Evidence of Delayed, Recursive Benefits of Self-Affirmation on Anxiety in Socially Anxious University Students

2021 ◽  
Vol 40 (6) ◽  
pp. 534-561
Author(s):  
Karen O'Brien ◽  
Alyse Sukovieff ◽  
Edward A. Johnson
Keyword(s):  
Social Anxiety ◽  
University Students ◽  
Social Engagement ◽  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Socially Anxious ◽  
Clinically Significant ◽  
Writing Task

Introduction: Persons with social anxiety disorder (SAD) often experience social interactions as threatening and commonly avoid them or perform poorly in them (Asher et al., 2017). Self-affirmation is an intervention shown to help individuals engage effectively in situations they perceive as threatening (Sherman & Hartson, 2011). We hypothesized that self-affirmation would allow socially anxious individuals to participate in more social activities, do so more effectively, and with less stress and anxiety. Methods: Following completion of baseline measures, 75 socially anxious university students were randomly assigned to complete a self-affirming or control writing task. They subsequently completed the Trier Social Stress Test for Groups (TSST-G), and received SAD psychoeducation designed to promote social engagement over the coming month, after which they were reassessed on baseline measures of social anxiety. Results Self-affirmation demonstrated no benefit at the time of engagement in the TSST-G. However, at follow-up, self-affirmed students reported significantly less discomfort, anxiety, and distress related to a variety of social behaviors as well as more engagement in those behaviors, relative to baseline, compared with non-affirmed students. Moreover, significantly more affirmed than non-affirmed participants reported clinically significant reductions in symptoms of SAD at follow-up. Discussion These results help to broaden our conceptualization of self-affirmation and provide support for its potential utility in treatment for those with SAD.

Adolescent girls’ stress responses as prospective predictors of self-injurious thoughts and behaviors: A person-centered, multilevel study

2021 ◽  
pp. 1-21
Author(s):  
Jason José Bendezú ◽  
Casey D. Calhoun ◽  
Megan W. Patterson ◽  
Abigail Findley ◽  
Karen D. Rudolph ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Stress Responses ◽  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Affective Valence ◽  
Multiple Systems ◽  
Adolescent Risk ◽  
And Behaviors

Abstract Adolescent risk for self-injurious thoughts and behaviors (STBs) involves disturbance across multiple systems (e.g., affective valence, arousal regulatory, cognitive and social processes). However, research integrating information across these systems is lacking. Utilizing a multiple-levels-of-analysis approach, this person-centered study identified psychobiological stress response profiles and linked them to cognitive processes, interpersonal behaviors, and STBs. At baseline, adolescent girls (N = 241, Mage = 14.68 years, Range = 12–17) at risk for STBs completed the Trier Social Stress Test (TSST), questionnaires, and STB interviews. Positive affect (PA), negative affect (NA), and salivary cortisol (SC) were assessed before and after the TSST. STBs were assessed again during 3, 6, and 9 month follow-up interviews. Multitrajectory modeling of girls’ PA, NA, and SC revealed four profiles, which were compared on cognitive and behavioral correlates as well as STB outcomes. Relative to normative, girls in the affective distress, hyperresponsive, and hyporesponsive subgroups were more likely to report negative cognitive style (all three groups) and excessive reassurance seeking (hyporesponsive only) at baseline, as well as nonsuicidal self-injury (all three groups) and suicidal ideation and attempt (hyporesponsive only) at follow-up. Girls’ close friendship characteristics moderated several profile–STB links. A synthesis of the findings is presented alongside implications for person-centered tailoring of intervention efforts.

How Do Stress and Social Closeness Impact Prosocial Behavior?

2020 ◽  
Vol 67 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Thomas O. Passarelli ◽  
Tony W. Buchanan
Keyword(s):  
University Students ◽  
Prosocial Behavior ◽  
Psychosocial Stress ◽  
Social Stress ◽  
Time Pressure ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Control Task ◽  
Social Closeness ◽  
Number Of Factors

Abstract. Factors such as time pressure and psychosocial stress may increase or decrease prosocial behavior depending on a number of factors. One factor that consistently positively impacts prosocial behavior is relationship status: Prosocial behavior is more likely toward kin than toward strangers. The interactions among stress, kin relationships, and prosocial behavior were examined in two separate experiments. In Study 1, 79 university students were asked to decide how much money to donate to family members, friends, or strangers, either under time pressure or with no time constraints. Participants donated more to close kin and friends than to strangers, but time pressure did not increase prosocial behavior. In Study 2, 94 university students completed the Trier Social Stress Test for Groups (TSST-G) or a control task, followed by a similar donation task as used in Study 1. Participants donated more to close kin and friends than to strangers, but stress did not influence donation amounts. These results do not support the hypothesis that stress due to time pressure or psychosocial factors increases prosocial behavior.

scholarly journals Trait Rumination and Social Anxiety Separately Predict Stress Induced Rumination and Hemodynamic Responses

2021 ◽  
Author(s):  
Hendrik Laicher ◽  
Isabell Int-Veen ◽  
Florian Torka ◽  
Agnes Kroczek ◽  
Isabel Bihlmaier ◽  
...  
Keyword(s):  
Social Anxiety ◽  
Social Stress ◽  
Near Infrared ◽  
Stress Test ◽  
Inferior Frontal Gyrus ◽  
Trier Social Stress Test ◽  
Functional Near Infrared Spectroscopy ◽  
Behavioral Level ◽  
Dorsolateral Prefrontal ◽  
The Right

Abstract We aimed to investigate the stress-reactive rumination response to social stress and its association with social anxiety and trait rumination. From previous investigations we know that people with a certain vulnerability to rumination show increased stress-reactive rumination. However, up to date the possible influence of social anxiety to this relationship is still unclear. Therefore, we reanalyzed the data of two of our previous studies assessing healthy low and high trait ruminators and depressed patients performing the Trier Social Stress Test (TSST). We measured cortical oxygenation using functional Near-Infrared Spectroscopy (fNIRS) as well as different behavioral outcome measures (subjective stress levels, negative affect, state rumination). On a behavioral level, we found an influence of both, social anxiety and trait rumination, on state rumination, even when correcting for the other factor, respectively, implying two potentially independent factors of influence. On a neural level, we observed reduced activation in socially anxious subjects in the right inferior frontal gyrus (IFG), as well as time-dependent changes in the left IFG and in the right dorsolateral prefrontal cortex. Results indicate a specific role of social anxiety, at least on a behavioral level, and therefore implicate a crucial factor to be considered in the treatment of depression.

scholarly journals A Modified Trier Social Stress Test to Investigate Social Anxiety using Videoconferencing Software: A Proof-of-Concept study

2021 ◽  
Author(s):  
Nathan Huneke ◽  
Hannah Rowlatt ◽  
Joshua Hyde ◽  
Louise Maryan ◽  
David Baldwin ◽  
...  
Keyword(s):  
Social Interaction ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Social Stress ◽  
Stress Test ◽  
Anxiety Symptoms ◽  
Trier Social Stress Test ◽  
Experimental Medicine ◽  
Interaction Task

Social anxiety disorder (SAD) is one of the most common mental disorders and can be significantly disabling. New treatments are needed as the remission rate for SAD is the lowest of all the anxiety disorders. Experimental medicine models, in which features resembling a clinical disorder are experimentally induced, can be a cost-effective and timely approach to explore potential novel treatments for psychiatric disorders. One such model is the Trier Social Stress Test (TSST), which induces social-evaluative threat and subsequent stress responses in participants. However, following the emergence of SARS-CoV-2, there is a need to develop protocols that can be carried out remotely. We developed a novel modified TSST to investigate SAD that can be carried out entirely online (the Internet-based Trier Stress test for Social Anxiety Disorder; iTSSAD). Our protocol involves a naturalistic social interaction task to explore social anxiety symptoms. The observing panel was also artificial which allows the entire protocol to be carried out by a single investigator, reducing costs and improving internal reliability. The iTSSAD induced significant subjective anxiety and reduced positive affect (F’s > 4.41, p’s < 0.02). Further, social anxiety symptoms correlated with anxiety during the social interaction task (r = 0.65, p = 0.0032). This protocol needs further validation with physiological measures. The iTSSAD is a new tool for researchers to investigate mechanisms underlying social anxiety disorder.

Messung der Stimmfrequenz im Paargespräch – Chancen für Diagnostik und Intervention in der Paartherapie

2020 ◽  
Vol 68 (4) ◽  
pp. 217-227 ◽  
Author(s):  
Lisanne J. Bulling ◽  
Isabella C. Bertschi ◽  
Céline C. Stadelmann ◽  
Tina Niederer ◽  
Guy Bodenmann
Keyword(s):  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test

Zusammenfassung. Die vorliegende Arbeit stellt die bisherigen empirischen Befunde zur Sprachgrundfrequenz (f0) in Paargesprächen vor und untersucht, wie sich die f0 nach einer experimentellen Stressinduktion im anschließenden spontanen Gespräch zwischen den Partner_innen verändert, wie die f0 mit der verbalen Stressäußerung zusammenhängt und wie sie zwischen den beiden Partner_innen kovariiert. Von 128 heterosexuellen Paaren nahm jeweils eine Person pro Paar am Trier Social Stress Test (TSST) teil. Die dem TSST vorangehende und anschließende naturalistische Interaktion zwischen den Partner_innen wurde gefilmt und nach Gesprächsthema und Art der Stressäußerung kodiert. Wie vorherige Studien zur f0 im Paargespräch zeigte auch die vorliegende Studie, dass die f0 wichtige Informationen über die Partnerschaft enthält. Während eine Erhöhung der f0 in Gesprächen über einen paarinternen Stressor (d.h. bei Konfliktgesprächen) mit negativen Kommunikationsmustern einherging, zeigte die vorliegende Studie, dass die f0 bei Gesprächen über einen paarexternen Stressor (d.h. beim TSST) mit emotionsorientierten Stressäußerungen einherging, also einer für den Stressbewältigungsprozess förderlichen Art der Kommunikation. Die Oszillatorenmodelle zeigen darüber hinaus, dass eine Kopplung der f0 zwischen den Partner_innen besteht, was darauf hindeutet, dass die nicht gestressten Partner_innen auf die paraverbalen Stressäußerungen der gestressten Partner_innen mit ihren eigenen paraverbalen Stressäußerungen reagieren.

Immunoassay or LC-MS/MS for the measurement of salivary cortisol in children?

2016 ◽  
Vol 54 (5) ◽  
Author(s):  
Yoon Ju Bae ◽  
Alexander Gaudl ◽  
Sonia Jaeger ◽  
Stephanie Stadelmann ◽  
Andreas Hiemisch ◽  
...  
Keyword(s):  
Salivary Cortisol ◽  
Social Stress ◽  
Statistical Power ◽  
Stress Test ◽  
Externalizing Disorders ◽  
Cross Reactivity ◽  
Trier Social Stress Test ◽  
Healthy Children ◽  
Kinetic Assay ◽  
The Difference

AbstractBackground:Dysregulation of the adrenal cortex has been assessed with measurement of salivary cortisol. So far salivary cortisol is routinely measured with immunoassay (IA). However, liquid chromatography-tandem mass spectrometry (MS) is known to offer better specificity. We compared the concentrations of salivary cortisol measured by MS and IA at basal and stress induced conditions and evaluated reasons for the difference in method-dependent cortisol results.Methods:Saliva samples (n=2703) were collected from 169 children (age range: 8–14 years; 81 healthy children; 55 with internalizing and 33 with externalizing disorders) under circadian conditions and during the Trier Social Stress Test for Children (TSST-C). Biochemical analyses were performed with MS for cortisol and cortisone, IA (IBL, RE62011) for cortisol, and enzyme kinetic assay for α-amylase.Results:MS and IA showed mostly comparable results for circadian activity and TSST-C response with similar statistical power. However, IA measured cortisol concentrations about 2.39-fold higher than MS. We found that this difference in measured values between MS and IA was mainly due to different standardization of IA compared to MS. In addition, at cortisol IA concentration below 5 nmol/L, cross-reactivity with cortisone was found to contribute to the lower concordance between MS and IA.Conclusions:Immunoassay and LC-MS/MS were largely comparable in the interpretation of salivary cortisol dynamics in stress research. But the IA method revealed a restricted accuracy in the measuring range below 5 nmol/L.

scholarly journals Salivary Proteome Changes in Response to Acute Psychological Stress Due to an Oral Exam Simulation in University Students: Effect of an Olfactory Stimulus

2021 ◽  
Vol 22 (9) ◽  
pp. 4295
Author(s):  
Lorenzo Zallocco ◽  
Laura Giusti ◽  
Maurizio Ronci ◽  
Andrea Mussini ◽  
Marco Trerotola ◽  
...  
Keyword(s):  
University Students ◽  
Psychological Stress ◽  
Social Stress ◽  
Acute Stress ◽  
Stress Test ◽  
Olfactory Stimulus ◽  
Oral Exam ◽  
Relaxation Phase ◽  
Pleasant Odor ◽  
Proteome Changes

The autonomic nervous system (ANS) plays a crucial role both in acute and chronic psychological stress eliciting changes in many local and systemic physiological and biochemical processes. Salivary secretion is also regulated by ANS. In this study, we explored salivary proteome changes produced in thirty-eight University students by a test stress, which simulated an oral exam. Students underwent a relaxation phase followed by the stress test during which an electrocardiogram was recorded. To evaluate the effect of an olfactory stimulus, half of the students were exposed to a pleasant odor diffused in the room throughout the whole session. Saliva samples were collected after the relaxation phase (T0) and the stress test (T1). State anxiety was also evaluated at T0 and T1. Salivary proteins were separated by two-dimensional electrophoresis, and patterns at different times were compared. Spots differentially expressed were trypsin digested and identified by mass spectrometry. Western blot analysis was used to validate proteomic results. Anxiety scores and heart rate changes indicated that the fake exam induced anxiety. Significant changes of α-amylase, polymeric immunoglobulin receptor (PIGR), and immunoglobulin α chain (IGHA) secretion were observed after the stress test was performed in the two conditions. Moreover, the presence of pleasant odor reduced the acute social stress affecting salivary proteome changes. Therefore, saliva proteomic analysis was a useful approach to evaluate the rapid responses associated to an acute stress test also highlighting known biomarkers.

scholarly journals Childhood Adversities and Salivary Cortisol Responses to the Trier Social Stress Test: A Systematic Review of Studies Using the Children Trauma Questionnaire (CTQ)

2020 ◽  
Vol 18 (1) ◽  
pp. 29
Author(s):  
Chuk Ling Julian Lai ◽  
Daryl Yu Heng Lee ◽  
Monique On Yee Leung
Keyword(s):  
Salivary Cortisol ◽  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Future Research ◽  
Cortisol Response ◽  
Childhood Adversities ◽  
Social Stressors ◽  
Childhood Trauma Questionnaire ◽  
Cortisol Responses

Alteration in cortisol response to acute social stressors has been hypothesized to mediate childhood adversities (CA) and increased morbidity in adulthood. However, the evidence supporting an association between CA and cortisol response to social stressors is inconclusive. The present review addressed this issue by reviewing the literature on CA and cortisol response to acute social stressors, with a focus on studies with adolescents or adults, using the Childhood Trauma Questionnaire (CTQ) to assess CA, and examining salivary cortisol response to the Trier Social Stress Test (TSST). Systematic searches of relevant articles in PsycINFO, PubMed, Web of Science and ScienceDirect in February and March 2020 identified 12 articles including 1196 participants with mean ages ranging from 15.3 to 52.3 yrs. across studies. CTQ scores were significantly associated with cortisol response in 2 studies. In addition, the physical abuse and emotional neglect subscales were associated with cortisol response respectively in 2 separate studies. The lack of association between CA and cortisol response calls for more longitudinal studies, and the use of formal records of maltreatment or informant reports in future research to complement information collected by retrospective measures. In addition, increased attention to biological mechanisms other than that associated with the regulation of cortisol in explaining the connection between CA and psychiatry morbidity is warranted.

A Virtual Reality Version of the Trier Social Stress Test: A Pilot Study

2011 ◽  
Vol 20 (4) ◽  
pp. 325-336 ◽  
Author(s):  
Mattias Wallergård ◽  
Peter Jönsson ◽  
Gerd Johansson ◽  
Björn Karlson
Keyword(s):  
Virtual Reality ◽  
Stress Response ◽  
Pilot Study ◽  
Social Stress ◽  
Stress Test ◽  
Structured Interview ◽  
Trier Social Stress Test ◽  
Physiological Data ◽  
Virtual Humans ◽  
Arithmetic Task

One of the most common methods of inducing stress in the laboratory in order to examine the stress response in healthy and clinical populations is the Trier Social Stress Test (TSST). Briefly, the participant is asked to deliver a speech and to perform an arithmetic task in front of an evaluating committee. The committee, consisting of three trained actors, does not respond emotionally during the test, which makes the situation very stressful for the participant. One disadvantage of the TSST is that it can be difficult to hold the experimental conditions constant. In particular, it may be difficult for actors to hold their acting constant across all sessions. Furthermore, there are several practical problems and costs associated with hiring professional actors. A computerized version of the TSST using virtual humans could be a way to avoid these problems provided that it is able to induce a stress response similar to the one of the original TSST. The purpose of the present pilot study was therefore to investigate the stress response to a virtual reality (VR) version of the TSST visualized using an immersive VR system (VR-TSST). Seven healthy males with an average age of 24 years (range: 23–26 years) performed the VR-TSST. This included delivering a speech and performing an arithmetic task in front of an evaluating committee consisting of three virtual humans. The VR equipment was a CAVE equipped with stereoscopy and head tracking. ECG and respiration were recorded as well as the participant's behavior and comments. Afterward, a semi-structured interview was carried out. In general, the subjective and physiological data from the experiment indicated that the VR version of the TSST induced a stress response in the seven participants. In particular, the peak increase in heart rate was close to rates observed in studies using the traditional TSST with real actors. These results suggest that virtual humans visualized with an immersive VR system can be used to induce stress under laboratory conditions.

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