Minimal Hepatic Encephalopathy in Patients with Alcohol Related and Non-alcoholic Steatohepatitis Related Cirrhosis by Psychometric Hepatic Cephalopathy Score and Critical Flicker Frequency.

BACKGROUND: alcohol may have additional neurotoxic ill-effects in patients with alcohol related cirrhosis apart from hepatic encephalopathy. We aimed to evaluate minimal hepatic encephalopathy (MHE) with Psychometric Hepatic Encephalopathy (PHES) score and Critical Flicker Frequency (CFF) in alcohol (ALD) and non-alcoholic steatohepatitis related (NASH) related cirrhosis. METHODS: 398 patients were screened between March 2016 and December 2018; of which 71 patients were included in ALD group and 69 in NASH group. All included patients underwent psychometric tests which included number connection test A and B (NCT-A and NCT-B), serial dot test (SDT), digit symbol test (DST), line tracing test (LTT) and CFF. MHE was diagnosed when their PHES was <-4. RESULTS: the prevalence of MHE was significantly higher in ALD group compared to NASH (69.01% vs 40.58%; P=0.007). The performance of individual psychometric tests was significantly poorer in ALD (P<0.05). Overall sensitivity and specificity of CFF was 76.62% (95%CI 65.59 - 85.52) and 46.03% (95%CI 33.39 - 59.06) respectively. Mean CFF was significantly lower in ALD than NASH (37.07 (SD 2.37) vs 39.05 (SD 2.40), P=0.001); also in presence of MHE (36.95 (SD 2.04) vs 37.96 (SD 1.87), P=0.033) and absence of MHE (37.34 (SD 3.01) vs 39.79 (SD 2.46), P=0.001). CONCLUSION: MHE is significantly more common in patients with ALD cirrhosis than NASH counterparts. Overall CFF values are less in alcohol related cirrhosis than NASH related cirrhosis, even in presence or absence of MHE. We recommend additional caution in managing MHE in ALD cirrhosis.

Sleep Quality and Health-Related Quality of Life in Older People With Subjective Cognitive Decline, Mild Cognitive Impairment, and Alzheimer Disease.

We aimed to investigate sleep quality and health-related quality of life (HRQOL) in older adults with subjective cognitive decline (SCD), mild cognitive impairment (MCI), and Alzheimer disease (AD). A total of 221 participants were divided into the following five groups: normal controls (NCs), SCD without memory concerns (SCD-0), SCD with memory concerns (SCD-1), MCI, and AD according to their cognitive status. Compared with NC, individuals with SCD-0, SCD-1, MCI, and AD had more sleep problems and reduced HRQOL. Participants with poor sleep quality had an increased risk of cognitive impairment compared with participants with good sleep quality. Within all five subgroups, individuals with poor sleep quality reported more difficulties in HRQOL than individuals with good sleep quality. Future studies employing a longitudinal design, larger samples, and objective evaluation tools are needed.

Do left-handers outperform right-handers in paper-and-pencil tests of attention?

The present study investigated the impact of the dominant hand on performance in two paper-and-pencil tests of visual selective attention (d2-R; FAIR-2). We hypothesized that preview benefits (i.e., preprocessing of stimuli located to the right of the currently fixated item) could improve test performance of left-handers as compared to right-handers because using the right hand could prevent preview benefits simply by covering subsequent stimuli. A group of left-handed students (n = 86) and a group of right-handed students (n = 90) completed both the test d2-R and the test FAIR-2 with their dominant (writing) hand. Results showed that left-handed participants outperformed right-handers in both tests. Hence, when the results of left-handers are to be compared to right-handers or to normative data (which are dominated by right-handers), the impact of preview benefits on left-hander performance should be taken into account.

Reliability and validity of measures of attentional bias towards threat in unselected student samples: seek, but will you find?

Although attentional bias (AB) is considered a key characteristic of anxiety problems, the psychometric properties of most AB measures are either problematic or unknown. We conducted two experiments in which we addressed the reliability, convergent validity, and concurrent validity of different AB measures in unselected student samples. In Experiment 1 (N = 66), the visual probe task and the emotional flanker task yielded unreliable estimates of AB. Both the relevant and irrelevant feature visual search task yielded better reliability estimates, yet AB scores did not correlate significantly with each other nor with self-reported social anxiety. In Experiment 2 (N = 60), we retained only the visual search tasks. The relevant feature visual search task was again highly reliable, but it did not correlate significantly with anxiety measures. The irrelevant feature visual search task yielded only small reliability estimates, yet one of the scores was significantly correlated with implicit (but not self-reported or physiological) measures of social anxiety. Together, our results advocate the use of variants of visual search tasks to measure AB and they underline the importance of fundamental psychometric testing in AB research.

Minimum Distance Estimation of Multidimensional Diffusion-Based Item Response Theory Models.

Diffusion-based item response theory models are models for responses and response times on psychological tests, which can be used as measurement models in the same way as standard item response theory models (Tuerlinckx, Molenaar, & van der Maas, 2016). Their range of application, however, is narrowed by the fact that multidimensional versions of the model are not easy to fit. Marginal maximum likelihood estimation (e.g., Molenaar, Tuerlinckx, & van der Maas, 2015a) is computationally intensive and infeasible for multidimensional versions. The weighted least squares estimator of Ranger, Kuhn, and Szardenings (2016) is inefficient. Here, we propose an alternative estimator that is more efficient than the least squares estimator and less demanding than the maximum likelihood estimator. The estimator is based on minimum distance estimation and consists in modeling the sample quantiles and sample covariances. The performance of the estimator is investigated in a simulation study. The simulation study corroborates that the estimator performs well. The application of the estimator is demonstrated with real data.

Searching for the HERO in Youth: Does Psychological Capital (PsyCap) Predict Mental Health Symptoms and Subjective Wellbeing in Australian School-Aged Children and Adolescents?

Psychological capital (PsyCap) comprising the positive psychological resources of hope, efficacy, resilience, and optimism (HERO) has strong empirical associations with increased wellbeing and reduced mental health symptoms in adult samples. Emerging studies of PsyCap among school-age students have also shown preliminary, positive associations between PsyCap and student wellbeing. The present study is the first to examine PsyCap-HERO constructs and associations with both mental health symptoms and subjective wellbeing in school-aged children and adolescents (aged 9-14 years). A convenience sample of Australian school students (N = 456, Mage = 11.54, SD = 1.20, 47% female) completed an online survey during class time. Measures of hope, efficacy, resilience, optimism, flourishing, anxiety, and depression previously well-validated in school samples were used. Significant associations between each HERO construct and flourishing, anxiety and depression symptoms in the expected direction were found, and importantly, the combination of HERO constructs was shown to be a stronger predictor of increased levels of student flourishing, and decreased levels of anxiety and depression symptoms, than individual HERO constructs. Findings indicate that student PsyCap may be a promising area of further investigation for schools, policymakers, clinicians and researchers looking to identify positive psychological resources in youth that may buffer poor mental health and promote wellbeing.

Reversibility of alexithymia with effective treatment of moderate-to-severe psoriasis: longitudinal data from EPIDEPSO.

BACKGROUND: Alexithymia refers to difficulty in identifying and expressing emotions. Alexithymia is associated with high burden of disease in patients with psoriasis. OBJECTIVES: To investigate whether alexithymia was reversible in patients with psoriasis following real-life therapeutic intervention. METHODS: The Epidemiological Study in Patients with Recently Diagnosed Psoriasis (EPIDEPSO; NCT01964443) was a 1-year multicentre observational study investigating the prevalence of alexithymia and other psychosocial comorbidities in patients with psoriasis with ≤ 10 years' disease duration and eligible for systemic treatment. Alexithymia was assessed using the Toronto Alexithymia Scale (TAS-20) at baseline, 6 months and 1 year. RESULTS: There was a statistically significant decrease in the prevalence of alexithymia in the follow-up cohort, from 26·7% at baseline to 21·2% at 6 months and 18·8% at 1 year. More than half of the patients (n = 77, 53·8%) who were alexithymic at baseline experienced reversion of their alexithymia. Reversion of alexithymia was higher in patients who reached a high level of disease control, defined as ≥ 75% or ≥ 90% improvement in Psoriasis Area and Severity Index. Reversion of alexithymia was associated with dramatic improvement in quality of life, anxiety and depression. Moreover, hazardous alcohol use, highly prevalent in patients with alexithymia, was reduced almost threefold at 1 year. CONCLUSIONS: Alexithymia and associated high disease burden may be reversible in patients with effective treatment of psoriasis. Proactive recognition of patients who are unable to identify and express their feelings is important.

Confirmatory factor analysis of the Revised UCLA Loneliness Scale (UCLA LS-R) in individuals over 65.

GOALS: The UCLA LS-R is the most extensively used scale to assess loneliness. However, few studies examine the scale's use on older individuals. The goal of the study is to analyse the suitability of the scale´s structure for assessing older individuals. METHOD: The UCLA LS-R scale was administered to a random sample of 409 community-dwelling residents of Madrid (53% women) aged 65-84 years (obtained from the MentDis_ICF65+ study). Confirmatory factor analysis was used to assess the factor structure of the UCLA LS-R. RESULTS: The internal consistency of the scale obtained a Cronbach's alpha of .85. All the analysed models of factor structure of the UCLA LS-R achieved a fairly good fit and RMSEA values over .80. The models that best fit the empirical data are those of Hojat (1982) and Borges et al. (2008). CONCLUSION: The data suggest an equivalent effectiveness of UCLA LS-R in adults under 65 and over 65, which may indicate a similar structure of the loneliness construct in both populations. This outcome is consistent with the idea that loneliness has two dimensions: emotional loneliness and social loneliness. The use of short measures that are easy to apply and interpret should help primary care professionals identify loneliness problems in older individuals sooner and more accurately.

Violent Victimization and Low Self-Control: The Mediating Effect of Risky Lifestyles.

This study advances a multidimensional risky lifestyles scale (i.e., casual sex, drug involvement, active nightlife, peer deviance affiliation, and conflict escalation) and tests whether behaviors that bring people into contact with motivated offenders in the absence of capable guardianship mediates the relationship between low self-control and violent victimization. Using cross-sectional survey data from a university-based sample (N = 554), a second-order confirmatory factor model for risky lifestyles is estimated. Multivariate regression equations are used to test the effect of low self-control on violent victimization, and also to determine whether risky lifestyles acts as a mediator variable. The results show that the risky lifestyles scale fully mediates the relationship between low self-control and violent victimization. This observation holds across different measurement approaches and modeling strategies. Additional tests reveal that, when the scale is disaggregated, the effects of the individual dimensions of risky lifestyle vary in terms of effect size and level of statistical significance. While the multidimensional scale has sound psychometric properties, possesses robust directional accuracy, and reflects a broad array of risky behaviors, further refinement is necessary.

[ADI-R and ADOS and the differential diagnosis of autism spectrum disorders: Interests, limits and openings]. / L'ADI-R et l'ADOS face au diagnostic différentiel des troubles du spectre autistique : intérêts, limites et ouvertures.

INTRODUCTION: Current developments in international public health are leading qualified authorities to release clinical practice guidelines for Autism Spectrum Disorders (ASD) assessment and diagnosis. Such documents incorporate procedures that rely on the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) which are considered to be the "gold standard" assessment measures in the evaluation of ASD. Although these tools do prove their effectiveness in the evaluation of autistic symptomatology, they nevertheless stumble whenever the situation becomes more complex and reveal differential diagnostic issues in infantile and adult autism cases. This differential diagnostic issue remains significant in the clinical practice of daily life and has strong implications for the course of therapeutic treatment. OBJECTIVES: Our objective is to underline and nuance the metrological qualities of the ADI-R and the ADOS in the differential diagnosis of autistic disorders by presenting a synthesis of recent studies, thus supporting the interest of maintaining an open debate on diagnostic practices. METHODS: Our selective review of the recent literature focuses on studies that confront the ADI-R and the ADOS - used either independently or in a combination - with various differential issues in adulthood and childhood autism in order to highlight their qualities and limits. RESULTS: The ADI-R is a semi-structured interview applied by trained examiners and applied to relatives and/or caregivers who collect developmental information about the patient's first years of life on a variety of behaviors and skills. It is therefore relatively dependent on the availability and personal bias of the interviewed third parties. Metric features highlighted by the reviewed studies straightforwardly reveal a certain effectiveness of the tool and a good discrimination of childhood disorders. At the same time, the tool's discriminatory capacity seems insufficient when applied to toddlers, very young children, and adults alike. The latter seems particularly true when it comes to differentiating between autistic and schizophrenic spectrum disorders. The ADOS is a semi-structured standardized observation assessment tool that has experienced several successive developments, such as optimizations concerning the sensitivity of its cutoffs. Many works have contributed to building such a tool with reliable and solid metric qualities which nevertheless retain important biases such as the subjectivity of the caregiver or the evaluator during the scoring process. For assessments of autistic children the tool still has a good diagnostic validity but seems to retain cases of incorrect diagnosis of ASD (false positives). In other words, disorders or developmental disabilities of some children and adolescents could not be distinguished from ASD when relying on this test alone. The ADOS Module 4, designed for the diagnosis of adolescents and adults with fluent speech, has undergone less updating. This revisited algorithm has metrological qualities useful for clinicians and remains one of the few available tools for this population. Unfortunately, its diagnostic accuracy is lower when applied to women, the elderly, people with personality disorders or higher intellectual abilities, or for the discrimination between ASD and schizophrenia. Overall, scores from these two instruments bring strong evidence of their usefulness in the diagnostic process of ASD, provided that they are used with caution and a critical clinical perspective, and only as a secondary technical support. Their use in combination is effective since they are complementary and compensate for each other's limitations. However, their globalized hegemony as "gold-standard" tools constitutes a setback insofar as it constrains the diagnosis of ASD to a set of stereotyped items. The latter in turn sets a normative model of autism that excludes other phenotypic forms, especially in the case of women and the elderly. Finally, the discrimination between autism and psychosis for children seems to remain an insoluble task even for the ADI-R/ADOS combination. CONCLUSIONS: The problematics of differential diagnosis remain critical for clinical approaches to autism. Therefore, formalizations of the diagnostic procedures must be able to remain open-minded and accompanied by a creative clinical approach, especially in the case of complex situations that are not soluble by means of conventional diagnostic tools. One possibility may lie in the deepening of the phenomenological approach to autism as an attempt to model the subjective phenomena of autistic subjects and thus operationalize elements that serve the diagnostic process. In the same way, a psychodynamic epistemology could help clinicians to go beyond the consideration of observable behaviors and scores, introducing a psychoanalytic point of view that interfaces objective behaviors with the individual's dynamic intrapsychic functioning. This project could be articulated with projective methodologies - notably the Rorschach test - which respects the needs for standardization and quantification of conventionally used diagnostic tools.

Through the eyes of a child: preschoolers' identification of emotional expressions from the child affective facial expression (CAFE) set.

Researchers have been interested in the perception of human emotional expressions for decades. Importantly, most empirical work in this domain has relied on controlled stimulus sets of adults posing for various emotional expressions. Recently, the Child Affective Facial Expression (CAFE) set was introduced to the scientific community, featuring a large validated set of photographs of preschool aged children posing for seven different emotional expressions. Although the CAFE set was extensively validated using adult participants, the set was designed for use with children. It is therefore necessary to verify that adult validation applies to child performance. In the current study, we examined 3- to 4-year-olds' identification of a subset of children's faces in the CAFE set, and compared it to adult ratings cited in previous research. Our results demonstrate an exceptionally strong relationship between adult ratings of the CAFE photos and children's ratings, suggesting that the adult validation of the set can be applied to preschool-aged participants. The results are discussed in terms of methodological implications for the use of the CAFE set with children, and theoretical implications for using the set to study the development of emotion perception in early childhood.

The nomological network of emotion knowledge and emotion understanding in adults: evidence from two new performance-based tests.

Emotion understanding, which can broadly be defined as expertise in the meaning of emotion, is a core component of emotional intelligence and facilitates better intra- and interpersonal outcomes. However, to date only very few standard tests to measure emotion understanding in healthy adults exist. Here, we present two new performance-based tests that were developed and are scored based on componential emotion theory and large-scale cross-cultural empirical findings. These instruments intend to measure facets of emotion understanding that are not included in existing tests. The first test (Geneva EMOtion Knowledge test - Blends; GEMOK-Blends) measures the ability to understand and label emotional experiences of a target person from a description of emotion features covering five emotion components (appraisal, feeling, action tendencies, expression, and physiology) embedded in a written vignette. The second test (GEMOK-Features) measures semantic knowledge about which features from each component are characteristic of emotion episodes described by a specific emotion label. In four studies, we found evidence for the good internal consistency and construct validity of these tests. Both tests were positively correlated with other emotional abilities and cognitive ability and showed meaningful associations with a variety of personality and demographic variables.

[Facets of Body Image Disorder: A Differential Analysis of the TEK-KJ (Test for the Detection of Body Disorder in Children and Adolescents) for the Direct Measurement of Haptic-Perceptual Parts]. / Facetten der Körperbildstörung: eine differenzielle Analyse des TEK-KJ (Test zur Erfassung der Körperbildstörung bei Kindern und Jugendlichen) zur direkten Messung haptisch-perzeptiver Anteile.

There is presently a lack of instruments that measure the haptic-perceptive component of body-image distortion ­ a central criterion for the eating disorders anorexia nervosa and bulimia nervosa. We present a differential analysis for the Test for Body Image Distortion in Children and Adolescents (BID-CA, German: TEK-KJ) using a large child and adolescents sample, including for the first time male participants. We analyze convergent validity with the Contour Drawing Rating Scale (CDRS) as well as differences between children and adolescents from different type of schools and different BMI percentile groups. The sample size was N = 1,654 pupils (873 females and 781 males) with an average age of 13.35 years (SD = 0.76). We calculated a substantial convergent validity with the CDRS. Significant differences between children and adolescents from different type of schools and different BMI percentile groups were detected, with increased values for children and adolescents attending high school and underweight participants. The TEK-KJ seems to be an appropriate additional instrument for detecting the haptic-perceptive component of body-image distortion. The normative data presented improves the standardization of this instrument.

Factor structure and psychometric evaluation of the Connor-Davidson resilience scale in a new employee population of China.

BACKGROUND: In order to find a suitable instrument to evaluate psychological resilience in Chinese new employee population, we intended to propose a possible factorial structure of Connor-Davidson Resilience Scale (CD-RISC). Furthermore, we administered to explore its reliability and validity in the present population. METHODS: Participants were derived from the male new employees who had started working in the last 2-3 months from 12 machinery factories across 8 different provinces of China. Chinese version of CD-RISC was used to assess the resilience of the study participants. Exploratory factor analysis (EFA) was conducted to assess the possible factor structure, and confirmatory factor analysis (CFA) was used to determine which factor structure was the most suitable among the present study sample. RESULTS: The present 4-factor model (tolerance for stress, tenacity, and goal orientation; adaptability and acceptance of change; optimism and sense of security; and trust in one's instinct) of CD-RISC showed good internal consistency, concurrent validity and consistent structure validity, and had presented better data fit than the original 5-factor and the Chinese 3-factor patterns. Each of the present 4-factor structure and the total score of CD-RISC were negatively and significantly associated with Global Severity Index T score and Personality Diagnostic Questionnaire-4+ score. CONCLUSIONS: The measure of resilience is useful in screening high-risk employees who are vulnerable to stress. Optimal and tailored interventions can be further applied to avoid potential adverse events in this population. Longitudinal research should be required to determine whether aging and long-term health events can change the nature of resilience.

Retest reliability of the parameters of the Ratcliff diffusion model.

In the recent years, there is a growing interest to use the Ratcliff Diffusion Model (1978) for diagnostic purposes as the parameters of the model capture interindividual differences in specific cognitive processes. The parameters are estimated using reaction time data from binary classification tasks. For a potential diagnostic application of parameter values sufficient reliability is a necessary precondition. In two studies, each with two sessions separated by 1 week, the retest reliability of the diffusion model parameters was assessed. In Study 1, 105 participants completed a lexical decision task and a recognition memory task. In Study 2, 128 participants worked on an associative priming task. Results show that the reliability of the main parameters of the Ratcliff Diffusion Model (in particular of the speed of information accumulation and the threshold separation with rs > 0.70 for all three tasks) is satisfying. Besides, we analyzed the influence of the number of trials on the retest reliability using different estimation methods (Kolmogorov-Smirnov, Maximum Likelihood, Chi-square and EZ) and both empirical and simulated datasets.

Psychometric evaluation of the Condom Barriers and Motivations Scale (CBMS).

The Condom Barriers and Motivations Scale (CBMS) was developed to measure four distinct categories of barriers and motives to condom use, including: risk reduction motivations, pleasure reduction barriers, intimacy interference barriers, and partner pressure barriers. The CBMS is a 16-item scale with four items that correspond to each of these subscales. The CBMS was tested in two samples of gay and bisexual men. Results support the reliability and validity of the scale and its structure. Results also indicate that CBMS subscales are distinct from general measures of sexual wellbeing, personality factors, or relationship quality (i.e., discriminant validity) and are associated with self-reported condom use with different partner types (i.e., construct validity). The CBMS can be helpful in better understanding the dynamics of condom use in the context of pre-exposure prophylaxis decision-making, and can shed light on innovative approaches to enhance condom use as part of comprehensive HIV prevention and sexual health goals.

Socioeconomic deprivation and the clinical management of self-harm: a small area analysis.

PURPOSE: Socioeconomic deprivation is associated with increased rates of self-harm but its association with levels of clinical care has not previously been explored. The aim of the current study was to investigate socioeconomic differences in the clinical management of people who self-harm. METHODS: Cross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm. RESULTS: People living in the least deprived quintile were more likely to receive a psychosocial assessment (most vs. least deprived: 63.51 vs. 70.14%). This effect persisted in our fully adjusted model (OR 1.45, CI 1.15-1.82, p = 0.002). Mediation analysis suggested this association was in large part explained by higher rates of self-discharge in people presenting from areas of higher deprivation. CONCLUSIONS: Compared to those from more deprived areas, people from less deprived areas are more likely to receive a psychosocial assessment when presenting to hospital following self-harm. The occurrence of higher rates of self-discharge from emergency departments among those from more deprived areas may explain the association.

Measuring individual differences in statistical learning: Current pitfalls and possible solutions.

Most research in statistical learning (SL) has focused on the mean success rates of participants in detecting statistical contingencies at a group level. In recent years, however, researchers have shown increased interest in individual abilities in SL, either to predict other cognitive capacities or as a tool for understanding the mechanism underlying SL. Most if not all of this research enterprise has employed SL tasks that were originally designed for group-level studies. We argue that from an individual difference perspective, such tasks are psychometrically weak, and sometimes even flawed. In particular, the existing SL tasks have three major shortcomings: (1) the number of trials in the test phase is often too small (or, there is extensive repetition of the same targets throughout the test); (2) a large proportion of the sample performs at chance level, so that most of the data points reflect noise; and (3) the test items following familiarization are all of the same type and an identical level of difficulty. These factors lead to high measurement error, inevitably resulting in low reliability, and thereby doubtful validity. Here we present a novel method specifically designed for the measurement of individual differences in visual SL. The novel task we offer displays substantially superior psychometric properties. We report data regarding the reliability of the task and discuss the importance of the implementation of such tasks in future research.

Test-retest reliability and task order effects of emotional cognitive tests in healthy subjects.

Little is known of the retest reliability of emotional cognitive tasks or the impact of using different tasks employing similar emotional stimuli within a battery. We investigated this in healthy subjects. We found improved overall performance in an emotional attentional blink task (EABT) with repeat testing at one hour and one week compared to baseline, but the impact of an emotional stimulus on performance was unchanged. Similarly, performance on a facial expression recognition task (FERT) was better one week after a baseline test, though the relative effect of specific emotions was unaltered. There was no effect of repeat testing on an emotional word categorising, recall and recognition task. We found no difference in performance in the FERT and EABT irrespective of task order. We concluded that it is possible to use emotional cognitive tasks in longitudinal studies and combine tasks using emotional facial stimuli in a single battery.

The Maintaining Factors of Social Anxiety: A Three-Group Comparison of a Clinical Sample with Highly Socially Anxious Students and Non-Anxious Students.

BACKGROUND: Clark and Wells' (1995) cognitive model of social anxiety (CWM) explains the maintenance of social anxiety and has been used as a guide for treatment of Social Anxiety Disorder (SAD). Few studies have examined the components of the model together across different samples. AIMS: This study had two distinct aims: to test the components of CWM and to examine how the variables of CWM may differ between clinical and non-clinical samples with varying levels of social anxiety. METHOD: Hypothesized relationships between three groups (i.e. a clinical sample of individuals diagnosed with SAD (ClinS), n = 40; socially anxious students (HSA), n = 40; and, non-anxious students (LSA), n = 40) were investigated. RESULTS: Four out of five CWM variables tested were able to distinguish between highly socially anxious and non-anxious groups after controlling for age and depression. CONCLUSIONS: CWM variables are able to distinguish between high and low levels of social anxiety and are uniquely related to social anxiety over depression.