Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disorders

Background: Social disconnection is prevalent in anxiety and depressive disorders and adversely impacts well-being. Prevailing treatment approaches assume social disconnection is a by-product of anxiety or depressive symptoms; however, social impairments often persist following symptom reduction. To...

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Main Authors: Angie M. Gross, Madeleine Rassaby, Samantha N. Hoffman, Colin A. Depp, Raeanne C. Moore, Charles T. Taylor
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Journal of Mood and Anxiety Disorders
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950004424000518
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author Angie M. Gross
Madeleine Rassaby
Samantha N. Hoffman
Colin A. Depp
Raeanne C. Moore
Charles T. Taylor
author_facet Angie M. Gross
Madeleine Rassaby
Samantha N. Hoffman
Colin A. Depp
Raeanne C. Moore
Charles T. Taylor
author_sort Angie M. Gross
collection DOAJ
description Background: Social disconnection is prevalent in anxiety and depressive disorders and adversely impacts well-being. Prevailing treatment approaches assume social disconnection is a by-product of anxiety or depressive symptoms; however, social impairments often persist following symptom reduction. To advance understanding of why people with anxiety or depression experience social disconnection, we tested a framework in which daily social experiences were predicted from dispositional sensitivities to positive (rewarding) vs. negative (aversive) outcomes. Method: Adults (N = 112; aged 18–55) seeking treatment for anxiety or depression completed a measure assessing approach temperament (i.e., general sensitivity to positive outcomes) and avoidance temperament (i.e., general sensitivity to negative outcomes). They subsequently received 20 ecological momentary assessment (EMA) surveys over five consecutive days measuring current social activity, perceived connectedness, loneliness, and positive and negative affect. Results: Individuals higher in approach temperament reported greater momentary social connectedness, lower loneliness, and more frequent social interactions (medium to large effects). They also experienced greater momentary positive affect, which was associated with all real-time social outcomes (medium to large effects). Avoidance temperament overall was not associated with daily social experiences nor affect; however, in subjects with low approach temperament, higher avoidance temperament predicted greater momentary negative affect. Real-time loneliness was linked to momentary negative affect, but only when momentary positive affect was low. Limitations: The study was correlational; thus, causal claims cannot be made. Conclusions: Approach temperament and its associated affective states may be uniquely related to daily social experiences in anxiety and depression and could serve as targets for interventions intended to remediate social disconnection.
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spelling doaj-art-fe23ad9c03224598b2a32c3b4bbc61e22025-08-20T03:40:02ZengElsevierJournal of Mood and Anxiety Disorders2950-00442025-03-01910009710.1016/j.xjmad.2024.100097Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disordersAngie M. Gross0Madeleine Rassaby1Samantha N. Hoffman2Colin A. Depp3Raeanne C. Moore4Charles T. Taylor5University of California, San Diego, United StatesSan Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology, United StatesSan Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology, United StatesUniversity of California, San Diego, United States; San Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology, United StatesUniversity of California, San Diego, United States; San Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology, United StatesUniversity of California, San Diego, United States; San Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology, United States; Corresponding author at: University of California, San Diego, United States.Background: Social disconnection is prevalent in anxiety and depressive disorders and adversely impacts well-being. Prevailing treatment approaches assume social disconnection is a by-product of anxiety or depressive symptoms; however, social impairments often persist following symptom reduction. To advance understanding of why people with anxiety or depression experience social disconnection, we tested a framework in which daily social experiences were predicted from dispositional sensitivities to positive (rewarding) vs. negative (aversive) outcomes. Method: Adults (N = 112; aged 18–55) seeking treatment for anxiety or depression completed a measure assessing approach temperament (i.e., general sensitivity to positive outcomes) and avoidance temperament (i.e., general sensitivity to negative outcomes). They subsequently received 20 ecological momentary assessment (EMA) surveys over five consecutive days measuring current social activity, perceived connectedness, loneliness, and positive and negative affect. Results: Individuals higher in approach temperament reported greater momentary social connectedness, lower loneliness, and more frequent social interactions (medium to large effects). They also experienced greater momentary positive affect, which was associated with all real-time social outcomes (medium to large effects). Avoidance temperament overall was not associated with daily social experiences nor affect; however, in subjects with low approach temperament, higher avoidance temperament predicted greater momentary negative affect. Real-time loneliness was linked to momentary negative affect, but only when momentary positive affect was low. Limitations: The study was correlational; thus, causal claims cannot be made. Conclusions: Approach temperament and its associated affective states may be uniquely related to daily social experiences in anxiety and depression and could serve as targets for interventions intended to remediate social disconnection.http://www.sciencedirect.com/science/article/pii/S2950004424000518AnxietyDepressionEmotionSocial functioningEMA
spellingShingle Angie M. Gross
Madeleine Rassaby
Samantha N. Hoffman
Colin A. Depp
Raeanne C. Moore
Charles T. Taylor
Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disorders
Journal of Mood and Anxiety Disorders
Anxiety
Depression
Emotion
Social functioning
EMA
title Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disorders
title_full Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disorders
title_fullStr Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disorders
title_full_unstemmed Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disorders
title_short Driven by rewards or punishments? Understanding real world social functioning in anxiety and depressive disorders
title_sort driven by rewards or punishments understanding real world social functioning in anxiety and depressive disorders
topic Anxiety
Depression
Emotion
Social functioning
EMA
url http://www.sciencedirect.com/science/article/pii/S2950004424000518
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