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Learning to re-appraise the self during video feedback for social anxiety: Does depth of processing matter?

Video feedback (VF) with cognitive preparation (CP) has been widely integrated into cognitive-behavioral therapy (CBT) protocols for social anxiety disorder (SAD) due to its presumed efficacy in improving negative self-perception. However, previous experimental studies have demonstrated that improve... Full description

Journal Title: Behaviour Research and Therapy August 2010, Vol.48(8), pp.728-737
Main Author: Orr, Elizabeth M.J
Other Authors: Moscovitch, David A
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0005-7967 ; E-ISSN: 1873-622X ; DOI: 10.1016/j.brat.2010.04.004
Link: https://www.sciencedirect.com/science/article/pii/S0005796710000690
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recordid: elsevier_sdoi_10_1016_j_brat_2010_04_004
title: Learning to re-appraise the self during video feedback for social anxiety: Does depth of processing matter?
format: Article
creator:
  • Orr, Elizabeth M.J
  • Moscovitch, David A
subjects:
  • Social Phobia
  • Social Anxiety
  • Self-Perception
  • Video Feedback
  • Cognitive-Behavioral Therapy
  • Medicine
  • Psychology
ispartof: Behaviour Research and Therapy, August 2010, Vol.48(8), pp.728-737
description: Video feedback (VF) with cognitive preparation (CP) has been widely integrated into cognitive-behavioral therapy (CBT) protocols for social anxiety disorder (SAD) due to its presumed efficacy in improving negative self-perception. However, previous experimental studies have demonstrated that improvements in negative self-perception via VF + CP do not typically facilitate anxiety reduction during subsequent social interactions – a troubling finding for proponents of cognitive models of social anxiety. We examined whether VF + CP could be optimized to enhance participants’ processing of corrective self-related information through the addition of a post-VF cognitive review (CR). Sixty-eight socially anxious individuals were randomly assigned to perform two public speeches in one of the following conditions: a) exposure alone (EXP); b) CP + VF; and c) CP + VF + CR. Those in the CP + VF + CR condition demonstrated marginally significant reductions in anxiety from speech 1 to speech 2 relative to those who received EXP – an improvement not shown for those in the CP + VF condition. Furthermore, only those who received CP + VF + CR demonstrated significant improvements in self-perception and performance expectations relative to EXP. Decreases in anxiety among participants who received CP + VF + CR relative to EXP were fully mediated by improvements in self-perception. Implications are discussed in the context of cognitive models of social anxiety and mechanisms of exposure-based learning.
language: eng
source:
identifier: ISSN: 0005-7967 ; E-ISSN: 1873-622X ; DOI: 10.1016/j.brat.2010.04.004
fulltext: fulltext
issn:
  • 0005-7967
  • 00057967
  • 1873-622X
  • 1873622X
url: Link


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titleLearning to re-appraise the self during video feedback for social anxiety: Does depth of processing matter?
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subjectSocial Phobia ; Social Anxiety ; Self-Perception ; Video Feedback ; Cognitive-Behavioral Therapy ; Medicine ; Psychology
descriptionVideo feedback (VF) with cognitive preparation (CP) has been widely integrated into cognitive-behavioral therapy (CBT) protocols for social anxiety disorder (SAD) due to its presumed efficacy in improving negative self-perception. However, previous experimental studies have demonstrated that improvements in negative self-perception via VF + CP do not typically facilitate anxiety reduction during subsequent social interactions – a troubling finding for proponents of cognitive models of social anxiety. We examined whether VF + CP could be optimized to enhance participants’ processing of corrective self-related information through the addition of a post-VF cognitive review (CR). Sixty-eight socially anxious individuals were randomly assigned to perform two public speeches in one of the following conditions: a) exposure alone (EXP); b) CP + VF; and c) CP + VF + CR. Those in the CP + VF + CR condition demonstrated marginally significant reductions in anxiety from speech 1 to speech 2 relative to those who received EXP – an improvement not shown for those in the CP + VF condition. Furthermore, only those who received CP + VF + CR demonstrated significant improvements in self-perception and performance expectations relative to EXP. Decreases in anxiety among participants who received CP + VF + CR relative to EXP were fully mediated by improvements in self-perception. Implications are discussed in the context of cognitive models of social anxiety and mechanisms of exposure-based learning.
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