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Cognitive Therapy and Research

, Volume 33, Issue 4, pp 375–389 | Cite as

“To Avoid Evaluation, Withdraw”: Fears of Evaluation and Depressive Cognitions Lead to Social Anxiety and Submissive Withdrawal

  • Justin W. Weeks
  • Thomas L. Rodebaugh
  • Richard G. Heimberg
  • Peter J. Norton
  • Tejal A. Jakatdar
Original Article

Abstract

We propose a cognitive model of social anxiety-related submission based upon psycho-evolutionary accounts of social anxiety and depression and present results of two studies supporting this model. We tested a confirmatory factor model consisting of three latent lower-order factors (fear of negative evaluation, fear of positive evaluation, and depressive cognitions), all of which load onto a single latent higher-order submissive cognitions factor. In essence, we propose that the symptoms associated with social anxiety and depression (in part) served adaptive functions for coping with social threats in the ancestral environment and that the cognitive symptoms associated with these disorders may function collectively as integrated components of a social anxiety-related submission mechanism. Confirmatory factor analysis indicated that the hypothesized model fit well. A score derived from the submissive cognitions factor correlated strongly with social anxiety-related measures and less strongly with measures of generalized anxiety/worry in Studies 1 and 2. Furthermore, this submissive cognitions score correlated in the expected direction with self-report measures of social comparison, negative affect, and positive affect in Study 2, and mediational analyses indicated that submissive cognitions may mediate the relationship between social comparison and submissive behaviors. Findings from both studies provide support for the proposed model.

Keywords

Social anxiety disorder Depression Submissive behavior Psycho-evolutionary theory 

References

  1. Allan, S., & Gilbert, P. (1995). A social comparison scale: Psychometric properties and relationship to psychopathology. Personality and Individual Differences, 19, 293–299. doi: 10.1016/0191-8869(95)00086-L.CrossRefGoogle Scholar
  2. Allan, S., & Gilbert, P. (1997). Submissive behavior and psychopathology. The British Journal of Clinical Psychology, 36, 467–488.PubMedGoogle Scholar
  3. Allen, N. B., & Badcock, P. B. T. (2003). The social risk hypothesis of depressed mood: Evolutionary, psychosocial, and neurobiological perspectives. Psychological Bulletin, 129, 887–913. doi: 10.1037/0033-2909.129.6.887.PubMedCrossRefGoogle Scholar
  4. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  5. Arnau, R. C., Meagher, M. W., Norris, M. P., & Bramson, R. (2001). Psychometric evaluation of the Beck Depression Inventory-II with primary care medical patients. Health Psychology, 20, 112–119. doi: 10.1037/0278-6133.20.2.112.PubMedCrossRefGoogle Scholar
  6. Arrindell, W. A., Sanderman, R., Hageman, W. J. J. M., Pickersgill, M. J., Kwee, M. G. T., Van der Mole, H. T., et al. (1990). Correlates of assertiveness in normal and clinical samples: A multidimensional approach. Advances in Behaviour Research and Therapy, 12, 153–282. doi: 10.1016/0146-6402(90)90004-A.CrossRefGoogle Scholar
  7. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi: 10.1037/0022-3514.51.6.1173.PubMedCrossRefGoogle Scholar
  8. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory Manual (2nd ed.). San Antonio, TX: Psychological Corporation.Google Scholar
  9. Bentler, P. M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107, 238–246. doi: 10.1037/0033-2909.107.2.238.PubMedCrossRefGoogle Scholar
  10. Biglan, A., Hops, H., Sherman, L., Friedman, L. S., Arthur, J., & Osteen, V. (1985). Problem solving interactions of depressed women and their husbands. Behavior Therapy, 16, 431–451. doi: 10.1016/S0005-7894(85)80023-X.CrossRefGoogle Scholar
  11. Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the Penn State Worry Questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy, 30, 33–37. doi: 10.1016/0005-7967(92)90093-V.PubMedCrossRefGoogle Scholar
  12. Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192. doi: 10.1037/0021-843X.107.2.179.PubMedCrossRefGoogle Scholar
  13. Brown, E. J., Turovsky, J., Heimberg, R. G., Juster, H. R., Brown, T. A., & Barlow, D. H. (1997). Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale across the anxiety disorders. Psychological Assessment, 9, 21–27. doi: 10.1037/1040-3590.9.1.21.CrossRefGoogle Scholar
  14. Buss, D. M., & Craik, K. H. (1986). Acts, dispositions, and clinical assessment: The psychopathology of everyday conduct. Clinical Psychology Review, 6, 387–406. doi: 10.1016/0272-7358(86)90028-0.CrossRefGoogle Scholar
  15. Carver, C. S., & Scheier, M. F. (1998). On the self-regulation of behavior. New York: Cambridge University Press.Google Scholar
  16. Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.Google Scholar
  17. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
  18. Coles, M. E., Turk, C. L., Heimberg, R. G., & Fresco, D. M. (2001). Effects of varying levels of anxiety within social situations: Relationship to memory perspective and attributions in social phobia. Behaviour Research and Therapy, 39, 651–665. doi: 10.1016/S0005-7967(00)00035-8.PubMedCrossRefGoogle Scholar
  19. DiNardo, P. A., Brown, T. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM-IV–Lifetime Version (ADIS-IV-L). New York: Oxford University Press.Google Scholar
  20. Ellgring, H. F. (1989). Nonverbal communication in depression. Cambridge, England: Cambridge University Press.Google Scholar
  21. Gardner, R. (1982). Mechanisms in major depressive disorder: An evolutionary model. Archives of General Psychiatry, 39, 1436–1441.PubMedGoogle Scholar
  22. Gardner, R. (2001). Evolutionary perspectives on stress and affective disorders. Seminars in Neuropsychiatry, 6, 32–42. doi: 10.1053/scnp. 2001.19400.CrossRefGoogle Scholar
  23. Gilbert, P. (2001). Evolution and social anxiety: The role of attraction, social competition, and social hierarchies. The Psychiatric Clinics of North America, 24, 723–751. doi: 10.1016/S0193-953X(05)70260-4.PubMedCrossRefGoogle Scholar
  24. Gilbert, P., & Allan, S. (1994). Assertiveness, submissive behaviour and social comparison. The British Journal of Clinical Psychology, 33, 295–306.PubMedGoogle Scholar
  25. Gotlib, I. H., & Robinson, L. A. (1982). Responses to depressed individuals: Discrepancies between self-report and observer-rated behavior. Journal of Abnormal Psychology, 91, 231–240. doi: 10.1037/0021-843X.91.4.231.PubMedCrossRefGoogle Scholar
  26. Hackman, A., Surawy, C., & Clark, D. M. (1998). Seeing yourself through others’ eyes: A study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3–12. doi: 10.1017/S1352465898000022.CrossRefGoogle Scholar
  27. Heimberg, R. G., & Becker, R. E. (2002). Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies. New York: Guilford Press.Google Scholar
  28. Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., & Liebowitz, M. R. (1992). Assessment of anxiety in social interaction and being observed by others: The Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy, 23, 53–73. doi: 10.1016/S0005-7894(05)80308-9.CrossRefGoogle Scholar
  29. Hokanson, J. E., Sacco, W. P., Blumberg, S. R., & Landru, G. C. (1980). Interpersonal behavior of depressed individuals in a mixed-motive game. Journal of Abnormal Psychology, 87, 320–332. doi: 10.1037/0021-843X.89.3.320.CrossRefGoogle Scholar
  30. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRefGoogle Scholar
  31. Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627. doi: 10.1001/archpsyc.62.6.617.PubMedCrossRefGoogle Scholar
  32. Kessler, R. C., Stang, P., Wittchen, H.-U., Stein, M., & Walters, E. E. (1999). Lifetime comorbidities between social phobia and mood disorders in the U. S. National Comorbidity Survey. Psychological Medicine, 29, 555–567. doi: 10.1017/S0033291799008375.PubMedCrossRefGoogle Scholar
  33. Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. The American Journal of Psychiatry, 158, 848–856.PubMedGoogle Scholar
  34. Krebs, D. L. (2003). Fictions and facts about evolutionary approaches to human behavior: Comment on Lickliter and Honeycutt (2003). Psychological Bulletin, 129, 842–847. doi: 10.1037/0033-2909.129.6.842.PubMedCrossRefGoogle Scholar
  35. Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375. doi: 10.1177/0146167283093007.CrossRefGoogle Scholar
  36. Leary, M. R., Kowalski, R. M., & Campbell, C. D. (1988). Self-presentational concerns and social anxiety: The role of generalized impression expectancies. Journal of Research in Personality, 22, 308–321. doi: 10.1016/0092-6566(88)90032-3.CrossRefGoogle Scholar
  37. Magee, W. J., Eaton, W. W., Wittchen, H.-U., McGonagle, K. A., & Kessler, R. C. (1996). Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry, 53, 159–168.PubMedGoogle Scholar
  38. Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470. doi: 10.1016/S0005-7967(97)10031-6.PubMedCrossRefGoogle Scholar
  39. Meng, X. L., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172–175. doi: 10.1037/0033-2909.111.1.172.CrossRefGoogle Scholar
  40. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487–495. doi: 10.1016/0005-7967(90)90135-6.PubMedCrossRefGoogle Scholar
  41. Moscovitch, D. A., Hofmann, S. G., Suvak, M. K., & In-Albon, T. (2005). Mediation of changes in anxiety and depression during treatment of social phobia. Journal of Consulting and Clinical Psychology, 73, 945–952. doi: 10.1037/0022-006X.73.5.945.PubMedCrossRefGoogle Scholar
  42. Muthén, L. K., & Muthén, B. O. (1998–2006). Mplus user’s guide (4th ed.). Los Angeles, CA: Muthén & Muthén.Google Scholar
  43. Newman, M. G., Zuellig, A. R., Kachin, K. E., Constantino, M. J., Przeworski, A., Erickson, T., et al. (2002). Preliminary reliability and validity of the Generalized Anxiety Disorder Questionnaire-IV: A revised self-report diagnostic measure of generalized anxiety disorder. Behavior Therapy, 33, 215–233. doi: 10.1016/S0005-7894(02)80026-0.CrossRefGoogle Scholar
  44. Price, J. S. (1967). The dominance hierarchy and the evolution of mental illness. Lancet, 7502, 243–246. doi: 10.1016/S0140-6736(67)92306-9.CrossRefGoogle Scholar
  45. Price, J. S., Gardner, R., Jr., & Erickson, M. (2004). Can depression, anxiety and somatization be understood as appeasement displays? Journal of Affective Disorders, 79, 1–11. doi: 10.1016/S0165-0327(02)00452-4.PubMedCrossRefGoogle Scholar
  46. Price, J. S., Sloman, L., Gardner, R., Gilbert, P., & Rohde, P. (1994). The social competition hypothesis of depression. The British Journal of Psychiatry, 164, 309–315.PubMedCrossRefGoogle Scholar
  47. 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.PubMedCrossRefGoogle Scholar
  48. Rodebaugh, T. L., Woods, C. M., & Heimberg, R. G. (2007). The reverse of social anxiety is not always the opposite: The reverse-scored items of the Social Interaction Anxiety Scale do not belong. Behavior Therapy, 38, 192–206. doi: 10.1016/j.beth.2006.08.001.PubMedCrossRefGoogle Scholar
  49. Rodebaugh, T. L., Woods, C. M., Thissen, D. M., Heimberg, R. G., Chambless, D. L., & Rapee, R. M. (2004). More information from fewer questions: The factor structure and item properties of the original and Brief Fear of Negative Evaluation Scale. Psychological Assessment, 16, 169–181. doi: 10.1037/1040-3590.16.2.169.PubMedCrossRefGoogle Scholar
  50. Schneier, F. R., Heimberg, R. G., Belzer, K., & Liebowitz, M. R. (2007). Submissive behavior and social comparison in social anxiety disorder. Manuscript under review.Google Scholar
  51. Schneier, F. R., Liebowitz, M. R., Beidel, D. C., Fyer, A. J., George, M. S., Heimberg, R. G., et al. (1996). Social phobia. In T. A. Widiger, A. J. Frances, H. A. Pincus, M. J. First, R. Ross, & W. Davis (Eds.), DSM-IV source book (Vol. 2, pp. 507–548). Washington, DC: American Psychiatric Press.Google Scholar
  52. Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass.Google Scholar
  53. Steer, R. A., Ball, R., Ranieri, W. F., & Beck, A. T. (1999). Dimensions of the Beck Depression Inventory-II in clinically depressed outpatients. Journal of Clinical Psychology, 55, 117–128. doi : 10.1002/(SICI)1097-4679(199901)55:1<117::AID-JCLP12>3.0.CO;2-A.PubMedCrossRefGoogle Scholar
  54. Steiger, J. H., & Lind, J. C. (1980, May). Statistically-based tests for the number of common factors. Paper presented at the annual meeting of the Psychometric Society, Iowa City, IA.Google Scholar
  55. Trower, P., & Gilbert, P. (1989). New theoretical conceptions of social anxiety and social phobia. Clinical Psychology Review, 9, 19–35. doi: 10.1016/0272-7358(89)90044-5.CrossRefGoogle Scholar
  56. Trower, P., Gilbert, P., & Sherling, G. (1990). Social anxiety, evolution, and self-presentation. In H. Leitenberg (Ed.), Handbook of social and evaluation anxiety (pp. 11–46). New York: Plenum Press.Google Scholar
  57. Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10. doi: 10.1007/BF02291170.CrossRefGoogle Scholar
  58. Ward, L. C. (2006). Comparison of factor structure models for the Beck Depression Inventory-II. Psychological Assessment, 18, 81–88. doi: 10.1037/1040-3590.18.1.81.PubMedCrossRefGoogle Scholar
  59. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. doi: 10.1037/0022-3514.54.6.1063.PubMedCrossRefGoogle Scholar
  60. Weeks, J. W., Heimberg, R. G., Fresco, D. M., Hart, T. A., Turk, C. L., Schneier, F. R., et al. (2005). Empirical validation and psychometric evaluation of the Brief Fear of Negative Evaluation Scale in patients with social anxiety disorder. Psychological Assessment, 17, 179–190. doi: 10.1037/1040-3590.17.2.179.PubMedCrossRefGoogle Scholar
  61. Weeks, J. W., Heimberg, R. G., & Rodebaugh, T. L. (2008a). The Fear of Positive Evaluation Scale: Assessing a proposed cognitive component of social anxiety disorder. Journal of Anxiety Disorders, 22, 44–55. doi: 10.1016/j.janxdis.2007.08.002.PubMedCrossRefGoogle Scholar
  62. Weeks, J. W., Heimberg, R. G., Rodebaugh, T. L., & Norton, P. J. (2008b). Exploring the relationship between fear of positive evaluation and social anxiety. Journal of Anxiety Disorders, 22, 386–400. doi: 10.1016/j.janxdis.2007.04.009.PubMedCrossRefGoogle Scholar
  63. Wittchen, H.-U., Stein, M. B., & Kessler, R. C. (1999). Social fears and social phobia in a community sample of adolescents and young adults: Prevalence, risk factors, and comorbidity. Psychological Medicine, 29, 309–323. doi: 10.1017/S0033291798008174.PubMedCrossRefGoogle Scholar
  64. Youngren, M. A., & Lewinsohn, P. M. (1980). The functional relationship between depression and problematic behavior. Journal of Abnormal Psychology, 89, 333–341. doi: 10.1037/0021-843X.89.3.333.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Justin W. Weeks
    • 1
    • 2
  • Thomas L. Rodebaugh
    • 3
  • Richard G. Heimberg
    • 1
  • Peter J. Norton
    • 4
  • Tejal A. Jakatdar
    • 1
  1. 1.Adult Anxiety Clinic of Temple, Department of PsychologyTemple UniversityPhiladelphiaUSA
  2. 2.Department of PsychologyOhio UniversityAthensUSA
  3. 3.Department of PsychologyWashington UniversitySt. LouisUSA
  4. 4.Department of PsychologyUniversity of HoustonHoustonUSA

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