The Moderating Effect of Self-Compassion on the Relationship between Post Event Processing and Social Anxiety Disorder

2019 ◽  
Vol 35 (2) ◽  
pp. 198-216
Author(s):  
Young Keun Hong
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Moderating Effect ◽  
Event Processing ◽  
Self Compassion ◽  
The Relationship

scholarly journals The pernicious Effects of Post-event Processing in Social Anxiety Disorder

2016 ◽  
Vol 7 (4) ◽  
pp. 577-587 ◽  
Author(s):  
Karen Rowa ◽  
Dubravka Gavric ◽  
Victoria Stead ◽  
Joelle LeMoult ◽  
Randi E. McCabe
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Symptom Severity ◽  
Event Processing ◽  
Negative Effects ◽  
Self Evaluation ◽  
The Relationship ◽  
Similar Task

Aims Post-event processing (PEP) in social anxiety disorder (SAD) involves ruminating about social encounters after the fact. There is a clear relationship between PEP and SAD, but less is known about the negative effects of PEP. The goal of the current study was to investigate these negative effects in a sample of people with SAD. We hypothesized that PEP would contribute to decreased willingness to try a similar task again and to increased anxiety about engaging in a similar task. We also hypothesized that the degree of PEP would mediate the relationship between initial self-evaluation of performance and follow-up self-evaluation. Methods Forty-one individuals with a principal diagnosis of SAD completed the study. Participants completed baseline measures of symptom severity and state affect and then completed an impromptu speech task. After completing the speech, they completed a self-evaluation of their performance. Five days later, they rated the degree to which they engaged in PEP about their speech performance, indicated their willingness and anxiety about completing a similar speech task in the future, and completed a second self-evaluation of their performance. Results PEP contributed unique and significant variance to willingness (R2 change = .12, p < .05) but not to anxiety ratings (R2 change = .027, p = .13) once symptom severity, depressive symptoms, and state anxiety were controlled for. Using bias-corrected bootstrapping, PEP mediated the relationship between initial and follow-up performance ratings. Conclusions The more people engage in PEP, the less willing they appear to be to re-enter difficult social situations, likely perpetuating a cycle of avoidance. PEP also appears to be one factor that keeps negative self-perceptions “alive” after a challenging social situation. The current study provides unique evidence of the negative consequences of PEP for individuals with SAD.

Predicting post-event processing in social anxiety disorder following two prototypical social situations: State variables and dispositional determinants

2012 ◽  
Vol 50 (10) ◽  
pp. 617-626 ◽  
Author(s):  
Sonja Kiko ◽  
Stephan Stevens ◽  
Anna Katharina Mall ◽  
Regina Steil ◽  
Martin Bohus ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Event Processing ◽  
State Variables ◽  
Social Situations

It hurts but I still need it: a qualitative investigation of post-event processing in social anxiety disorder

2019 ◽  
Vol 48 (3) ◽  
pp. 364-369
Author(s):  
Naoki Yoshinaga ◽  
Kota Takaoka ◽  
Osamu Kobori
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Social Performance ◽  
Event Processing ◽  
Structured Interviews ◽  
Intermittent Reinforcement ◽  
Metacognitive Beliefs ◽  
Research Questions ◽  
Do So

AbstractBackground:It has been proposed that both positive and negative metacognitive beliefs sustain engagement in post-event processing (PEP). However, it is unknown: (1) whether individuals with social anxiety disorder (SAD) actually derive the benefits from PEP that they expect; (2) if this is not the case, how their positive beliefs are maintained; and (3) if they are aware of the counterproductive effects of PEP, why they still perform PEP.Aims:To explore the phenomenology of the processes involved in PEP from the perspective of SADs, in order to address the research questions above.Method:Twenty-one participants suffering from SAD received individual semi-structured interviews. Transcripts were analysed using thematic analysis.Results:Analysis revealed three main themes: (1) ‘Only, safe and useful way to improve myself’: SADs feel the need to improve their social performance, and they believe that PEP is the only, safe, and private way to do so, which is an underlying motive for them to do PEP; (2) ‘It hurts more than helps me’: however, through PEP, they do not seem to obtain the benefit that they expect, or only find a variety of counterproductive outcomes; (3) ‘Better safe than sorry’: they sometimes find makeshift solutions to improve their social performance during PEP, which may maintain their PEP as a form of intermittent reinforcement. They weigh up such costs and benefits, and choose to perform PEP while feeling conflicted about PEP.Conclusions:The results suggest that: (1) SADs rarely obtain the benefits from PEP that they expect; (2) their positive metacognitive beliefs are maintained by solutions they sometimes find during PEP; and (3) SADs choose to perform PEP while feeling conflicted; while PEP ironically maintains and exacerbates negative self-beliefs/images, it is the only safe and useful way to improve their social performance. These findings support and expand on the theories of PEP.

scholarly journals Extended-release methylphenidate monotherapy in patients with comorbid social anxiety disorder and adult attention-deficit/hyperactivity disorder: retrospective case series

2017 ◽  
Vol 7 (11) ◽  
pp. 241-247 ◽  
Author(s):  
Ahmet Koyuncu ◽  
Fahri Çelebi ◽  
Erhan Ertekin ◽  
Burcu Ece Kök ◽  
Raşit Tükel
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Attention Deficit ◽  
Adult Adhd ◽  
Extended Release ◽  
Case Series ◽  
Hyperactivity Disorder ◽  
The Relationship

Background: The relationship between social anxiety disorder (SAD) and attention-deficit/hyperactivity disorder (ADHD) is a subject which has recently become a topic of interest for research. Methods: In this study, 20 patients with comorbid SAD and adult ADHD who were treated with extended-release methylphenidate monotherapy were evaluated retrospectively. Results: Clinical response for both ADHD and SAD symptoms was observed in 17 of 20 patients. Overall, one patient did not respond to treatment and two patients dropped out of treatment at the beginning due to adverse effects. Conclusion: Extended-release methylphenidate improved both SAD and ADHD symptoms and was generally well tolerated. Further studies are required to investigate the relationship between SAD and ADHD.

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