both reinforcement groups with the verbal reinforcer being significantly better than physical movement. Anxiety effects were not demonstrable." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpretation bias in social anxiety as detected by event-related brain potentials.

Little is known about psychophysiological correlates of interpretation bias in social anxiety. To address this issue, the authors measured event-related brain potentials (ERPs) in high and low socially anxious individuals during a task wherein ambiguous scenarios were resolved with either a positive or negative ending. Specifically, the authors examined modulations of the P600, an ERP that peaks approximately 600 ms following stimulus onset and indexes violations of expectancy. Low-anxious individuals were characterized by an increased P600 to negative in comparison with positive sentence endings, suggesting a positive interpretation bias. In contrast, the high-anxious group evidenced equivalent P600 magnitude for negative and positive sentence endings, suggesting a lack of positive interpretation bias. Similar, but less reliable results emerged in earlier time windows, that is, 200-500 ms poststimulus. Reaction time, occurring around 900 ms poststimulus, failed to show a reliable interpretation bias. Results suggest that ERPs can detect interpretation biases in social anxiety before the emission of behavioral responses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Universal-based prevention of syndromal and subsyndromal social anxiety: A randomized controlled study.

This article reports results from a universal preventive program aimed at (a) reducing social anxiety and (b) preventing the development of syndromal social anxiety among a population-based sample of older children and young adolescents during a 1-year period. Pupils (N = 1,748) from 2 counties were cluster randomized to either an intervention or a control condition. In the intervention condition, the Norwegian Universal Preventive Program for Social Anxiety (NUPP-SA)—which educates pupils, parents/guardians, teachers/school staff, and county health workers—was administered. The results indicate that NUPP-SA had a significant specific intervention effect for reducing social anxiety in the total sample as well as among the syndromal subjects. Further, significantly fewer subjects from the intervention county developed syndromal social anxiety during the 1-year period, thus showing a prevention effect. The results demonstrate the value of an intervention specifically aimed at reducing social anxiety and preventing the development of syndromal social anxiety among young people. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Achievement striving, social class, and test anxiety.

It was hypothesized that compared to working-class Ss, middle-class Ss would show little improvement in test performance under financial incentive. Tests used were a simple motor test and an intelligence test. Ss were high school juniors and seniors. Results with both tests support the hypothesis that middle-class test performance is more highly generalized and less subject to improvement through increased striving for material reward. "The main difference between the two groups seems to be that while working-class striving and performance tend to rise uniformly in response to reward stimuli, in the middle-class reward-induced increases in striving may either raise the level of performance or touch off anxiety responses that lower it." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The shyness and social anxiety workbook.

Reviews the book, The shyness and social anxiety workbook by Martin M. Antony and Richard P. Swinson (see record 2001-16563-000). Books that provide information and guidance for people with social anxiety are a much-needed resource. Unfortunately, relatively few self-help books completely meet the needs of these individuals--some books are overly academic, others overwhelm readers with details. Therefore, it was a pleasure to read this workbook by Drs. Antony and Swinson. Designed to address the concerns of people whose lives are impaired by social anxiety, the volume provides a clear, comprehensive, and sophisticated self-help guide. The volume is divided into two sections. Part 1 consists of three chapters that present information to increase readers' understanding of social anxiety. Part II focuses on strategies to overcome social anxiety. In general, the book is written at a level that will be readily understood by members of the general public but without the patronizing simplification that can characterize self-help volumes. The book manages to capture the complexity of social anxiety as a clinical condition without overwhelming the anxious reader with excessive detail. Although this book is directed primarily at people for whom social anxiety is a significant life concern, it will also be of interest to clinicians working with individuals with social phobia, avoidant personality disorder, and other conditions marked by interpersonal discomfort. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Competition between endogenous and exogenous attention to nonemotional stimuli in social anxiety.

This study investigated whether impaired endogenous attention and enhanced exogenous attention for the processing of nonemotional stimuli were observed in individuals with high social anxiety. In each trial, participants were presented with an endogenous cue at a center, followed by exogenous cues at peripheral locations; subsequently, nonemotional masked targets were presented wherein the subjects were asked to distinguish between the targets. The accuracy rates were influenced by social anxiety only in exogenous conditions. Individuals with high social anxiety exhibited higher accuracy in the valid condition than in the invalid condition of exogenous attention, whereas individuals with low social anxiety displayed uniform accuracy rates in valid, neutral, and invalid conditions. The validity effects in individuals with high social anxiety did not diminish when controlling for trait and state anxiety and depression. The results suggest that individuals with high social anxiety have an enhanced exogenous attentional system and that they are attracted to salient stimuli regardless of emotionality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attachment in individuals with social anxiety disorder: The relationship among adult attachment styles, social anxiety, and depression.

Despite their apparent implications for social functioning, adult attachment styles have never been specifically explored among persons with social anxiety disorder. In the current study, a cluster analysis of the Revised Adult Attachment Scale (N. L. Collins, 1996) revealed that 118 patients with social anxiety (58.6% males and 41.4% females, mean age 32.43 yrs) were best represented by anxious and secure attachment style clusters. Members of the anxious attachment cluster exhibited more severe social anxiety and avoidance, greater depression, greater impairment, and lower life satisfaction than members of the secure attachment cluster. This pattern was replicated in a separate sample of 56 patients and compared with the pattern found in 36 control participants. Social anxiety mediated the association between attachment insecurity and depression. Findings are discussed in the context of their relevance to the etiology, maintenance, and cognitive-behavioral treatment of social anxiety disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent peer relationships and behavior problems predict young adults’ communication on social networking websites.

This study examined online communication on social networking web pages in a longitudinal sample of 92 youths (39 male, 53 female). Participants’ social and behavioral adjustment was assessed when they were ages 13–14 years and again at ages 20–22 years. At ages 20–22 years, participants’ social networking website use and indicators of friendship quality on their web pages were coded by observers. Results suggested that youths who had been better adjusted at ages 13–14 years were more likely to be using social networking web pages at ages 20–22 years, after statistically controlling for age, gender, ethnicity, and parental income. Overall, youths’ patterns of peer relationships, friendship quality, and behavioral adjustment at ages 13–14 years and at ages 20–22 years predicted similar qualities of interaction and problem behavior on their social networking websites at ages 20–22 years. Findings are consistent with developmental theory asserting that youths display cross-situational continuity in their social behaviors and suggest that the conceptualization of continuity may be extended into the online domain. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Orienting and maintenance of gaze to facial expressions in social anxiety.

In 2 experiments, the authors tested predictions from cognitive models of social anxiety regarding attentional biases for social and nonsocial cues by monitoring eye movements to pictures of faces and objects in high social anxiety (HSA) and low social anxiety (LSA) individuals. Under no-stress conditions (Experiment 1), HSA individuals initially directed their gaze toward neutral faces, relative to objects, more often than did LSA participants. However, under social-evaluative stress (Experiment 2), HSA individuals showed reduced biases in initial orienting and maintenance of gaze on faces (cf. objects) compared with the LSA group. HSA individuals were also relatively quicker to look at emotional faces than neutral faces but looked at emotional faces for less time, compared with LSA individuals, consistent with a vigilant-avoidant pattern of bias. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effect of anxiety reduction on children's school performance and social adjustment.

[Correction Notice: An erratum for this article was reported in Vol 43(2) of Developmental Psychology (see record 2007-02739-020). The byline and author note should have included the author's middle initial, J. Thus, the byline and author note should refer to "Jeffrey J. Wood." The correction is reflected in this record.] This study tested the effect of reductions in children's anxiety over time on improvements in school performance and social functioning in the context of participation in a cognitive-behavioral intervention program. Participants included 40 children with high anxiety (6-13 years of age). Independent evaluators, children, and parents rated child anxiety; parents rated school performance; and children and parents rated social functioning. Measures were completed at preintervention, midintervention, and postintervention. Fixed-effects regression analyses and random-effects regression analyses indicated that decreased anxiety was predictive of improved school performance and social functioning over the course of the intervention. These findings suggest that changes in anxiety influence trajectories of children's scholastic and social functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessment and treatment of social anxiety disorder.

Despite being associated with a high degree of distress, disability, and functional limitation, social anxiety disorder (SAD) often goes undetected and untreated. The disorder is receiving increased attention amid the development of various models of psychosocial treatments and through direct-to-consumer advertising campaigns launched by the pharmaceutical industry. While pharmacotherapy and psychosocial interventions appear to be efficacious as monotherapy, the best strategy over the long-term may be a combination approach. Rating instruments specific to SAD are available and are useful in allowing clinicians and patients to more objectively determine the outcome of treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evidence for social anxiety and impaired social cognition in a mouse model of fragile X syndrome.

This study assessed social behavior in a mouse model of Fragile X syndrome (FXS), the Fmr1 tm1Cgr or Fmr1 "knockout" (KO) mouse. Both the KO and wild-type (WT) mice preferred to be near a novel conspecific than to be alone. However, during the initial interaction with a novel conspecific, (1) a greater proportion of the KO mice exhibited high levels of grooming; and (2) the average duration of nose contact with the stimulus mouse was significantly shorter for the KO mice, both indicative of increased arousal and/or anxiety. Both groups exhibited a robust novelty preference when the novel animal was a "preferred" mouse. However, when the novel mouse was a "nonpreferred" animal, both groups showed a diminished novelty preference but this effect was more pronounced for the WT mice. This blunted negative reaction of the KO mice to a nonpreferred animal may indicate that they were less proficient than controls in distinguishing between positive and negative social interactions. These findings provide support for the use of this animal model to study the autistic features of FXS and autism spectrum disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder.

Mindfulness-based stress reduction (MBSR) is an established program shown to reduce symptoms of stress, anxiety, and depression. MBSR is believed to alter emotional responding by modifying cognitive–affective processes. Given that social anxiety disorder (SAD) is characterized by emotional and attentional biases as well as distorted negative self-beliefs, we examined MBSR-related changes in the brain–behavior indices of emotional reactivity and regulation of negative self-beliefs in patients with SAD. Sixteen patients underwent functional MRI while reacting to negative self-beliefs and while regulating negative emotions using 2 types of attention deployment emotion regulation—breath-focused attention and distraction-focused attention. Post-MBSR, 14 patients completed neuroimaging assessments. Compared with baseline, MBSR completers showed improvement in anxiety and depression symptoms and self-esteem. During the breath-focused attention task (but not the distraction-focused attention task), they also showed (a) decreased negative emotion experience, (b) reduced amygdala activity, and (c) increased activity in brain regions implicated in attentional deployment. MBSR training in patients with SAD may reduce emotional reactivity while enhancing emotion regulation. These changes might facilitate reduction in SAD-related avoidance behaviors, clinical symptoms, and automatic emotional reactivity to negative self-beliefs in adults with SAD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism, negative social feedback, and interpersonal rumination in depression and social anxiety.

The current study investigated the associations among trait perfectionism, perfectionistic self-presentation, negative social feedback, interpersonal rumination, depressive symptoms, and social anxiety. New measures of negative social feedback and interpersonal rumination were used to evaluate their relevance to the social aspects of perfectionism and their roles in distress. A sample of 155 undergraduate students completed the Multidimensional Perfectionism Scale, the Perfectionistic Self-Presentation Scale, the Social Feedback Questionnaire, Rumination About an Interpersonal Offense, and measures of depressive symptoms and social anxiety. The results confirmed that socially prescribed perfectionism and perfectionistic self-presentation were associated significantly with negative social feedback and rumination following interpersonal events (i.e., being hurt, humiliated, mistreated). Also, depressive symptoms and social anxiety were associated significantly with negative social feedback, interpersonal rumination, trait perfectionism, and perfectionistic self-presentation. Additional analyses indicated that negative social feedback and interpersonal rumination mediated the links between components of the perfectionism construct and distress. Overall, our findings suggest that self-reported receipt of frequent negative feedback from others and engaging in rumination about an interpersonal event play important roles in the distress experienced by certain individuals with high levels of perfectionism. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Automatic social behavior as motivated preparation to interact.

The authors propose that automatic social behavior may result from perceivers preparing to interact with primed social group members. In Study 1, participants primed with a disliked outgroup (gay men) showed evidence of interaction preparation (aggression) rather than direct stereotypic trait expression (passivity). In Study 2, participants with implicit positive attitudes toward the elderly walked more slowly after "elderly" priming, but participants with negative attitudes walked more quickly, results consistent with a preparatory account; the reverse was found priming "youth." Study 3 demonstrated that the accessibility of a primed category follows a pattern more consistent with that of goal-related constructs (including post-goal-fulfillment inhibition) than that of semantically primed constructs. Implications for the function of stored knowledge are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ego identity, social anxiety, social support, and self-concealment in lesbian, gay, and bisexual individuals.

This study examined a model in which the relationship between social anxiety and two dimensions of ego identity (commitment and exploration) was expected to be mediated by social support and self-concealment for a sample of lesbian, gay, and bisexual individuals (N=347). Statistically significant paths were found from social anxiety to social support and self-concealment. Statistically significant paths were also found from social support to commitment, exploration, and self-concealment. There were no significant paths from social anxiety to commitment or exploration. Structural equation analyses and bootstrap procedures revealed support for the potential mediational role of social support in the association between social anxiety and the two dimensions of ego identity as well as in the link between social anxiety and self-concealment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Fitting in and feeling fine: Conformity and coping motives as mediators of the relationship between social anxiety and problematic drinking.

The present research was conducted to clarify the relationships among social anxiety, alcohol consumption, alcohol-related problems, and negative-reinforcement drinking motives among college students. Heavy drinking students (N = 316, 53.80% female) completed self-report measures of social anxiety, alcohol consumption, alcohol-related problems, and drinking motives. Findings indicated that students higher in social anxiety consumed less alcohol but experienced more negative consequences. Moreover, the relationship between social anxiety and negative consequences was mediated by coping and conformity drinking motives in addition to alcohol consumption. In the context of social anxiety, the current research demonstrates the importance of examining problematic drinking as distinct constructs: alcohol consumption and negative consequences. Findings are also discussed in terms of implications for interventions with socially anxious students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)