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The Effects of Behavioral Inhibition and Parenting Behaviors on Interpretation Bias in Social Anxiety

Abstract

The purpose of this study was to explore the relationship between interpretation bias and social anxiety, and to examine the mediating role of interpretation bias in the relationships among behavioral inhibition, parenting behaviors, and social anxiety. A survey of 377 adults was conducted and it included Social Interaction Anxiety Scale, Social Phobia Scale, Korean version of the Retrospective Self-Report of Inhibition, and Korean version of the Parental Bonding Instrument, as well as a scenario measuring interpretation bias. The collected data were analyzed using a structural equation model. The results of the study were as follows: First, interpretation bias showed a fully mediated effect on the relation between behavioral inhibition and social anxiety. Second, interpretation bias showed a fully mediated effect on the relation between parenting behaviors and social anxiety. Third, a partial mediation model was proposed for a rival model, and the study model for a full mediation model exhibited the best fit with the data. The clinical implications and limitations of the study, and suggestions for future research are discussed.

keywords
사회불안, 해석편향, 행동억제, 부모양육행동, social anxiety, interpretation bias, behavioral inhibition, parenting behaviors

Reference

1.

Affrunti, N. W., & Ginsburg, G. S. (2012a). Exploring parental predictors of child anxiety: The mediating role of child interpretation bias. Child & Youth Care Forum, 41, 517-527.

2.

Affrunti, N. W., & Ginsburg, G. S. (2012b). Maternal overcontrol and child anxiety: The mediating role of perceived competence. Child Psychiatry and Human Development, 43, 102-112.

3.

Alessandri, S. M., & Lewis, M. (1993). Parental evaluation and its relation to shame and pride in young children. Sex Roles, 29, 335-343.

4.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorder-5th edition (DSM-5).Washington, D. C.: American Psychiatric Association.

5.

Amir, N., Foa, E. B., & Coles, M. E. (1998). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36, 945-957.

6.

Arrindell, W. A., Emmelkamp, P. M., Monsma, A., & Brilman, E. (1983). The role of perceived parental rearing practices in the etiology of phobic disorders: A controlled study. British Journal of Psychiatry, 143, 183-187.

7.

Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55, 1247-1263.

8.

Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford.

9.

Beard, C., & Amir, N. (2008). A multi-session interpretation modification program: Changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 46, 1135-1141.

10.

Beck, A., Emery, G., & Greenberg, R. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

11.

Biederman, J., Hirshfeld-Becker, D. R., Rosenbaum, J. F., Herot, C., Friedman, D., Snidman, N., Kagan, J., & Faraone, S. V. (2001). Further evidence of association between behavioral inhibition and social anxiety in children. American Journal of Psychiatry, 158, 1673-1679.

12.

Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., Shea, T. M., & Keller, M. B. (2005). Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. American Journal of Psychiatry, 162, 1179-1187.

13.

Chorpita, B. F., & Barlow, D. H. (1998). The development of anxiety:The role of control in the early environment. Psychological Bulletin, 124, 3-21.

14.

Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneider (Eds.), Social phobia: Diagnosis, assessment and treatment (pp. 69-93). New York: Guilford Press.

15.

Choi, M. M., & Cho, Y. R. (2008, August). The impacts of perceived parenting and behavioral inhibition on social anxiety of college students: The mediating effects of dysfunctional beliefs and difficulties in emotional regulation. Paper presented at the annual meeting of the Korean Psychological Association, Seoul, Korea.

16.

Constans, J. I., Penn, D. L., Ihen, G. H., & Hope, D. A. (1999). Interpretive biases for ambiguous stimuli in social anxiety. Behaviour Research and Therapy, 37, 643-651.

17.

Gibb, B. E. (2002). Childhood maltreatment and negative cognitive styles a quantitative and qualitative review. Clinical Psychology Review, 22, 223-246.

18.

Hayward, C., Killen, J. D., Kraemer, H. C., & Taylor, C. B. (1998). Linking self-reported behavioral inhibition to adolescent social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1308-1316.

19.

Heinrichs, N., & Hofmann, S. G. (2001). Information processing in social phobia: A critical review. Clinical Psychology Review, 21, 751-770.

20.

Heo, J. H. (2006). The effects of parenting style, perfectionism, and traumatic experience on social anxiety. Korean Journal of Counseling and Psychotherapy, 18, 593-611.

21.

Hofmann, S. G., & Barlow, D. H. (2002). Social phobia (social anxiety disorder). In D. H. Barlow (Ed.), Anxiety and its disorders:The nature and treatment of anxiety and panic (2nded, [pp. 454-476].). New York: Guilford Press.

22.

Hong, S., Malik, M. L., & Lee, M. K. (2003). Testing configural, metric, scalar, and latent mean invariance across genders in sociotropy and autonomy using anon-Western sample. Educational and Psychological Measurement, 63, 636-654.

23.

Hong, S. H. (2000). The criteria for selecting appropriate fit indices in structural equation modeling and their rationales. Korean Journal of Clinical Psychology, 19, 161-177.

24.

Hudson, J. L., & Rapee, R. M. (2001). Parent-child interactions and anxiety disorders: An observational study. Behaviour Research and Therapy, 39, 1411-1427.

25.

Hudson, J. L., & Rapee, R. M. (2004). From anxious temperament to disorder: An etiological model of generalized anxiety disorder. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 51-74). New York: Guilford Press.

26.

Hummel, R. H., & Gross, A. M. (2001). Socially anxious children:An observational study of parent-child interaction. Child and Family Behavior Therapy, 23, 19-40.

27.

Kagan, J. (1994). Galen's prophecy: Temperament in human nature. New York: Basic Books.

28.

Kagan, J. (2008). Behavioral inhibition as a risk factor for psychopathology. In Beauchaine, T., & Hinshaw, S. (Eds.), Child and Adolescent Psychopathology (pp. 157-179). Hoboken, NJ: Jon Wiley & Sons, Inc.

29.

Kim, H. S. (2001). Memory bias in subtypes of social phobia (Unpublished master’s thesis). Seoul National University, Seoul, Korea.

30.

Kim, S. Y. (2014). The relationships among behavioral inhibition, parental psychological control, and adolescent social anxiety symptoms:Mediating role of perceived anxiety control and experiential avoidance (Unpublished master’s thesis). Ajou University, Gyeonggi, Korea.

31.

Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109, 602-615.

32.

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.

33.

Mick, M., & Telch, M. (1998). Social anxiety and history of behavioral inhibition in young adults. Journal of Anxiety Disorders, 12, 1-20.

34.

Moore, P. S., Whaley, S. E., & Sigman, M. (2004). Interactions between mothers and children: Impacts of maternal and child anxiety. Journal of Abnormal Psychology, 113, 471-476.

35.

Murphy, R., Hirsch, C. R., Mathews, A., Smith, K., & Clark, D. M. (2007). Facilitating a benign interpretation bias in a high socially anxious population. Behaviour Research and Therapy, 45, 1517-1529.

36.

Neal, J. A., & Edelmann, R. J. (2003). The etiology of social phobia:Toward a developmental profile. Clinical Psychology Review, 23, 761-786.

37.

Neal, J. A., Edelmann, R. J., & Glachan, M. (2002). Behavioral inhibition and symptoms of anxiety and depression: Is there a specific relationship with social phobia? British Journal of Clinical Psychology, 41, 361-374.

38.

Oh, K. J., & Yang, Y. R. (2003). Psychological mechanism associated with the development and maintenance of social anxiety in adolescents I: The effects of behavioral inhibition, parental attitude and traumatic experience. Korean Journal of Clinical Psychology, 22, 557-576.

39.

Oh, Y. H. (2006). Structural relation between social anxiety disorder and etiological correlates (Unpublished doctoral dissertation). Korea University, Seoul, Korea.

40.

Oh, Y. H., Ahn, C. Y., & Oh, K. S. (2005). A validation study of the korean version of retrospective self-report of inhibition. Korean Journal of Clinical Psychology, 24, 677-692.

41.

Park, E. H., Yoon, H. Y., & Kwon, J. H. (2011). Assessment of behavioral characteristics and impressions of social phobics in social interaction. Cognitive Behavior Therapy in Korea, 11, 53-73.

42.

Park, S. J., Hyun, M. H., Lee, J. H., & Lee, J. A. (2007). Social anxiety and interpretation bias of ambiguous social situations. Korean Journal of Health Psychology, 12, 95-110.

43.

Parker, G. (1979). Reported parental characteristics of agoraphobics and social phobics. British Journal of Psychiatry, 135, 555-560.

44.

Parker, G. (1984). The measurement of pathogenic parental style and its relevance to psychiatric disorder. Social Psychiatry, 19, 75-81.

45.

Parker, G., Tupling, H., & Brown, L. B. (1979). A parental bonding instrument. British Journal of Medical Psychology, 52, 1-10.

46.

Perez-Edgar, K., Bar-Haim, Y., McDermott, J. M., Chronis-Tuscano, A., Pine, D. S., & Fox, N. A. (2010). Attention biases to threat and behavioral inhibition in early childhood shape adolescent social withdrawal. Emotion, 10, 349-357.

47.

Perez-Olivas. G., Stevenson, J., Hadwin, J. A. (2008). Do anxietyrelated attentional biases mediate the link between maternal over involvement and separation anxiety in children? Cognition and Emotion, 22, 509-521.

48.

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891.

49.

Rapee, R. M. (1997). Potential role of child rearing practices in the development of anxiety and depression. Clinical Psychology Review, 17, 47-67.

50.

Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 273-283.

51.

Rapee, R. M., & Spence, S. H. (2004). The etiology of social phobia:Empirical evidence and an initial model. Clinical Psychology Review, 24, 737-767.

52.

Reznick, J. S., Hegeman, I. M., Kaufman, E. R., Woods, S. W., & Jacobs, M. (1992). Retrospective and concurrent self-report of behavioral inhibition and their relation to adult mental health. Development and Psychopathology, 4, 301-321.

53.

Schwartz, C. E., Snidman, N., & Kagan, J. (1999). Adolescent social anxiety as an outcome of inhibited temperament in childhood. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1008-1015.

54.

Seo, Y. S. (2010). Testing mediator and moderator effects in counseling psychology research: Conceptual distinction and statistical considerations. Korean Journal of Counseling and Psychotherapy, 22, 1147-1168.

55.

Shin, H. K., & Won, H. T. (1991). The comparative study of depressive group and anxious group in irrational beliefs and attributional style. Korean Journal of Clinical Psychology, 10, 269-285.

56.

Song, J. Y. (1992). The development of the parental bonding instrument-Korean version: Evaluation of the test reliability and validity. Journal of Korean Neuropsychiatric Association, 31, 979-992.

57.

Spokas, M., & Heimberg, R. G. (2009). Overprotective parenting, social anxiety, and external locus of control: Cross-sectional and longitudinal relationships. Cognitive Therapy and Research, 33, 543-551.

58.

Stopa, L., & Clark, D. M. (2000). Social phobia and interpretation of social events. Behaviour Research and Therapy, 38, 273-283.

59.

Viana, A. G., & Gratz, K. L. (2012). The role of anxiety sensitivity, behavioral inhibition, and cognitive biases in anxiety symptoms:Structural equation modeling of direct and indirect pathways. Journal of Clinical Psychology, 68, 1122-1141.

60.

Weems, C. F., & Silverman W. K. (2006). An integrative model of control: Implications for understanding emotion regulation and dysregulation in childhood anxiety. Journal of Affective Disorders, 91, 113-124.

61.

White, L. K., Helfinstein, S. M., & Fox, N. A. (2010). Temperamental factors associated with the acquisition of information processing biases and anxiety. In J. A. Hadwin & A. P. Field (Eds.), Information processing biases and anxiety: A developmental perspective (pp. 233-252). Hoboken, NJ: Wiley-Blackwell.

62.

Wood, J. J. (2006). Parental intrusiveness and children’s separation anxiety in a clinical sample. Child Psychiatry and Human Development, 37, 73-87.

63.

Workman, J. O. (2009). A cognitive-mediated model of child social anxiety and depression: Examining children's relationships with parents and teachers (Doctoral dissertation). The University of North Carolina, Greensboro, NC. Retrieved from NC Docks (http://libres.uncg.edu/ir/listing.aspx?id=2463).

64.

Yang, J. K., & Kim, E. J. (2007, August). Development mechanism of social anxiety in adolescent: The effects of behavioral inhibition, family environment, dysfunctional belief and anxiety control. Paper presented at the annual meeting of the Korean Psychological Association, Gyeongju, Korea.

65.

Yang, J. W., & Oh, K. J. (2010). Interpretational bias of social and emotional stimuli in social anxiety. Cognitive Behavior Therapy in Korea, 10, 93-115.

66.

Yi, B. D., Oh, Y. H., & Oh, K. S. (2003). The effects of perceived anxiety control on social distress and avoidance of social phobia. Cognitive Behavior Therapy in Korea, 3, 81-92.

67.

Yoon, H. Y., Park, K. H., & Choi, Y. H. (2002). The influence of cognitive behavioral group therapy on perceived locus of control-for social phobics and panic disorder patients. Cognitive Behavior Therapy in Korea, 2, 15-27.

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