Social Anxiety And Perfectionism In Young People Who Stutter

2341

Abstract

The purpose of the present research was to screen for social anxiety and perfectionism among young people who stutter (PWS). Participants included 71 PWS and 51 normally-fluent controls. Young PWS were characterized by significantly higher rates of social anxiety, which involved social distress, social avoidance and fear of negative evaluation. The rate of perfectionism in experimental group equated the severity of maladaptive perfectionism in patients with anxiety disorders. PWS tend to interpret others as imposing unrealistically high standards and re- quirements on them and critically evaluating their actions. They constantly select negative information, failures and mistakes, depreciating and not noticing their own achievements and successes. They are inclined to dichotomous and polarized thinking (of “all or nothing” type). Severity of stuttering in young people is associated with social anxiety and perfectionism. The results of present study evidence the need to highlight significant social anxiety and maladaptive perfectionism in PWS as targets of psychotherapy. We express gratitude to Khavanov A.Yu., Head of the Department of Logoneurosis of «Center of Speech Pathology and Neurorehabilitation — Moscow Department of Healthcare», and his colleagues (Geras’kin A.A., Bogdanov M.A.) for their help in research conduction.

General Information

Keywords: stuttering, social anxiety, perfectionism, young people

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2017250104

For citation: Gorshkova E.N., Volikova S.V. Social Anxiety And Perfectionism In Young People Who Stutter . Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2017. Vol. 25, no. 1, pp. 40–58. DOI: 10.17759/cpp.2017250104. (In Russ., аbstr. in Engl.)

References

  1. Garanyan N.G. Perfektsionizm i vrazhdebnost’ kak lichnostnye faktory depres- sivnykh i trevozhnykh rasstroistv: diss. dokt. psikhol. nauk [Perfectionism and hos- tility as a personality factors in depressive and anxiety disorders. Dr. Sci. (Psychol- ogy) diss.]. Moscow, 2010. 429 p.
  2. Garanyan N.G., Kholmogorova A.B., Yudeeva T.Yu. Perfektsionizm, depressiya i trevoga [Perfectionism, depression and anxiety]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling Psychology and Psychotherapy], 2001, no 4, pp. 18—48.
  3. Egorova L.V. Issledovanie lichnostnykh i neiropsikhologicheskikh osobennostei zai- kayushchikhsya, vliyayushchikh na uspeshnost’ lecheniya [The study of personality and neuropsychological characteristics of people who stutter affecting the success of treatment group]. In N.L. Karpova (ed.). Semeinaya gruppovaya logopsikhotera- piya. Issledovanie zaikaniya [Family group logopsychotherapy. Stuttering Research]. Saint Petersburg: Nestor-Istoriya, 2011, pp. 79—85.
  4. Kalyagin V.A. Logopsikhologiya: ucheb. posobie dlya stud. vyssh. ucheb. zavedenii. 2nd ed. [Logopsychology: handbook for university students]. Moscow: Akademiya, 2007. 320 p.
  5. Kisel’nikova N.V., Danina M.M. Strategicheskaya psikhoterapiya zaikaniya: struktura problemy, napravleniya i tekhniki raboty s klientami [Strategic psycho- therapy of stuttering: a structure of a problem, directions and techniques of treat]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling Psychology and Psycho- therapy], 2015. Vol. 23, no 2, pp. 131—141. doi:10.17759/cpp.2015230208 (in Russ., abstr. in Engl.)
  6. Krasnova V.V. Sotsial’naya trevozhnost’ kak faktor narushenii interpersonal’nykh otnoshenii i trudnostei v uchebnoi deyatel’nosti u studentov: diss. kand. psikhol. nauk [Social anxiety as a factor in interpersonal relationships and difficulties in the learning activities of the students. Ph.D. (Psychology) diss.]. Moscow, 2013. 209 p.
  7. Merzlyakova V.P., Rau E.N. Razvitie motivatsionnoi sfery zaikayushchikhsya v protsesse logopsikhokorrektsii [The development of motivational sphere of people who stutter during logopsychocorrection]. Moscow: V. Sekachev, 2011. 139 p.
  8. Missulovin L.Ya. Patomorfoz zaikaniya. Izmenenie kartiny vozniknoveniya i tech- eniya zaikaniya, osobennosti korrektsionnoi raboty: Uchebnoe posobie. [Pathomor- phosis of stuttering. Changing the pattern of occurrence and course of stuttering, features of correctional work: Handbook]. Saint Petersburg: Izdatel’stvo «Soyuz», 2002. 320 p.
  9. Nikitina I.V., Kholmogorova A.B. Sotsial’naya trevozhnost’: soderzhanie ponyatiya i osnovnye napravleniya izucheniya. Chast’ 1 [Social anxiousness: content of con- cept and main directions of investigation. Part 1]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry], 2010. Vol. 20, no. 1, pp. 80—85. (in Russ., abstr. in Engl.)
  10. Nikitina I.V., Kholmogorova A.B. Sotsial’naya trevozhnost’: soderzhanie ponyatiya i osnovnye napravleniya izucheniya. Chast’ 2 [Social anxiousness: content of con- cept and main directions of investigation. Part 2]. Sotsial’naya i klinicheskaya psikhi- atriya [Social and clinical psychiatry], 2011. Vol. 21, no. 1, pp. 60—67. (in Russ., abstr. in Engl.)
  11. Nikitina I.V., Kholmogorova A.B., Krasnova V.V. Sotsial’naya trevozhnost’ u patsientov s rasstroistvami affektivnogo spectra [Social anxiousness in patients with affective spectrum disorders]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry], 2012. Vol. 22, no 3, pp. 30—35. (in Russ., abstr. in Engl.)
  12. Pavlova T.S., Kholmogorova A.B. Psikhologicheskie faktory sotsial’noi trevozhnos- ti v studencheskom vozraste [Psychological factors of social anxiety in students]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling Psychology and Psycho- therapy], 2011, no 1, pp. 29—43. (in Russ., abstr. in Engl.)
  13. Pastushkova L.M. Osobennosti vospriyatiya neznakomykh lyudei zaikayushchimi- sya [Features of perception of strangers by people who stutter]. In N.L. Karpova (ed.). Semeinaya gruppovaya logopsikhoterapiya. Issledovanie zaikaniya [Family group logopsychotherapy. Stuttering Research]. Saint Petersburg: Nestor-Istoriya, 2011, pp. 109—115.
  14. Semeinaya gruppovaya logopsikhoterapiya. Issledovanie zaikaniya [Family group logopsychotherapy. Stuttering Research]. In N.L. Karpova (ed.). Saint Petersburg: Nestor-Istoriya, 2011. 328 p.
  15. Kholmogorova A.B. Znachenie klassifikatsii psikhicheskikh rasstroistv dlya raz- vitiya metodov psikhoterapii (na primere trevozhnykh rasstroistv) [The role of clas- sification of mental disorders for development of psychotherapeutic methods (on example of anxiety disorders)]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry], 2014. Vol. 24, no 3, pp. 51—56. (in Russ., abstr. in Engl.)
  16. Kholmogorova A.B., Garanyan N.G. Mnogofaktornaya model’ depressivnykh, trevozhnykh i somatoformnykh rasstroistv [Multifactor model of depressive, anxi- ety and somatoform disorders]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry], 1998, no 1, pp. 94—102.
  17. Shklovskii V.M. Zaikanie [Stuttering]. Moscow: ICE, 1994. 248 p.
  18. Yudeeva T.Yu. Perfektsionizm kak lichnostnyi faktor depressivnykh i trevozhnykh rasstroistv. Avtoref. dis. kand. psikhol. nauk [Perfectionism as a personality factor of depressive and anxiety disorders. Ph.D. (Psychology) Thesis]. Moscow, 2007. 26 p.
  19. Adriaensens S., Beyers W., Struyf E. Impact of stuttering severity on adolescents’ domain-specific and general self-esteem through cognitive and emotional mediating processes. J. of Communication Disorders, 2015. Vol. 58, pp. 43—57. doi:10.1016/j. jcomdis.2015.10.003
  20. Amster B.J., Klein E.R. Perfectionism and stuttering: Is there a connection? [Elektron- nyi resurs]. International Stuttering Awareness Day Online Conference. Available at: http://www.mnsu.edu/comdis/isad11/papers/ amster11.html (Accessed: 02.05.2016).
  21. Amster B.J., Klein E.R. Perfectionism in people who stutter: Preliminary findings using a modified cognitive-behavioral treatment approach. Behavioural and Cogni- tive Psychotherapy, 2008. Vol. 36, pp. 35—40. doi:10.1017/S1352465807003967
  22. Beck A.T., Steer R.A. Beck Anxiety Inventory. San Antonio: The Psychological Cooperation, 1993.
  23. Beilby J., Byrnes M.L., Yaruss J.S. Acceptance and Commitment Therapy for adults who stutter: Psychosocial adjustment and speech fluency. J. of Fluency Disorders, 2012. Vol. 37, pp. 289—299. doi:10.1016/j.jfludis.2012.05.003
  24. Brocklehurst P.H., Drake E., Corley M. Perfectionism and stuttering: Findings of an online survey. J. of Fluency Disorders, 2015. Vol. 44, pp. 46—62. doi:10.1016/j. jfludis.2015.02.002
  25. Clark D.M., Wells A. A cognitive model of social phobia. Social phobia: Diagno- sis, assessment and treatment. In R.G. Heimberg, M.R. Liebowitz, D.A. Hope, F.R. Schneier (Eds.). New York: Guilford Press, 1995, pp. 69—93.
  26. Craig A., Tran Y. Trait and social anxiety in adults with chronic stuttering: Con- clusions following meta-analysis. J. of Fluency Disorders, 2014. Vol. 40, pp. 35—43. doi:10.1016/j.jfludis.2014.01.001
  27. Helgadottir F.D., Menzies R.S., Onslow M. et al. A standalone Internet cognitive behavior therapy treatment for social anxiety in adults who stutter: CBTpsych. J. of Fluency Disorders, 2014. Vol. 41, pp. 47—54. doi:10.1016/j.jfludis.2014.04.001
  28. Iverach L., O’Brian S., Jones M. et al. Prevalence of anxiety disorders among adults seeking therapy for stuttering. J. of Anxiety Disorders, 2009. Vol. 23, pp. 928—934. doi:10.1016/j.janxdis.2009.06.003
  29. Iverach L., Rapee R.M. Social anxiety disorder and stuttering: Current status and future directions. J. of Fluency Disorders, 2014. Vol. 40, pp. 69—82. doi:10.1016/j. jfludis.2013.08.003
  30. Kraaimaat F., Vanryckeghem M., Dam-Baggen R. Stuttering and social anxiety. J. of Fluency Disorders, 2002. Vol. 27, pp. 319—331. doi:10.1016/S0094-730X(02)00160-2
  31. Manning W., Beck J.G. The role of psychological processes in estimates of stut- tering severity. J. of Fluency Disorders, 2013. Vol. 38, pp. 356—367. doi:10.1016/j. jfludis.2013.08.002
  32. Menzies R.S., Onslow M., Packman A., O’Brian S. Cognitive behavior therapy for adults who stutter: A tutorial for speech-language pathologists. J. of Fluency Disor- ders, 2009. Vol. 33, pp. 187—200. doi:10.1016/j.jfludis.2009.09.002
  33. Messenger M., Onslow M., Packman A., Menzies R. Social anxiety in stutter- ing: measuring negative social expectancies. J. of Fluency Disorders, 2004. Vol. 29, pp.  201—212.  doi:10.1016/j.jfludis.2004.06.002
  34. Rapee R.M., Heimberg R.G. A cognitive-behavioral model of anxiety in social phobia. Behav. Res. Therapy, 1997. Vol. 35, pp. 741—756. doi:10.1016/S0005- 7967(97)00022-3
  35. Smith K.A., Iverach L., O’Brian S., Kefalianos E., Reilly S. Anxiety of children and adolescents who stutter: A review. J. of Fluency Disorders, 2014. Vol. 40, pp. 22—34. doi:10.1016/j.jfludis.2014.01.003
  36. Tomaiuoli D., Gado F., Spinetti M. Profiling people who stutter: A comparison between adolescents and adults. Procedia-Social and Behavioral Sciences, 2015. Vol. 193, pp. 266—273. doi:10.1016/j.sbspro.2015.03.270

Information About the Authors

Ekaterina N. Gorshkova, student, Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology and Education, e-mail: mne_Katya@mail.ru

Svetlana V. Volikova, PhD in Psychology, psychologist, Russian University of Transport (MIIT), Assistant Professor at the Clinical Psychology and Psychotherapy Chair, Moscow State University of Psychology and Education, Moscow, Russia, ORCID: https://orcid.org/0000-0001-8982-226X, e-mail: psylab2006@yandex.ru

Metrics

Views

Total: 4282
Previous month: 40
Current month: 24

Downloads

Total: 2341
Previous month: 15
Current month: 5