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Examining Facets of Depression and Social Anxiety: The Relation among Lack of Positive Affect, Negative Cognitions, and Emotion Dysregulation

Published online by Cambridge University Press:  26 October 2017

Ivan Blanco*
Affiliation:
Universidad Complutense (Spain)
Jutta Joormann
Affiliation:
Yale University (USA)
*
*Correspondence concerning this article should be addressed to Ivan Blanco. Facultad de Psicología. Universidad Complutense. Madrid (Spain). Phone: +34–913942984. E-mail: ivan.blanco.martinez@ucm.es

Abstract

Depression and Social Anxiety Disorder are commonly conceptualized by the presence of negative affect. However, these disorders are also characterized by lack of positive affect, presence of negative cognitions, and emotion dysregulation which may play an important role in the onset and maintenance of these disorders. The present study explored differences among these variables in 189 clinical patients diagnosed with Major Depression, Social Anxiety Disorder, or both. Results showed differences in lack of positivity F(2, 185) = 18.92, p = .0001, η2 = .17, presence of negative cognitions F(2, 185) = 13.97, p = .0001, η2 = .13, and the use of rumination F(2, 185) = 14.63, p = .0001, η2 = .14 and punishment F(2, 181) = 7.64, p = .001, η2 = .08 among groups. Overall, lack of positivity, negative cognitions, and emotion dysregulation were elevated in the comorbid group, whereas lack of positivity and negative cognitions were specifically found for patients diagnosed with depression compared to socially anxious patients. In addition, the study examined the relation of both, lack of positivity and negative cognitions, to emotion regulation processes among groups. Overall, lack of positivity was associated with fear and avoidance in the social anxiety group (all r > .417, p < .01), whereas lack of positivity and negative cognitions were associated with rumination across the three groups (all r > .370, p < .01). Limitations of the present study and future directions are discussed.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2017 

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Footnotes

This work was supported by MINECO grants. Ivan Blanco was supported by MINECO PSI2014–61764 (EXPLORA), PSI2014–56303-REDT, PSI2015–69253-R and, EEBB-I-16–11498. We also thank Teodoro Pascual and Teresa Boemo for their collaboration.

How to cite this article:

Blanco, I., & Joormann, J. (2017). Examining facets of depression and social anxiety: The relation among lack of positive affect, negative cognitions, and emotion dysregulation. The Spanish Journal of Psychology, 20. e51. Doi:10.1017/sjp.2017.43

References

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217237. https://doi.org/10.1016/j.cpr.2009.11.004 Google Scholar
American Psychiatric Association. (2000). DSM-IV-TR: Diagnostic and statistical manual of mental disorders, text revision. Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: American Psychiatric Association.Google Scholar
Andrews, G., Issakidis, C., & Carter, G. (2001). Shortfall in mental health service utilization. The British Journal of Psychiatry, 179, 417425. https://doi.org/10.1192/bjp.179.5.417 CrossRefGoogle Scholar
Barlow, D. H. (2004). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York, NY: Guilford press.Google Scholar
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. Philadelphia, PA: University of Pennsylvania Press.Google Scholar
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York, NY: International Universities Press.Google Scholar
Beck, A. T., Steer, R., & Brown, G. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corp.Google Scholar
Bergsma, A., Veenhoven, R., Have, M., & Graaf, R. (2011). Do they know how happy they are? On the value of self-rated happiness of people with a mental disorder. Journal of Happiness Studies, 12, 793806. https://doi.org/10.1007/s10902-010-9227-5 CrossRefGoogle Scholar
Carl, J. R., Soskin, D. P., Kerns, C., & Barlow, D. H. (2013). Positive emotion regulation in emotional disorders: A theoretical review. Clinical Psychology Review, 33, 343360. https://doi.org/10.1016/j.cpr.2013.01.003 Google Scholar
Chida, Y., & Steptoe, A. (2008). Positive psychological well-being and mortality: A quantitative review of prospective observational studies. Psychosomatic Medicine, 70, 741756. https://doi.org/10.1097/PSY.0b013e31818105ba Google Scholar
Dalrymple, K. L., & Zimmerman, M. (2007). Does comorbid social anxiety disorder impact the clinical presentation of principal major depressive disorder? Journal of Affective Disorders, 100(1), 241247. https://doi.org/10.1016/j.jad.2006.10.014 Google Scholar
De Jong, P. J., Sportel, B. E., de Hullu, E., & Nauta, M. H. (2012). Co-occurrence of social anxiety and depression symptoms in adolescence: Differential links with implicit and explicit self-esteem? Psychological Medicine, 42, 475484. https://doi.org/10.1017/S0033291711001358 Google Scholar
Dunn, R. T., Kimbrell, T. A., Ketter, T. A., Frye, M. A., Willis, M. W., Luckenbaugh, D. A., & Post, R. M. (2002). Principal components of the Beck Depression Inventory and regional cerebral metabolism in unipolar and bipolar depression. Biological Psychiatry, 51, 387399. https://doi.org/10.1016/S0006-3223(01)01244-6 Google Scholar
Duque, A., López-Gómez, I., Blanco, I., & Vázquez, C. (2015). Modificación de Sesgos Cognitivos (MSC) en depresión: Una revisión crítica de nuevos procedimientos para el cambio de sesgos cognitivos [Cognitive Bias Modification (CBM) in depression: A critical review of new procedures to change cognitive biases]. Terapia Psicológica, 33, 103116. https://doi.org/10.4067/S0718-48082015000200005 Google Scholar
Fehm, L., Beesdo, K., Jacobi, F., & Fiedler, A. (2008). Social anxiety disorder above and below the diagnostic threshold: Prevalence, comorbidity and impairment in the general population. Social Psychiatry and Psychiatric Epidemiology, 43, 257265. https://doi.org/10.1007/s00127-007-0299-4 Google Scholar
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders, Patient Edition (SCID-I/P). New York, NY: New York State Psychiatric Institute.Google Scholar
Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300319. https://doi.org/10.1037/1089-2680.2.3.300 Google Scholar
Fredrickson, B. L., 2003. The value of positive emotions. American Scientist, 91, 330335. https://doi.org/10.1511/2003.4.330 Google Scholar
Fredrickson, B. L., Mancuso, R. A., Branigan, C., & Tugade, M. M. (2000). The undoing effect of positive emotions. Motivation and Emotion, 24, 237258. https://doi.org/10.1023/A:1010796329158 Google Scholar
Graham, C., Higuera, L., & Lora, E. (2011). Which health conditions cause the most unhappiness? Health Economics, 20, 14311447. https://doi.org/10.1002/hec.1682 Google Scholar
Gross, J. J., & Jazaieri, H. (2014). Emotion, emotion regulation, and psychopathology: An affective science perspective. Clinical Psychological Science, 2, 387401. https://doi.org/10.1177/2167702614536164 Google Scholar
Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., Schneier, F. R., & Liebowitz, M. R. (1999). Psychometric properties of the Liebowitz social anxiety scale. Psychological Medicine, 29(1), 199212. https://doi.org/10.1017/S0033291798007879 CrossRefGoogle ScholarPubMed
Heimpel, S. A., Wood, J. V., Marshall, M. A., & Brown, J. D. (2002). Do people with low self-esteem really want to feel better? Self-esteem differences in motivation to repair negative moods. Journal of Personality and Social Psychology, 82(1), 128147. https://doi.org/10.1037//0022-3514.82.1.128 Google Scholar
Howell, R. T., Kern, M. L., & Lyubomirsky, S. (2007). Health benefits: Meta-analytically determining the impact of well-being on objective health outcomes. Health Psychology Review, 1(1), 83136. https://doi.org/10.1080/17437190701492486 Google Scholar
Ingram, R. E., Miranda, J., & Segal, Z. V. (1998). Cognitive vulnerability to depression. New York, NY: Guilford Press.Google Scholar
Joormann, J., & Siemer, M. (2014). Emotion regulation in mood disorders. In Gross, J. J. (Ed.), Handbook of emotion regulation (2nd Ed., pp. 320). New York, NY: Guilford Press.Google Scholar
Joormann, J., & Vanderlind, W. M. (2014). Emotion regulation in depression the role of biased cognition and reduced cognitive control. Clinical Psychological Science, 2, 402421. https://doi.org/10.1177/2167702614536163 Google Scholar
Kessler, R. C. (2012). The costs of depression. The Psychiatric Clinics of North America, 35(1), 114. https://doi.org/10.1016/j.psc.2011.11.005 Google Scholar
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593602. https://doi.org/10.1001/archpsyc.62.6.593 Google Scholar
Kupferberg, A., Bicks, L., & Hasler, G. (2016). Social functioning in major depressive disorder. Neuroscience & Biobehavioral Reviews, 69, 313332. https://doi.org/10.1016/j.neubiorev.2016.07.002 Google Scholar
MacLeod, A. K., Tata, P., Kentish, J., Carroll, F., & Hunter, E. (1997). Anxiety, depression, and explanation-based pessimism for future positive and negative events. Clinical Psychology & Psychotherapy, 4(1), 1524.Google Scholar
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology, 61(1), 115121. https://doi.org/10.1037/0022-3514.61.1.115 Google Scholar
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400424. https://doi.org/10.1111/j.1745-6924.2008.00088.x Google Scholar
Ohayon, M. M., & Schatzberg, A. F. (2010). Social phobia and depression: Prevalence and comorbidity. Journal of Psychosomatic Research, 68, 235243. https://doi.org/10.1016/j.jpsychores.2009.07.018 Google Scholar
Sanchez, A., Vazquez, C., Gomez, D., & Joormann, J. (2014). Gaze-fixation to happy faces predicts mood repair after a negative mood induction. Emotion, 14, 8594. https://doi.org/10.1037/a0034500 CrossRefGoogle ScholarPubMed
Stein, M. B., & Stein, D. J. (2008). Social anxiety disorder. The Lancet, 371, 11151125. https://doi.org/10.1016/S0140-6736(08)60488-2 CrossRefGoogle ScholarPubMed
Stein, M. B., McQuiad, J. R., Laffaye, C., & McCahill, M. E. (1999). Social phobia in the primary care medical setting. Journal of Family Practice, 48, 514–514.Google Scholar
Stevens, J. (2002). Applied multivariate statistics for the social sciences (4th Ed.). Hillsdale, NJ: Erlbaum.Google Scholar
Valiente, C., Cantero, D., Vázquez, C., Sanchez, Á., Provencio, M., & Espinosa, R. (2011). Implicit and explicit self-esteem discrepancies in paranoia and depression. Journal of Abnormal Psychology, 120, 691699. https://doi.org/10.1037/a0022856 Google Scholar
Vazquez, C., Rahona, J. J., Gomez, D., Caballero, F. F., & Hervás, G. (2015). A national representative study of the relative impact of physical and psychological problems on life satisfaction. Journal of Happiness Studies, 16(1), 135148. https://doi.org/10.1007/s10902-014-9501-z Google Scholar
Watson, D., & Naragon-Gainey, K. (2010). On the specificity of positive emotional dysfunction in psychopathology: Evidence from the mood and anxiety disorders and schizophrenia/schizotypy. Clinical Psychology Review, 30, 839848. https://doi.org/10.1016/j.cpr.2009.11.002 Google Scholar
Watson, D., Suls, J., & Haig, J. (2002). Global self-esteem in relation to structural models of personality and affectivity. Journal of Personality and Social Psychology, 83(1), 185197. https://doi.org/10.1037/0022-3514.83.1.185 Google Scholar
Wells, A., & Davies, M. I. (1994). The thought control questionnaire: A measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871878. https://doi.org/10.1016/0005-7967(94)90168-6 CrossRefGoogle ScholarPubMed
Wood, J. V., Heimpel, S. A., & Michela, J. L. (2003). Savoring versus dampening: Self-esteem differences in regulating positive affect. Journal of Personality and Social Psychology, 85, 566580. https://doi.org/10.1037/0022-3514.85.3.566 Google Scholar