Restricted accessResearch articleFirst published online 2022-12
The relationship between interdependent and independent self-construals and social anxiety symptom severity in a clinical sample of treatment-seeking patients
Differences in cultural orientations, such as interdependent and independent self-construals, may influence social anxiety disorder (SAD) symptom presentations. However, prior research on the association between interdependent/independent self-construals and SAD was limited to non-clinical samples. Using a treatment-seeking population with clinical levels of anxiety, the current study extends prior research by examining whether the relationship between interdependent/independent self-construals and SAD is specific to SAD or indicative of a broader relationship with anxiety or depression more generally. We also expand upon prior work by examining the effect of self-construals on treatment outcomes and whether self-construals change over time. The results showed that endorsing a less independent self-construal was associated with greater SAD symptoms specifically, and was not associated with other anxiety or depression symptom measures. Additionally, while interdependent and independent self-construals did not moderate SAD treatment outcomes, there was a decrease in interdependent self-construal and increase in independent self-construal over a course of cognitive behavioral therapy. Notably, this change over time was tied to specific items that correlated strongly with SAD symptoms. Together, these results increase our understanding of the relationship between interdependent/independent self-construals and SAD symptoms in treatment-seeking anxiety patients.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental health disorders. American Psychiatric Association (5th ed.). American Psychiatric Association.
2.
AsnaaniA.BenhamouK.KaczkurkinA. N.Turk-KaranE.FoaE. B. (2020). Beyond the constraints of an RCT: Naturalistic treatment outcomes for anxiety-related disorders. Behavior Therapy, 51(3), 434–446. https://doi.org/10.1016/j.beth.2019.07.007
3.
AsnaaniA.RicheyJ. A.DimaiteR.HintonD. E.HofmannS. G. (2010). A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders. Journal of Nervous and Mental Disease, 198(8), 551–555. https://doi.org/10.1097/NMD.0b013e3181ea169f
4.
Caldwell-HarrisC. L.AyçiçegiA. (2006). When personality and culture clash: The psychological distress of allocentrics in an individualist culture and idiocentrics in a collectivist culture. Transcultural Psychiatry, 43(3), 331–361. https://doi.org/10.1177/1363461506066982
5.
ChenX.RubinK. H.LiB. (1995). Social and school adjustment of shy and aggressive children in China. Development and Psychopathology, 7(2), 337–349. https://doi.org/10.1017/S0954579400006544
6.
ChiaoJ. Y.BlizinskyK. D. (2010). Culture-gene coevolution of individualismcollectivism and the serotonin transporter gene. Proceedings of the Royal Society B: Biological Sciences, 277(1681), 529–537. https://doi.org/10.1098/rspb.2009.1650
7.
ConnorK. M.DavidsonJ. R. T.Erik ChurchillL.SherwoodA.FoaE.WeislerR. H. (2000). Psychometric properties of the social phobia inventory (SPIN). New self- rating scale. British Journal of Psychiatry, 176, 379–386. https://doi.org/10.1192/bjp.176.4.379
8.
CraskeM. G.Roy-ByrneP. P.SteinM. B.SullivanG.SherbourneC.BystritskyA. (2009). Treatment for anxiety disorders: Efficacy to effectiveness to implementation. Behaviour Research and Therapy, 47(11), 931–937. https://doi.org/10.1016/j.brat.2009.07.012
9.
DanielsJ.WeardenA. J. (2011). Socialization to the model: The active component in the therapeutic alliance? A preliminary study. Behavioural and Cognitive Psychotherapy, 39(2), 221–227. https://doi.org/10.1017/S1352465810000792
10.
DinnelD. L.KleinknechtR. A.Tanaka-MatsumiJ. (2002). A cross-cultural comparison of social phobia symptoms. Journal of Psychopathology and Behavioral Assessment, 24(2), 75–84. https://doi.org/10.1023/A:1015316223631
11.
FehmL.BeesdoK.JacobiF.FiedlerA. (2008). Social anxiety disorder above and below the diagnostic threshold: Prevalence, comorbidity and impairment in the general population. Social Psychiatry and Psychiatric Epidemiology, 43, 257–265. https://doi.org/10.1007/s00127-007-0299-4
12.
FoaE. B.HembreeE. A.RothbaumB. (2007). Prolonged exposure therapy for PTSD. Oxford University Press.
13.
FoaE. B.YadinE.LichnerT. K. (2012). Exposure and response (ritual) prevention for obsessive-compulsive disorder: Therapist guide (2nd ed.). Oxford University Press.
14.
FongE. H.CatagnusR. M.BrodheadM. T.QuigleyS.FieldS. (2016). Developing the cultural awareness skills of behavior analysts. Behavior Analysis in Practice, 9(1), 84–94. https://doi.org/10.1007/s40617-016-0111-6
HarrisP. A.TaylorR.ThielkeR.PayneJ.GonzalezN.CondeJ. G. (2009). Research electronic data capture (REDCap) – A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. https://doi.org/10.1016/j.jbi.2008.08.010
17.
HeineS. J.LehmanD. R.PengK.GreenholtzJ. (2002). What’s wrong with cross-cultural comparisons of subjective Likert scales? The reference-group effect. Journal of Personality and Social Psychology, 82(6), 903–918. https://doi.org/10.1037/0022-3514.82.6.903
18.
HeineS. J.MarkusH. R.LehmanD. R.KitayanaS. (1999). Is there a universal need for positive self-regard?Psychological Review, 106(4), 766–794. https://doi.org/10.1037/0033-295X.106.4.766
19.
HeinrichsN.RapeeR. M.AldenL. A.BögelsS.HofmannS. G.Ja OhK.SakanoY. (2006). Cultural differences in perceived social norms and social anxiety. Behaviour Research and Therapy, 44(8), 1187–1197. https://doi.org/10.1016/j.brat.2005.09.006
20.
HofmannS. G.AsnaaniA.HintonD. E. (2010). Cultural aspects in social anxiety and social anxiety disorder. Depression and Anxiety, 27(12), 1117–1127. https://doi.org/10.1002/da.20759
21.
HofmannS. G.OttoM. W. (2008). Cognitive behavioral therapy for social anxiety disorder: Evidence-based and disorder-specific treatment techniques. Routledge. https://doi.org/10.4324/9780203927526
22.
HongJ. J.WoodyS. R. (2007). Cultural mediators of self-reported social anxiety. Behaviour Research and Therapy, 45(8), 1779–1789. https://doi.org/10.1016/j.brat.2007.01.011
KesslerR. C.BerglundP.DemlerO.JinR.MerikangasK. R.WaltersE. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593
25.
KitayamaS.ParkH. (2007). Cultural shaping of self, emotion, and well-being: How does it work?Social and Personality Psychology Compass, 1(1), 202–222. https://doi.org/10.1111/j.1751-9004.2007.00016.x
26.
KriegA.XuY. (2015). Ethnic differences in social anxiety between individuals of Asian heritage and European heritage: A meta-analytic review. Asian American Journal of Psychology, 6(1), 66–80. https://doi.org/10.1037/a0036993
27.
LevineT. R.BresnahanM. J.ParkH. S.LapinskiM. K.WittenbaumG. M.ShearmanS. M., Lee, S. Y., Chung, D., & OhashiR. (2003). Self-construal scales lack validity. Human Communication Research, 29(2), 210–252. https://doi.org/10.1093/hcr/29.2.210
28.
MarkusH. R.KitayamaS. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224–253. https://doi.org/10.1037/0033-295X.98.2.224
29.
McKnightP. E.MonfortS. S.KashdanT. B.BlalockD. V.CaltonJ. M. (2016). Anxiety symptoms and functional impairment: A systematic review of the correlation between the two measures. Clinical Psychology Review, 45, 115–130. https://doi.org/10.1016/j.cpr.2015.10.005
30.
NorasakkunkitV.KalickS. M. (2002). Culture, ethnicity, and emotional distress measures: The role of self-construal and self-enhancement. Journal of Cross-Cultural Psychology, 33(1), 56–70. https://doi.org/10.1177/0022022102033001004
31.
NorasakkunkitV.KalickS. M. (2009). Experimentally detecting how cultural differences on social anxiety measures misrepresent cultural differences in emotional well-being. Journal of Happiness Studies, 10(3), 313–327. https://doi.org/10.1007/s10902-007-9082-1
32.
NorasakkunkitV.KitayamaS.UchidaY. (2012). Social anxiety and holistic cognition: self-focused social anxiety in the United States and other-focused social anxiety in Japan. Journal of Cross-Cultural Psychology, 43(5), 742–757. https://doi.org/10.1177/0022022111405658
33.
OkazakiS. (1997). Sources of ethnic differences between Asian American and white American college students on measures of depression and social anxiety. Journal of Abnormal Psychology, 106(1), 52–60. https://doi.org/10.1037/0021-843X.106.1.52
34.
PatelA.KnappM.HendersonJ.BaldwinD. (2002). The economic consequences of social phobia. Journal of Affective Disorders, 68(2–3), 221–233. https://doi.org/10.1016/S0165-0327(00)00323-2
35.
PilarskaA. (2014). Self-construal as a mediator between identity structure and subjective well-being. Current Psychology, 33(2), 130–154. https://doi.org/10.1007/s12144-013-9202-5
36.
RoemerL.OrsilloS. M. (2012). Anxiety disorders: Acceptance, compassion and wisdom. In GermerC.SiegelR. (Eds.), Wisdom and compassion in psychotherapy: Deepening mindfulness in clinical practice (pp. 234–248). The Guilford Press.
37.
SareenJ.CoxB. J.AfifiT. O.de GraafR.AsmundsonG. J. G.ten HaveM.SteinM. B. (2005). Anxiety disorders and risk for suicidal ideation and suicide attempts. Archives of General Psychiatry, 62(11), 1249. https://doi.org/10.1001/archpsyc.62.11.1249
38.
SherryA.HensonR. K. (2005). Conducting and interpreting canonical correlation analysis in personality research: A user-friendly primer. Journal of Personality Assessment, 84(1), 37–48. https://doi.org/10.1207/s15327752jpa8401_09
39.
SingelisT. (1994). The measurement of independent and interdependent self-construals. Personality and Social Psychology Bulletin, 20(5), 580–591. https://doi.org/10.1177/0146167294205014
40.
Vacha-HaaseT.ThompsonB. (2004). How to estimate and interpret various effect sizes. Journal of Counseling Psychology, 51(4), 473–481. https://doi.org/10.1037/0022-0167.51.4.473
41.
VandelloJ. A.CohenD. (1999). Patterns of individualism and collectivism across the United States. Journal of Personality and Social Psychology, 77(2), 279–292. https://doi.org/10.1037/0022-3514.77.2.279
42.
VignolesV. L.OweE.BeckerM.SmithP. B.EasterbrookM. J.BrownR., González, R., Didier, N., Carrasco, D., Cadena, M. P., Lay, S., Schwartz, S. J., Des Rosiers, S. E., Villamar, J. A., Gavreliuc, A., Zinkeng, M., Kreuzbauer, R., Baguma, P., Martin, M., & BondM. H. (2016). Beyond the “east-west” dichotomy: Global variation in cultural models of selfhood. Journal of Experimental Psychology: General, 145(8), 966–1000. https://doi.org/10.1037/xge0000175
43.
WongQ. J. J.MouldsM. L. (2014). An examination of the measurement equivalence of the brief fear of negative evaluation scale across individuals who identify with an Asian ethnicity and individuals who identify with a European ethnicity. Assessment, 21(6), 713–722. https://doi.org/10.1177/1073191114528570
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