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. 2023 May 15:329:285-292.
doi: 10.1016/j.jad.2023.02.053. Epub 2023 Feb 19.

Stress generation in social anxiety and depression: A two-study community assessment

Fallon R Goodman  1 , Jessica A Birg  2 , Katharine E Daniel  3 , Todd B Kashdan  4
Affiliations

Stress generation in social anxiety and depression: A two-study community assessment

Fallon R Goodman et al. J Affect Disord. .

Abstract

Background: Stress generation theory suggests that people engage in certain behaviors that causally generate "dependent" stressful life events. Stress generation has primarily been studied in the context of depression with limited consideration of anxiety. People with social anxiety exhibit maladaptive social and regulatory behaviors that may uniquely generate stress.

Method: Across two studies, we examined if people with elevated social anxiety experienced more dependent stressful life events than those lower in social anxiety. On an exploratory basis, we examined differences in perceived intensity, chronicity, and self-blame of stressful life events. As a conservative test, we examined whether observed relationships held after covarying depression symptoms. Community adults (Ns = 303; 87) completed semi-structured interviews about recent stressful life events.

Results: Participants with higher social anxiety symptoms (Study 1) and social anxiety disorder (SAD; Study 2) reported more dependent stressful life events than those with lower social anxiety. In Study 2, healthy controls rated dependent events as less impactful than independent events; those with SAD rated dependent and independent events as equally impactful. Regardless of social anxiety symptoms, participants placed greater blame on themselves for the occurrence of dependent than independent events.

Limitations: Life events interviews are retrospective and preclude conclusions about short-term changes. Mechanisms of stress generation were not assessed.

Conclusions: Results provide initial evidence for the role of stress generation in social anxiety that may be distinct from depression. Implications for assessing and treating unique and shared features of affective disorders are discussed.

Keywords: Depression; Social anxiety; Stress generation; Stressful life events.

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Conflict of interest statement

Conflict of interest The authors have no known conflicts of interest to disclose.

References

    1. Alden LE, Buhr K, Robichaud M, Trew JL, & Plasencia ML (2018). Treatment of social approach processes in adults with social anxiety disorder. Journal of Consulting and Clinical Psychology, 86(6), 505–517. - PubMed
    1. Alloy LB, & Clements CM (1992). Illusion of control: Invulnerability to negative affect and depressive symptoms after laboratory and natural stressors. Journal of Abnormal Psychology, 101(2), 234–245. - PubMed
    1. Bates D, Mächler M, Bolker B, & Walker S (2015). Fitting linear mixed-effects models using lme4. Journal of Statistical Software, 67(1), 1–48.
    1. Beidel DC, Rao PA, Scharfstein L, Wong N, & Alfano CA (2010). Social skills and social phobia: An investigation of DSM-IV subtypes. Behaviour Research and Therapy, 48(10), 992–1001. - PMC - PubMed
    1. Belzer K, & Schneier FR (2004). Comorbidity of anxiety and depressive disorders: issues in conceptualization, assessment, and treatment. Journal of Psychiatric Practice, 10(5), 296–306. - PubMed

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