The contribution of cognitive behavioural factors to social anxiety in Parkinson's disease

Kirsty Nash; Leon Dysch; Jenna Todd Jones; Ruth MacQueen; Elizabeth Marks

doi:10.1017/S1352465821000291

The contribution of cognitive behavioural factors to social anxiety in Parkinson's disease

Kirsty Nash, Leon Dysch, Jenna Todd Jones, Ruth MacQueen, Elizabeth Marks

Research output: Contribution to journal › Article › peer-review

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Abstract

BACKGROUND: Social anxiety is prevalent in idiopathic Parkinson's disease but why this is, is not yet well understood. Social cognitions, safety-seeking behaviours and internally focused attention are all known to predict social anxiety in the general population. These associated factors have not yet been explored in idiopathic Parkinson's disease, where disease severity and motor symptoms might also influence the experience of social anxiety.

AIMS: This study aimed to explore the relationship between cognitive behavioural factors and social anxiety in Parkinson's disease.

METHOD: Using a cross-sectional design, 124 people with Parkinson's disease completed self-report questionnaires including measures of Parkinson's disease severity, social anxiety, negative social cognitions, safety-seeking behaviours, internally focused attention, anxiety and depression.

RESULTS: The final regression model accounted for 71.6% of variance in social anxiety. Cognitive behavioural variables accounted for the largest magnitude of unique variance (43.5%). Sex, anxiety and depression accounted for 23.4%, and Parkinson non-motor symptom severity for 4.7%. Negative social cognitions and safety-seeking behaviours were statistically significant predictors, while an internal focus of attention was not.

CONCLUSIONS: Social anxiety in Parkinson's disease is associated with negative social cognitions and safety-seeking behaviours. Findings indicate the need for further research into cognitive behavioural approaches to social anxiety in Parkinson's disease.

Original language	English
Pages (from-to)	57 - 73
Journal	Behavioural and Cognitive Psychotherapy
Volume	50
Issue number	1
Early online date	7 Sept 2021
DOIs	https://doi.org/10.1017/S1352465821000291
Publication status	Published - 31 Jan 2022

Bibliographical note

Funding Information:
This research was completed at the University of Bath Department of Psychology and did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Publisher Copyright:
© The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies.

Keywords

Parkinson's disease
anxiety
cognitive behavioural
psychological therapy
social anxiety

ASJC Scopus subject areas

Clinical Psychology

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Cite this

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title = "The contribution of cognitive behavioural factors to social anxiety in Parkinson's disease",

abstract = "BACKGROUND: Social anxiety is prevalent in idiopathic Parkinson's disease but why this is, is not yet well understood. Social cognitions, safety-seeking behaviours and internally focused attention are all known to predict social anxiety in the general population. These associated factors have not yet been explored in idiopathic Parkinson's disease, where disease severity and motor symptoms might also influence the experience of social anxiety.AIMS: This study aimed to explore the relationship between cognitive behavioural factors and social anxiety in Parkinson's disease.METHOD: Using a cross-sectional design, 124 people with Parkinson's disease completed self-report questionnaires including measures of Parkinson's disease severity, social anxiety, negative social cognitions, safety-seeking behaviours, internally focused attention, anxiety and depression.RESULTS: The final regression model accounted for 71.6% of variance in social anxiety. Cognitive behavioural variables accounted for the largest magnitude of unique variance (43.5%). Sex, anxiety and depression accounted for 23.4%, and Parkinson non-motor symptom severity for 4.7%. Negative social cognitions and safety-seeking behaviours were statistically significant predictors, while an internal focus of attention was not.CONCLUSIONS: Social anxiety in Parkinson's disease is associated with negative social cognitions and safety-seeking behaviours. Findings indicate the need for further research into cognitive behavioural approaches to social anxiety in Parkinson's disease.",

keywords = "Parkinson's disease, anxiety, cognitive behavioural, psychological therapy, social anxiety",

author = "Kirsty Nash and Leon Dysch and {Todd Jones}, Jenna and Ruth MacQueen and Elizabeth Marks",

note = "Funding Information: This research was completed at the University of Bath Department of Psychology and did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: {\textcopyright} The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies.",

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AU - Marks, Elizabeth

N1 - Funding Information: This research was completed at the University of Bath Department of Psychology and did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: © The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies.

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N2 - BACKGROUND: Social anxiety is prevalent in idiopathic Parkinson's disease but why this is, is not yet well understood. Social cognitions, safety-seeking behaviours and internally focused attention are all known to predict social anxiety in the general population. These associated factors have not yet been explored in idiopathic Parkinson's disease, where disease severity and motor symptoms might also influence the experience of social anxiety.AIMS: This study aimed to explore the relationship between cognitive behavioural factors and social anxiety in Parkinson's disease.METHOD: Using a cross-sectional design, 124 people with Parkinson's disease completed self-report questionnaires including measures of Parkinson's disease severity, social anxiety, negative social cognitions, safety-seeking behaviours, internally focused attention, anxiety and depression.RESULTS: The final regression model accounted for 71.6% of variance in social anxiety. Cognitive behavioural variables accounted for the largest magnitude of unique variance (43.5%). Sex, anxiety and depression accounted for 23.4%, and Parkinson non-motor symptom severity for 4.7%. Negative social cognitions and safety-seeking behaviours were statistically significant predictors, while an internal focus of attention was not.CONCLUSIONS: Social anxiety in Parkinson's disease is associated with negative social cognitions and safety-seeking behaviours. Findings indicate the need for further research into cognitive behavioural approaches to social anxiety in Parkinson's disease.

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The contribution of cognitive behavioural factors to social anxiety in Parkinson's disease

Abstract

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Keywords

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