ArticlePDF Available

Abstract and Figures

Understanding how individuals with varying levels of social anxiety respond to daily positive events is important. Psychological processes that increase positive emotions are being widely used as strategies to not only enhance well-being but also reduce the symptoms and impairment tied to negative emotional dispositions and conditions, including excessive social anxiety. At present, it is unclear whether and how levels of social anxiety impact the psychological benefits derived from momentary positive events. We used ecological momentary assessment to examine the impact of trait social anxiety on momentary changes in emotions, sense of belonging, and social approach versus avoidance motivation following positive events in daily life. Over the course of a week, people with elevated social anxiety experienced greater momentary anxiety and social avoidance motivation and lower momentary happiness and sense of belonging on average. Despite these impairments, individuals with elevated social anxiety experienced greater psychological benefits-in the form of reduced anxiety and motivation to avoid social situations, and an increased sense of belonging-following positive events during the past hour that were rated as particularly intense. This pattern of findings was not specific to social anxiety, with evidence of similar effects for other forms of internalizing psychopathology (general anxiety and depression). These observations detail circumstances in which individuals with social anxiety, and other emotional disturbances, can thrive-creating potentially important targets for intervention. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
Content may be subject to copyright.
Emotion
The Momentary Benefits of Positive Events for
Individuals With Elevated Social Anxiety
James D. Doorley, Fallon R. Goodman, David J. Disabato, Todd B. Kashdan, Jennifer S. Weinstein,
and Alexander J. Shackman
Online First Publication, January 16, 2020. http://dx.doi.org/10.1037/emo0000725
CITATION
Doorley, J. D., Goodman, F. R., Disabato, D. J., Kashdan, T. B., Weinstein, J. S., & Shackman, A. J.
(2020, January 16). The Momentary Benefits of Positive Events for Individuals With Elevated Social
Anxiety. Emotion. Advance online publication. http://dx.doi.org/10.1037/emo0000725
The Momentary Benefits of Positive Events for Individuals With Elevated
Social Anxiety
James D. Doorley, Fallon R. Goodman,
David J. Disabato, and Todd B. Kashdan
George Mason University
Jennifer S. Weinstein and Alexander J. Shackman
University of Maryland, College Park
Understanding how individuals with varying levels of social anxiety respond to daily positive events is
important. Psychological processes that increase positive emotions are being widely used as strategies to
not only enhance well-being but also reduce the symptoms and impairment tied to negative emotional
dispositions and conditions, including excessive social anxiety. At present, it is unclear whether and how
levels of social anxiety impact the psychological benefits derived from momentary positive events. We
used ecological momentary assessment to examine the impact of trait social anxiety on momentary
changes in emotions, sense of belonging, and social approach versus avoidance motivation following
positive events in daily life. Over the course of a week, people with elevated social anxiety experienced
greater momentary anxiety and social avoidance motivation and lower momentary happiness and sense
of belonging on average. Despite these impairments, individuals with elevated social anxiety experienced
greater psychological benefits—in the form of reduced anxiety and motivation to avoid social situations,
and an increased sense of belonging—following positive events during the past hour that were rated as
particularly intense. This pattern of findings was not specific to social anxiety, with evidence of similar
effects for other forms of internalizing psychopathology (general anxiety and depression). These
observations detail circumstances in which individuals with social anxiety, and other emotional distur-
bances, can thrive— creating potentially important targets for intervention.
Keywords: ecological momentary assessment, emotion, experience sampling method, positive affect,
social anxiety
Supplemental materials: http://dx.doi.org/10.1037/emo0000725.supp
Individuals with elevated levels of social anxiety are prone to
frequent, excessive fear and avoidance of social interactions and
other situations that carry the potential for social scrutiny (e.g.,
Rapee & Heimberg, 1997). There is growing evidence that indi-
viduals with elevated social anxiety also have deficits in positive
affect. Research using diary techniques and other retrospective
methods shows that individuals with elevated social anxiety tend
to experience blunted positive affect and, in some cases, report
fewer and less intense positive events (Blanco & Joormann, 2017;
T. A. Brown, Chorpita, & Barlow, 1998; Farmer & Kashdan,
2012; Geyer et al., 2018; Kashdan, 2002, 2007; Kashdan & Breen,
2008; Kashdan & Collins, 2010; Kashdan & Steger, 2006; Kash-
dan, Weeks, & Savostyanova, 2011). For example, Farmer and
Kashdan (2012) used 2 weeks of diary data to demonstrate that
individuals with higher levels of social anxiety report significantly
less intense positive affect in their daily lives. In the laboratory,
individuals with elevated social anxiety have been shown to ex-
perience distress in response to normatively rewarding social in-
teractions, such as receiving positive feedback from an unfamiliar
but warm and personable confederate (e.g., Kashdan & Roberts,
2006; Wallace & Alden, 1997; Weeks, Heimberg, Rodebaugh, &
Norton, 2008).
Other research motivates the hypothesis that individuals with
elevated social anxiety can derive enhanced emotional benefits—
that is, a steeper reduction in negative affect—from positive events
compared to those with low social anxiety. Using a daily diary
approach, Kashdan and colleagues (2014) showed that individuals
James D. Doorley, Fallon R. Goodman, XDavid J. Disabato, and Todd
B. Kashdan, Department of Psychology, George Mason University; Jen-
nifer S. Weinstein and Alexander J. Shackman, Department of Psychology
and Neuroscience, University of Maryland, College Park.
James D. Doorley, David J. Disabato, and Fallon R. Goodman designed the
analytic strategy. James D. Doorley and David J. Disabato performed analyses.
James D. Doorley drafted the article and created tables with assistance and
feedback from all authors. David J. Disabato created the figures. Alexander J.
Shackman and Jennifer S. Weinstein designed the study and collected data.
Todd B. Kashdan and Alexander J. Shackman supervised and funded the
work, respectively. All of the authors edited the article and approved the final
version. The data featured in this report are available via the Open Science
Framework (https://osf.io/b83rv/). This work was supported by the National
Institutes of Health (DA040717 and MH107444) and the University of Mary-
land. The authors acknowledge the assistance of Kathryn DeYoung, Laura
Friedman, and members of the Affective and Translational Neuroscience
laboratory as well as critical feedback from J. Hur and M. Barstead.
Correspondence concerning this article should be addressed to James D.
Doorley, Department of Psychology, George Mason University, 4400
University Drive, Fairfax, VA 22030. E-mail: jddoorley@gmail.com
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Emotion
© 2020 American Psychological Association 2020, Vol. 1, No. 999, 000
ISSN: 1528-3542 http://dx.doi.org/10.1037/emo0000725
1
with higher levels of social anxiety experience larger reductions in
anxiety on days following especially pleasurable and intimate
sexual experiences. Indirect support for this hypothesis comes
from evidence that individuals with low levels of well-being or
high levels of depression—features characteristic of many individ-
uals with extreme social anxiety (e.g., Eng, Coles, Heimberg, &
Safren, 2005; Kashdan, 2007; Stein & Kean, 2000)—tend to profit
more from positive daily events, as indexed by larger decreases in
negative affect and larger increases in positive affect (Bylsma,
Taylor-Clift, & Rottenberg, 2011; Lamers et al., 2018; Grosse
Rueschkamp, Kuppens, Riediger, Blanke, & Brose, 2018; Thomp-
son et al., 2012). Whether individuals with elevated social anxiety
show similar “mood-brightening” effects (Rottenberg, 2017) re-
mains unknown.
In the present study, we used smartphone ecological momentary
assessment (EMA) to intensively sample changes in mood (hap-
piness and anxiety), sense of belonging, and social motivation
(approach and avoidance) in the daily lives of 125 young adults.
Prior to the EMA portion of the study, participants completed
measures of trait social anxiety, general anxiety, and depression.
At each assessment, participants also rated the intensity of their
most positive event during the past hour, enabling us to assess
momentary perceptions of naturally occurring, subjectively posi-
tive events. Because EMA data are captured in the real world, in
real time, they circumvent many of the biases that can distort
retrospective reports and provide insights into how emotional
experience dynamically changes in response to positive events
(Barrett, 1997; Lay, Gerstorf, Scott, Pauly, & Hoppmann, 2017;
Stone, Shiffman, Atienza, & Nebeling, 2007). We focused on
young adulthood because it is a time of profound, often stressful
developmental transitions (e.g., moving away from home, forging
new social relationships; Arnett, 2000; Hays & Oxley, 1986). In
fact, more than half of undergraduate students report overwhelm-
ing anxiety (American College Health Association, 2016), with
many experiencing the first onset or recurrence of internalizing
disorders during this period (Auerbach et al., 2016, 2018; Kessler,
Chiu, Demler, Merikangas, & Walters, 2005; Russell & Shaw,
2009; Vos et al., 2016). In particular, young adults with elevated
social anxiety tend to experience substantial distress and impair-
ment and are more likely to develop a range of psychological
disorders (Merikangas, Avenevoli, Acharyya, Zhang, & Angst,
2002).
Using these data, we tested the following hypotheses:
Hypothesis 1: Consistent with decades of emotion research,
we expected that positive events from the previous hour that
are rated as more intense will enhance momentary mood
(increase happiness, decrease anxiety), sense of belonging,
and social motivation (increase approach, decrease avoidance;
e.g., Rolls, 2018).
Hypothesis 2: Consistent with prior work by our group and
others (e.g., T. A. Brown et al., 1998; Geyer et al., 2018;
Kashdan & Collins, 2010; Kashdan & Steger, 2006; Kashdan
et al., 2011), we anticipated that elevated social anxiety will be
associated with lower average levels of happiness, social
belonging, and social approach motivation, and higher aver-
age levels of anxiety and social avoidance motivation. We also
expected that individuals with elevated trait social anxiety
would perceive positive events during the past hour as less
intense.
Hypothesis 3a: Based on findings from positivity deficit re-
search in social anxiety (e.g., Kashdan, 2007; Wallace &
Alden, 1997; Weeks et al., 2008), it may be that individuals
with elevated social anxiety derive smaller psychological ben-
efits from positive events (i.e., attenuated improvements in
mood, sense of belonging, and social motivation).
Hypothesis 3b: In contrast, recent research on social anxiety
and other emotional disturbances motivates the competing
hypothesis that individuals with elevated social anxiety will
derive larger psychological benefits (i.e., amplified improve-
ments in mood, social belonging, and social motivation) fol-
lowing momentary positive events (e.g., Kashdan et al., 2014;
Morgan et al., 2017; Rottenberg, 2017).
Exploratory Hypothesis 4: To test for the specificity of the
hypothesized effects of social anxiety, we collected data on
trait levels of general anxiety and depression and explored
whether scores on each measure impacted the psychological
benefits of momentary positive events (cf. Conway et al.,
2019).
Understanding how individuals with varying levels of social
anxiety respond to daily positive events is important. Psycholog-
ical processes that increase positive emotions are being widely
used as strategies to not only enhance well-being but also reduce
the symptoms and impairment tied to negative emotional disposi-
tions and conditions, including excessive social anxiety (e.g.,
Quoidbach, Mikolajczak, & Gross, 2015; Taylor, Lyubomirsky, &
Stein, 2017). At present, it is unclear whether and how levels of
social anxiety impact the psychological benefits derived from
momentary positive events. Addressing this question should help
propel the field forward by providing clues about etiology, iden-
tifying potentially modifiable targets (e.g., positive event exposure
and appraisal), and informing the development of more effective
interventions for individuals at increased risk for developing social
anxiety and related disorders.
Method
Participants and Procedure
As part of an ongoing program of research focused on the
etiology of mood and anxiety disorders, 2,501 individuals com-
pleted screening measures of negative emotionality—the propen-
sity to experience and express more frequent, intense, and endur-
ing anxiety, worry, and other negative emotions (Shackman et al.,
2016, 2018)—in exchange for course extra credit. Data from the
screening assessment were stratified by tertile (high, medium, low)
and sex (male, female). For the EMA study, 133 university stu-
dents with consistent smartphone access were independently and
randomly recruited via e-mail from each of the resulting six strata,
enabling us to sample a broad spectrum of social anxiety without
gaps or discontinuities.
Eight participants were excluded from data analysis: Six were
excluded for insufficient compliance with the EMA protocol
(50% completed assessments) and two were excluded because of
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
2DOORLEY ET AL.
missing social anxiety data. Thus, the final sample was comprised
of 125 participants (50.4% women; 53.2% White, 16.1% Asian,
12.9% Black, 11.3% multiracial/other, and 6.5% Hispanic). The
mean age was 19.3 years old (SD 1.6). The final sample did not
differ significantly from the initial screening sample on demo-
graphics. At enrollment, participants provided written informed
consent, were trained on the EMA protocol, and completed trait
measures of social anxiety, general anxiety, and depression.
SurveySignal (Hofmann & Patel, 2015) was used to deliver 10
text messages per day to each subject’s smartphone. Messages
were delivered between 8:30 a.m. and 11:00 p.m., with 1 to 2 hr
between successive messages (M86.5 min, SD 14.7 min).
Surveys took an average of 3.25 min to complete (SD 5.65 min).
During weekday hours, messages were delivered between regu-
larly scheduled university courses to maximize compliance. Mes-
sages contained a link to a secure online survey. Participants were
instructed to respond within 30 min of receiving the message and
cautioned to avoid responding at unsafe or inconvenient moments
(median response latency 8.78 min, SD 15.85 min). At
enrollment, several well-established procedures were used to max-
imize compliance (Palmier-Claus et al., 2011). These procedures
included (a) delivering a test message to the subject’s phone in the
laboratory and confirming that they were able to successfully
complete the online survey, (b) providing subjects with a 24/7
technical support number, (c) 24-hr and 72-hr check-in calls or
e-mails, (d) real-time monitoring of compliance using the Survey-
Signal dashboard and recontacting subjects showing low levels of
compliance, and (e) monetary bonuses for increased compliance.
Participants were debriefed and compensated after the seventh day
of data collection. In the final sample, EMA compliance was
acceptable (M79%, SD 11%) and unrelated to social anxiety
(r.04, p.66). Participants provided informed written consent
and the University of Maryland’s Institutional Review Board ap-
proved all procedures.
Trait Measures
Social anxiety. Trait-level social anxiety symptoms were as-
sessed using the 19-item Social Interaction Anxiety Scale (SIAS;
Mattick & Clarke, 1998). Items assess fear and avoidance of social
interactions using a 5-point Likert scale (1 not at all charac-
teristic of me;5extremely characteristic of me). Sample items
include “I worry about expressing myself in case I appear awk-
ward,” “I find myself worrying that I won’t know what to say in
social situations,” and “I feel tense if I am alone with just one other
person.” The SIAS reliably discriminates individuals with social
anxiety disorder from those with other anxiety disorders (E. J.
Brown et al., 1997; Cox, Ross, Swinson, & Direnfeld, 1998) and
shows excellent psychometric properties (Rodebaugh, Woods,
Heimberg, Liebowitz, & Schneier, 2006). Reliability was accept-
able in the present sample (␣⫽.96).
General anxiety. Trait-level general anxiety symptoms were
assessed using the 10-item trait anxiety scale from the Interna-
tional Personality Item Pool (IPIP; 2001), which provides a variety
of freely available, expert-developed scales of personality and
individual differences. Items assess symptoms of general trait
anxiety using a 5-point Likert scale (1 very inaccurate;5very
accurate). Sample items include “I worry about things” and “I am
relaxed most of the time.” The Trait Anxiety scale of the IPIP
demonstrates strong test–retest reliability (r.91; see DiBattista
& Gosse, 2006) and strong, positive correlations with other mea-
sures of anxiety (e.g., the Revised NEO Personality Inventory
Anxiety scale; Costa & MacCrae, 1992; Goldberg, 1999). Reli-
ability was acceptance in the present sample (␣⫽.81).
Depression. Trait-level depression symptoms were assessed
using the 20-item General Depression scale from the Inventory for
Depression and Anxiety (IDAS; Watson et al., 2007). Items assess
symptoms of depression on a 5-point Likert scale (1 not at all;
5extremely). Sample items include “I felt depressed” and “I felt
inadequate.” The General Depression scale has acceptable test–
retest reliability over 1 week (r.84; Watson et al., 2007), strong
criterion validity with Diagnostic and Statistical Manual of Mental
Disorders (4th ed.; DSM–IV; American Psychiatric Association,
1994) diagnoses of major depression, and strong incremental va-
lidity in predicting DSM–IV depressive disorder diagnoses above
and beyond the Beck Depression Inventory-II (Watson et al.,
2008). Reliability was acceptable in the present sample (␣⫽.89).
EMA Survey
Happiness (cheerful, happy, joyful), anxiety (anxious, nervous,
worried), sense of belonging (acceptance, connectedness), and
social approach/avoidance motivation (want to be with other peo-
ple, want to be alone) were rated usinga1(not at all)to5(very)
scale. Participants also recorded their best (most positive) event in
the past hour with a brief, one-to-three-word response. Common
positive events included, “watching TV,” “working out,” “walk-
ing,” “showering,” “seeing friends,” “napping,” and “relaxing.”
Participants then rated the intensity of their most positive event
during the past hour using the same 5-point scale.
EMA Data Reduction
Given strong within-person correlations between cheerful, joy-
ful, and happy (rs.84 –.89) and nervous, anxious, and uneasy
(rs.75–.79), we created composite Happiness and Anxiety
scales. We used procedures outlined by Lane and Shrout (2010) to
compute within-person scale reliability across repeated measure-
ments for these three-item composite scales. Both the happiness
(R
CN
.88) and anxiety (R
CN
.82) scales demonstrated accept-
able reliability. We also combined momentary perceived social
acceptance and connectedness items to form a composite measure
of sense of belonging. There is disagreement in the literature
regarding best practices for calculating reliability for two-item
scales (e.g., Eisinga, Grotenhuis, & Pelzer, 2013), so we calculated
a simple within-person correlation between the two scale items
across time points (r.60).
Data Analytic Strategy
Analyses were conducted using R Version 3.6.1 (R Core Team,
2019). For primary analyses, data were hierarchically nested in
two-level models with momentary observations (Level 1) nested
within people (Level 2). Although momentary observations were
theoretically nested within days, then within people, a likelihood
ratio test revealed that including the random effect for days did not
significantly improve model fit (
2
0, df 6, p1.00). Thus,
we chose the more parsimonious two-level model. All models
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
3
SOCIAL ANXIETY AND RESPONSES TO POSITIVE EVENTS
were analyzed using maximum likelihood estimation. All Level 1
predictors were person mean-centered prior to analyses. This ap-
proach captured the within-person effect of the hourly predictors,
while parsing out variance attributed to between-person differ-
ences.
We examined whether positive events perceived as more intense
predicted changes in momentary mood (increase happiness, de-
crease anxiety), sense of belonging (acceptance, connectedness),
and social motivation (increase approach, decrease avoidance).
We also tested whether trait levels of social anxiety moderated
associations between the intensity of positive events and changes
in each outcome. General anxiety and depression were entered as
moderators in exploratory analyses (all moderators were at Level
2 and centered at the grand mean). To measure hourly change in
outcomes, we included a time-lagged version of each outcome as
a covariate in all models (i.e., outcome scores an hour earlier,
before the positive events occurred). When creating lagged vari-
ables, the first observation of each day was coded as missing to
correct for the longer overnight time lapse. Collectively, this
resulted in random effects attributable to (a) day-to-day intercept
differences, (b) person-to-person intercept differences, (c) person-
to-person slope differences, and (d) relations between person-to-
person intercept differences and slope differences. Standardized
() effects are reported for moderation and simple slope analyses.
Results
Descriptive Statistics
Descriptive statistics are presented in Table 1. The mean score
on the SIAS was 26.39 (SD 18.17; range 64), consistent with
other samples of undergraduates recruited based on negative emo-
tionality (e.g., Adkins, Weathers, McDevitt-Murphy, & Daniels,
2008). Mean levels of momentary anxiety (scored on a 5-point
Likert scale) were slightly lower than anticipated (M1.76) given
that dispositional negativity was normally distributed in the pres-
ent sample. However, baseline levels of dispositional negativity, or
any other trait, do not guarantee elevated manifestations of that
trait at the momentary level over a single week. Further, although
we selected participants to obtain normally distributed scores on
dispositional negativity, this was neither an extreme groups design
(with very high dispositional negativity exclusively) nor a clinical
sample, so lower mean scores should not be considered abnormal.
Other mean scores fell within expected ranges.
Primary Hypothesis Testing
Consistent with Hypothesis 1, positive events rated as more
intense during the past hour were associated with adaptive changes
in momentary mood (increased happiness, decreased anxiety),
sense of belonging, and social motivation (increased approach,
decreased avoidance) after controlling for these outcomes at the
prior assessment (see Table 2).
Hypothesis 2 was partially supported. Social anxiety predicted
worsened momentary mood (decreased happiness and increased
anxiety), a lower sense of belonging, and greater social avoidance
motivation. Contrary to our hypothesis, social anxiety was not
associated with the intensity of momentary positive events (see
Table 2). A similar pattern of results emerged when examining
between-person correlations between social anxiety and momen-
tary outcomes. Contrary to our hypothesis, there was only a weak
negative correlation between social anxiety and the intensity of
positive events (see Table 1).
Lastly, we found support for Hypothesis 3b. Results showed that
social anxiety amplified associations between the intensity of
positive events during the past hour and momentary anxiety, sense
of belonging, and social avoidance motivation (Table 2, Figure 1).
Although individuals with elevated trait social anxiety reported
higher levels of momentary anxiety on average, analyses of simple
slopes revealed a significantly larger reduction in anxiety follow-
ing more intense positive events (see Table 3). The same pattern
was evident for sense of belonging and social avoidance motiva-
tion. Although individuals with elevated social anxiety reported
lower average levels of sense of belonging, simple slopes analyses
Table 1
Between- and Within-Person Correlations and Descriptive Statistics for Study Variables
Measure 123456789
States
1. PE intensity .39 .16 .31 .16 .18 N/A N/A N/A
2. Happiness .41 .32 .72 .39 .39 N/A N/A N/A
3. Anxiety .09 .22 — .21 .11 .24 N/A N/A N/A
4. Sense of belonging .42 .88 .20 .39 .39 N/A N/A N/A
5. Social approach .10 .39 .02 .47 .52 N/A N/A N/A
6. Social avoidance .01 .20 .55 .20 .11 N/A N/A N/A
Traits
7. Social anxiety .05 .29 .42 .32 .11 .45 — N/A N/A
8. General anxiety .05 .28 .46 .24 .12 .42 .65 N/A
9. Depression .03 .40 .51 .39 .22 .36 .53 .63
Descriptives
M3.45 3.09 1.76 3.16 2.79 2.18 26.39 29.64 42.95
SD 1.21 1.16 .91 1.14 1.32 1.26 18.17 6.97 11.28
ICC .33 .51 .39 .44 .40 .33 1.00 1.00 1.00
Note. Coefficients below the diagonal represent between-person correlations. Coefficients above the diagonal represent within-person correlations.
Because social anxiety is a trait-level measure, there are no within-person correlations. PE intensity intensity of the most positive event during the past
hour; N/A no within-person correlations available for between-person measures; ICC intraclass correlation.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
4DOORLEY ET AL.
revealed a significantly larger increase in sense of belonging
following more intense positive events (see Table 3). Likewise,
although individuals with elevated social anxiety reported greater
social avoidance motivation, on average, analyses of simple slopes
revealed a significantly larger reduction in social avoidance moti-
vation following more intensely positive events during the past
hour (see Table 3). Social anxiety did not significantly influence
the impact of positive events on momentary happiness or social
approach motivation.
Exploratory Hypothesis Testing
We tested whether the observed effects were specific to social
anxiety by running similar moderation models as above but re-
placing social anxiety as the Level 2 moderator with other forms of
internalizing psychopathology: general anxiety and depression.
Similar to the social anxiety results, trait levels of general anxiety
and depression amplified associations between the intensity of
positive events during the past hour and momentary happiness,
anxiety, sense of belonging, and social avoidance motivation (Fig-
ures 2 and 3). Interaction effects between the intensity of positive
events and all three forms of internalizing psychopathology pre-
dicted momentary outcomes in similar directions (increased hap-
piness and sense of belonging and decreased anxiety and social
avoidance motivation). One small yet notable difference was that
interactions between the intensity of positive events and both
general anxiety and depression significantly predicted increased
momentary happiness, whereas the interaction with social anxiety
did not (see Table 2).
Discussion
Young adults with elevated social anxiety experience a range of
emotional difficulties in daily life, yet the real-world factors that
govern the hour-by-hour expression of social anxiety have only
recently come into focus. Leveraging intensive EMA sampling,
our findings show that positive events have a meaningful impact
on the emotional lives of young adults. On average, more intense
positive events during the past hour were associated with adaptive
changes in momentary emotion (increased happiness, decreased
anxiety), sense of belonging, and social motivation (increased
approach, decreased avoidance). As expected, social anxiety was
associated with impairments in these emotional and social do-
mains. On average, young adults with elevated social anxiety
experienced higher levels of momentary anxiety and social avoid-
ance motivation and lower levels of momentary happiness and
sense of belonging. The present results provide new evidence that
individuals with elevated social anxiety experience greater psy-
chological benefits (e.g., decreased anxiety, increased sense of
belonging, and decreased motivation to avoid others) following
positive events during the past hour that are perceived as more
intense. These observations provide insight into the circumstances
in which individuals with elevated social anxiety experience well-
being and/or the absence of psychological difficulties.
Exploratory analyses revealed similar patterns of effects for
individuals with elevated trait levels of general anxiety and de-
pression. On average, these individuals exhibited similar impair-
ments in momentary emotional (less happiness, more anxiety) and
social functioning (lower sense of belonging, less social approach
Table 2
Main and Interaction Effects of the Intensity of the Most Positive Event During the Past Hour, Social Anxiety, Depression, and
General Anxiety on Momentary Happiness, Anxiety, Sense of Belonging, and Social Approach and Avoidance Motivation
Moderation models
Outcome
Happiness Anxiety Sense of belonging
Social approach
motivation
Social avoidance
motivation
ttttt
Social anxiety
Lagged outcome .26
ⴱⴱⴱ
18.36 .26
ⴱⴱⴱ
15.12 .24
ⴱⴱⴱ
17.57 .29
ⴱⴱⴱ
16.54 .27
ⴱⴱⴱ
14.18
Past-hour PE
intensity
.29
ⴱⴱⴱ
15.68 .10
ⴱⴱⴱ
7.57 .25
ⴱⴱⴱ
14.70 .14
ⴱⴱⴱ
6.90 .16
ⴱⴱⴱ
9.25
Social anxiety .25
ⴱⴱⴱ
3.57 .24
ⴱⴱⴱ
5.16 .24
ⴱⴱⴱ
3.80 .09 1.18 .32
ⴱⴱⴱ
5.46
PE SA interaction .03 1.43 .03
2.20 .04
2.44 .03 1.39 .07
ⴱⴱⴱ
3.81
General anxiety
Lagged outcome .26
ⴱⴱⴱ
18.31 .26
ⴱⴱⴱ
15.22 .24
ⴱⴱⴱ
17.59 .29
ⴱⴱⴱ
16.51 .28
ⴱⴱⴱ
14.29
Past-hour PE
intensity
.29
ⴱⴱⴱ
15.86 .10
ⴱⴱⴱ
7.66 .24
ⴱⴱⴱ
14.97 .14
ⴱⴱⴱ
6.85 .16
ⴱⴱⴱ
9.39
General anxiety .24
ⴱⴱⴱ
3.40 .26
ⴱⴱⴱ
5.66 .19
ⴱⴱ
2.90 .09 1.24 .28
ⴱⴱⴱ
4.73
PE GA interaction .05
ⴱⴱⴱ
2.86 .04
ⴱⴱ
3.37 .06
ⴱⴱⴱ
3.72 .04 1.81 .08
ⴱⴱⴱ
4.74
Depression
Lagged outcome .26
ⴱⴱⴱ
18.18 .26
ⴱⴱⴱ
15.32 .24
ⴱⴱⴱ
17.44 .29
ⴱⴱⴱ
16.54 .28
ⴱⴱⴱ
14.24
Past-hour PE
intensity
.29
ⴱⴱⴱ
16.14 .10
ⴱⴱⴱ
7.71 .24
ⴱⴱⴱ
14.95 .14
ⴱⴱⴱ
6.85 .16
ⴱⴱⴱ
9.13
Depression .34
ⴱⴱⴱ
4.98 .29
ⴱⴱⴱ
6.48 .31
ⴱⴱⴱ
4.90 .18
2.39 .24
ⴱⴱⴱ
3.99
PE Dep interaction .06
ⴱⴱⴱ
3.58 .06
ⴱⴱⴱ
3.58 .06
ⴱⴱⴱ
3.63 .03 1.29 .06
ⴱⴱⴱ
3.65
Note. Lagged outcome A given outcome measured at the previous momentary observation (entered as a covariate in each model to measure change
over time); PE positive event; PE SA interaction the interaction between the intensity of positive events during the past hour and social anxiety;
PE GA interaction the interaction between the intensity of positive events during the past hour and general anxiety; PE Dep interaction the
interaction between the intensity of positive events during the past hour and depression.
p.05.
ⴱⴱ
p.01.
ⴱⴱⴱ
p.001.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
5
SOCIAL ANXIETY AND RESPONSES TO POSITIVE EVENTS
motivation, more social avoidance motivation) compared with
individuals with elevated social anxiety. Individuals with elevated
general anxiety and depression also experienced greater psycho-
logical benefits following more intensely positive events in the
form of greater increases in momentary happiness and sense of
belonging and greater decreases in momentary anxiety and social
avoidance motivation. Of note, elevated general anxiety and de-
pression did not predict greater increases in momentary social
approach motivation following intensely positive events, which
mirrors our social anxiety findings. Elevated general anxiety and
depression did predict greater increases in momentary happiness,
however, and these effects were not significant for elevated social
anxiety.
The observed moderating role of elevated internalizing symp-
toms on momentary emotions following positive events is consis-
tent with “mood brightening” effects found in previous research
(e.g., Bylsma et al., 2011; Lamers et al., 2018; Rottenberg, 2017;
Thompson et al., 2012). These studies found “larger decreases in
negative affect after positively appraised life events” for individ-
uals with major depressive disorder compared with controls (Rot-
tenberg, 2017 p. 248). Although these studies have primarily
discovered mood brightening effects among individuals with mood
disorders, our results suggest that mood brightening may occur for
individuals with elevated levels of internalizing symptoms more
broadly following intensely positive events. Our findings also
suggest that mood brightening phenomena may not be specific to
decreased negative affect as previous findings suggest (e.g.,
Bylsma et al., 2011; Lamers et al., 2018; Thompson et al., 2012)
but may also extend to increased positive affect (e.g., happiness)
and other adaptive cognitive/affective states (e.g., sense of belong-
ing, social motivation).
The fact that individuals with elevated internalizing symptoms
exhibited a wider range of momentary benefits following positive
events than those observed in previous studies may be because of
differences in sampling. For example, other studies of mood
brightening effects have focused on individuals diagnosed with
major depressive disorder, whereas we selected young adults with
normally distributed levels of dispositional negativity; nonclinical
Figure 1. Interactions of the intensity of the most positive event during the past hour and trait social anxiety
predicting momentary anxiety, sense of belonging, and social avoidance motivation.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
6DOORLEY ET AL.
samples of individuals with elevated internalizing symptoms may
experience a wider array of “brightening” effects following posi-
tive events. Future studies should seek to replicate and extend
these findings with community and clinical samples.
Individuals with elevated internalizing symptoms did not expe-
rience greater increases in momentary social approach motivation,
although they did experience adaptive momentary changes in
nearly every other outcome following more intensely positive
events. There is insufficient research that examines changes in
social motives following daily positive events. However, it makes
intuitive sense that individuals with elevated internalizing pathol-
ogy would not be more motivated to be with others following
positive events. These individuals tend to avoid social situations,
so it perhaps makes more sense that this preexisting motive to
avoid would be dampened following positive events as opposed to
a substantial increase in low desires to affiliate. It may also be the
case that these individuals were already with others during or
following their more intensely positive events; it would make little
sense for social approach motivation to markedly increase if they
were already socializing. Further, the observed nonsignificant
findings cannot be adequately explained by lack of statistical
power. Simulation studies of multilevel power suggest that designs
with at least 80 Level 2 units (e.g., participants) and 14 Level 1
units (e.g., observations) are sufficient to detect effect sizes greater
than .20 (Nezlek, 2011, 2012; Raudenbush & Liu, 2000).
Limitations and Future Directions
Although we believe the present results make an important
contribution to the literature, there are several limitations worth
addressing. First, it is possible that floor effects contributed to the
greater observed reductions in momentary anxiety and social
avoidance motivation among individuals with higher versus lower
levels of internalizing symptoms. Descriptive statistics showed
that mean levels of these outcomes were close to 1 on scales of 1
to5(Mrange 1.32–1.86; see Supplemental Table 1 of the online
supplemental materials). These floor effects may be because of
measurement limitations. For example, our measure of anxiety was
a composite of three items, and our measure of social avoidance
motivation was a single-item scale. The fact that participants rated
these items 10 times per day is a strength of this study, but the high
number of assessments may have inflated the number of ratings of
“1” from participants with lower levels of internalizing symptoms.
We believe the present findings cannot be solely explained by
floor effects, however. Similar moderation effects emerged when
examining “positive” momentary outcomes (e.g., happiness) as
well as “negative” ones (social avoidance motivation). This sug-
gests that, beyond floor effects, there is something about higher
compared with lower internalizing symptoms that both alleviates
negative states following intensely positive events and enhances
positive states. Further, our results partially replicate and extend
findings demonstrating that individuals with elevated depression
(e.g., Bylsma et al., 2011; Lamers et al., 2018; Thompson et al.,
2012) and social anxiety (e.g., Shackman et al., 2018) experience
greater momentary benefits from positive daily experiences (e.g.,
“mood brightening” effect). Future studies should seek to replicate
these effects with measures that are less susceptible to floor effects
and/or with clinical samples with higher mean levels of momen-
tary anxiety and social avoidance motivation.
Future studies may benefit from using event-contingent re-
sponding, in which participants endorse positive events precisely
when they occur rather than asking participants to endorse a
positive event at each assessment. It may be that forced response
methods lead to the reporting of some positive events that are not
truly positive. However, we accounted for this in our study by
obtaining participants’ subjective ratings of positive event inten-
sity. Event-contingent responding could provide valuable contex-
tual clues as to where and when positive events are most likely to
occur. Our study would have also benefited from more detailed
Table 3
Simple Slope for Association Between the Intensity of the Most Positive Event During the Past Hour Predicting Momentary
Happiness, Anxiety, Sense of Belonging and Social Avoidance Motivation, Moderated by Social Anxiety, General Anxiety,
and Depression
Moderators
Outcome
Happiness Anxiety Sense of belonging
Social avoidance
motivation
tttt
Social anxiety
1SD N/A N/A .08
ⴱⴱⴱ
3.86 .18
ⴱⴱⴱ
8.95 .08
ⴱⴱⴱ
3.95
MN/A N/A .11
ⴱⴱⴱ
7.57 .22
ⴱⴱⴱ
14.70 .13
ⴱⴱⴱ
9.25
1SD N/A N/A .14
ⴱⴱⴱ
6.80 .25
ⴱⴱⴱ
12.11 .18
ⴱⴱⴱ
9.07
General anxiety
1SD .20
ⴱⴱⴱ
9.54 .06
ⴱⴱ
3.08 .16
ⴱⴱⴱ
8.22 .07
ⴱⴱⴱ
3.42
M.25
ⴱⴱⴱ
15.86 .11
ⴱⴱⴱ
7.66 .21
ⴱⴱⴱ
14.97 .13
ⴱⴱⴱ
9.39
1SD .29
ⴱⴱⴱ
13.67 .15
ⴱⴱⴱ
7.88 .26
ⴱⴱⴱ
13.56 .19
ⴱⴱⴱ
10.11
Depression
1SD .19
ⴱⴱⴱ
9.11 .06
ⴱⴱ
2.85 .16
ⴱⴱⴱ
8.06 .08
ⴱⴱⴱ
3.80
M.25
ⴱⴱⴱ
16.14 .11
ⴱⴱⴱ
7.71 .21
ⴱⴱⴱ
14.95 .13
ⴱⴱⴱ
9.13
1SD .30
ⴱⴱⴱ
14.29 .15
ⴱⴱⴱ
8.02 .27
ⴱⴱⴱ
13.34 .18
ⴱⴱⴱ
9.07
Note. N/A the interaction between the intensity of the most positive event during the past hour and social anxiety did not predict momentary happiness.
ⴱⴱ
p.01.
ⴱⴱⴱ
p.001.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
7
SOCIAL ANXIETY AND RESPONSES TO POSITIVE EVENTS
qualitative data on momentary positive events. Participants pro-
vided qualitative event descriptions in the present study, but these
descriptions were too brief or vague to be coded without substan-
tial measurement error. Future studies should collect richer qual-
itative information to assess whether (a) the daily positive events
of individuals with elevated social anxiety or other internalizing
symptoms differ from those of the general young adult population,
and (b) whether our conclusions generalize across different types
of positive events— especially in light of evidence that individuals
with elevated social anxiety fail to extract rewards from social
situations specifically (e.g., Wells et al., 1995).
It would also be fruitful to investigate predictors of intensely
positive events for individuals with elevated internalizing symp-
toms, including individual differences (e.g., savoring, metabeliefs
about emotions, reliance on experiential avoidance as a self-
regulatory strategy), features of positive events (e.g., levels of
physical activity, exposure to nature, consistency of event with
personal values), and other contextual features (e.g., presence of
close friends). Individuals with elevated internalizing symptoms
may deploy less adaptive emotion regulation strategies in response
to positive events (e.g., emotional suppression), whereas others
respond in healthier ways—thereby upregulating momentary ben-
efits from these events. Exploring these moderators of responses to
daily positive events could elucidate factors that promote positive
functioning among people with elevated internalizing symptoms
and shape interventions to enhance well-being in daily life (Good-
man, Doorley, & Kashdan, 2018).
Given the observed psychological benefits of intensely positive
events, behavioral activation strategies (e.g., deliberately schedul-
ing pleasurable activities into one’s daily routine) may improve
affect, enhance feelings of social belonging, and decrease motiva-
tions for social withdrawal among individuals with elevated inter-
nalizing symptoms. Simply attending to and recording positive
events throughout the day may also help these individuals expe-
rience more positivity than normal. Individuals with elevated in-
ternalizing symptoms often display maladaptive attentional biases
toward negative self-relevant information and emotional stimuli
(depression; Clasen, Wells, Ellis, & Beevers, 2013; Mogg &
Bradley, 2005), negative thoughts and emotions, external social
threats (social anxiety; Mogg & Bradley, 2002), and hypothetical
Figure 2. Interactions of the intensity of the most positive event during the past hour and trait general anxiety
predicting momentary happiness, anxiety, sense of belonging, and social avoidance motivation.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
8DOORLEY ET AL.
or future threats (general anxiety; e.g., Stefanopoulou, Hirsch,
Hayes, Adlam, & Coker, 2014), making it challenging to fully
attend to positive events. Reporting on positive events throughout
the day may serve as an ecological momentary intervention
(EMI)— helping individuals shift attention toward positive envi-
ronmental cues and reap more psychological benefits. EMIs have
received increasing support (e.g., Businelle et al., 2016; Pramana,
Parmanto, Kendall, & Silk, 2014; Riordan, Conner, Flett, & Scarf,
2015) and have a number of benefits compared with traditional
therapy, including reduced cost and barriers to treatment, greater
flexibility, and potential for wider dissemination of evidence-based
interventions (Andrews & Erskine, 2003; Griffiths, Lindenmeyer,
Powell, Lowe, & Thorogood, 2006; Titov, 2007). Future studies
should test EMIs that prompt individuals with elevated internaliz-
ing symptoms to plan, pay attention to, record, and reflect on daily
positive experiences.
Conclusions
To date, the momentary consequences of positive events have
been largely overlooked among individuals with elevated social
anxiety and other internalizing symptoms. The present results
suggest that positive events play a key role in governing the
momentary dynamics of real-world emotional experience, high-
lighting a potential pathway to enhance well-being and better
understand the circumstances under which individuals with ele-
vated internalizing symptoms can thrive. The use of well-
established EMA techniques, a sample selectively recruited from a
pool of more than 2,500 prescreened individuals, and our explo-
ration of multiple forms of internalizing psychopathology in-
creases our confidence in the reproducibility and clinical relevance
of these findings. These results set the stage for developing im-
proved strategies for preventing or treating the deleterious conse-
quences of anxiety and depression.
References
Adkins, J. W., Weathers, F. W., McDevitt-Murphy, M., & Daniels, J. B.
(2008). Psychometric properties of seven self-report measures of post-
traumatic stress disorder in college students with mixed civilian trauma
exposure. Journal of Anxiety Disorders, 22, 1393–1402. http://dx.doi
.org/10.1016/j.janxdis.2008.02.002
Figure 3. Interactions of the intensity of the most positive event during the past hour and trait depression
predicting momentary happiness, anxiety, sense of belonging, and social avoidance motivation.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
9
SOCIAL ANXIETY AND RESPONSES TO POSITIVE EVENTS
American College Health Association. (2016). American College Health
Association–National College Health Assessment II: Reference Group
Executive Summary Spring 2016. Hanover, MD: Author.
American Psychiatric Association. (1994). Diagnostic and statistical man-
ual of mental disorders (4th ed.). Washington, DC: Author.
Andrews, G., & Erskine, A. (2003). Reducing the burden of anxiety and
depressive disorders: The role of computerized clinician assistance.
Current Opinion in Psychiatry, 16, 41– 44. http://dx.doi.org/10.1097/
00001504-200301000-00009
Arnett, J. J. (2000). Emerging adulthood: A theory of development from
the late teens through the twenties. American Psychologist, 55, 469 –
480.
Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D.,
Green, J. G.,...Bruffaerts, R. (2016). Mental disorders among college
students in the World Health Organization world mental health surveys.
Psychological Medicine, 46, 2955–2970. http://dx.doi.org/10.1017/
S0033291716001665
Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cui-
jpers, P.,...WHOWMH-ICS Collaborators. (2018). WHO World
Mental Health Surveys International College Student Project: Preva-
lence and distribution of mental disorders. Journal of Abnormal Psy-
chology, 127, 623– 638. http://dx.doi.org/10.1037/abn0000362
Barrett, L. F. (1997). The relationships among momentary emotion expe-
riences, personality descriptions, and retrospective ratings of emotion.
Personality and Social Psychology Bulletin, 23, 1100 –1110. http://dx
.doi.org/10.1177/01461672972310010
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 Psychol-
ogy, 20, E51. http://dx.doi.org/10.1017/sjp.2017.43
Brown, E. J., Turovsky, J., Heimberg, R. G., Juster, H. R., Brown, T. A.,
& Barlow, D. H. (1997). Validation of the Social Interaction Anxiety
Scale and the Social Phobia Scale across the anxiety disorders. Psycho-
logical Assessment, 9, 21–27. http://dx.doi.org/10.1037/1040-3590.9
.1.21
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural rela-
tionships among dimensions of the DSM–IV anxiety and mood disorders
and dimensions of negative affect, positive affect, and autonomic arous-
al. Journal of Abnormal Psychology, 107, 179 –192. http://dx.doi.org/10
.1037/0021-843X.107.2.179
Businelle, M. S., Ma, P., Kendzor, D. E., Frank, S. G., Vidrine, D. J., &
Wetter, D. W. (2016). An ecological momentary intervention for smok-
ing cessation: Evaluation of feasibility and effectiveness. Journal of
Medical Internet Research, 18, e321. http://dx.doi.org/10.2196/jmir
.6058
Bylsma, L. M., Taylor-Clift, A., & Rottenberg, J. (2011). Emotional
reactivity to daily events in major and minor depression. Journal of
Abnormal Psychology, 120, 155–167. http://dx.doi.org/10.1037/
a0021662
Clasen, P. C., Wells, T. T., Ellis, A. J., & Beevers, C. G. (2013). Atten-
tional biases and the persistence of sad mood in major depressive
disorder. Journal of Abnormal Psychology, 122, 74 – 85. http://dx.doi
.org/10.1037/a0029211
Conway, C. C., Forbes, M. K., Forbush, K. T., Fried, E. I., Hallquist,
M. N., Kotov, R.,...Eaton, N. R. (2019). A hierarchical taxonomy of
psychopathology can transform mental health research. Perspectives on
Psychological Science, 14, 419 – 436. http://dx.doi.org/10.1177/
1745691618810696
Costa, P. T., & MacCrae, R. R. (1992). Revised NEO Personality Inventory
(NEO PI-R) and NEO Five-Factor Inventory (NEO-FFI): Professional
manual. Odessa, FL: Psychological Assessment Resources.
Cox, B. J., Ross, L., Swinson, R. P., & Direnfeld, D. M. (1998). A
comparison of social phobia outcome measures in cognitive-behavioral
group therapy. Behavior Modification, 22, 285–297. http://dx.doi.org/10
.1177/01454455980223004
DiBattista, D., & Gosse, L. (2006). Test anxiety and the immediate feed-
back assessment technique. Journal of Experimental Education, 74,
311–328. http://dx.doi.org/10.3200/JEXE.74.4.311-328
Eisinga, R., Grotenhuis, M., & Pelzer, B. (2013). The reliability of a
two-item scale: Pearson, Cronbach, or Spearman-Brown? International
Journal of Public Health, 58, 637– 642. http://dx.doi.org/10.1007/
s00038-012-0416-3
Eng, W., Coles, M. E., Heimberg, R. G., & Safren, S. A. (2005). Domains
of life satisfaction in social anxiety disorder: Relation to symptoms and
response to cognitive-behavioral therapy. Journal of Anxiety Disorders,
19, 143–156. http://dx.doi.org/10.1016/j.janxdis.2004.01.007
Farmer, A. S., & Kashdan, T. B. (2012). Social anxiety and emotion
regulation in daily life: Spillover effects on positive and negative social
events. Cognitive Behaviour Therapy, 41, 152–162. http://dx.doi.org/10
.1080/16506073.2012.666561
Geyer, E. C., Fua, K. C., Daniel, K. E., Chow, P. I., Bonelli, W., Huang,
Y., . . . Teachman, B. A. (2018). I did OK, but did I like it? Using
ecological momentary assessment to examine perceptions of social
interactions associated with severity of social anxiety and depression.
Behavior Therapy, 49, 866 – 880. http://dx.doi.org/10.1016/j.beth.2018
.07.009
Goldberg, L. R. (1999). A broad-bandwidth, public domain, personality
inventory measuring the lower-level facets of several five-factor models.
Personality Psychology in Europe, 7, 7–28.
Goodman, F. R., Doorley, J. D., & Kashdan, T. B. (2018). Well-being and
psychopathology: A deep exploration into positive emotions, meaning
and purpose in life, and social relationships. In E. Diener, S. Oishi, & L.
Tay (Eds.), Handbook of well-being (pp. 1–25). Salt Lake City, UT:
DEF.
Griffiths, F., Lindenmeyer, A., Powell, J., Lowe, P., & Thorogood, M.
(2006). Why are health care interventions delivered over the internet? A
systematic review of the published literature. Journal of Medical Inter-
net Research, 8, e10. http://dx.doi.org/10.2196/jmir.8.2.e10
Grosse Rueschkamp, J. M., Kuppens, P., Riediger, M., Blanke, E. S., &
Brose, A. (2018). Higher well-being is related to reduced affective
reactivity to positive events in daily life. Emotion. Advance online
publication. http://dx.doi.org/10.1037/emo0000557
Hays, R. B., & Oxley, D. (1986). Social network development and func-
tioning during a life transition. Journal of Personality and Social Psy-
chology, 50, 305–315.
Hofmann, W., & Patel, P. V. (2015). SurveySignal: A convenient solution
for experience sampling research using participants’ own smartphones.
Social Science Computer Review, 33, 235–253. http://dx.doi.org/10
.1177/0894439314525117
International Personality Item Pool. (2001). A scientific collaboratory for
the development of advanced measures of personality traits and other
individual differences. Retrieved from http://ipip.ori.org/
Kashdan, T. B. (2002). Social anxiety dimensions, neuroticism, and the
contours of positive psychological functioning. Cognitive Therapy and
Research, 26, 789 – 810. http://dx.doi.org/10.1023/A:1021293501345
Kashdan, T. B. (2007). Social anxiety spectrum and diminished positive
experiences: Theoretical synthesis and meta-analysis. Clinical Psychol-
ogy Review, 27, 348 –365. http://dx.doi.org/10.1016/j.cpr.2006.12.003
Kashdan, T. B., Adams, L. M., Farmer, A. S., Ferssizidis, P., McKnight,
P. E., & Nezlek, J. B. (2014). Sexual healing: Daily diary investigation
of the benefits of intimate and pleasurable sexual activity in socially
anxious adults. Archives of Sexual Behavior, 43, 1417–1429. http://dx
.doi.org/10.1007/s10508-013-0171-4
Kashdan, T. B., & Breen, W. E. (2008). Social anxiety and positive
emotions: A prospective examination of a self-regulatory model with
tendencies to suppress or express emotions as a moderating variable.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
10 DOORLEY ET AL.
Behavior Therapy, 39, 1–12. http://dx.doi.org/10.1016/j.beth.2007.02
.003
Kashdan, T. B., & Collins, R. L. (2010). Social anxiety and the experience
of positive emotion and anger in everyday life: An ecological momen-
tary assessment approach. Anxiety, Stress & Coping: An International
Journal, 23, 259 –272. http://dx.doi.org/10.1080/10615800802641950
Kashdan, T. B., & Roberts, J. E. (2006). Affective outcomes in superficial
and intimate interactions: Roles of social anxiety and curiosity. Journal
of Research in Personality, 40, 140 –167. http://dx.doi.org/10.1016/j.jrp
.2004.10.005
Kashdan, T. B., & Steger, M. F. (2006). Expanding the topography of
social anxiety. An experience-sampling assessment of positive emotions,
positive events, and emotion suppression. Psychological Science, 17,
120 –128. http://dx.doi.org/10.1111/j.1467-9280.2006.01674.x
Kashdan, T. B., Weeks, J. W., & Savostyanova, A. A. (2011). Whether,
how, and when social anxiety shapes positive experiences and events: A
self-regulatory framework and treatment implications. Clinical Psychol-
ogy Review, 31, 786 –799. http://dx.doi.org/10.1016/j.cpr.2011.03.012
Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters,
E. E. (2005). Prevalence, severity, and comorbidity of 12-month
DSM–IV disorders in the National Comorbidity Survey Replication.
Archives of General Psychiatry, 62, 617– 627. http://dx.doi.org/10.1001/
archpsyc.62.6.617
Lamers, F., Swendsen, J., Cui, L., Husky, M., Johns, J., Zipunnikov, V., &
Merikangas, K. R. (2018). Mood reactivity and affective dynamics in
mood and anxiety disorders. Journal of Abnormal Psychology, 127,
659 – 669. http://dx.doi.org/10.1037/abn0000378
Lane, S. P., & Shrout, P. E. (2010). Assessing the reliability of within-
person change over time: A dynamic factor analysis approach. Multi-
variate Behavioral Research, 45, 1027. http://dx.doi.org/10.1080/
00273171.2010.534380
Lay, J. C., Gerstorf, D., Scott, S. B., Pauly, T., & Hoppmann, C. A. (2017).
Neuroticism and extraversion magnify discrepancies between retrospec-
tive and concurrent affect reports. Journal of Personality, 85, 817– 829.
http://dx.doi.org/10.1111/jopy.12290
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, 455– 470. http://dx.doi.org/10
.1016/S0005-7967(97)10031-6
Merikangas, K. R., Avenevoli, S., Acharyya, S., Zhang, H., & Angst, J.
(2002). The spectrum of social phobia in the Zurich cohort study of
young adults. Biological Psychiatry, 51, 81–91. http://dx.doi.org/10
.1016/S0006-3223(01)01309-9
Mogg, K., & Bradley, B. P. (2002). Selective orienting of attention to
masked threat faces in social anxiety. Behaviour Research and Therapy,
40, 1403–1414. http://dx.doi.org/10.1016/S0005-7967(02)00017-7
Mogg, K., & Bradley, B. P. (2005). Attentional bias in generalized anxiety
disorder versus depressive disorder. Cognitive Therapy and Research,
29, 29 – 45. http://dx.doi.org/10.1007/s10608-005-1646-y
Morgan, J. K., Lee, G. E., Wright, A. G., Gilchrist, D. E., Forbes, E. E.,
McMakin, D. L.,...Silk, J. S. (2017). Altered positive affect in
clinically anxious youth: The role of social context and anxiety subtype.
Journal of Abnormal Child Psychology, 45, 1461–1472.
Nezlek, J. B. (2011). Multilevel modeling for social and personality psy-
chology. Thousand Oaks, CA: SAGE Publications Ltd.
Nezlek, J. B. (2012). Multilevel modeling analyses of diary-style data.
Handbook of Research Methods for Studying Daily Life, 357–383.
Palmier-Claus, J. E., Myin-Germeys, I., Barkus, E., Bentley, L., Udachina,
A., Delespaul, P. A. E. G.,...Dunn, G. (2011). Experience sampling
research in individuals with mental illness: Reflections and guidance.
Acta Psychiatrica Scandinavica, 123, 12–20. http://dx.doi.org/10.1111/
j.1600-0447.2010.01596.x
Pramana, G., Parmanto, B., Kendall, P. C., & Silk, J. S. (2014). The
SmartCAT: An m-health platform for ecological momentary interven-
tion in child anxiety treatment. Telemedicine and e-Health, 20, 419 –
427. http://dx.doi.org/10.1089/tmj.2013.0214
Quoidbach, J., Mikolajczak, M., & Gross, J. J. (2015). Positive interven-
tions: An emotion regulation perspective. Psychological Bulletin, 141,
655– 693. http://dx.doi.org/10.1037/a0038648
R Core Team. (2019). R: A language and environment for statistical
computing (Version 3.3.1) [Computer software]. Vienna, Austria: R
Foundation for Statistical Computing.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of
anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756.
http://dx.doi.org/10.1016/S0005-7967(97)00022-3
Raudenbush, S. W., & Liu, X. (2000). Statistical power and optimal design
for multisite randomized trials. Psychological Methods, 5, 199 –213.
Riordan, B. C., Conner, T. S., Flett, J. A., & Scarf, D. (2015). A brief
orientation week ecological momentary intervention to reduce university
student alcohol consumption. Journal of Studies on Alcohol and Drugs,
76, 525–529. http://dx.doi.org/10.15288/jsad.2015.76.525
Rodebaugh, T. L., Woods, C. M., Heimberg, R. G., Liebowitz, M. R., &
Schneier, F. R. (2006). The factor structure and screening utility of the
Social Interaction Anxiety Scale. Psychological Assessment, 18, 231–
237. http://dx.doi.org/10.1037/1040-3590.18.2.231
Rolls, E. T. (2018). What are emotional states and what are their functions.
In A. S. Fox, R. C. Lapate, A. J. Shackman, & R. J. Davidson (Eds.), The
nature of emotion: Fundamental questions (2nd ed., pp. 19 –28). New
York, NY: Oxford University Press.
Rottenberg, J. (2017). Emotions in depression: What do we really know?
Annual Review of Clinical Psychology, 13, 241–263. http://dx.doi.org/
10.1146/annurev-clinpsy-032816-045252
Russell, G., & Shaw, S. (2009). A study to investigate the prevalence of
social anxiety in a sample of higher education students in the United
Kingdom. Journal of Mental Health, 18, 198 –206. http://dx.doi.org/10
.1080/09638230802522494
Shackman, A. J., Tromp, D. P. M., Stockbridge, M. D., Kaplan, C. M.,
Tillman, R. M., & Fox, A. S. (2016). Dispositional negativity: An
integrative psychological and neurobiological perspective. Psychologi-
cal Bulletin, 142, 1275–1314. http://dx.doi.org/10.1037/bul0000073
Shackman, A. J., Weinstein, J. S., Hudja, S. N., Bloomer, C. D., Barstead,
M. G., Fox, A. S., & Lemay, E. P., Jr. (2018). Dispositional negativity
in the wild: Social environment governs momentary emotional experi-
ence. Emotion, 18, 707–724. http://dx.doi.org/10.1037/emo0000339
Stefanopoulou, E., Hirsch, C. R., Hayes, S., Adlam, A., & Coker, S.
(2014). Are attentional control resources reduced by worry in general-
ized anxiety disorder? Journal of Abnormal Psychology, 123, 330 –335.
http://dx.doi.org/10.1037/a0036343
Stein, M. B., & Kean, Y. M. (2000). Disability and quality of life in social
phobia: Epidemiologic findings. The American Journal of Psychiatry,
157, 1606 –1613. http://dx.doi.org/10.1176/appi.ajp.157.10.1606
Stone, A., Shiffman, S., Atienza, A., & Nebeling, L. (2007). The science of
real-time data capture: Self-reports in health research. New York, NY:
Oxford University Press.
Taylor, C. T., Lyubomirsky, S., & Stein, M. B. (2017). Upregulating the
positive affect system in anxiety and depression: Outcomes of a positive
activity intervention. Depression and Anxiety, 34, 267–280. http://dx.doi
.org/10.1002/da.22593
Thompson, R. J., Mata, J., Jaeggi, S. M., Buschkuehl, M., Jonides, J., &
Gotlib, I. H. (2012). The everyday emotional experience of adults with
major depressive disorder: Examining emotional instability, inertia, and
reactivity. Journal of Abnormal Psychology, 121, 819 – 829. http://dx
.doi.org/10.1037/a0027978
Titov, N. (2007). Status of computerized cognitive behavioural therapy for
adults. Australian and New Zealand Journal of Psychiatry, 41, 95–114.
http://dx.doi.org/10.1080/00048670601109873
Vos, T., Allen, C., Arora, M., Barber, R. M., Bhutta, Z. A., Brown, A.,...
GBD 2015 Disease and Injury Incidence and Prevalence Collaborators.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
11
SOCIAL ANXIETY AND RESPONSES TO POSITIVE EVENTS
(2016). Global, regional, and national incidence, prevalence, and years
lived with disability for 310 diseases and injuries, 1990 –2015: A sys-
tematic analysis for the Global Burden of Disease Study 2015. Lancet,
388, 1545–1602. http://dx.doi.org/10.1016/S0140-6736(16)31678-6
Wallace, S. T., & Alden, L. E. (1997). Social phobia and positive social
events: The price of success. Journal of Abnormal Psychology, 106,
416 – 424. http://dx.doi.org/10.1037/0021-843X.106.3.416
Watson, D., O’Hara, M. W., Chmielewski, M., McDade-Montez, E. A.,
Koffel, E., Naragon, K., & Stuart, S. (2008). Further validation of the
IDAS: Evidence of convergent, discriminant, criterion, and incremental
validity. Psychological Assessment, 20, 248 –259. http://dx.doi.org/10
.1037/a0012570
Watson, D., O’Hara, M. W., Simms, L. J., Kotov, R., Chmielewski, M.,
McDade-Montez, E. A.,...Stuart, S. (2007). Development and vali-
dation of the Inventory of Depression and Anxiety Symptoms (IDAS).
Psychological Assessment, 19, 253–268. http://dx.doi.org/10.1037/1040-
3590.19.3.253
Weeks, J. W., Heimberg, R. G., Rodebaugh, T. L., & Norton, P. J. (2008).
Exploring the relationship between fear of positive evaluation and social
anxiety. Journal of Anxiety Disorders, 22, 386 – 400. http://dx.doi.org/
10.1016/j.janxdis.2007.04.009
Wells, A., Clark, D. M., Salkovskis, P., Ludgate, J., Hackmann, A., &
Gelder, M. (1995). Social phobia: The role of in-situation safety behav-
iors in maintaining anxiety and negative beliefs. Behavior Therapy, 26,
153–161.
Received March 22, 2019
Revision received December 2, 2019
Accepted December 4, 2019
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
12 DOORLEY ET AL.
... The everyday interpersonal behaviors of socially anxious adolescents and their impact on mood and depression are best studied using ecologically valid measures of everyday life, such as experience sampling methods (ESM) or ecological momentary assessment (EMA), to minimize retrospective bias and to assess time-and situation-dependent fluctuations (Walz et al., 2014). However, to our knowledge, there has been little research in this area using these methods and, so far depressive mood has not been explicitly considered (Doorley et al., 2020;Goodman et al., 2021;Hur et al., 2019;Morgan et al., 2017). Consistent with retrospective data (Cummings et al., 2014;Mufson et al., 2015), Hur and colleagues (2019) found that socially anxious adolescents had less contact with close companions and exhibited overall higher levels of negative and lower levels of positive affect than non-anxious adolescents. ...
... Positive events with less close peers were associated with lower positive affect in youths with SAD compared to healthy youths, whereas positive events with close peers were associated with similar levels of positive affect (Morgan et al., 2017). Besides perceived emotional closeness to interaction partners, the intensity of positive events was found to be an important factor in the emotional benefits of socially anxious people, i.e., the benefits of positive events were greater the more intense these events were rated (Doorley et al., 2020). Taken together, most of these empirical findings suggest that emotional reactivity to everyday events seems to be altered in socially anxious individuals, i.e., they appear to have greater emotional benefits. ...
... The following hypotheses were tested: At first, as socially anxious people tend to avoid social contacts (Mufson et al., 2015) and are characterized by impairments in positive and negative affect (Goodman et al., 2021), it was expected that participants with SAD report fewer interactions, poorer wellbeing and higher depression and anxiety levels on average in daily life than healthy controls. Second, participants with SAD were expected to derive greater benefits of positive meaningful social interactions concerning mental state and depression than healthy controls (Doorley et al., 2020). Third, these effects might be moderated by the type of interaction partner, with greater benefits following positive interactions with close individuals (Hur et al., 2019;Morgan et al., 2017). ...
Article
Full-text available
Unfavorable interpersonal behavior in social anxiety disorder (SAD) contributes to the maintenance of the disorder and may also be related to the development of secondary depression. Since there is limited research on daily life behavior in SAD, this study aimed to describe social interaction behavior and analyze the effect of positive interactions on depression, anxiety, and mental state. Data were obtained from the Behavior and Mind Health study (11/2015–12/2016), an epidemiological cohort study of adolescents and young adults (n = 1,180, aged 14–21 years) from Dresden, Germany. Interpersonal behavior, current mental state, anxiety, and depression were assessed eight times per day over four days using smartphone-based ecological momentary assessments. The analyzed subsample consisted of n = 723 participants, comparing 12-month SAD (n = 60) and healthy controls (HC; n = 663). The interaction behavior of participants with SAD did not differ substantially from that of HC in terms of frequency of social interactions, type of interaction partner, and time spent communicating, although they reported fewer real-life interaction partners (SAD: M = 2.49, SD = 4.78; HC: M = 3.18, SD = 6.43; F (17,044) = 23.92, p < 0.001). When comparing mental state, anxiety, and depression after interactions with familiar people to no interaction, no differences were found between SAD and HC. However, interactions with unfamiliar people negatively affected depressive symptoms in individuals with SAD (b = 0.53; SE = 0.25; 95%CI: 0.04–1.03; p = 0.036). In adolescents with SAD, social situations with unfamiliar people seem to be processed in a dysfunctional way, contributing to increased depressive mood in everyday life. This is particularly interesting given the high rate of secondary depression in SAD.
... Resilience refers to a process of positive adaptation to stress or adversity (Rutter, 2006, Figure 1.1). According to the theoretical framework proposed by Kalisch et al. (2015), resilience is influenced by internal resources such as optimism (Segovia, Moore, Linnville, Hoyt, & Hain, 2012), self-efficacy (Schwarzer & Warner, 2013), active coping strategies (Smith & Carlson, 1997), and external resources including social support (Hefner & Eisenberg, 2009), positive events (Doorley et al., 2020;Grosse Rueschkamp, Kuppens, Riediger, Blanke, & Brose, 2020), physical activity (Kanning & Schlicht, 2010;Liao, Shonkoff, & Dunton, 2015;Wichers et al., 2012), and green space exposure (Bratman, Hamilton, Hahn, Daily, & Gross, 2015;Tost et al., 2019;White, Alcock, Wheeler, & Depledge, 2013). Compared to internal resources, external resilience resources can be monitored relatively well using innovative digital technologies and may even be targets for experimental modification. ...
... Table S3.5). (Hefner & Eisenberg, 2009), positive experiences (Doorley et al., 2020;Grosse Rueschkamp et al., 2020), physical activity (Kanning & Schlicht, 2010;Liao et al., 2015;Wichers et al., 2012), and green space exposure (Bratman et al., 2015;Tost et al., 2019;White et al., 2013). Unlike physical activity and green space exposure, which have been widely studied, the neural bases of affective reactivity to social contact and to positive events remain unclear. ...
Thesis
Disturbed affective well-being contributes to the development of major psychiatric disorders. Thus, scientists and clinicians have been investigating how to help psychiatric patients and at-risk populations become resilient against distressed affective states. In the present dissertation, I studied two real-life affective resilience measures, namely social affective benefit and affective reactivity to positive events that capture the respective effects of social contact and positive events on real-life affective well-being. To this end, I used a neuro-epidemiological approach combining state-of-the-art smartphone-based ambulatory assessment, neuroimaging, and self-report inventories of psychiatric risk and resilience. I examined the neurobiological correlates of social affective benefit using structural MRI in study 1, and the neural basis of affective reactivity to positive events using functional MRI measured with the monetary incentive delay task in study 2. Additionally, in both studies, I also probed the potential relevance of these two real-life affective resilience measures for psychiatric risk and resilience. In study 1, I corroborated in two independent community-based adult samples that real-life social contact was associated with increased affective valence using multilevel models, an effect I named social affective benefit. Our findings also showed that higher levels of social affective benefit were associated with greater anterior cingulate cortex gray matter volume, suggesting that structural integrity of the anterior cingulate cortex may be important for this fundamental affective resilience measure. Moreover, higher levels of social affective benefit were linked to increased social competence, indicated by utilizing social support in stressful life situations and socially desirable personality traits such as agreeableness and conscientiousness. Together these findings demonstrate that social affective benefit may be relevant for psychiatric resilience. In study 2, I showed a strong association between real-life positive events and momentary affect in a community-based developmental sample comprising adolescents and young adults. Further, affective reactivity to positive events was linked to laboratory-based reward-related ventral striatum reactivity at the between-subject level. Additionally, using an accelerated longitudinal design, I demonstrated that ventral striatum reactivity was linearly associated with real-life affective reactivity to positive events within subjects across three annually separated measurement time points. This within-subject association indicates that real-life and laboratory-based neural reward measures co-evolve over time, which was specifically pronounced in individuals with high social environmental risk indicated by higher urban upbringing scores and a smaller social network size. I speculated that for at-risk individuals, the ability to benefit from rewarding experiences may represent an important real-life resilience measure to compensate for compromised striatal reward processing. Moreover, I showed that the within-subject association between ventral striatum reactivity and affective reactivity to positive events was independent of the developmental effect of striatal reward processing in adolescence and early adulthood. In summary, beneficial social influences and positive daily-life experiences are major sources of mental health resilience. This dissertation suggests that social contact and positive events are strongly associated with enhanced affective well-being in real life, thus forming two real-life affective resilience measures: social affective benefit and affective reactivity to positive events. The neurobiological substrates of social affective benefit and affective reactivity to positive events map to a region shown as a convergence site for psychiatric resilience and a core region in the brain reward system that is often perturbed in psychiatric patients. Given the technological advances in mobile research and intervention technologies, real-life social affective benefit and affective reactivity to positive events may thus represent important and feasible targets for smartphone-based preventative and therapeutic interventions aiming at identifying and utilizing daily life experiences to reduce the mental health risk in vulnerable populations and mitigating affective symptoms in psychiatric patients.
... SA is associated with reduced frequency and intensity of positive emotions. 18,19 One explanation for this finding relates to fear of positive evaluation among high SA individuals, 20 which may be related to fear that positive social evaluation will lead to future negative evaluation. 21 In the present study, socially anxious individuals may have grown concerned about the potential negative implications of Participants were instructed to choose as many race/ethnicity categories as applied. ...
... For example, using ecological momentary assessment over one week, Khazanov and colleagues [33] found that PLEs were associated with lower internalizing symptoms, particularly for participants with major depressive disorder and comorbid major depressive disorder and generalized anxiety disorder compared to those with generalized anxiety disorder only. Similarly, Doorley et al. [34] found that individuals with high social anxiety experienced greater reductions in anxiety and an increased sense of belonging following the experience of especially salient PLEs (e.g., seeing friends, working out) within the past hour. Taken together, these studies show direct associations between PLEs and lower internalizing symptoms. ...
Article
Full-text available
Negative life events (NLEs) are associated with psychopathology in older adolescents and adults, particularly for women. However, less is known about the association between positive life events (PLEs) and psychopathology. This study examined associations between NLEs, PLEs, and their interaction, and sex differences in associations between PLEs and NLEs on internalizing and externalizing psychopathology. Youth completed interviews about NLEs and PLEs. Parents and youth reported on youth internalizing and externalizing symptoms. NLEs were positively associated with youth-reported depression and anxiety and parent-reported youth depression. Female youth had stronger positive associations between NLEs and youth-reported anxiety than male youth. Interactions between PLEs and NLEs were non-significant. Findings for NLEs and psychopathology are extended to earlier in development.
... A small set of experience-sampling studies offer ancillary support for this hypothesis. One daily diary study found that people with elevated social anxiety experienced larger reductions in anxiety on days following intimate sexual experiences than those with low social anxiety (Kashdan, Adams et al., 2014); one EMA study found that people with elevated social anxiety reported larger decreases in NA following social interactions with close companions (i.e., close friends, family, romantic partners), although they did not report changes in PA (Hur et al., 2020); and one EMA study found that people with elevated social anxiety reported greater psychological benefits (less anxiety, less motivation to avoid social situations, greater sense of belonging) following positive events than people with lower social anxiety (Doorley et al., 2020). For people with SAD, we might expect a "mood brightening" effect when they enter social situations, where PA increases to a greater degree than controls. ...
Article
Full-text available
Quality contact with other people serves as a reliable mood enhancement strategy. We wondered if the emotional benefits of socializing are present even for those with a psychological disorder defined by social distress and avoidance: social anxiety disorder (SAD). We conducted two ecological momentary assessment (EMA) studies and analyzed 7,243 total surveys. In both studies, community adults diagnosed with SAD and healthy controls received five surveys each day for two weeks. Consistent with research on positivity deficits in SAD, between-person analyses in both studies suggest that, on average, participants with SAD reported lower positive and higher negative affect in social and non-social situations than healthy controls. Within-person analyses, however, revealed that in both studies participants with SAD and healthy controls reported higher positive affect when with others than when alone; no differences were found for negative affect. The difference in positive affect between social and nonsocial situations was smaller for participants with SAD in Study 1, suggesting that people with SAD may experience diminished reward responding when socializing. Our results suggest that even those with a mental illness defined by interpersonal distress can and do derive positive emotions from social interactions.
Article
Full-text available
Prior research suggests variability of positive affect (PA), or the degree to which an individual’s experience of PA is variable rather than stable, is associated with worse psychological health. However, it is unclear whether different aspects of PA variability serve different psychological functions. One possibility is that changes in PA in response to rewarding contexts, or PA reactivity, serve a healthy function, while general instability of PA from one moment to the next serves an unhealthy function. The current investigation separated out PA reactivity to pleasant activities from general PA instability. We tested associations in three experience-sampling studies collected between 2012 and 2020 (N = 323). An internal meta-analysis revealed a significant association between PA reactivity to pleasant activities and less well-being. Moderation by average levels of PA was present but inconsistent across studies. We discuss how PA reactions to rewarding contexts may not necessarily reflect healthy emotion regulation and consider that “mood brightening” effects in daily life may indicate ill-being rather than well-being. Caution is warranted when interpreting the primary findings, as the indirect effect of PA reactivity was significant in only one of the three individual studies, and the effect was only found for the outcome of well-being and not distress. Results can be most confidently generalized to White adults living in the Midwest region of the United States. Future research should test not only the intensity of PA reactivity to rewarding contexts but also how long a person can sustain elevated PA—in relation to psychological health.
Article
Full-text available
Background There has been an increased interest in understanding social anxiety (SA) and SA disorder (SAD) antecedents and consequences as they occur in real time, resulting in a proliferation of studies using ambulatory assessment (AA). Despite the exponential growth of research in this area, these studies have not been synthesized yet. Objective This review aimed to identify and describe the latest advances in the understanding of SA and SAD through the use of AA. Methods Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic literature search was conducted in Scopus, PubMed, and Web of Science. Results A total of 70 articles met the inclusion criteria. The qualitative synthesis of these studies showed that AA permitted the exploration of the emotional, cognitive, and behavioral dynamics associated with the experience of SA and SAD. In line with the available models of SA and SAD, emotion regulation, perseverative cognition, cognitive factors, substance use, and interactional patterns were the principal topics of the included studies. In addition, the incorporation of AA to study psychological interventions, multimodal assessment using sensors and biosensors, and transcultural differences were some of the identified emerging topics. Conclusions AA constitutes a very powerful methodology to grasp SA from a complementary perspective to laboratory experiments and usual self-report measures, shedding light on the cognitive, emotional, and behavioral antecedents and consequences of SA and the development and maintenance of SAD as a mental disorder.
Chapter
Humans, like other animals, are fundamentally motivated to pursue rewarding outcomes and avoid aversive ones. Anxiety disorders are conceptualized, defined, and treated based on heightened sensitivity to perceived aversive outcomes, including imminent threats as well as those that are uncertain yet could occur in the future. Avoidance is the central strategy used to mitigate anticipated aversive outcomes – often at the cost of sacrificing potential rewards and hindering people from obtaining desired outcomes. It is for these reasons that people are often motivated to seek treatment. In this chapter, we consider whether and how anhedonia – the loss of interest in pursuing and/or reduced responsiveness to rewarding outcomes – may serve as a barrier to recovering from clinically impairing anxiety. Increasingly recognized as a prominent symptom in many individuals with elevated anxiety, anhedonia is not explicitly considered within prevailing theoretical models or treatment approaches of anxiety. Our goal, therefore, is to review what is known about anhedonia within the anxiety disorders and then integrate this knowledge into a functional perspective to consider how anhedonia could maintain anxiety and limit treatment response. Our overarching thesis is that anhedonia disrupts the key processes that are central to supporting anxiety recovery. We end this chapter by considering how explicitly targeting anhedonia in treatment can optimize outcomes for anxiety disorders.
Chapter
Full-text available
For decades, researchers and practitioners have theorized psychological disorder and health as opposite ends of a single continuum. We offer a more nuanced, data driven examination into the various ways that people with psychological disorders experience well-being. We review research on the positive emotions, meaning and purpose in life, and social relationships of people diagnosed with major depressive disorder, bipolar disorder, social anxiety disorder, schizophrenia, and trauma-related disorders. We also discuss when and how friends, family members, and caregivers of these people are adversely impacted in terms of their well-being. Throughout, we highlight important, often overlooked findings that not all people with mental illness are devoid of well-being. This review is meant to be illustrative as opposed to comprehensive, synthesizing existing knowledge and inspiring explorations of unclear or undiscovered territory.
Article
Full-text available
Within the study of emotions, researchers have increasingly stressed the importance of studying individual differences in emotion dynamics and emotional responding and the way these relate to more stable differences in well-being. However, there is no clear picture regarding affective reactivity to positive events and how different emotional reactions relate to differences in well-being, particularly higher levels of well-being. Theoretical work and empirical findings from different lines of research (e.g., clinical studies, aging literature, positive and personality psychology) support either of 2 predictions: Higher well-being is related to an enhanced or reduced affective reactivity to positive events in daily life. Testing these opposing predictions, we examined global well-being and affective reactivity to daily positive events in 6 studies using the experience-sampling or daily diary method (Ns = 70, 66, 95, 200, 76, and 101). Global well-being was measured with various indicators and a well-being composite score. Across the majority of studies, we found that higher global well-being was associated with reduced affective reactivity to positive events in daily life, as shown by smaller decreases in momentary negative affect. In 3 of the 6 studies, higher well-being composite scores were also associated with smaller increases in momentary positive affect. These findings seem to suggest that people with higher global well-being profit less from the joy of a positive event they experience in daily life. Instead, for people with lower well-being, positive events might be a meaningful way to brighten one’s momentary mood.
Article
Full-text available
The application of ecological momentary assessment (EMA) in community settings provides a powerful opportunity to obtain measures of emotional reactivity to daily life events, as well as emotional dynamics in real time. This investigation examines the association between emotional reactivity to daily events and emotional experience in mood and anxiety disorders in a large community-based sample. Two-hundred and 87 participants with a lifetime history of bipolar I disorder (BPI; n = 33), bipolar II disorder (BPII; n = 37), major depression (MDD; n = 116), anxiety disorders without a mood disorder (ANX; n = 36), and controls without a lifetime history of mood, anxiety, or substance use disorder (n = 65) completed a 2-week EMA evaluation period concerning mood states and daily events. Following positive events, individuals with BPI reported greater decreases in both sad and anxious mood than did controls, and individuals with MDD experienced greater decreases in anxious mood. Following negative events, the BPII, MDD, and ANX (but not BPI) groups experienced greater increases in anxious mood, with no group differences in sad mood. Greater variability and instability were observed for sad mood in the BPII and MDD groups, and greater variability and instability was observed for anxious mood in all of the mood/anxiety groups. However, no group differences were observed for the inertia of sad or anxious moods. The findings demonstrate differences in emotional reactivity to daily events as well as the general affective dynamics of emotional states among individuals with mood or anxiety disorders, with potential specificity for BPI disorder relative to other disorders. Emotional variability and instability may constitute a nonspecific characteristic of both mood and anxiety disorders.
Article
Full-text available
Increasingly, colleges across the world are contending with rising rates of mental disorders, and in many cases, the demand for services on campus far exceeds the available resources. The present study reports initial results from the first stage of the WHO World Mental Health International College Student project, in which a series of surveys in 19 colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern-Ireland, South-Africa, Spain, United States) were carried out with the aim of estimating prevalence and basic socio-demographic correlates of common mental disorders among first-year college students. Web-based self-report questionnaires administered to incoming first-year students (45.5% pooled response rate) screened for six common lifetime and 12-month DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, alcohol use disorder, and substance use disorder. We focus on the 13,984 respondents who were full-time students: 35% of whom screened positive for at least one of the common lifetime disorders assessed and 31% screened positive for at least one 12-month disorder. Syndromes typically had onsets in early-middle adolescence and persisted into the year of the survey. Although relatively modest, the strongest correlates of screening positive were older age, female sex, unmarried-deceased parents, no religious affiliation, non-heterosexual identification and behavior, low secondary school ranking, and extrinsic motivation for college enrollment. The weakness of these associations means that the syndromes considered are widely distributed with respect to these variables in the student population. Although the extent to which cost-effective treatment would reduce these risks is unclear, the high level of need for mental health services implied by these results represents a major challenge to institutions of higher education and governments.
Article
Full-text available
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, η ² = .17, presence of negative cognitions F (2, 185) = 13.97, p = .0001, η ² = .13, and the use of rumination F (2, 185) = 14.63, p = .0001, η ² = .14 and punishment F (2, 181) = 7.64, p = .001, η ² = .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.
Article
Full-text available
Dispositional negativity—the tendency to experience more frequent or intense negative emotions—is a fundamental dimension of temperament and personality. Elevated levels of dispositional negativity have profound consequences for public health and wealth, drawing the attention of researchers, clinicians, and policymakers. Yet, relatively little is known about the factors that govern the momentary expression of dispositional negativity in the real world. Here, we used smart phone–based experience-sampling to demonstrate that the social environment plays a central role in shaping the moment-by-moment emotional experience of 127 young adults selectively recruited to represent a broad spectrum of dispositional negativity. Results indicate that individuals with a more negative disposition derive much larger emotional benefits from the company of close companions—friends, romantic partners, and family members—and that these benefits reflect heightened feelings of social connection and acceptance. These results set the stage for developing improved interventions and provide new insights into the interaction of emotional traits and situations in the real world, close to clinically and practically important end-points.
Article
For more than a century, research on psychopathology has focused on categorical diagnoses. Although this work has produced major discoveries, growing evidence points to the superiority of a dimensional approach to the science of mental illness. Here we outline one such dimensional system-the Hierarchical Taxonomy of Psychopathology (HiTOP)-that is based on empirical patterns of co-occurrence among psychological symptoms. We highlight key ways in which this framework can advance mental-health research, and we provide some heuristics for using HiTOP to test theories of psychopathology. We then review emerging evidence that supports the value of a hierarchical, dimensional model of mental illness across diverse research areas in psychological science. These new data suggest that the HiTOP system has the potential to accelerate and improve research on mental-health problems as well as efforts to more effectively assess, prevent, and treat mental illness.
Article
Socially anxious and depressed individuals tend to evaluate their social interactions negatively, but little is known about the specific real-time contributors to these negative perceptions. The current study examined how affect ratings during social interactions predict later perceptions of those interactions, and whether this differs by social anxiety and depression severity. Undergraduate participants (N = 60) responded to a smartphone application that prompted participants to answer short questions about their current affect and social context up to 6 times a day for 2 weeks. At the end of each day, participants answered questions about their perceptions of their social interactions from that day. Results indicated that the link between negative affective experiences reported during social interactions and the end-of-day report of enjoyment (but not effectiveness) of those experiences was more negative when social anxiety was more severe. The link between negative affective experiences rated during social interactions and the end-of-day report of effectiveness (but not enjoyment) during those social encounters was more negative when depression was more severe. These findings demonstrate the importance of examining self-perceptions of social interactions based both on the extent to which individuals think that they met the objective demands of an interaction (i.e., effectiveness, mastery) and the extent to which they liked or disliked that interaction (i.e., enjoyment, pleasure). These findings also highlight how real-time assessments of daily social interactions may reveal the key experiences that contribute to negative self-evaluations across disorders, potentially identifying critical targets for therapy.
Article
Major depressive disorder is among the most common and costly of all mental health conditions, and in the last 20 years, emotional dysfunction has been increasingly seen as central to depression. Accordingly, research on emotions in depression has proceeded with fury. The urgency of the work has tempted investigators to issue premature declarations and to sometimes overlook theoretical and methodological challenges entailed in studying emotion. I report on what we have learned thus far about how depression influences emotional reactivity and emotion regulation, and also carefully demarcate the vast terrain of what we do not yet know. Ironically, an attitude of humility may enable the field to achieve the ambitious but elusive goal of developing a rich, contextually specific account of depression-related changes in emotional reactivity and regulation. Such an account is a precondition for using knowledge about emotion to intervene more effectively to reduce depression's worldwide burden. Expected final online publication date for the Annual Review of Clinical Psychology Volume 13 is May 7, 2017. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.