Post-event processing in social anxiety disorder after real-life social situations – An ambulatory assessment study
Abstract
Excessive post-mortem processing after social situations, a core symptom of social anxiety disorder (SAD), is thought to contribute to the perpetuation of social anxiety by consolidating negative self-schemata. Empirical findings on actual mechanisms underlying this so-called Post-Event Processing (PEP) are still scarce. The present study sought to identify variables associated with the experience of PEP after real-life social situations in a sample of 49 individuals diagnosed with SAD. Using an ambulatory assessment approach, individuals were asked to report on each distressing social event experienced during one week. A total of 192 events were captured. Hierarchical linear modeling indicated that next to trait social anxiety, the type of social situation (performance vs. interaction situations), self-focused attention, safety behavior use, and negative affect predicted levels of PEP after social situations. These findings add to the growing literature that emphasizes the importance of situational factors for the experience of PEP, and highlight potential venues to prevent it.
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Some studies included a mix of random prompt, event-contingent, and end-of-day records.
“studies such as those by Daniel et al [24], Helbig-Lang et [46], and Kashdan et al [20] included a mix of different types of data collection, combining random prompt, event-contingent, and end-of-day records.”
From Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review (2024) · cites this paper as [46]
Cites
Structured Clinical Interview for DSM-IV Axis I Disorders
Spitzer, R. L., First, M. B., & Gibbon, M. (1997) · Medical Entomology and Zoology · Cited by 3,582 · see citing works
Gill, J. (2005) · Encyclopedia of Social Measurement · doi:10.1016/b0-12-369398-5/00166-3 · Cited by 3,126 · see citing works
A cognitive-behavioral model of anxiety in social phobia
Rapee, R. M., & Heimberg, R. G. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)00022-3 · Cited by 2,987 · see citing works
A cognitive model of social phobia
Adrian Wells, A. (1995) · Research Explorer (The University of Manchester) · Cited by 2,701 · see citing works
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.107.2.179 · Cited by 1,400 · see citing works
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.2.179 · Cited by 1,400 · see citing works
Social phobia: Diagnosis, assessment, and treatment
Franklin, M. E. (1996) · Clinical Psychology Review · doi:10.1016/s0272-7358(96)00036-0 · Cited by 1,389 · see citing works
Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory.
Barlow, D. H. (2000) · American Psychologist · doi:10.1037/0003-066x.55.11.1247 · Cited by 1,135 · see citing works
Hofmann, S. G. (2007) · Cognitive Behaviour Therapy · doi:10.1080/16506070701421313 · Cited by 1,064 · see citing works
Demmel, R. (1999) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026//0084-5345.28.1.68 · Cited by 1,010 · see citing works
Kühner, C., Bürger, C., Keller, F., & Hautzinger, M. (2007) · Der Nervenarzt · doi:10.1007/s00115-006-2098-7 · Cited by 935 · see citing works
FRESCO, D. M., COLES, M. E., HEIMBERG, R. G., LIEBOWITZ, M. R., HAMI, S., STEIN, M. B., & GOETZ, D. (2001) · Psychological Medicine · doi:10.1017/s0033291701004056 · Cited by 874 · see citing works
Robustness issues in multilevel regression analysis
Maas, C. J. M., & Hox, J. J. (2004) · Statistica Neerlandica · doi:10.1046/j.0039-0402.2003.00252.x · Cited by 837 · see citing works
An introduction to hierarchical linear modeling
Woltman, H., Feldstain, A., MacKay, J. C., & Rocchi, M. (2012) · Tutorials in Quantitative Methods for Psychology · doi:10.20982/tqmp.08.1.p052 · Cited by 772 · see citing works
The Collaborative Longitudinal Personality Disorders Study: Reliability of Axis I and II Diagnoses
Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., Morey, L. C., Grilo, C. M., Shea, M. T., McGlashan, T. H., et al. (2000) · Journal of Personality Disorders · doi:10.1521/pedi.2000.14.4.291 · Cited by 771 · see citing works
The Liebowitz social anxiety scale as a self-report instrument: a preliminary psychometric analysis
Baker, S. L., Heinrichs, N., Kim, H.-J., & Hofmann, S. G. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00060-2 · Cited by 640 · see citing works
Rindskopf, D. M. (2010) · Elsevier eBooks · doi:10.1016/b978-0-08-044894-7.01336-1 · Cited by 570 · see citing works
A cognitive perspective on social phobia.
Clark, D. M. (2001) · Research Portal (King's College London) · Cited by 490 · see citing works
Crozier, W. R., & Alden, L. E. (2001) · Cited by 468 · see citing works
A Cognitive Behavioral Model of Social Anxiety Disorder
Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2010) · Social Anxiety · doi:10.1016/b978-0-12-375096-9.00015-8 · Cited by 407 · see citing works
Post-event rumination and negative self-appraisal in social phobia before and after treatment.
Abbott, M. J., & Rapee, R. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.1.136 · Cited by 361 · see citing works
An Introduction to Compassion Focused Therapy in Cognitive Behavior Therapy
Gilbert, P. (2010) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2010.3.2.97 · Cited by 335 · see citing works
Social anxiety : clinical, developmental, and social perspectives
Hofmann, S. G., & DiBartolo, P. M. (2014) · Cited by 294 · see citing works
An analysis of post-event processing in social anxiety disorder
Brozovich, F., & Heimberg, R. G. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.01.002 · Cited by 277 · see citing works
Ruminative coping and post-event processing in social anxiety.
Kocovski, N. L., Endler, N. S., Rector, N., & Flett, G. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.06.015 · Cited by 226 · see citing works
Post-event processing in social anxiety
Dannahy, L., & Stopa, L. L. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.08.017 · Cited by 138 · see citing works
The post-event processing questionnaire in a clinical sample with social phobia
McEvoy, P. M., & Kingsep, P. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.12.005 · Cited by 130 · see citing works
Perini, S., Abbott, M. J., & Rapee, R. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9023-z · Cited by 127 · see citing works
Rapee, R., & Abbott, M. J. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.08.008 · Cited by 108 · see citing works
Is post-event processing specific for social anxiety?
Fehm, L., Schneider, G., & Hoyer, J. (2007) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2006.02.004 · Cited by 108 · see citing works
Neubauer, K., von Auer, M., Murray, E., Petermann, F., Helbig‐Lang, S., & Gerlach, A. L. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.10.006 · Cited by 107 · see citing works
Self-citationPredictors of Post‐Event Rumination Related to Social Anxiety
Kocovski, N. L., & Rector, N. (2007) · Cognitive Behaviour Therapy · doi:10.1080/16506070701232090 · Cited by 105 · see citing works
Mindfulness and task concentration training for social phobia: a pilot study
Bögels, S. M., Sijbers, G. F. V. M., & Voncken, M. (2006) · Journal of Cognitive Psychotherapy · doi:10.1891/jcop.20.1.33 · Cited by 94 · see citing works
Social Anxiety and the Post-Event Processing of Socially Distressing Events
Lundh, L., & Sperling, M. (2002) · Cognitive Behaviour Therapy · doi:10.1080/165060702320338004 · Cited by 92 · see citing works
Makkar, S. R., & Grisham, J. R. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.07.004 · Cited by 89 · see citing works
The relationship of post-event processing to self-evaluation of performance in social anxiety.
Brozovich, F. A., & Heimberg, R. (2011) · The Behavior Therapist · doi:10.1016/j.beth.2010.08.005 · Cited by 80 · see citing works
Mediators of the relationship between social anxiety and post-event rumination
Chen, J., Rapee, R. M., & Abbott, M. J. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.10.008 · Cited by 73 · see citing works
Kühner, C., Bürger, C., Keller, F., & Hautzinger, M. (2007) · Der Nervenarzt · Cited by 72 · see citing works
Effect of self-focused attention on post-event processing in social anxiety.
Gaydukevych, D., & Kocovski, N. L. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.10.010 · Cited by 63 · see citing works
The Predictors and Contents of Post-Event Processing in Social Anxiety
Makkar, S., & Grisham, J. (2011) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9357-z · Cited by 62 · see citing works
Kiko, S., Stevens, S., Mall, A., Steil, R., Bohus, M., & Hermann, C. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.06.001 · Cited by 43 · see citing works
Relative Importance of Predictors in Multilevel Modeling
Yan, L., Zumbo, B. D., & Wu, A. D. (2014) · Journal of Modern Applied Statistical Methods · doi:10.22237/jmasm/1398916860 · Cited by 41 · see citing works
Laposa, J. M., & Rector, N. A. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.01.004 · Cited by 39 · see citing works
Der Fragebogen zur Dysfunktionalen und Funktionalen Selbstaufmerksamkeit (DFS):
Hoyer, J. (2000) · Diagnostica · doi:10.1026//0012-1924.46.3.140 · Cited by 35 · see citing works
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Katz, D. E., Cassin, S., Weerasinghe, R., & Rector, N. A. (2019) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2019.102107 · Cited by 17 · see citing works
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Fernández-Álvarez, J., Colombo, D., Gómez Penedo, J. M., Pierantonelli, M., Baños, R. M., & Botella, C. (2024) · JMIR Mental Health · doi:10.2196/46593 · Cited by 8 · see citing works
Kane, L., & Ashbaugh, A. R. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104208 · Cited by 6 · see citing works
Gavric, D., Cameron, D., Waechter, S., Moscovitch, D. A., McCabe, R. E., & Rowa, K. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102744 · Cited by 4 · see citing works
- Authors
- Helbig-Lang, S., von Auer, M., Neubauer, K., Murray, E., & Gerlach, A. L.
- Affiliations
- University of Cologne (DE)
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 84
- Pages
- 27-34
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2473233924
- Cited by
- 22
- References
- 44
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 5
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- Funders
- University of Bremen (ZF 11/137/10)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- social anxiety disorder, post-event processing, ambulatory assessment, trait social anxiety, performance situations, interaction situations, self-focus, safety behavior, negative affect, self-schemata, situational factors
- MeSH terms
- Attentional Bias, Phobia, Social, Adolescent, Adult, Affect, Aged, Female, Humans, Male, Middle Aged, Social Behavior, Young Adult
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