title: Mood regulation and quality of life in social anxiety disorder: an examination of generalized expectancies for negative mood regulation.
abstract: The present study examined negative mood regulation expectancies, anxiety symptom severity, and quality of life in a sample of 167 patients with social anxiety disorder (SAD) and 165 healthy controls with no DSM-IV Axis I disorders. Participants completed the Generalized Expectancies for Negative Mood Regulation Scale (NMR), the Beck Anxiety Inventory, and the Quality of Life Enjoyment and Satisfaction Questionnaire. SAD symptom severity was assessed using the Liebowitz Social Anxiety Scale. Individuals with SAD scored significantly lower than controls on the NMR. Among SAD participants, NMR scores were negatively correlated with anxiety symptoms and SAD severity, and positively correlated with quality of life. NMR expectancies positively predicted quality of life even after controlling for demographic variables, comorbid diagnoses, anxiety symptoms, and SAD severity. Individuals with SAD may be less likely to engage in emotion regulating strategies due to negative beliefs regarding their effectiveness, thereby contributing to poorer quality of life.
authors.affiliation: Center for Anxiety and Traumatic Stress Disorders, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, 1 Bowdoin Square, Boston, MA 02114, United States. sharon.sung@duke-nus.edu.sg
authors.forename: Sharon C
authors.initials: SC
authors.lastname: Sung
authors.forename: Eliora
authors.initials: E
authors.lastname: Porter
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Robinaugh
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Marks
authors.forename: Luana M
authors.initials: LM
authors.lastname: Marques
authors.forename: Michael W
authors.initials: MW
authors.lastname: Otto
authors.forename: Mark H
authors.initials: MH
authors.lastname: Pollack
authors.forename: Naomi M
authors.initials: NM
authors.lastname: Simon
mesh_terms: D000328:Adult; D000339:Affect; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010698:Phobic Disorders / Q000175:diagnosis / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires