TY - JOUR
T1 - Anticipatory processing, maladaptive attentional focus, and postevent processing for interactional and performance situations
T2 - treatment response and relationships with symptom change for individuals with social anxiety disorder
AU - Wong, Quincy J. J.
AU - Gregory, Bree
AU - McLellan, Lauren F.
AU - Kangas, Maria
AU - Abbott, Maree J.
AU - Carpenter, Leigh
AU - McEvoy, Peter M.
AU - Peters, Lorna
AU - Rapee, Ronald M.
PY - 2017/9
Y1 - 2017/9
N2 - Anticipatory processing, maladaptive attentional focus, and postevent processing are key cognitive constructs implicated in the maintenance of social anxiety disorder (SAD). The current study examined how treatment for SAD concurrently affects these three cognitive maintaining processes and how these processes are associated with each other as well as with symptom change from pre- to posttreatment. The sample consisted of 116 participants with SAD receiving group cognitive behavioral therapy. All three cognitive maintaining processes were measured relative to a speech task and again relative to a conversation task. Across both tasks, the three cognitive process variables demonstrated decreases from pre- to posttreatment. Within the same task, a slower rate of decrease in a specific cognitive process variable from pre- to posttreatment was predicted from higher pretreatment levels of either one or both of the other cognitive process variables. Additionally, higher levels of pretreatment conversation-related anticipatory processing and maladaptive attentional focus predicted a slower rate of decrease in social anxiety symptoms from pre- to posttreatment. Results are consistent with cognitive models of SAD and have important implications for enhancing existing treatments.
AB - Anticipatory processing, maladaptive attentional focus, and postevent processing are key cognitive constructs implicated in the maintenance of social anxiety disorder (SAD). The current study examined how treatment for SAD concurrently affects these three cognitive maintaining processes and how these processes are associated with each other as well as with symptom change from pre- to posttreatment. The sample consisted of 116 participants with SAD receiving group cognitive behavioral therapy. All three cognitive maintaining processes were measured relative to a speech task and again relative to a conversation task. Across both tasks, the three cognitive process variables demonstrated decreases from pre- to posttreatment. Within the same task, a slower rate of decrease in a specific cognitive process variable from pre- to posttreatment was predicted from higher pretreatment levels of either one or both of the other cognitive process variables. Additionally, higher levels of pretreatment conversation-related anticipatory processing and maladaptive attentional focus predicted a slower rate of decrease in social anxiety symptoms from pre- to posttreatment. Results are consistent with cognitive models of SAD and have important implications for enhancing existing treatments.
KW - anticipatory processing
KW - maladaptive attentional focus
KW - postevent processing
KW - social anxiety disorder
KW - cognitive-behavioral therapy
UR - http://purl.org/au-research/grants/nhmrc/434213
UR - http://purl.org/au-research/grants/nhmrc/1037618
UR - http://www.scopus.com/inward/record.url?scp=85017574098&partnerID=8YFLogxK
U2 - 10.1016/j.beth.2017.03.004
DO - 10.1016/j.beth.2017.03.004
M3 - Article
C2 - 28711115
SN - 0005-7894
VL - 48
SP - 651
EP - 663
JO - Behavior Therapy
JF - Behavior Therapy
IS - 5
ER -