Ashley Dixon, Sarah Almodovar, Alison Bateman,
Poster presented at the 31st Annual
Conference of the Association for Advancement of Behavior Therapy, Miami Beach,
FL
Patty DiBartolo & Randy
Frost, Smith College
Perfectionism has been associated with social phobia, general psychopathology, and social and trait anxiety (Juster et al., 1995). Individuals high in perfectionism, particulary Concern Over Mistakes (CM), approach evaluative performance situations with a negative mindset. Compared to nonperfectionists, these individuals express more concern with how others will perceive their mistakes, show less confidence in their performance, and experience more debilitating anxiety (Frost & Henderson, 1991; Frost & Marten, 1990).
There have been few controlled attempts to investigate how the detrimental influence of perfectionism on performance might be ameliorated. The current study addresses this issue by comparing two approaches to remedying the interference of anxiety on a public speaking task. We administered either a cognitive restructuring procedure or a distraction task to students either high or low in CM, prior to giving a speech.
Overall, we expected that high CM subjects would experience more speech related anxiety than low CM subjects. In addition, we hypothesized that all subjects who received cognitive restructuring would experience less speech-related anxiety than those who were assigned to the distraction condition. Finally, we speculated that the benefits of cognitive restructuring would be more evident for subjects high in CM.
Subjects
Measures
Design
Experimental Manipulation
Procedure
Expectations for the Speech: We conducted a series of one-way
ANOVAs to compare group differences in Pre-Task Global Rating
items. On the self-other difference variable, computed by subtracting
subjects' ratings of how well they expected others to perform from their
ratings of how well they expected themselves to perform, we found a
significant Group effect. We also found a Group effect for pre-task
importance ratings (See Table 1).
Speech-Related Anxiety Ratings: A 2 (HCM vs. LCM) x 2 (baseline
vs. preparation phase) repeated measures ANOVA was conducted for subjects'
SUDS ratings prior to and after learning about the speech task. A main
effect of phase was revealed, F(1, 58) = 70.25, p < .001). No other
significant effects were found.
A 2 (HCM vs. LCM) x 2 (cognitive restructuring vs. distraction) x 2 (pre-
vs. post-experimental phase) repeated measures ANOVA of SUDS ratings
revealed a significant main effect of phase, F(1, 56) = 7.91, p < .01, as
well as a significant interaction between condition and phase, F(1, 58) =
4.53; p < .05. No other significant effects were noted.
We also conducted a 2 (HCM vs LCM) x 2 (cognitive restructuring vs.
distraction) x 3 (experimental vs. task vs. post-task phase) analysis of
covariance (ANCOVA) of SUDS ratings, controlling for baseline SUDS
ratings. We found significant main effects of condition, F(1, 55) = 6.99;
p < .05, and phase, F(2,112) = 59.37; p < .001. We found a marginally
significant Group effect, F(1, 55) = 4.01; p = .05. Overall, subjects high
in CM gave significantly higher SUDS ratings 9M = 47.02, SD = 22.61) than
subjects low in CM (M = 34.75, SD = 21.09). No other significant effects
were revealed.
Finally, a 2 (HCM vs. LCM) x 2 (cognitive restructuring vs. distraction)
ANOVA of subjects' Post-Task Global Ratings revealed a
significant Condition effect, F(1,56) = 4.29; p < .05, for subjects'
retrospective ratings of how anxious they had been while speaking.
Subjects who received cognitive restructuring reported feeling
significantly less anxious (M = 49.33; SD = 23.48) than subjects assigned
the distraction task (M = 61.17, SD = 23.40). There was a significant
Group effect, F(1,56) = 9.03, p < .01. Overall, subjects high in CM
recalled being significantly more anxious during the speech (M = 63.83, SD
= 20.75) than subjects low in CM (M = 46.67, SD = 24.26). No significant
interaction was found.
Speech Related Concerns: We conducted a 2 (HCM vs. LCM) x 2
(cognitive restructuring vs. distraction) x 2 (pre- vs. post-task)
repeated measures ANOVA of subects' scores on the Speech Related
Concerns Questionnaire . We observed a significant Group effect,
F(1,56) = 19.61, p < .001, as well as a significant main effect of phase,
F(1,56) = 5.25, p < .05. (See Table 2.) No other significant effects were
noted.
Audience Ratings:We ran a 2 (HCM vs. LCM) x 2 (cognitive
restructuring vs. distraction) ANOVA of audience perceptions of speakers'
anxiety and quality of speech. No significant effects were revealed.
These data provide evidence of the utility of cognitive restructuring in
reducing anxiety related to an evaluative task within a laboratory
setting. All subjects' initial anxiety ratings in response to the speech
task were similar; however, once the experimental phase was introduced, we
found a consistent and significant effect of condition for the duration of
the session. Specifically, subjects who received cognitive restructuring
reported lower anxiety throughout the session than did those who performed
the distraction task.
Although results revealed no differences in response to cognitive
restructuring according to Group, there was a significant Group effect
concerning expectations for the speech. HCM individuals expected that
others would perform better on the task and also placed higher value on
the speech than did LCMs.
In addition, while there was no significant difference by condition, there
was a Group difference in concerns about the speech, such that HCMs were
more bothered by thoughts related to the speech both before and after the
task than LCM individuals. Therefore, although individuals high in CM did
place more importance on the speech, expect others to perform better, and
were more concerned by thoughts about the speech, they proved equally as
receptive to cognitive restructuring as LCMs.
Audience ratings of speech quality and anxiety showed no significant
difference by condition or group. Thus, despite anxiety differences found
by condition or group. Thus, despite anxiety differences found by
condition and group differences revealed in expectations for the
speech and speech related concers, these effects were not evident in the
subjects' performance. It is imporatant to note, however, that no
inter-rater reliability checks were conducted on audience ratings.
The present study has important implications. It appears that there are
methods that can effectively tap into perfectionists' maladaptive thought
processes which typically have a detrimental effect on their performance.
As revealed by our results, HCM individuals who received cognitive
restructuring were given an effective coping mechanism which may have
helped reduce their speech related anxiety. Future research is necessary
to clarify the mechanisms which produced the present data. These results
provide promising support for existing, yet untested, beliefs regarding
the benefits of cognitive restructuring for perfectionists (Burns, 1980).
Sixty subjects, identified as high in concern over mistakes
SUDS ratings:
Throughout the assessment, participants were
asked to rate their levels of anxiety by providing SUDS ratings using the
scale of 0 (not at all anxious) to 100 (extremely anxious) (Wolpe, 1982).
Pre-task measures: The Pre-Task Global Rating Form
consisted of items designed to determine the subject's expectations
of performance for themselves and others, and to ascertain how important
it is for the subject to do well on the speech task (on a scale of 0: not
at all to 100: extremely). On the Speech Related Concerns
Questionnaire, subjects were
told to rate on a seven point Likert-type scale ranging from 1 (not at all
bothered) to 7 (very bothered) how bothered they were by thirteen
particular thoughts associated with giving a speech (e.g. being boring,
making mistakes, running out of things to say).
Post-task measures: The Speech Related Concerns Questionnaire
was again administered. Using a 0 (not at all) to 100 (extremely)
scale, subjects responded to a Post-Task Global Rating Form which
measured 5 items, one of which concerned their anxiety level during the
speech.
Audience ratings: Audience members were asked to rate the subject
on perceived anxiety and the quality of the speech on a scale from 0 (not
at all) to 100 (extremely).
The experiment employed a 2 x 2 design with the first factor being Group
(HCM vs. LCM) and the second factor being Condition (cognitive
restructuring vs. distraction). A total of 15 subjects were assigned to
each cell.
Cognitive Restructuring Condition Subjects were guided through a
series of questions designed to help evaluate their feared predictions
more realistically. In this phase, experimenters addressed the subject's
probability overestimations, decatastrophized a feared outcome for the
speech, and directed subjects to construct a coping thought to be used
during the speech task.
Distraction Condition The distraction task required subjects to
cross out all the e's that they found in a passage. This was designed to
help keep the subject's mind off the upcoming speech.
General Instructions:
Upon subjects' arrival to the lab, experimenters explained the purpose of
the SUDS ratings and obtained a baseline rating. Subjects were told of the
duration of the speech (10 minutes) and were informed that they would be
able to choose 3 of 5 possible speech topics including abortion, the
health care system, mandatory seat belt laws, corporal punishment in the
schools, and nuclear power. Experimenters then described the purpose of
the "stop" sign, which could be used to stop the speech if subjects'
anxiety became unberable. The Pre-Task Global Ratings Questionnaire
and pre-task Speech Related Concerns Questionnaire were
administered.
Preparation Phase: Experimenters obtained a SUDS rating at the
beginning and end of this phase. Subjects were given 3 minutes to prepare
for the speech.
Experimental Phase: Subjects were randomly assigned to either the
cognitive restructuring or distraction phase. SUDS ratings were obtained
at the beginning and end of this phase.
Speech Task Subjects were asked to provide written SUDS ratings at
one-mintue intervals throughout the 10-minute speech task. Two audience
members observed the speech. Audience members were instructed to show no
emotion and hold a pad and pen to create the appearance of taking
notes.
Post-Task Assessment: The post-task Speech Related Concerns
Questionnaire and Post-Task Global Ratings Form were
administered. At one minute intervals, experimenters requested SUDS
ratings for five ratings, or until the subject reached her baseline
anxiety rating (or lower), whichever came first. When questionnaires were
completed, subjects were debriefed.
Table 1. Expectations for Speech Ratings
*** p < .001
** p < .01
* p < .05
HCM LCM F
M M (1,58)
SD SD
Self-Other Difference -19.33 -2.00 12.90*** 20.16 17.10 Importance of Speech 42.67 32.00 4.41*
19.99 19.37
Table 2. Mean Ratings of Speech Related Concerns.
Phase HCM LCM
M M
SD SD
Pre-task 3.99 2.63 1.23 1.10
Post-task 3.72 2.42
1.39 1.14