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Individuals with social anxiety disorder (SAD) are motivated to conceal what they perceive to be personal inadequacies. They recognize, however, that their behavior does not convey who they genuinely are. Here, we examined whether increasing perceived authenticity facilitates positive social functioning in these individuals. Participants diagnosed with SAD ( N = 72) engaged in two social interactions with experimental confederates. Prior to the second interaction, participants were randomly assigned to one of two conditions equated on all elements except a safety behavior reduction procedure intended to increase self-authenticity. As hypothesized, increased authenticity led to beneficial changes in the cognitive, affective, and motivation processes that promote relational functioning. These results suggest that the experience of expressing one’s authentic self may reduce SAD-related social impairment.

Military sexual trauma (MST) encompasses experiences of sexual harassment and/or assault that occur during active duty military service. MST is associated with postdeployment mental health, interpersonal, and physical difficulties and appears to be more influential in the development of posttraumatic stress disorder (PTSD) than other active duty experiences, including combat, among women veterans. Although some literature suggests that men who experience MST also evidence significant postdeployment difficulties, research in this area is lacking. The current study evaluated a large sample of returning male veterans (N = 961) who served in Iraq and/or Afghanistan. Veterans were referred for treatment in a trauma and anxiety specialty clinic at a large VA hospital. Of this sample, 18% (n = 173) reported MST perpetrated by a member of their unit. Results indicated veterans who reported MST were younger (p = .001), less likely to be currently married (p < .001), more likely to be diagnosed with a mood disorder (p = .040), and more likely to have experienced non-MST sexual abuse either as children or adults (p < .001). Analyses revealed that MST was negatively associated with postdeployment social support (p < .001 and positively associated with postdeployment perceived emotional mistreatment (p = .004), but was not associated with postdeployment loss of romantic relationship (p = .264), job loss (p = .351), or unemployment (p = .741) after statistically controlling for other trauma exposures and current social support. Results reflect the detrimental associations of MST on male veterans and the need for more research in this area. These findings also highlight the need for treatment interventions that address social and interpersonal functioning in addition to symptoms of depressive disorders.

These findings indicate that CBT-based regimens can improve social approach processes in individuals with SAD and that safety behavior reduction contributes to positive outcomes. (PsycINFO Database Record

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