Publication: Predictores de la Ansiedad Social desde una perspectiva transdiagnóstica: un estudio piloto
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2018
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Abstract
El temor y la ansiedad social (AS), son dos fenómenos que responden a razones adaptativas, en las que se activan "alertas", ante situaciones sociales inciertas; cuando se presentan de manera disfuncional, pueden alcanzar niveles clínicos de malestar, tal es el caso del Trastorno de Ansiedad Social (TAS), caracterizado por el miedo intenso a ser evaluado por parte de los demás. El TAS muestra una marcada dimensionalidad, ya que sus características centrales se encuentran presentes, aunque en niveles diversos, también en población sub-clínica; además, presenta una tasa elevada de comorbilidad. En los últimos años, se ha reconocido la importancia de los estudios trasndiagnósticos de cara a una mejor comprensión de la etiología y el mantenimiento del Trastorno. De allí que el presente estudio tenga como objetivo identificar el valor predictivo de la regulación emocional; la intolerancia ante la incertidumbre, los pensamientos repetitivos negativos, la auto-presentación perfeccionista, el perfeccionismo socialmente prescrito; así como el de las variables inherentes a la sintomatología psicopatológica del estrés, la ansiedad y la depresión; en relación a los síntomas de la AS presentes en la población general. Para ello, se propone una investigación transversal correlacional exploratoria, realizada con una muestra de 175 personas, mediante la aplicación de 9 cuestionarios psicométricos estandarizados de auto-informe. Se realizan pruebas CHI2, correlación bivariada de Pearson, y regresión linear múltiple. Se presentan y discuten los resultados y se proponen las conclusiones.
Fear and social anxiety (SA) are two phenomena that respond to adaptive reasons, in which "alerts" are activated when faced with uncertain social situations; when they occur in a dysfunctional manner, they can reach clinical levels of discomfort, as is the case with Social Anxiety Disorder (SAD), characterized by intense fear of being evaluated by others. SAD shows a marked dimensionality, since its central characteristics are present, although at different levels, also in the sub-clinical population; in addition, it presents a high rate of comorbidity. In recent years, the importance of transdiagnostic studies for a better understanding of the etiology and maintenance of the disorder has been recognized. Hence, the present study aims to identify the predictive value of emotional regulation; intolerance to uncertainty, negative repetitive thoughts, perfectionist self-presentation, socially prescribed perfectionism; as well as the variables inherent to the psychopathological symptomatology of stress, anxiety and depression in relation to the symptoms of SA present in the general population. To this end, an exploratory correlational cross-sectional research is proposed, carried out with a sample of 175 people, through the application of 9 standardized psychometric self-report questionnaires. CHI2, Pearson bivariate correlation, and multiple linear regression are performed. The results are presented and discussed and conclusions are proposed.
Fear and social anxiety (SA) are two phenomena that respond to adaptive reasons, in which "alerts" are activated when faced with uncertain social situations; when they occur in a dysfunctional manner, they can reach clinical levels of discomfort, as is the case with Social Anxiety Disorder (SAD), characterized by intense fear of being evaluated by others. SAD shows a marked dimensionality, since its central characteristics are present, although at different levels, also in the sub-clinical population; in addition, it presents a high rate of comorbidity. In recent years, the importance of transdiagnostic studies for a better understanding of the etiology and maintenance of the disorder has been recognized. Hence, the present study aims to identify the predictive value of emotional regulation; intolerance to uncertainty, negative repetitive thoughts, perfectionist self-presentation, socially prescribed perfectionism; as well as the variables inherent to the psychopathological symptomatology of stress, anxiety and depression in relation to the symptoms of SA present in the general population. To this end, an exploratory correlational cross-sectional research is proposed, carried out with a sample of 175 people, through the application of 9 standardized psychometric self-report questionnaires. CHI2, Pearson bivariate correlation, and multiple linear regression are performed. The results are presented and discussed and conclusions are proposed.
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Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. http://doi.org/10.1016/j.cpr.2009.11.004
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.) (5th. ed). Washington, DC: Author.
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181. http://doi.org/10.1037/1040-3590.10.2.176
Belloch, A. (2012). Propuestas Para Un Enfoque Transdiagnóstico De Los Trastornos Mentales Y Del Comportamiento : Revista De Psicopatologia Y Psicologia Clinica, 17(3), 295–311.
Carleton, R. N., Mulvogue, M. K., Thibodeau, M. A., McCabe, R. E., Antony, M. M., & Asmundson, G. J. G. (2012). Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression. Journal of Anxiety Disorders, 26(3), 468–479. http://doi.org/10.1016/j.janxdis.2012.01.011
Carleton, R. N., Norton, M. A. P. J., & Asmundson, G. J. G. (2007). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21(1), 105–117. http://doi.org/10.1016/j.janxdis.2006.03.014
Egan, S. J., Wade, T. D., & Shafran, R. (2011). Perfectionism as a transdiagnostic process: A clinical review. Clinical Psychology Review, 31(2), 203–212. http://doi.org/10.1016/j.cpr.2010.04.009
English, T., Lee, I. A., John, O. P., & Gross, J. J. (2016). Emotion regulation strategy selection in daily life: The role of social context and goals. Motivation and Emotion, (Gross 1998), 1–13. http://doi.org/10.1007/s11031-016-9597-z
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. http://doi.org/10.1037/0022-3514.85.2.348
Hewitt, P., & Flett, G. (1991). Perfectionism in the self and social contexts: conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60(3), 456–470. http://doi.org/10.1037/0022-3514.60.3.456
Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., … Stein, M. B. (2003). The interpersonal expression of perfection: Perfectionistic self-presentation and psychological distress. Journal of Personality and Social Psychology, 84(6), 1303–1325. http://doi.org/10.1037/0022-3514.84.6.1303
Hofmann, S. G., Carpenter, J. K., & Curtiss, J. (2016). Interpersonal Emotion Regulation Questionnaire (IERQ): Scale Development and Psychometric Characteristics. Cognitive Therapy and Research, 40(3), 341–356. http://doi.org/10.1007/s10608-016-9756-2
Hyett, M. P., & McEvoy, P. M. (2018). Social anxiety disorder: looking back and moving forward. Psychological Medicine, (1621), 1–8. http://doi.org/10.1017/S0033291717003816
Khawaja, N. G., & Yu, L. N. H. (2010). A comparison of the 27-item and 12-item intolerance of uncertainty scales. Clinical Psychologist, 14(3), 97–106. http://doi.org/10.1080/13284207.2010.502542
Koyuncu, A., Ertekin, E., Binbay, Z., Özyiıldırım, O., Yüksel, Ç., & Tükel, R. (2014). The clinical impact of mood disorder comorbidity on social anxiety disorder. Comprehensive Psychiatry, 55(1), 363–369. http://doi.org/10.1007/s00406-006-0632-z
Krueger, R. F., & Eaton, N. R. (2015). Transdiagnostic factors of mental disorders. World Psychiatry, 14(1), 27–29. http://doi.org/10.1002/wps.20175
Lahey, B. B., Krueger, R. F., Rathouz, P. J., Waldman, I. D., & Zald, D. H. (2017). A hierarchical causal taxonomy of psychopathology across the life span. Psychological Bulletin, 143(2), 142–186. http://doi.org/10.1037/bul0000069
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. http://doi.org/10.1016/0005-7967(94)00075-U
Mansell, W., Harvey, A., Watkins, E., & Shafran, R. (2009). Conceptual Foundations of the Transdiagnostic Approach to CBT. Journal of Cognitive Psychotherapy, 23(1), 6–19. http://doi.org/10.1891/0889-8391.23.1.6
Mansell, W., & McEvoy, P. M. (2017). A test of the core process account of psychopathology in a heterogenous clinical sample of anxiety and depression: A case of the blind men and the elephant? Journal of Anxiety Disorders, 46(file:///Users/mariadrmc/Downloads/hong2014.pdf), 4–10. http://doi.org/10.1016/j.janxdis.2016.06.008
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(4), 455–470. http://doi.org/10.1016/S0005-7967(97)10031-6
McEvoy, P., Thibodeau, M., & Asmundson, G. (2014). Trait Repetitive Negative Thinking: A Brief Transdiagnostic Assessment. Journal of Experimental Psychopathology, 5(3), 382–398. http://doi.org/10.5127/jep.037813
McNeil, D. W., & Randall, C. L. (2014). Conceptualizing and Describing Social Anxiety and Its Disorders. In P. Hofmann, S. and Di Bartolo (Ed.), Social Anxiety (Third Edit, pp. 3–26). Elsevier. http://doi.org/10.1016/B978-0-12-394427-6.00001-7
Nolen-Hoeksema, S., & Watkins, E. R. (2011). A heuristic for developing transdiagnostic models of psychopathology: Explaining multifinality and divergent trajectories. Perspectives on Psychological Science, 6(6), 589–609. http://doi.org/10.1177/1745691611419672
Schreier, S. S., Heinrichs, N., Alden, L., Rapee, R. M., Hofmann, S. G., Chen, J., … Bögels, S.
(2010). Social anxiety and social norms in individualistic and collectivistic countries. Depression and Anxiety, 27(12), 1128–1134. http://doi.org/10.1002/da.20746
Spence, S. H., & Rapee, R. M. (2016). The etiology of social anxiety disorder: An evidence-based model. Behaviour Research and Therapy, 86, 50–67. http://doi.org/10.1016/j.brat.2016.06.007
Stein, D. J., Lim, C. C. W., Roest, A. M., de Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., … Scott, K. M. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine, 15(1), 143. http://doi.org/10.1186/s12916-017-0889-2
Sternheim, L., Startup, H., & Schmidt, U. (2011). Journal of Anxiety Disorders An experimental exploration of behavioral and cognitive – emotional aspects of intolerance of uncertainty in eating disorder patients. Journal of Anxiety Disorders, 25(6), 806–812. http://doi.org/10.1016/j.janxdis.2011.03.020
Weeks, J. W., Norton, P. J., & Heimberg, R. G. (2009). Exploring the latent structure of two cognitive components of social anxiety: Taxometric analyses of fears of negative and positive evaluation. Depression and Anxiety, 26(2), 40–48. http://doi.org/10.1002/da.20414
Wong, Q. J., & Rapee, R. M. (2016). The aetiology and maintenance of social anxiety disorder: A synthesis of complimentary theoretical models and formulation of a new integrated model. Journal of Affective Disorders, 203, 84–100. http://doi.org/10.1016/j.jad.2016.05.069