Abstract
Cognitive models of anxiety posit that negative beliefs influence socially anxious individuals’ interpretation of ambiguous social cues. However, paradigms used to assess interpretation bias in social anxiety have not addressed such beliefs. Furthermore, studies have assessed interpretation with either self-report or reaction time paradigms, rather than using both methods. In the current study, socially anxious and non-anxious participants completed the Word Sentence Association Paradigm (WSAP). In the WSAP, participants decide whether or not a word (implying a threat or benign interpretation) is related to an ambiguous sentence. Threat or benign meanings preceded the ambiguity in order to examine the influence of positive and negative beliefs on interpretation of ambiguous information. The WSAP results in two types of interpretation indices: (1) response latency to make relatedness decisions for threat and benign interpretations, and (2) endorsement rates of the relatedness of threat and benign interpretations to ambiguous sentences. Results revealed a threat interpretation bias and a lack of a benign interpretation bias in both reaction time and self-report data. Threat and benign biases were not strongly correlated. These findings support the distinction between threat and benign interpretation biases.
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Notes
Studies differ in their terms to describe types of interpretations (e.g., positive, negative, benign, non-threat, threat). To remain consistent, we will refer mostly to benign (includes neutral and positive) and threat interpretations from this point.
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Due to the nature of the WSAP paradigm, participants have varying numbers of reaction times for each trial type. The number of reaction times per trial type was the following: endorsement of threat (M = 10, SD = 6, range = 1–27), rejection of threat (M = 11, SD = 7, range = 5–34), endorsement of benign (M = 11, SD = 7, range = 6–35), and rejection of benign (M = 8, SD = 5, range = 1–27).
References
Amir, N., Foa, E. B., & Coles, M. E. (1998). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36, 945–958. doi:10.1016/S0005-7967(98)00060-6.
Amir, N., Beard, C., & Bower, E. (2005a). Interpretation bias and social anxiety. Cognitive Therapy and Research, 29, 433–443. doi:10.1007/s10608-005-2834-5.
Amir, N., Beard, C., & Przeworksi, A. (2005b). Resolving ambiguity: The Effect of experience on interpretation of ambiguous events in social phobia. Journal of Abnormal Psychology, 114, 402–408.
Beard, C., & Amir, N. (2008). A multi-session interpretation modification program: Changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 46, 1135–1141. doi:10.1016/j.brat.2008.05.012.
Beck, A. T., & Steer, R. A. (1987). Manual for Beck Depression Inventory. San Antonio, TX: Psychological Corporation.
Clark, D., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneider (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.
Constans, J., Penn, D., Ihen, G., & Hope, D. (1999). Interpretive biases for ambiguous stimuli in social anxiety. Behaviour Research and Therapy, 37, 643–651. doi:10.1016/S0005-7967(98)00180-6.
Franklin, M., Huppert, J., Langner, R., Leiberg, S., & Foa, E. (2005). Interpretation bias: A comparison of treated social phobics, untreated social phobics, and controls. Cognitive Therapy and Research, 29, 289–300. doi:10.1007/s10608-005-2412-8.
Gillis, M. M., Haaga, D. A. F., & Ford, G. T. (1995). Normative values for the Beck Anxiety Inventory, Fear Questionnaire, Penn State Worry Questionnaire, and Social Phobia and Anxiety Inventory. Psychological Assessment, 7, 450–455. doi:10.1037/1040-3590.7.4.450.
Hazlett-Stevens, H., & Borkovec, T. D. (2004). Interpretive cues and ambiguity in generalized anxiety disorder. Behaviour Research and Therapy, 42, 881–892. doi:10.1016/S0005-7967(03)00204-3.
Herbert, J., Bellack, A., & Hope, D. (1991). Concurrent validity of the Social Phobia and Anxiety Inventory. Journal of Psychopathology and Behavioral Assessment, 13, 357–368. doi:10.1007/BF00960447.
Hirsch, C., & Mathews, A. (1997). Interpretive inferences when reading about emotional events. Behaviour Research and Therapy, 35, 1123–1132. doi:10.1016/S0005-7967(97)00069-7.
Hirsch, C., & Mathews, A. (2000). Impaired positive inferential bias in Social Phobia. Journal of Abnormal Psychology, 109, 705–712. doi:10.1037/0021-843X.109.4.705.
Hofmann, S. G., Moscovitch, D. A., Kim, H., & Taylor, A. N. (2004). Changes in self-perception during treatment of Social Phobia. Journal of Consulting and Clinical Psychology, 72, 588–596. doi:10.1037/0022-006X.72.4.588.
Huppert, J., Foa, E., Furr, J., Filip, J., & Mathews, A. (2003). Interpretation bias in social anxiety: A dimensional perspective. Cognitive Therapy and Research, 27, 569–577. doi:10.1023/A:1026359105456.
Huppert, J., Pasupuleti, R. V., Foa, E., & Mathews, A. (2007). Interpretation biases in social anxiety: Response generation, response selection, and self-appraisals. Behaviour Research and Therapy, 45, 1505–1515. doi:10.1016/j.brat.2007.01.006.
Miller, G. A., & Chapman, J. P. (2001). Misunderstanding analysis of covariance. Journal of Abnormal Psychology, 110, 40–48. doi:10.1037/0021-843X.110.1.40.
Murphy, R., Hirsch, C. R., Mathews, A., Smith, K., & Clark, D. M. (2007). Facilitating a benign interpretation bias in a high socially anxious population. Behaviour Research and Therapy, 45, 1517–1529. doi:10.1016/j.brat.2007.01.007.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756. doi:10.1016/S0005-7967(97)00022-3.
Richards, A. & French, C. C. (1992). An anxiety-related bias in semantic activation when processing threat/neutral homographs. The Quarterly Journal of Experimental Psychology, 45A, 503–525.
Simpson, G. B., & Kang, H. (1994). Inhibitory processes in the recognition of homograph meanings. In D. Dagenbach & T. H. Carr (Eds.), Inhibitory processes in attention, memory, and language (pp. 359–382). San Diego, CA: Academic Press.
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologist Press.
Stopa, L., & Clark, D. (2000). Social Phobia and interpretation of social events. Behaviour Research and Therapy, 38, 273–283. doi:10.1016/S0005-7967(99)00043-1.
Turner, S. M., Beidel, D. C., Dancu, C. V., & Stanley, M. A. (1989a). An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychological Assessment, 1, 35–40. doi:10.1037/1040-3590.1.1.35.
Turner, S. M., Stanley, M. A., Beidel, D. C., & Bond, L. (1989b). The Social Phobia and Anxiety Inventory: Construct validity. Journal of Psychopathology and Behavioral Assessment, 33, 448–457.
Vassilopoulos, S. P. (2006). Interpretation and judgmental biases in socially anxious and nonanxious individuals. Behavioural and Cognitive Psychotherapy, 34, 243–254. doi:10.1017/S1352465805002687.
Voncken, M., & Bögels, S. (2006). Changing interpretation and judgmental biases in Social Phobia: A pilot study of a short, highly structured cognitive treatment. Journal of Cognitive Psychotherapy: An International Quarterly, 20, 59–73. doi:10.1891/jcop.20.1.59.
Voncken, M. J., Bögels, S. M., & de Vries, K. (2003). Interpretation and judgemental biases in social phobia. Behaviour Research and Therapy, 41, 1481–1488. doi:10.1016/S0005-7967(03)00143-8.
Voncken, M. J., Bögels, S. M., & Peeters, F. (2007). Specificity of interpretation and judgemental biases in social phobia versus depression. Psychology and Psychotherapy: Theory. Research and Practice, 80, 443–453.
Wilson, E., MacLeod, C., Mathews, A., & Rutherford, E. (2006). The causal role of interpretive bias in anxiety reactivity. Journal of Abnormal Psychology, 115, 103–111.
Yoon, K. L., & Zinbarg, R. E. (2007). Threat is in the eye of the beholder: Social anxiety and the interpretation of ambiguous facial expressions. Behaviour Research and Therapy, 45, 839–847.
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Beard, C., Amir, N. Interpretation in Social Anxiety: When Meaning Precedes Ambiguity. Cogn Ther Res 33, 406–415 (2009). https://doi.org/10.1007/s10608-009-9235-0
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DOI: https://doi.org/10.1007/s10608-009-9235-0