title: Post-Event Processing across Multiple Anxiety Presentations: Is it Specific to Social Anxiety Disorder?
abstract: BACKGROUND
  Post-event processing (PEP) occurs when individuals engage in cognitive rumination following an event or interaction. Although the relation between PEP and social anxiety has been clearly demonstrated, it remains unclear whether PEP is limited to individuals with elevated social anxiety, or if it is also problematic among people with other anxiety presentations.
  
  
  OBJECTIVE
  The present study assessed PEP after the first session of group cognitive behavioural therapy (CBT) in individuals with a variety of anxiety presentations.
  
  
  METHODS
  Participants with a principal diagnosis of SAD (N = 25), those diagnosed with a principal other anxiety disorder with comorbid SAD (N = 18), and those with principal other anxiety diagnoses with no SAD (N = 43) completed baseline measures of social anxiety severity and state anxiety at their first session of CBT and measures of PEP one week later.
  
  
  RESULTS
  Participants with a principal diagnosis of SAD experienced the most PEP in the week following the first CBT session, while those with no comorbid SAD experienced the least. Those with comorbid SAD experienced intermediate levels of PEP. The strongest predictor of PEP was state anxiety during the first session.
  
  
  CONCLUSIONS
  Results suggest that PEP is more problematic for clients with SAD as part of their clinical presentation. Clinical and theoretical implications are discussed.
authors.affiliation: McMaster University,Hamilton,Canada.
authors.forename: Stefan
authors.initials: S
authors.lastname: Perera
authors.affiliation: St. Joseph's Healthcare Hamilton, andMcMaster University,Canada.
authors.forename: Karen
authors.initials: K
authors.lastname: Rowa
authors.affiliation: St. Joseph's Healthcare Hamilton, andMcMaster University,Canada.
authors.forename: Randi E
authors.initials: RE
authors.lastname: McCabe
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology; D001008:Anxiety Disorders / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000072861:Phobia, Social / Q000523:psychology*; D010698:Phobic Disorders / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group / Q000379:methods; D012919:Social Behavior; D011795:Surveys and Questionnaires; D013850:Thinking
keywords: Anxiety disorders; anxiety; rumination; social phobia