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Cognitive processes in social phobia

L Stopa1, D M Clark

  • 1Department of Psychiatry, University of Oxford, Warneford Hospital, U.K.

Behaviour Research and Therapy
|March 1, 1993
PubMed
Summary
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Social phobics experience more negative self-thoughts and underperform in social situations compared to controls. Their negative thoughts are not driven by external social cues, suggesting a cognitive model adjustment for social phobia treatment.

Area of Science:

  • Psychology
  • Cognitive Behavioral Therapy

Background:

  • Social phobia is characterized by intense fear and avoidance of social situations.
  • The cognitive model of social phobia suggests that negative self-evaluation plays a key role.

Purpose of the Study:

  • To investigate the cognitive model of social phobia by examining thoughts, behavior, and attention during a social interaction.
  • To compare social phobics with anxious and non-patient controls.

Main Methods:

  • Participants engaged in a brief, videotaped conversation with a confederate.
  • Thought content, performance, and attention were assessed during the conversation.
  • Content analysis of thought sampling data was performed.

Main Results:

Related Experiment Videos

  • Social phobics reported more negative self-evaluative thoughts than control groups.
  • Social phobics performed worse and underestimated their performance.
  • No significant differences in attention were observed between groups.

    • Conclusions:

    • Social phobics' negative thoughts may not be directly driven by observable social cues.
    • Findings support the cognitive model but suggest a need to refine understanding of thought processes in social phobia.
    • Implications for cognitive behavioral therapy (CBT) for social phobia are discussed.