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KMID : 0981220220220040311
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Congnitive Behavior Therapy in Korea
2022 Volume.22 No. 4 p.311 ~ p.339
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The effects of safety behaviors on post-event processing in social anxiety disorder: An ecological momentary assessment study
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Kim Da-Hye
Ahn Jung-Kwang
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Abstract
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Individuals with social anxiety disorder (SAD) use safety behaviors to hide their anxiety symptoms in social situations. After the social situation, people with SAD experience post-event processing (PEP). During this process, individuals with SAD focus only on the negative aspects of the social situation, provoking anxiety. Safety behaviors and PEP have been emphasized for a long time. However, experimental studies demonstrating the causal relationship between the two are somewhat lacking due to research methods and measurement difficulties. This study aimed to demonstrate the causal relationship between safety behaviors and PEP in individuals with SAD using ecological-momentary assessment (EMA). Participants diagnosed with SAD were randomly assigned into two groups: with or without safety behaviors use. Idiosyncratic safety behaviors were identified through the safety-behavior questionnaires and individual interviews. After a 5-minutes impromptu speech, participants answered the level of PEP about their speech for ten days through the EMA. As a result, there were no significant differences in the level of PEP between the two groups immediately after the speech. PEP decreased significantly during the ten days, but the two groups had no significant interaction effects. Regardless of the groups, participants who experienced socially anxious situations experienced a higher level of PEP than those who did not experience social situations. This study suggested questionnaires and individual interviews to identify idiosyncratic safety behaviors. Furthermore, there should be intervention in the cognitive process between safety behavior and PEP.
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KEYWORD
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social anxiety disorder, safety behavior, post-event processing, ecological momentary assessment, short-term longitudinal study
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