Podcast
Questions and Answers
What primary distinction sets pre-event rumination apart from worry in individuals with social anxiety disorder (SAD)?
What primary distinction sets pre-event rumination apart from worry in individuals with social anxiety disorder (SAD)?
- Worry involves memories of past social situations.
- Pre-event rumination is more future-oriented. (correct)
- Worry is mediated by cognitive restructuring.
- Pre-event rumination is primarily focused on past failures.
Which of the following factors is identified as a predictor of pre-event rumination?
Which of the following factors is identified as a predictor of pre-event rumination?
- Poor self-efficacy beliefs
- Post-event threat appraisal
- High levels of emotional support
- Anticipated self-appraisals of performance (correct)
Which therapeutic strategy has been shown to effectively reduce post-event rumination for SAD?
Which therapeutic strategy has been shown to effectively reduce post-event rumination for SAD?
- Medication management only
- Group therapy sessions
- Gradual exposure therapies
- Cognitive restructuring and mindfulness (correct)
Why are reductions in post-event rumination particularly important for treatment outcomes in individuals with SAD?
Why are reductions in post-event rumination particularly important for treatment outcomes in individuals with SAD?
Classical CBT for SAD should include which of the following components?
Classical CBT for SAD should include which of the following components?
What is the primary fear associated with social anxiety disorder?
What is the primary fear associated with social anxiety disorder?
Which of the following is NOT a common anxiety symptom experienced in fear-inducing social situations?
Which of the following is NOT a common anxiety symptom experienced in fear-inducing social situations?
What is the typical lifetime prevalence rate of social anxiety disorder in Western societies?
What is the typical lifetime prevalence rate of social anxiety disorder in Western societies?
At what age range does social anxiety disorder typically onset?
At what age range does social anxiety disorder typically onset?
What behavioral strategy do individuals with social anxiety disorder often use to try to reduce their anxiety?
What behavioral strategy do individuals with social anxiety disorder often use to try to reduce their anxiety?
Which demographic shows more severe social fears in social anxiety disorder?
Which demographic shows more severe social fears in social anxiety disorder?
Which factor contributes to the lower prevalence of social anxiety disorder reported in East Asian countries?
Which factor contributes to the lower prevalence of social anxiety disorder reported in East Asian countries?
What do people with social anxiety disorder (SAD) tend to underestimate in social situations?
What do people with social anxiety disorder (SAD) tend to underestimate in social situations?
How do high socially anxious participants perceive positive feedback from observers after a speech?
How do high socially anxious participants perceive positive feedback from observers after a speech?
Which cognitive pattern is commonly found in individuals with SAD?
Which cognitive pattern is commonly found in individuals with SAD?
What effect does self-focused attention have on individuals with SAD during social performances?
What effect does self-focused attention have on individuals with SAD during social performances?
What is a consequence of excessive post-event processing in individuals with SAD?
What is a consequence of excessive post-event processing in individuals with SAD?
What type of treatment is commonly effective for social anxiety disorder?
What type of treatment is commonly effective for social anxiety disorder?
How do socially anxious individuals tend to recall social memories?
How do socially anxious individuals tend to recall social memories?
What is a notable belief held by people with SAD concerning their social performance?
What is a notable belief held by people with SAD concerning their social performance?
Which of the following behaviors is characterized by socially anxious individuals in social settings?
Which of the following behaviors is characterized by socially anxious individuals in social settings?
What is the primary goal of exposure therapy in treating social anxiety disorder?
What is the primary goal of exposure therapy in treating social anxiety disorder?
Which of the following elements is NOT involved in social skills training for social anxiety disorder?
Which of the following elements is NOT involved in social skills training for social anxiety disorder?
What role do monoamine-oxidase inhibitors and SSRIs play in the treatment of social anxiety disorder?
What role do monoamine-oxidase inhibitors and SSRIs play in the treatment of social anxiety disorder?
Which therapy builds on cognitive behavioral therapy to emphasize mindfulness and values?
Which therapy builds on cognitive behavioral therapy to emphasize mindfulness and values?
At what stage in life does agoraphobia most commonly begin?
At what stage in life does agoraphobia most commonly begin?
What is a common characteristic of individuals suffering from agoraphobia?
What is a common characteristic of individuals suffering from agoraphobia?
What percentage of adults have experienced occasional panic attacks?
What percentage of adults have experienced occasional panic attacks?
Which population is more commonly affected by agoraphobia?
Which population is more commonly affected by agoraphobia?
Why is it important to combine drug therapy with cognitive behavioral therapy (CBT) for effective treatment?
Why is it important to combine drug therapy with cognitive behavioral therapy (CBT) for effective treatment?
What does mindfulness-based intervention aim to teach individuals experiencing social anxiety?
What does mindfulness-based intervention aim to teach individuals experiencing social anxiety?
What is the major role of cognitive-behavioral therapy (CBT) in treating panic disorder?
What is the major role of cognitive-behavioral therapy (CBT) in treating panic disorder?
Which of the following drug therapies is NOT typically used for treating panic disorder?
Which of the following drug therapies is NOT typically used for treating panic disorder?
During CBT sessions for panic disorder, why might a therapist induce panic symptoms?
During CBT sessions for panic disorder, why might a therapist induce panic symptoms?
What conclusion can be drawn about the use of biological challenge tests in panic disorder patients?
What conclusion can be drawn about the use of biological challenge tests in panic disorder patients?
What is a common misconception about the onset of panic attacks in individuals with panic disorder?
What is a common misconception about the onset of panic attacks in individuals with panic disorder?
How does CBT compare to drug therapies in terms of preventing relapse after treatment for panic disorder?
How does CBT compare to drug therapies in terms of preventing relapse after treatment for panic disorder?
Which physiological procedure has NOT been demonstrated to induce panic attacks in panic disorder patients?
Which physiological procedure has NOT been demonstrated to induce panic attacks in panic disorder patients?
What cognitive error is commonly addressed in CBT for panic disorder?
What cognitive error is commonly addressed in CBT for panic disorder?
Why might patients with panic disorder find it difficult to focus during an attack?
Why might patients with panic disorder find it difficult to focus during an attack?
What underlying assumption is made about individuals susceptible to panic attacks during biological challenge tests?
What underlying assumption is made about individuals susceptible to panic attacks during biological challenge tests?
Flashcards
Social Anxiety Disorder (SAD)
Social Anxiety Disorder (SAD)
A mental health condition characterized by intense and persistent fear or anxiety in social situations. This fear is often accompanied by physical symptoms like sweating, trembling, blushing, and gastrointestinal distress.
Safety Behaviors in SAD
Safety Behaviors in SAD
People with SAD often engage in behaviors that they believe will reduce their anxiety in social situations, such as avoiding eye contact or refraining from speaking.
Comorbidity in SAD
Comorbidity in SAD
SAD can coexist with other mental health conditions, like depression, anxiety disorders, and substance abuse. This means someone may experience symptoms of both conditions simultaneously.
Fear of Negative Evaluation in SAD
Fear of Negative Evaluation in SAD
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Age of Onset and Persistence in SAD
Age of Onset and Persistence in SAD
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Gender Differences in SAD
Gender Differences in SAD
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Treatment Seeking and Chronic SAD
Treatment Seeking and Chronic SAD
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Negative Interpretation Bias in SAD
Negative Interpretation Bias in SAD
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Social Skills Underestimation in SAD
Social Skills Underestimation in SAD
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Unrealistic Social Expectations in SAD
Unrealistic Social Expectations in SAD
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Self-Focused Attention in SAD
Self-Focused Attention in SAD
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Perceived Visibility of Anxiety in SAD
Perceived Visibility of Anxiety in SAD
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Observer Perspective in Social Memory
Observer Perspective in Social Memory
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Post-Event Processing in SAD
Post-Event Processing in SAD
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Treatment for SAD
Treatment for SAD
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Exposure Therapy for SAD
Exposure Therapy for SAD
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Cognitive Restructuring for SAD
Cognitive Restructuring for SAD
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Social Skills Training for SAD
Social Skills Training for SAD
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Agoraphobia
Agoraphobia
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Panic Attacks
Panic Attacks
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Panic Disorder
Panic Disorder
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Acceptance and Commitment Therapy (ACT)
Acceptance and Commitment Therapy (ACT)
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Group Therapy for SAD
Group Therapy for SAD
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Medication for SAD
Medication for SAD
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Pre-event rumination in SAD
Pre-event rumination in SAD
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Post-event rumination in SAD
Post-event rumination in SAD
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Role of Rumination in SAD Treatment
Role of Rumination in SAD Treatment
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Cognitive Behavioral Therapy (CBT) in SAD
Cognitive Behavioral Therapy (CBT) in SAD
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Performance Only Social Anxiety Disorder
Performance Only Social Anxiety Disorder
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Misinterpretation of Bodily Sensations
Misinterpretation of Bodily Sensations
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Cognitive Behavioral Therapy (CBT) for Panic Disorder
Cognitive Behavioral Therapy (CBT) for Panic Disorder
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Systematic Desensitization
Systematic Desensitization
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Panic Disorder (PD)
Panic Disorder (PD)
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Antidepressants for Panic Disorder
Antidepressants for Panic Disorder
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Catastrophizing Cognitions
Catastrophizing Cognitions
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Biological Challenge Tests
Biological Challenge Tests
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Relaxation & Breathing Exercises
Relaxation & Breathing Exercises
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Relapse in Panic Disorder
Relapse in Panic Disorder
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Interoceptive Conditioning
Interoceptive Conditioning
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Study Notes
Social Anxiety Disorder (SAD)
- SAD is a severe and persistent fear of social or performance situations.
- Anxiety is so pervasive it predicts comorbidities (e.g., mood & anxiety disorders, substance abuse).
- Individuals fear showing anxiety symptoms, leading to humiliation, rejection, or offending others.
- Avoidance of public eating/drinking due to anxiety about visible symptoms (e.g., shaking hands).
- Symptoms include palpitations, sweating, gastrointestinal distress, muscle tension, blushing, confusion.
- Severe cases may lead to panic attacks.
- Avoidance, fear, or anxiety of social interactions last for 6+ months, significantly impacting social & occupational activities.
- Anxiety is not explained by other mental/medical disorders or substance abuse.
- Safety behaviors (e.g., avoiding eye contact) aim to reduce anxiety.
Prevalence
- Lifetime prevalence in Western societies is 4-13%.
- Women experience more severe symptoms, especially in performance situations, while men seek treatment more often for fears, often related to dating.
- SAD usually begins in early-middle teens, before age 18.
- New onset beyond late adolescence is uncommon and usually secondary to another mental disorder.
- SAD has the lowest remission rate among anxiety disorders.
Etiology
- SAD is classified separately from specific phobias, due to unique cognitive biases.
- Genetic factors play a moderate role (twin studies).
- Heritable traits include submissiveness, anxiousness, social avoidance, and behavioral inhibition.
- Heritability of social fear is estimated to be 13%, while general anxiety characteristics are 30-50%.
- Offspring with SAD are more likely to have parents, especially mothers, with SAD.
- Children with behavioral inhibition temperament have a higher risk for SAD.
- Behavioral inhibition heritability is 50-70%.
- Early parent-child interaction styles (controlling, less warmth, less sociable, use of shame) may contribute but are not necessarily causal.
- Humiliating experiences (extreme teasing) early in life are reported by over 90% of SAD sufferers.
Cognitive Factors
- SAD sufferers exhibit negative predictions about social events, rating their probability higher than individuals with other anxiety disorders or controls.
- They overly criticize their performance and underestimate their social skills.
- They miss positive feedback cues given by observers.
- Excessive post-event rumination about negative experiences or outcomes contributes to anxious feelings.
- Individuals tend to notice threatening social cues and interpret them negatively.
Treatment
- Both pharmacological treatments (SSRIs, SNRIs, benzodiazepines, beta-blockers) and CBT are effective.
- CBT includes exposure therapy (in vivo or role-playing), social skills training, cognitive restructuring, and mindfulness-based interventions.
- Drug therapy is faster-acting but requires CBT for maintenance.
- CBT group therapies are also effective due to natural social interactions.
Agoraphobia and Panic Disorder
- Agoraphobia involves fear of places where escape or help might be difficult (public transport, open spaces, shops, etc.).
- 50% of agoraphobia cases involve prior panic attacks.
- Agoraphobia onset is most frequent in the early 20s.
- Women are diagnosed with agoraphobia more often.
- Individuals with agoraphobia may avoid leaving their homes.
- Panic disorder diagnoses exist when panic attacks are frequent (unexpected, unprovoked), leading to significant worry & behavioral changes.
- People with panic disorder often fear serious illnesses, have worries of dying/going crazy, and experience disability due to worrying about panic attacks.
Cognitive Mediation of Panic Attacks
- Biological challenge tests (e.g., sodium lactate, CO2 breathing, hyperventilation) induce panic in individuals with panic disorder.
- Misinterpretations of benign bodily sensations are more indicative of inducing panic in SAD patients.
- Cognitive mediation models emphasize how misinterpretations create panic.
- Anxiety may be triggered by catastrophic interpretations of bodily sensations.
- Interventions target catastrophic thinking and misinterpretations.
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