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Tomas Furmark - One of the best experts on this subject based on the ideXlab platform.

Richard G. Heimberg - One of the best experts on this subject based on the ideXlab platform.

  • neurocognitive heterogeneity in Social Anxiety Disorder the role of self referential processing and childhood maltreatment
    Clinical psychological science, 2021
    Co-Authors: Anat Talmon, Richard G. Heimberg, Philippe R Goldin, Matthew L Dixon, James J. Gross
    Abstract:

    Social Anxiety Disorder (SAD) is characterized by negative self-beliefs and altered brain activation in the default-mode network (DMN). However, the extent to which there is neurocognitive heteroge...

  • clarifying the behavioral economics of Social Anxiety Disorder effects of interpersonal problems and symptom severity on generosity
    Clinical psychological science, 2016
    Co-Authors: Thomas L. Rodebaugh, Richard G. Heimberg, Kristin P Taylor, Eric J Lenze
    Abstract:

    Social Anxiety Disorder is associated with lower interpersonal warmth, possibly explaining its associated interpersonal impairment. Across two samples, we attempted to replicate previous findings that the Disorder's constraint of interpersonal warmth can be detected via behavioral economic tasks. We also tested the test-retest stability of task indices. Results indicated that factors associated with Social Anxiety Disorder (and not the Disorder itself), such as the severity of Social Anxiety and more extreme interpersonal problems, lead to less generous behavior on the economic task examined. Results were clearest regarding fine-grained indices derived from latent trajectories. Unexpectedly, the combination of generalized Anxiety Disorder and higher depression also restricted generosity. Two of three indices showed acceptable test-retest stability. Maladaptive giving behavior may be a treatment target to improve interpersonal functioning in psychiatric Disorders; therefore, future work should more precisely characterize behavioral economic tasks, including basic psychometric work (i.e., tests of reliability and validity).

  • Social Anxiety Disorder in dsm 5
    Depression and Anxiety, 2014
    Co-Authors: Richard G. Heimberg, Jasper A J Smits, Stefan G Hofmann, Murray B. Stein, Devon E Hinton, R Michael M D Liebowitz, R Franklin M D Schneier, Michelle G. Craske
    Abstract:

    With the publication of DSM-5, the diagnostic criteria for Social Anxiety Disorder (SAD, also known as Social phobia) have undergone several changes, which have important conceptual and clinical implications. In this paper, we first provide a brief history of the diagnosis. We then review a number of these changes, including (1) the primary name of the Disorder, (2) the increased emphasis on fear of negative evaluation, (3) the importance of sociocultural context in determining whether an anxious response to a Social situation is out of proportion to the actual threat, (4) the diagnosis of SAD in the context of a medical condition, and (5) the way in which we think about variations in the presentation of SAD (the specifier issue). We then consider the clinical implications of changes in DSM-5 related to these issues.

  • A cognitive-behavioral model of Social Anxiety Disorder
    Social Anxiety, 2014
    Co-Authors: Richard G. Heimberg, Faith A Brozovich, Ronald M Rapee
    Abstract:

    Social Anxiety Disorder (SAD) is one of the most common and impairing psychological Disorders. To advance our understanding of SAD, several researchers have put forth explanatory models over the years, including one which we originally published almost two decades ago (Rapee & Heimberg, 1997), which delineated the processes by which Socially anxious individuals are affected by their fear of evaluation in Social situations. Our model, as revised in the 2010 edition of this text, is summarized and further updated based on recent research on the multiple processes involved in the maintenance of SAD.

  • Social Anxiety and Social Anxiety Disorder
    Annual review of clinical psychology, 2013
    Co-Authors: Amanda S. Morrison, Richard G. Heimberg
    Abstract:

    Research on Social Anxiety and Social Anxiety Disorder has proliferated over the years since the explication of the Disorder through cognitive-behavioral models. This review highlights a recently updated model from our group and details recent research stemming from the (a) information processing perspective, including attention bias, interpretation bias, implicit associations, imagery and visual memories, and (b) emotion regulation perspective, including positive emotionality and anger. In addition, we review recent studies exploring the roles of self-focused attention, safety behaviors, and post-event processing in the maintenance of Social Anxiety. Within each area, we detail the ways in which these topics have implications for the treatment of Social Anxiety and for future research. Finally, we conclude with a discussion of how several of the areas reviewed contribute to our model of Social Anxiety Disorder.

James J. Gross - One of the best experts on this subject based on the ideXlab platform.

  • neurocognitive heterogeneity in Social Anxiety Disorder the role of self referential processing and childhood maltreatment
    Clinical psychological science, 2021
    Co-Authors: Anat Talmon, Richard G. Heimberg, Philippe R Goldin, Matthew L Dixon, James J. Gross
    Abstract:

    Social Anxiety Disorder (SAD) is characterized by negative self-beliefs and altered brain activation in the default-mode network (DMN). However, the extent to which there is neurocognitive heteroge...

  • does centrality in a cross sectional network suggest intervention targets for Social Anxiety Disorder
    Journal of Consulting and Clinical Psychology, 2018
    Co-Authors: Thomas L. Rodebaugh, Philippe R Goldin, James J. Gross, Amanda S. Morrison, Natasha A Tonge, Marilyn L Piccirillo, Eiko I Fried, Arielle Horenstein, Michelle H Lim, Katya C Fernandez
    Abstract:

    Objective Network analysis allows us to identify the most interconnected (i.e., central) symptoms, and multiple authors have suggested that these symptoms might be important treatment targets. This is because change in central symptoms (relative to others) should have greater impact on change in all other symptoms. It has been argued that networks derived from cross-sectional data may help identify such important symptoms. We tested this hypothesis in Social Anxiety Disorder. Method We first estimated a state-of-the-art regularized partial correlation network based on participants with Social Anxiety Disorder (n = 910) to determine which symptoms were more central. Next, we tested whether change in these central symptoms were indeed more related to overall symptom change in a separate dataset of participants with Social Anxiety Disorder who underwent a variety of treatments (n = 244). We also tested whether relatively superficial item properties (infrequency of endorsement and variance of items) might account for any effects shown for central symptoms. Results Centrality indices successfully predicted how strongly changes in items correlated with change in the remainder of the items. Findings were limited to the measure used in the network and did not generalize to three other measures related to Social Anxiety severity. In contrast, infrequency of endorsement showed associations across all measures. Conclusions The transfer of recently published results from cross-sectional network analyses to treatment data is unlikely to be straightforward. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  • changes in positive self views mediate the effect of cognitive behavioral therapy for Social Anxiety Disorder
    Clinical psychological science, 2013
    Co-Authors: Philippe R Goldin, Richard G. Heimberg, Hooria Jazaieri, Michal Ziv, Helena C Kraemer, James J. Gross
    Abstract:

    Social Anxiety Disorder is thought to be characterized by maladaptive self-views. This study investigated whether (a) patients with Social Anxiety Disorder (n = 75) differ at baseline from healthy controls (n = 43) in negative and positive self-views, (b) cognitive-behavioral therapy (CBT) for Social Anxiety Disorder versus wait-list control produces statistically and clinically significant changes in negative and positive self-views, (c) changes in self-views mediate the effect of CBT on Social Anxiety symptoms, and (d) changes in self-views during CBT related to Social Anxiety symptoms at 1-year post-CBT. As expected, patients endorsed more negative and fewer positive self-views than healthy controls at baseline. Compared to wait-list control, CBT yielded statistically and clinically significant changes, specifically, fewer negative and more positive self-views. Mediational analysis indicated that increased positive (but not reduced negative) self-views mediated the effect of CBT on Social Anxiety reduction. Correlational analyses determined that increased positive self-views were associated with Social Anxiety symptom reduction at 1-year post-CBT.

  • cognitive reappraisal self efficacy mediates the effects of individual cognitive behavioral therapy for Social Anxiety Disorder
    Journal of Consulting and Clinical Psychology, 2012
    Co-Authors: Philippe R Goldin, Richard G. Heimberg, Kelly Werner, Hooria Jazaieri, Michal Ziv, Helena C Kraemer, James J. Gross
    Abstract:

    Objective To examine whether changes in cognitive reappraisal self-efficacy (CR-SE) mediate the effects of individually-administered Cognitive-Behavioral Therapy (I-CBT) for Social Anxiety Disorder (SAD) on severity of Social Anxiety symptoms.

  • Self-compassion and Social Anxiety Disorder.
    Anxiety stress and coping, 2011
    Co-Authors: Kelly Werner, Richard G. Heimberg, Philippe R Goldin, Hooria Jazaieri, Michal Ziv, James J. Gross
    Abstract:

    Abstract Self-compassion refers to having an accepting and caring orientation towards oneself. Although self-compassion has been studied primarily in healthy populations, one particularly compelling clinical context in which to examine self-compassion is Social Anxiety Disorder (SAD). SAD is characterized by high levels of negative self-criticism as well as an abiding concern about others’ evaluation of one's performance. In the present study, we tested the hypotheses that: (1) people with SAD would demonstrate less self-compassion than healthy controls (HCs), (2) self-compassion would relate to severity of Social Anxiety and fear of evaluation among people with SAD, and (3) age would be negatively correlated with self-compassion for people with SAD, but not for HC. As expected, people with SAD reported less self-compassion than HCs on the Self-Compassion Scale and its subscales. Within the SAD group, lesser self-compassion was not generally associated with severity of Social Anxiety, but it was associate...

Page L. Anderson - One of the best experts on this subject based on the ideXlab platform.

  • stereotype confirmation concerns predict dropout from cognitive behavioral therapy for Social Anxiety Disorder
    BMC Psychiatry, 2014
    Co-Authors: Suzanne B. Johnson, Matthew Price, Natasha Mehta, Page L. Anderson
    Abstract:

    There are high attrition rates observed in efficacy studies for Social Anxiety Disorder, and research has not identified consistent nor theoretically meaningful predictors of dropout. Pre-treatment symptom severity and demographic factors, such as age and gender, are sometimes predictive of dropout. The current study examines a theoretically meaningful predictor of attrition based on experiences associated with Social group membership rather than differences between Social group categories--fear of confirming stereotypes. This is a secondary data analysis of a randomized controlled trial comparing two cognitive behavioral treatments for Social Anxiety Disorder: virtual reality exposure therapy and exposure group therapy. Participants (N = 74) with a primary diagnosis of Social Anxiety Disorder who were eligible to participate in the parent study and who self-identified as either “African American” (n = 31) or “Caucasian” (n = 43) completed standardized self-report measures of stereotype confirmation concerns (SCC) and Social Anxiety symptoms as part of a pre-treatment assessment battery. Hierarchical logistic regression showed that greater stereotype confirmation concerns were associated with higher dropout from therapy--race, age, gender, and pre-treatment symptom severity were not. Group treatment also was associated with higher dropout. These findings urge further research on theoretically meaningful predictors of attrition and highlight the importance of addressing cultural variables, such as the experience of stereotype confirmation concerns, during treatment of Social Anxiety to minimize dropout from therapy.

  • Stereotype confirmation concern and fear of negative evaluation among African Americans and Caucasians with Social Anxiety Disorder.
    Journal of Anxiety Disorders, 2014
    Co-Authors: Suzanne B. Johnson, Page L. Anderson
    Abstract:

    Abstract Fear of negative evaluation is a central component of Social Anxiety. The current study examines the relation between fear of negative evaluation and fears of confirming stereotypes about Social groups to which one belongs among people diagnosed with Social Anxiety Disorder. Participants (N = 94) with a primary diagnosis of Social Anxiety Disorder who self-identified as either African American (n = 41) or Caucasian (n = 53) completed standardized self-report measures of stereotype confirmation concerns and fear of negative evaluation. Results from hierarchical logistical regression showed that stereotype confirmation concerns predicted fear of negative evaluation for both racial groups, with greater concern predicting greater fear. This association was moderated by race, B = −.24, t = −2.67, p

  • virtual reality exposure therapy for Social Anxiety Disorder a randomized controlled trial
    Journal of Consulting and Clinical Psychology, 2013
    Co-Authors: Page L. Anderson, Matthew Price, Shannan M Edwards, Mayowa Obasaju, Stefan K Schmertz, Elana Zimand, Martha R Calamaras
    Abstract:

    Objective This is the first randomized trial comparing virtual reality exposure therapy to in vivo exposure for Social Anxiety Disorder. Method Participants with a principal diagnosis of Social Anxiety Disorder who identified public speaking as their primary fear (N = 97) were recruited from the community, resulting in an ethnically diverse sample (M age = 39 years) of mostly women (62%). Participants were randomly assigned to and completed 8 sessions of manualized virtual reality exposure therapy, exposure group therapy, or wait list. Standardized self-report measures were collected at pretreatment, posttreatment, and 12-month follow-up, and process measures were collected during treatment. A standardized speech task was delivered at pre- and posttreatment, and diagnostic status was reassessed at 3-month follow-up. Results Analysis of covariance showed that, relative to wait list, people completing either active treatment significantly improved on all but one measure (length of speech for exposure group therapy and self-reported fear of negative evaluation for virtual reality exposure therapy). At 12-month follow-up, people showed significant improvement from pretreatment on all measures. There were no differences between the active treatments on any process or outcome measure at any time, nor differences on achieving partial or full remission. Conclusion Virtual reality exposure therapy is effective for treating Social fears, and improvement is maintained for 1 year. Virtual reality exposure therapy is equally effective as exposure group therapy; further research with a larger sample is needed, however, to better control and statistically test differences between the treatments.

Philippe R Goldin - One of the best experts on this subject based on the ideXlab platform.

  • neurocognitive heterogeneity in Social Anxiety Disorder the role of self referential processing and childhood maltreatment
    Clinical psychological science, 2021
    Co-Authors: Anat Talmon, Richard G. Heimberg, Philippe R Goldin, Matthew L Dixon, James J. Gross
    Abstract:

    Social Anxiety Disorder (SAD) is characterized by negative self-beliefs and altered brain activation in the default-mode network (DMN). However, the extent to which there is neurocognitive heteroge...

  • does centrality in a cross sectional network suggest intervention targets for Social Anxiety Disorder
    Journal of Consulting and Clinical Psychology, 2018
    Co-Authors: Thomas L. Rodebaugh, Philippe R Goldin, James J. Gross, Amanda S. Morrison, Natasha A Tonge, Marilyn L Piccirillo, Eiko I Fried, Arielle Horenstein, Michelle H Lim, Katya C Fernandez
    Abstract:

    Objective Network analysis allows us to identify the most interconnected (i.e., central) symptoms, and multiple authors have suggested that these symptoms might be important treatment targets. This is because change in central symptoms (relative to others) should have greater impact on change in all other symptoms. It has been argued that networks derived from cross-sectional data may help identify such important symptoms. We tested this hypothesis in Social Anxiety Disorder. Method We first estimated a state-of-the-art regularized partial correlation network based on participants with Social Anxiety Disorder (n = 910) to determine which symptoms were more central. Next, we tested whether change in these central symptoms were indeed more related to overall symptom change in a separate dataset of participants with Social Anxiety Disorder who underwent a variety of treatments (n = 244). We also tested whether relatively superficial item properties (infrequency of endorsement and variance of items) might account for any effects shown for central symptoms. Results Centrality indices successfully predicted how strongly changes in items correlated with change in the remainder of the items. Findings were limited to the measure used in the network and did not generalize to three other measures related to Social Anxiety severity. In contrast, infrequency of endorsement showed associations across all measures. Conclusions The transfer of recently published results from cross-sectional network analyses to treatment data is unlikely to be straightforward. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  • changes in positive self views mediate the effect of cognitive behavioral therapy for Social Anxiety Disorder
    Clinical psychological science, 2013
    Co-Authors: Philippe R Goldin, Richard G. Heimberg, Hooria Jazaieri, Michal Ziv, Helena C Kraemer, James J. Gross
    Abstract:

    Social Anxiety Disorder is thought to be characterized by maladaptive self-views. This study investigated whether (a) patients with Social Anxiety Disorder (n = 75) differ at baseline from healthy controls (n = 43) in negative and positive self-views, (b) cognitive-behavioral therapy (CBT) for Social Anxiety Disorder versus wait-list control produces statistically and clinically significant changes in negative and positive self-views, (c) changes in self-views mediate the effect of CBT on Social Anxiety symptoms, and (d) changes in self-views during CBT related to Social Anxiety symptoms at 1-year post-CBT. As expected, patients endorsed more negative and fewer positive self-views than healthy controls at baseline. Compared to wait-list control, CBT yielded statistically and clinically significant changes, specifically, fewer negative and more positive self-views. Mediational analysis indicated that increased positive (but not reduced negative) self-views mediated the effect of CBT on Social Anxiety reduction. Correlational analyses determined that increased positive self-views were associated with Social Anxiety symptom reduction at 1-year post-CBT.

  • cognitive reappraisal self efficacy mediates the effects of individual cognitive behavioral therapy for Social Anxiety Disorder
    Journal of Consulting and Clinical Psychology, 2012
    Co-Authors: Philippe R Goldin, Richard G. Heimberg, Kelly Werner, Hooria Jazaieri, Michal Ziv, Helena C Kraemer, James J. Gross
    Abstract:

    Objective To examine whether changes in cognitive reappraisal self-efficacy (CR-SE) mediate the effects of individually-administered Cognitive-Behavioral Therapy (I-CBT) for Social Anxiety Disorder (SAD) on severity of Social Anxiety symptoms.

  • Self-compassion and Social Anxiety Disorder.
    Anxiety stress and coping, 2011
    Co-Authors: Kelly Werner, Richard G. Heimberg, Philippe R Goldin, Hooria Jazaieri, Michal Ziv, James J. Gross
    Abstract:

    Abstract Self-compassion refers to having an accepting and caring orientation towards oneself. Although self-compassion has been studied primarily in healthy populations, one particularly compelling clinical context in which to examine self-compassion is Social Anxiety Disorder (SAD). SAD is characterized by high levels of negative self-criticism as well as an abiding concern about others’ evaluation of one's performance. In the present study, we tested the hypotheses that: (1) people with SAD would demonstrate less self-compassion than healthy controls (HCs), (2) self-compassion would relate to severity of Social Anxiety and fear of evaluation among people with SAD, and (3) age would be negatively correlated with self-compassion for people with SAD, but not for HC. As expected, people with SAD reported less self-compassion than HCs on the Self-Compassion Scale and its subscales. Within the SAD group, lesser self-compassion was not generally associated with severity of Social Anxiety, but it was associate...