Perception of control over anxiety mediates the relation between catastrophic thinking and social anxiety in social phobia

Behav Res Ther. 2005 Jul;43(7):885-95. doi: 10.1016/j.brat.2004.07.002.

Abstract

Cognitive models of social phobia (social anxiety disorder) assume that individuals with social phobia experience anxiety in social situations in part because they overestimate the social cost associated with a potentially negative outcome of a social interaction. Some emotion theorists, on the other hand, point to the perception of control over anxiety-related symptoms as a determinant of social anxiety. In order to examine the relationship between perceived emotional control (PEC), estimated social cost (ESC), and subjective anxiety, we compared three alternative structural equation models: Model 1 assumes that PEC and ESC independently predict social anxiety; Model 2 assumes that ESC partially mediates the relationship between PEC and anxiety, and Model 3 assumes that PEC partially mediates the relationship between ESC and anxiety. We recruited 144 participants with social phobia and administered self-report measures of estimated social cost, perceived anxiety control, and social anxiety. The results support Model 3 and suggest that "costly" social situations are anxiety provoking in part because social phobic individuals perceive their anxiety symptoms as being out of control.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anxiety / psychology
  • Female
  • Humans
  • Internal-External Control*
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Models, Psychological*
  • Phobic Disorders / psychology*
  • Prospective Studies
  • Psychiatric Status Rating Scales