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Intrusive social images in individuals with high and low social anxiety: a multi-method analysis

Published online by Cambridge University Press:  21 March 2019

Andrea R. Ashbaugh ,
Keera N. Fishman  and
Stephanie A. Houle-Johnson
Andrea R. Ashbaugh*
Affiliation:
University of Ottawa, Canada
Keera N. Fishman
Affiliation:
University of Ottawa, Canada
Stephanie A. Houle-Johnson
Affiliation:
University of Ottawa, Canada
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

Models of social anxiety suggest that intrusive images/memories are common in social anxiety and contribute to the maintenance of social anxiety.

Aims:

We examined the context and phenomenological features of intrusive social images using quantitative and qualitative measures across various levels of social anxiety.

Method:

Undergraduate students (n = 191) completed measures of social anxiety (i.e. Social Interaction Anxiety Scale and Social Phobia Scale) and wrote a description of an intrusive social image. Individuals who reported an intrusive social image (n = 77) rated the frequency, interference and phenomenological (e.g. vividness, emotional intensity) characteristics of the image. A content analysis of the intrusive image narratives was completed by independent raters.

Results:

High social anxiety (HSA) increased the likelihood and frequency of experiencing intrusive images, and to some extent the interference caused by these images. However, the characteristics of these images with regard to their content and quality were similar across levels of social anxiety. Among participants who provided narratives, HSA individuals (n = 34) did not differ from low socially anxious (LSA) individuals (n = 28) in themes that reflect concerns about their own thoughts, actions and behaviours. However, HSA individuals reported greater concerns about how other individuals would react, and their intrusive images were often from an observer perspective when compared with LSA individuals.

Conclusions:

These results are interpreted in relation to cognitive models of emotion, memory and cognitive behavioural models of social anxiety.

Keywords

content analysisintrusive imagerysocial anxietyqualitative methods
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 47 , Issue 5 , September 2019 , pp. 594 - 610
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019 

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References

Ashbaugh, A. R. and Radomsky, A. S. (2009). Interpretations of and memory for bodily sensations during public speaking. Journal of Behavior Therapy and Expeirmental Psychiatry, 40, 399–411. doi: 10.1016/j.jbtep.2009.03.001 CrossRefGoogle ScholarPubMed
Ashbaugh, A. R. and Radomsky, A. S. (2011). Memory for physiological feedback in social anxiety disorder: the role of fear of bodily sensations. Cognitive Therapy and Research, 35, 304–316. doi: 10.1007/s10608-009-9291-5 CrossRefGoogle Scholar
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi: 10.1191/1478088706qp063oa CrossRefGoogle Scholar
Brown, E. J., Turovsky, J., Heimberg, R. G., Juster, H. R., Brown, T. A. and Barlow, D. H. (1997). Validation of the social interaction anxiety scale and the social phobia scale across the anxiety disorders. Psychological Assessment, 9, 1–27.CrossRefGoogle Scholar
Clark, D. M. and Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R. G., Liebowitz, M. R., Hope, D. A., and Schneier, F. R. (eds), Social Phobia: Diagnosis, Assessment, and Treatment (pp. 69–93). New York, NY: Guilford Press.Google Scholar
Coles, M. E., Turk, C. L. and Heimberg, R. G. (2002). The role of memory perspective in social phobia: immediate and delayed memories for role-played situations. Behavioural and Cognitive Psychotherapy, 30, 415–425. doi: 10.1017/S1352465802004034 CrossRefGoogle Scholar
Coles, M. E., Turk, C. L., Heimberg, R. G. and Fresco, D. M. (2001). Effects of varying levels of anxiety within social situations: relationship to memory perspective and attributions in social phobia. Behaviour Research and Therapy, 39, 651–665.CrossRefGoogle ScholarPubMed
D’Argembeau, A., Van der Linden, M., d’Acremont, M. and Mayer, I. (2006). Phenomenal characteristics of autobiographical memories for social and non-social events in social phobia. Memory, 14, 637–647.CrossRefGoogle ScholarPubMed
Ferguson, C. J. (2009). An effect size primer: a guide for clinicians and researchers. Professional Psychology: Research and Practice, 40, 532–538. doi: 10.1037/a0015808 CrossRefGoogle Scholar
Frets, P. G., Kevenaar, C. and van der Heiden, C. (2014). Imagery rescripting as a stand-alone treatment for patients with social phobia: a case series. Journal of Behavior Therapy and Experimental Psychiatry, 45, 160–169. doi: 10.1016/j.jbtep.2013.09.006 CrossRefGoogle ScholarPubMed
Hackmann, A., Clark, D. M. and McManus, F. (2000). Recurrent images and early memories in social phobia. Behaviour Research and Therapy, 38, 601–610.CrossRefGoogle ScholarPubMed
Hackmann, A., Surawy, C. and 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.CrossRefGoogle Scholar
Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A. and Liebowitz, M. (1992). Assessment of anxiety in social interaction and being observed by others: the social interaction anxiety scale and the social phobia scale. Behavior Therapy, 23, 53–73.CrossRefGoogle Scholar
Henry, J. D. and Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239. doi: 10.1348/014466505X29657 CrossRefGoogle Scholar
Hirsch, C. R., Clark, D. M., Mathews, A. and Williams, R. (2003). Self-images play a causal role in social phobia. Behaviour Research and Therapy, 41, 909–921.CrossRefGoogle ScholarPubMed
Holmes, E. A. and Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30, 349–362.CrossRefGoogle ScholarPubMed
Homer, S. R., Deeprose, C. and Andrade, J. (2016). Negative mental imagery in public speaking anxiety: forming cognitive resistance by taxing visuospatial working memory. Journal of Behavior Therapy and Experimental Psychiatry, 50, 77–82.CrossRefGoogle ScholarPubMed
Homer, S. R. and Deeprose, C. (2017). Voluntary and involuntary imagery in social anxiety. Behavioural and Cognitive Psychotherapy, 45, 285–299. doi: 10.1017/S1352465817000017 CrossRefGoogle ScholarPubMed
IBM Corp. (2016). IBM SPSS Statistics for Windows (version 24). New York: Armok.Google Scholar
Krippendorff, K. (2004). Reliability in content analysis. Human Communication Research, 30, 411–433. doi: 10.1111/j.1468-2958.2004.tb00738.x Google Scholar
Kuyken, W. and Moulds, M. L. (2009). Remembering as an observer: how is autobiographical memory retrieval vantage perspective linked to depression? Memory, 17, 624–634. doi: 10.1080/09658210902984526 CrossRefGoogle Scholar
Lovibond, P. F. and Lovibond, S. H. (1995). The structure of the negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335–343. doi: 10.1016/0005-7967(94)00075-U CrossRefGoogle ScholarPubMed
Lovibond, S. H. and Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foundation.Google Scholar
Luchetti, M. and Sutin, A. R. (2016). Measuring the phenomenology of autobiographical memory: a short form of the Memory Experiences Questionnaire. Memory, 24, 592–602. doi: 10.1080/09658211.2015.1031679 CrossRefGoogle Scholar
Makkar, S. R. and Grisham, J. R. (2011). Social anxiety and the effects of negative self-imagery on emotion, cognition, and post-event processing. Behaviour Research and Therapy, 49, 654–664.CrossRefGoogle ScholarPubMed
Mansell, W., Clark, D. M. and Ehlers, A. (2003). Internal versus external attention in social anxiety: an investigation using a novel paradigm. Behaviour Research and Therapy, 41, 555–572.CrossRefGoogle ScholarPubMed
Mattick, R. P. and Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470.CrossRefGoogle ScholarPubMed
Morgan, J. and Banerjee, R. (2008). Post-event processing and autobiographical memory in social anxiety: the influence of negative feedback and rumination. Journal of Anxiety Disorders, 22, 1190–1204.CrossRefGoogle ScholarPubMed
Moscovitch, D. A. (2009). What is the core fear in social phobia? A new model to facilitate individualized case conceptualization and treatment. Cognitive and Behavioral Practice, 16, 123–134.CrossRefGoogle Scholar
Moscovitch, D. A., Gavric, D. L., Merrifield, C., Bielak, T. and Moscovitch, M. (2011). Retrieval properties of negative vs. positive mental images and autobiographical memories in social anxiety: outcomes with a new measure. Behaviour Research and Therapy, 49, 505–517.CrossRefGoogle ScholarPubMed
Ng, F., Trauer, T., Dodd, S., Callaly, T., Campbell, S. and Berk, M. (2007). The validity of the 21-item version of the Depression Anxiety Stress Scales as a routine clinical outcome measure. Acta Neuropsychiatrica, 19, 304–310. doi: 10.1111/j.1601-5215.2007.00217.x CrossRefGoogle ScholarPubMed
Nilsson, J. E., Lundh, L. G. and Viborg, G. (2012). Imagery rescripting of early memories in social anxiety disorder: an experimental study. Behaviour Research and Therapy, 50, 387–392. doi: 10.1016/j.brat.2012.03.004 CrossRefGoogle ScholarPubMed
Peters, L. (2000). Discriminant validity of the social phobia and anxiety inventory (SPAI), the social phobia scale (SPS) and the social interaction anxiety scale (SIAS). Behaviour Research and Therapy, 38, 943–950.CrossRefGoogle Scholar
Pineles, S. L. and Mineka, S. (2005). Attentional biases to internal and external sources of potential threat in social anxiety. Journal of Abnormal Psychology, 114, 314–318.CrossRefGoogle ScholarPubMed
QDA (2011). QDA Miner Qualitative Data Analysis Software - User’s Guide. Montreal, Canada: Provalis Research.Google Scholar
Qualtrics (2016). Qualtrics. Provo, Utah: Qualtrics.Google Scholar
Rachman, S., Gruter-Andrew, J. and Shafran, R. (2000). Post-event processing in social anxiety. Behaviour Research and Therapy, 38, 611–617.CrossRefGoogle ScholarPubMed
Rapee, R. M., McCallum, S. L., Melville, L. F., Ravenscroft, H. and Rodney, J. M. (1994). Memory bias in social phobia. Behaviour Research and Therapy, 32, 89–99.CrossRefGoogle ScholarPubMed
Sinclair, S. J., Siefert, C. J., Slavin-Mulford, J. M., Stein, M. B., Renna, M. and Blais, M. A. (2011). Psychometric evaluation and normative data for the Depression, Anxiety, and Stress Scales-21 (DASS-21) in a nonclinical sample of U.S. adults. Evaluation and the Health Professions, 35, 259–279. doi: 10.1177/0163278711424282 CrossRefGoogle Scholar
Spurr, J. M. and Stopa, L. (2003). The observer perspective: effects on social anxiety and performance. Behaviour Research and Therapy, 41, 1009–1028.CrossRefGoogle ScholarPubMed
Stopa, L. and Jenkins, A. (2007). Images of the self in social anxiety: effects on the retrieval of autobiographical memories. Journal of Behavior Therapy and Experimental Psychiatry, 38, 459–473.CrossRefGoogle ScholarPubMed
Wells, A. and Papageorgiou, C. (1999). The observer perspective: biased imagery in social phobia, agoraphobia, and blood/injury phobia. Behaviour Research and Therapy, 37, 653–658.CrossRefGoogle ScholarPubMed
Wild, J., Hackmann, A. and Clark, D. A. (2008). Rescripting early memories linked to negative images in social phobia: a pilot study. Behavior Therapy, 39, 47–56.CrossRefGoogle ScholarPubMed
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