Effects of Rejection Sensitivity on the Development of Anxious-Depressive Attack in Patients with Social Anxiety Disorder

Kaiya, Hisanobu; Noda, Shota; Takai, Eri; Fukui, Itaru; Masaki, Mina; Matsumoto, Satomi; Morita, S.; Minami-Kaiya, Fusaka

doi:10.14389/jsad.12.1_37

Cited by 4 publications

(9 citation statements)

References 22 publications

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“…Our SEM model matched substantially, which can be explained by the two reasons. Firstly, our previous research (Kaiya et al, 2020) has established a model similar to the present model, except for the item of ruminative thinking. Secondly, as mentioned in the introduction, a close relationship between the variables in our SEM model has been clinically demonstrated.…”

Section: Discussionmentioning

confidence: 99%

“…Adapted from Kaiya et al (2020), with permission from The Japanese Society of Anxiety and Related Disorders (JSARD). with depression comorbid with anxiety disorders, especially SAD, often exhibit atypical features.…”

Section: Introductionmentioning

confidence: 99%

“…Anxious-depressive attack (ADA) is a complex of four symptoms: (1) abrupt outbursts of anxious and/or depressive feelings; (2) intrusive rumination about painful memories or future worries with or without flashbacks; (3) prominent agitation, unrest, or loneliness; and, in some cases, (4) a wide range of coping behaviors to manage emotional distress ( Kaiya, 2017 ). Table 1 presents the diagnostic criteria of ADA ( Kaiya et al, 2020 , revised). The prevalence of ADA among new patients visiting clinics for mood and anxiety disorders was estimated to be 16.88% ( Matsumoto et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“… Adapted from Kaiya et al (2020) , with permission from The Japanese Society of Anxiety and Related Disorders (JSARD). …”

Section: Introductionmentioning

confidence: 99%

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Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms

et al. 2022

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ObjectiveAnxious-depressive attack (ADA) is a cluster of symptoms, including sudden and intense anxiety or depression, intrusive rumination about negative memories or future worries, prominent agitation, impatient behavior, and/or loneliness; in some cases, symptoms include a wide range of violent coping behaviors to manage emotional distress. Four characteristics—rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms—are thought to be associated with the development of ADA. However, the complex relationships among these factors have not been clarified. In this study, we aimed to examine the mechanism by which these four characteristics influence the development of ADA.MethodsWe conducted a structured interview about ADA with 332 outpatients, who completed several self-report measures, to assess rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms.ResultsA structural equation model showed goodness-of-fit with the data. These findings suggest that rejection sensitivity may demonstrate a direct effect on the occurrence of ADA. Furthermore, rejection sensitivity might affect depressive symptoms through rumination and social anxiety symptoms and consequently contribute to the development of ADA.ConclusionThese results provide preliminary evidence that rejection sensitivity contributes to the development of ADA.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… Adapted from Kaiya et al (2020) , with permission from The Japanese Society of Anxiety and Related Disorders (JSARD). …”

Section: Introductionmentioning

confidence: 99%

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Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms

et al. 2022

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“…ADA frequency has been shown to be correlated with the severity of social anxiety and depressive symptoms [ 1 ]. In a previous study of patients with social anxiety disorder, the relation between ADA, social anxiety, depressive symptoms, and rejection sensitivity was examined using structural equation modeling [ 2 ]. The results showed that ADA was directly affected by rejection sensitivity and depressive symptoms and indirectly affected by social anxiety symptoms via depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

The anxious-depressive attack severity scale: development and initial validation and reliability

Noda

Matsumoto

Kawasaki

et al. 2021

BioPsychoSocial Med

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Background Anxious-depressive attack (ADA) is a symptom complex that comprises sudden intense feelings of anxiety or depression, intrusive rumination of regretful memories or future worries, emotional distress due to painful thoughts, and coping behaviors to manage emotional distress. ADA has been observed trans-diagnostically across various psychiatric disorders. Although the importance of ADA treatment has been indicated, a scale to measure the severity of ADA has not been developed. This study aimed to develop an Anxious-Depressive Attack Severity Scale (ADAS) to measure the severity of ADA symptoms and examine its reliability and validity. Methods A total of 242 outpatients responded to a questionnaire and participated in an interview, which were designed to measure the severity of ADA, depressive, anxiety, anxious depression, and social anxiety symptoms. Based on the diagnostic criteria for ADA, 54 patients were confirmed to have ADA and were included in the main study analyses. Results The exploratory factor analysis of the ADAS identified a two factor structure: severity of ADA symptoms and ADA frequency and coping behaviors. McDonald’s ωt coefficients were high for the overall scale and the first factor (ωt = .78 and ωt = .83, respectively) but low for the second factor (ωt = .49). The ADAS score was significantly positively correlated with clinical symptoms related to anxiety and depression. Conclusion The present study demonstrated that the ADAS has sufficient reliability and validity; however, internal consistency was insufficient for the second factor. Overall, the ADAS has potential to be a valuable tool for use in clinical trials of ADA.

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Evaluating psychological distress associated with life events under the traumatic experience threshold in patients with major depressive and bipolar disorder

Ishii,

Hashimoto,

Sato

et al. 2024

Sci Rep

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Patients with bipolar disorder (BD) and major depressive disorder (MDD) experience psychological distress associated with daily events that do not meet the threshold for traumatic experiences, referred to as event-related psychological distress (ERPD). Recently, we developed an assessment tool for ERPD, the ERPD-24. This tool considers four factors of ERPD: feelings of revenge, rumination, self-denial, and mental paralysis. We conducted a cross-sectional study between March 2021 and October 2022 to identify the differences and clinical features of ERPD among patients with MDD and BD and healthy subjects who did not experience traumatic events. Specifically, we assessed ERPD using the ERPD-24 and anxiety-related symptoms with the State-Trait Anxiety Inventory, Liebowitz Social Anxiety Scale, and anxious-depressive attack. Regarding the ERPD-24 scores among the groups, as the data did not rigorously follow the test of normality, the Kruskal–Wallis test was used to compare the differences among the groups, followed by the Dunn–Bonferroni adjusted post-hoc test. Non-remitted MDD patients and BD patients, regardless of remission/non-remission, presented more severe ERPD than healthy subjects. This study also demonstrated the relationships between all anxiety-related symptoms, including social phobia and anxious-depressive attack and ERPD, in both BD and MDD patients and in healthy subjects. In conclusion, patients with non-remitted MDD and with BD regardless of remission/non-remission experience severe ERPD related to anxiety-related symptoms.

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Effects of Rejection Sensitivity on the Development of Anxious-Depressive Attack in Patients with Social Anxiety Disorder

Cited by 4 publications

References 22 publications

Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms

Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms

The anxious-depressive attack severity scale: development and initial validation and reliability

Evaluating psychological distress associated with life events under the traumatic experience threshold in patients with major depressive and bipolar disorder

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