David A. Moscovitch

Negative self-schemas are fundamental to social anxiety disorder and contribute to its persistence, thus understanding how to change schemas is of critical importance. Memory-based interventions and associated theories propose that reconstructing autobiographical memories tethered to schemas with conceptual details that challenge the associated expectations will lead to schema change. Here, we test this proposal in a between-subjects behavioural experiment with undergraduate participants with social anxiety. All participants were asked to recall aversive social memories, evaluated these memories on a series of scales, including estimates of reoccurrence, and provided ratings of negative and positive schema beliefs. Next, half the participants reconstructed (rescripted) these aversive memories with conceptual details that challenged the active schema (conceptual condition) and the other half reconstructed the memories with additional experiential details (perceptual condition). All participants provided again evaluations of the original memory and their schema beliefs. Our analysis revealed that the conceptual condition led to significant reductions in negative self-schemas, increases in positive self-schemas, and decreases in estimates of future negative event reoccurrence. Thus, effective schema-change, both a weakening of negative schemas and a strengthening of more positive, adaptive schemas, is dependent on altering the underlying meaning of associated autobiographical memories.

Objective: Social anxiety is characterized by maladaptive self‐schemas about being socially undesirable. Self‐schemas are deeply held beliefs which are derived from negative autobiographical memories of painful social experiences. In contrast to the plethora of past research on negative memories in social anxiety, almost no research has investigated objectively positive social autobiographical memories. In this preregistered study, we examined the effects of social anxiety and self‐schemas on the appraised impact and meaningfulness of retrieved positive versus negative social autobiographical memories. Method: Participants recruited via Prolific (final n = 343) were randomized to one of two conditions in which they were instructed to retrieve, orally narrate, and appraise a positive or negative social autobiographical memory of a specific experience from their personal past where they felt either valued or unvalued, respectively. Results: Results demonstrated that participants rated their positive memories as more impactful and meaningful than negative memories overall, but this effect was reversed for participants who endorsed having either stronger negative self‐schemas or greater social anxiety symptoms, for whom negative memories were more impactful. Additionally, participants who endorsed having stronger positive self‐schemas rated their negative memories as significantly less impactful and their positive memories as nearly more impactful. Conclusion: Together, these results elucidate how self‐schemas and social anxiety are related to autobiographical memory appraisals, paving the way for future research on memory‐based therapeutic interventions for social anxiety disorder.

The use of analogue samples, as opposed to clinical groups, is common in mental health research, including research on social anxiety disorder (SAD). Recent observational and statistical evidence has raised doubts about the validity of current methods for establishing analogue samples of individuals with clinically significant social anxiety. Here, we used data from large community samples of clinical and nonclinical participants to determine new cutoff scores on self-report measures of social anxiety symptoms and symptom-related impairment. We then examined whether using these newly determined cutoff scores alone or in combination improves the identification of individuals who have SAD from those who do not, revealing the most ideal cutoff combination to be 34 or above on the Social Phobia Inventory and 11 or above on the Sheehan Disability Scale. Finally, we compared the effects of our new cutoff scores with old cutoff scores by extracting analogue samples of participants with high social anxiety from historical data on seven large groups of undergraduate Psychology research participants from the authors' institution spanning the past 5 years (2018-2023). We observed that the new combined cutoff scores identified markedly fewer students as having high social anxiety, lending credibility to their utility. We also observed a striking increase in levels of social anxiety symptoms in the undergraduate population from before to after the COVID-19 pandemic. Of note, most participants were under 30 and identified as Caucasian or Asian women, indicating that future research is needed to examine whether our findings generalize to diverse populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Do people with social anxiety (SA) benefit from positive memory retrieval that heightens self-relevant meaning? In this preregistered study, an analog sample of 255 participants with self-reported clinically significant symptoms of SA were randomly assigned to retrieve and process a positive social-autobiographical memory by focusing on either its self-relevant meaning (deep processing) or its perceptual features (superficial processing). Participants were then socially excluded and instructed to reimagine their positive memory. Analyses revealed that participants assigned to the deep processing condition experienced significantly greater improvements than participants in the superficial processing condition in positive affect, social safeness, and positive beliefs about others during initial memory retrieval and in negative and positive beliefs about the self following memory reactivation during recovery from exclusion. These novel findings highlight the potential utility of memory-based interventions for SA that work by “hooking” self-meaning onto recollections of positive interpersonal experiences that elicit feelings of social acceptance.

Negative schemas lie at the core of many common and debilitating mental disorders. Thus, intervention scientists and clinicians have long recognized the importance of designing effective interventions that target schema change. Here, we suggest that the optimal development and administration of such interventions can benefit from a framework outlining how schema change occurs in the brain. Guided by basic neuroscientific findings, we provide a memory-based neurocognitive framework for conceptualizing how schemas emerge and change over time and how they can be modified during psychological treatment of clinical disorders. We highlight the critical roles of the hippocampus, ventromedial prefrontal cortex, amygdala, and posterior neocortex in directing schema-congruent and -incongruent learning (SCIL) in the interactive neural network that comprises the autobiographical memory system. We then use this framework, which we call the SCIL model, to derive new insights about the optimal design features of clinical interventions that aim to strengthen or weaken schema-based knowledge through the core processes of episodic mental simulation and prediction error. Finally, we examine clinical applications of the SCIL model to schema-change interventions in psychotherapy and provide cognitive-behavior therapy for social anxiety disorder as an illustrative example.