Is social anxiety associated with impairment in close relationships? A preliminary investigation.

We examined the association between social anxiety and interpersonal functioning. Unlike prior research, we focused specifically on close relationships, given the growing evidence of dysfunction in these relationships among people with psychopathology. We proposed that social anxiety would be associated with specific interpersonal styles. One hundred sixty-eight young adults with a range of social anxiety symptoms were interviewed regarding symptom severity, interpersonal styles, and chronic interpersonal stress. Results indicated that higher levels of social anxiety were associated with interpersonal styles reflecting less assertion, more conflict avoidance, more avoidance of expressing emotion, and greater interpersonal dependency. Moreover, lack of assertion and overreliance on others mediated the association between social anxiety and interpersonal stress. Associations held controlling for depressive symptoms. Implications of these findings for interpersonally oriented conceptualizations of social anxiety disorder are discussed.

[1]  D. Klein,et al.  Delineating the boundaries of social phobia: Its relationship to panic disorder and agoraphobia , 1990 .

[2]  Jill M. Holley Expressed emotion and psychiatric illness: From empirical data to clinical practice , 1998 .

[3]  M. Gelder,et al.  Social Phobia: A Comparative Clinical Study , 1983, British Journal of Psychiatry.

[4]  S. Reiss,et al.  Anxiety sensitivity in 1984 and panic attacks in 1987 , 1992 .

[5]  L. Solyom,et al.  Delineating Social Phobia , 1986, British Journal of Psychiatry.

[6]  David H. Barlow,et al.  Syndrome comorbidity in patients diagnosed with a DSM-III-R anxiety disorder. , 1990, Journal of abnormal psychology.

[7]  C. Hammen,et al.  Borderline personality disorder symptoms as predictors of 4-year romantic relationship dysfunction in young women: addressing issues of specificity. , 2000, Journal of abnormal psychology.

[8]  D. Hope,et al.  Analysis of social behavior in individuals with social phobia and nonanxious participants using a psychobiological model , 1998 .

[9]  Thomas N. Bradbury,et al.  Gender, negative affectivity, and observed social support behavior in marital interaction , 1997 .

[10]  Thomas N. Bradbury,et al.  Marital functioning and depressive symptoms: evidence for a stress generation model. , 1997 .

[11]  D. Klein,et al.  Cognitive Behavioral Group Therapy vs Phenelzine Therapy for Social Phobia , 1998 .

[12]  D. Chambless,et al.  A reanalysis of agoraphobia. , 1978 .

[13]  D. Klein,et al.  Cognitive behavioral group therapy vs phenelzine therapy for social phobia: 12-week outcome. , 1998, Archives of general psychiatry.

[14]  Social support, conflict, and the development of marital dysfunction. , 1998, Journal of consulting and clinical psychology.

[15]  A. Beck,et al.  Depression: Causes and Treatment , 1967 .

[16]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[17]  C. Hammen Generation of stress in the course of unipolar depression. , 1991 .

[18]  I. Gotlib,et al.  Depression and marital functioning: an examination of specificity and gender differences. , 1989, Journal of abnormal psychology.

[19]  A. Beck,et al.  Dreams of depressed patients. Characteristic themes in manifest content. , 1961, Archives of general psychiatry.

[20]  M. Whisman,et al.  Marital dissatisfaction and incidence of major depressive episode in a community sample. , 1999, Journal of abnormal psychology.

[21]  R. Liberman,et al.  Assessment of social skills. , 1982, Schizophrenia bulletin.

[22]  D. Beidel,et al.  Psychopathology of childhood social phobia. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  S. Spence,et al.  Social skills, social outcomes, and cognitive features of childhood social phobia. , 1999, Journal of abnormal psychology.

[24]  R. Moos,et al.  Coping, stress, and social resources among adults with unipolar depression. , 1984, Journal of personality and social psychology.

[25]  P. Gilbert,et al.  Assertiveness, submissive behaviour and social comparison. , 1994, The British journal of clinical psychology.

[26]  T. Harris,et al.  Life events and illness , 1990 .

[27]  P. Lewinsohn,et al.  A behavioral approach to depression. , 1974 .

[28]  S. Beach,et al.  Depression and Excessive Reassurance-Seeking , 1999 .

[29]  C. Hammen,et al.  Poor interpersonal problem solving as a mechanism of stress generation in depression among adolescent women. , 1995, Journal of abnormal psychology.

[30]  C. Turk,et al.  Behavioral assessment: Self-report, physiology, and overt behavior. , 1995 .

[31]  C. Dancu,et al.  Psychopathology of social phobia and comparison to avoidant personality disorder. , 1986, Journal of Abnormal Psychology.

[32]  I. Gotlib,et al.  Psychological-aspects of depression-toward a cognitive-interpersonal integration (vol 7, pg 141, 1993) , 1992 .

[33]  George W. Brown Life events and measurement. , 1989 .

[34]  E. Bromet,et al.  Social support, life events, and depressive symptoms: a 1-year prospective study , 1986 .

[35]  M. Katz,et al.  The Psychology of depression : contemporary theory and research , 1974 .

[36]  D. Penn,et al.  Social Anxiety, Recall of Interpersonal Information, and Social Impact on Others , 1998, Journal of Cognitive Psychotherapy.

[37]  R. McFall,et al.  Behavioral training of social skills in shy males. , 1975, Journal of consulting and clinical psychology.

[38]  N. Schmidt,et al.  Prospective evaluation of anxiety sensitivity in the pathogenesis of panic: replication and extension. , 1999, Journal of abnormal psychology.

[39]  D. Barlow,et al.  Interpersonal Relationships in Panic Disorder With Agoraphobia: A Review of Empirical Evidence , 1994 .

[40]  R. Heyman,et al.  A clinical-research overview of couples interactions. , 1997 .

[41]  M. First,et al.  Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet , 1997 .

[42]  Mark R. Leary,et al.  Social Anxiety and Dyadic Conversation: A Verbal Response Analysis , 1987 .

[43]  B. R. Schlenker Threats to Identity , 1987 .

[44]  M. Franklin Social phobia : diagnosis, assessment, and treatment , 1996 .

[45]  Michel Hersen,et al.  Behavioral Assessment: A Practical Handbook , 1998 .

[46]  P. Bieling,et al.  Interpersonal consequences of the pursuit of safety. , 1998, Behaviour research and therapy.

[47]  J. Leff Expressed emotion in families , 1985 .

[48]  H. Markman,et al.  Clinical handbook of marriage and couples interventions , 1997 .

[49]  A. Pincus,et al.  An Interpersonal Problem Approach to the Division of Social Phobia Subtypes , 2001 .

[50]  A. Biglan,et al.  Problem-solving interactions of depressed women and their husbands , 1985 .

[51]  J. Coyne,et al.  Toward an interactional description of depression. , 1976, Psychiatry.

[52]  Mark R. Leary,et al.  The self-presentation model of social phobia. , 1995 .

[53]  J. Davila,et al.  Development of an Interview for Anxiety-Relevant Interpersonal Styles: Preliminary Support for Convergent and Discriminant Validity , 2003 .

[54]  N. Schmidt,et al.  The role of anxiety sensitivity in the pathogenesis of panic: prospective evaluation of spontaneous panic attacks during acute stress. , 1997, Journal of abnormal psychology.

[55]  S. T. Wallace,et al.  Social phobia and social appraisal in successful and unsuccessful social interactions. , 1995, Behaviour research and therapy.

[56]  R. Bornstein Comorbidity of Dependent Personality Disorder and other Psychological Disorders: An Integrative Review , 1995 .

[57]  C. Hammen,et al.  Children of depressed mothers: maternal strain and symptom predictors of dysfunction. , 1987, Journal of abnormal psychology.

[58]  Peter M. Bentler,et al.  EQS : structural equations program manual , 1989 .

[59]  L. Alden,et al.  Anxiety and self-disclosure: toward a motivational model. , 1993, Journal of personality and social psychology.

[60]  D. Beidel,et al.  A multicomponent behavioral treatment for social phobia: social effectiveness therapy. , 1994, Behaviour research and therapy.

[61]  C. Hammen,et al.  Predictors of first onset and recurrence of major depression in young women during the 5 years following high school graduation. , 2000, Journal of abnormal psychology.

[62]  L. Horowitz On the cognitive structure of interpersonal problems treated in psychotherapy. , 1979, Journal of consulting and clinical psychology.

[63]  D. Zuroff,et al.  Dependency and self-criticism: psychological dimensions of depression. , 1982, Journal of consulting and clinical psychology.

[64]  Nancy L. Kocovski,et al.  Social anxiety, self‐regulation, and fear of negative evaluation , 2000 .

[65]  S. Reiss,et al.  Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. , 1986, Behaviour research and therapy.

[66]  P. Gilbert,et al.  New theoretical conceptions of social anxiety and social phobia , 1989 .

[67]  P. Clayton,et al.  Treatment of depression : old controversies and new approaches , 1983, Psychological Medicine.

[68]  M. Weissman,et al.  Social Phobia: Comorbidity and Morbidity in an Epidemiologic Sample , 1992 .

[69]  R. McNally,et al.  Effects of anxiety sensitivity on the response to hyperventilation. , 1987, Journal of abnormal psychology.

[70]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[71]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.