Does cognitive reappraisal reduce anxiety? A daily diary study of a micro-intervention with individuals with high social anxiety.
Abstract
OBJECTIVE: To examine emotion regulation (ER) among individuals with high (HSA) and low social anxiety (LSA) and the effects of 1 week of practiced cognitive reappraisal using self-report, daily diary measures and lab tasks. METHOD: HSAs received reappraisal (HSA-R; n = 43) or monitoring (HSA-M; n = 40) instructions. LSAs received monitoring instructions (LSA-M; n = 41). Self-report measures of social anxiety and ER, and a lab task of reappraisal were administered at baseline and after 1 week. Daily diaries of anxiety and ER were also collected. RESULTS: At baseline, HSAs compared with LSAs reported lower self-efficacy of reappraisal and higher frequency and self-efficacy of suppression, but no differences emerged in the reappraisal task. Following the intervention, the HSA-R compared with the HSA-M reported lower symptom severity, greater self-efficacy of reappraisal but equal daily anxiety. HSA-R used reappraisal mostly combined with suppression (74.76% of situations). Post hoc analyses demonstrated that clinical diagnosis, but not severity, moderated the intervention effect. CONCLUSIONS: The results demonstrate the efficacy of a short intervention in social anxiety, and provide additional areas of research for improving its treatment.
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In Kivity and Huppert, the group with high SA presented lower symptom severity and greater self-efficacy of reappraisal, but daily anxiety was not significantly different.
“Although the group with high SA presented lower symptom severity and greater self-efficacy of reappraisal, daily anxiety was not significantly different.”
From Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review (2024) · cites this paper as Kivity and Huppert [72]
Cites
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929 · see citing works
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · see citing works
Morris, S. B., & DeShon, R. P. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.105 · Cited by 2,502 · see citing works
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · Trials · doi:10.1186/1745-6215-11-32 · Cited by 1,871 · see citing works
Rebooting psychotherapy research and practice to reduce the burden of mental illness
Kazdin, A. E., & Blase, S. L. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691610393527 · Cited by 1,254 · see citing works
Emotion Regulation and Psychopathology
Sheppes, G., Suri, G., & Gross, J. J. (2015) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032814-112739 · Cited by 1,214 · see citing works
The Future of Emotion Regulation Research: Capturing Context
Aldao, A. (2013) · Perspectives on Psychological Science · doi:10.1177/1745691612459518 · Cited by 948 · see citing works
Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012) · Depression and Anxiety · doi:10.1002/da.21888 · Cited by 630 · see citing works
Clark, D. M., Ehlers, A., Hackmann, A., McManus, F., Fennell, M., Grey, N., Waddington, L., & Wild, J. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.3.568 · Cited by 603 · see citing works
Positive Reappraisal Mediates the Stress-Reductive Effects of Mindfulness: An Upward Spiral Process
Garland, E. L., Gaylord, S. A., & Fredrickson, B. L. (2011) · Mindfulness · doi:10.1007/s12671-011-0043-8 · Cited by 572 · see citing works
Social Anxiety and Social Anxiety Disorder
Morrison, A. S., & Heimberg, R. G. (2013) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050212-185631 · Cited by 480 · see citing works
Neural mechanisms of cognitive reappraisal of negative self-beliefs in social anxiety disorder.
Goldin, P. R., Manber-Ball, T., Werner, K., Heimberg, R., & Gross, J. J. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.07.014 · Cited by 305 · see citing works
Behavioral effects of longitudinal training in cognitive reappraisal.
Denny, B. T., & Ochsner, K. N. (2014) · Emotion · doi:10.1037/a0035276 · Cited by 269 · see citing works
Emotional reactivity and cognitive regulation in anxious children
Carthy, T., Horesh, N., Apter, A., Edge, M. D., & Gross, J. J. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.12.013 · Cited by 262 · see citing works
Goldin, P. R., Ziv, M., Jazaieri, H., Hahn, K., Heimberg, R., & Gross, J. J. (2013) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.234 · Cited by 174 · see citing works
Goldin, P. R., Lee, I., Ziv, M., Jazaieri, H., Heimberg, R. G., & Gross, J. J. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.02.005 · Cited by 130 · see citing works
Ameliorating intrusive memories of distressing experiences using computerized reappraisal training
Woud, M. L., Holmes, E. A., Postma, P., Dalgleish, T., & Mackintosh, B. (2012) · Emotion · doi:10.1037/a0024992 · Cited by 109 · see citing works
Emotion beliefs in social anxiety disorder: Associations with stress, anxiety, and well‐being
De castella, K., Goldin, P., Jazaieri, H., Ziv, M., Heimberg, R. G., & Gross, J. J. (2014) · Australian Journal of Psychology · doi:10.1111/ajpy.12053 · Cited by 104 · see citing works
Goldin, P. R., Ziv, M., Jazaieri, H., Weeks, J., Heimberg, R. G., & Gross, J. J. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.08.005 · Cited by 77 · see citing works
Ziv, M., Goldin, P. R., Jazaieri, H., Hahn, K. S., & Gross, J. J. (2013) · Biology of Mood & Anxiety Disorders · doi:10.1186/2045-5380-3-20 · Cited by 74 · see citing works
Moscovitch, D. A., Gavric, D. L., Senn, J. M., Santesso, D. L., Miskovic, V., Schmidt, L. A., McCabe, R. E., & Antony, M. M. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9371-1 · Cited by 71 · see citing works
Behavioural and neural correlates of self-focused emotion regulation in social anxiety disorder
Gaebler, M., Daniels, J. K., Lamke, J.-P., Fydrich, T., & Walter, H. (2014) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.130080 · Cited by 64 · see citing works
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Dryman, M. T., & Heimberg, R. G. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.07.004 · Cited by 554 · see citing works
Emotion regulation as a transdiagnostic process.
Cludius, B., Mennin, D., & Ehring, T. (2020) · Emotion · doi:10.1037/emo0000646 · Cited by 361 · see citing works
Ecological momentary interventions for mental health: A scoping review
Balaskas, A., Schueller, S. M., Cox, A. L., & Doherty, G. (2021) · PLOS ONE · doi:10.1371/journal.pone.0248152 · Cited by 235 · see citing works
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Strauss, A. Y., Kivity, Y., & Huppert, J. D. (2019) · Behavior Therapy · doi:10.1016/j.beth.2018.10.005 · Cited by 48 · see citing works
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Self-citationGoodman, F. R., Daniel, K. E., Eldesouky, L., Brown, B. A., & Kneeland, E. T. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100210 · Cited by 31 · see citing works
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Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review
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- Authors
- Kivity, Y., & Huppert, J. D.
- Affiliations
- Hebrew University of Jerusalem (IL)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2016-03
- Volume
- 84
- Issue
- 3
- Pages
- 269-283
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2268103296
- Cited by
- 79
- References
- 22
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 10 · 2023: 10 · 2022: 8 · 2021: 13 · 2020: 7 · 2019: 3 · 2018: 9 · 2017: 4
- FWCI
- 7.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Israel Foundation Trustees
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive reappraisal, social anxiety, emotion regulation, emotion regulation training, emotional suppression, self-efficacy, micro-interventions, anxiety levels
- MeSH terms
- Adult, Anxiety, Cognition, Emotions, Female, Humans, Male, Phobic Disorders, Self Efficacy, Young Adult, Self Report
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