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Interpretation of positive social events in social phobia: An examination of cognitive correlates and diagnostic distinction
Authors:Judith M Laposa  Stephanie E Cassin  Neil A Rector
Institution:1. Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario, M5T 1R8, Canada;2. University of Toronto, Toronto, Ontario, Canada;3. Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada;1. Temple University, United States;2. University of Wisconsin-Madison, United States;1. VA San Diego Healthcare System, San Diego, CA, USA;2. University of Pennsylvania, Philadelphia, PA, USA;3. University of Houston—Clear Lake, Houston, TX, USA;4. Monash University Melbourne, Victoria, Australia;1. Georgia State University, Department of Psychology, P.O. Box 5010, Atlanta, GA, 30302-5010, USA;2. Emory University, Department of Psychiatry and Behavioral Sciences, Grady Health System, 80 Jesse Hill Jr. Drive SE, Atlanta, GA, 30303, USA;3. University of Vermont, Department of Psychology, 2 Colchester Ave, Burlington, VT, 05405, USA;1. Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Department of Psychiatry, Toronto, Ontario, Canada;2. University of Toronto, Department of Psychiatry, Toronto, Ontario, Canada;3. Campbell Family Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada;1. School of Psychology and Speech Pathology, Curtin University, Perth, Australia;2. Centre of Clinical Interventions, Perth, Australia;3. Health Psychology and Behavioural Medicine Research Group, Curtin University, Perth, Australia;4. School of Psychology, University of Sydney, Sydney, Australia;1. University of Deusto, Department of Personality, Psychological Assessment and Treatment, Apdo. 1, 48080 Bilbao, Spain;2. George Mason University, Department of Psychology, 9992 Main Street, Fairfax, VA 22031, United States
Abstract:Research suggests that individuals with social phobia fear positive social events and interpret them in a negative fashion that serves to maintain anxiety. To better elucidate the nature and role of interpretation of positive events in social phobia, two studies were conducted. Study 1 examined symptom and cognitive correlates of negative interpretation of positive social events. Participants with DSM-IV diagnosed generalized social phobia (GSP) completed a measure of interpretation of positive social events (IPES) in relation to a range of symptom and cognition measures of social anxiety. Results indicated that perfectionism and a measure tapping interpersonal fears associated with social anxiety were significantly predictive of IPES scores. Study 2 examined IPES scores in clinical participants with GSP, obsessive compulsive disorder (OCD), panic disorder with or without agoraphobia (PD/A), generalized anxiety disorder (GAD), and non-anxious controls. Results indicated that individuals with GSP scored higher on the IPES than those with PD/A, GAD and controls, but did not differ from OCD. These findings suggest that negative interpretation of positive events is a distinct and characteristic feature of social phobia with significant associations with other cognitive risk factors for the disorder.
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