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Communication apprehension

Communication apprehension (CA) is defined as an individual's level of fear or anxiety associated with either real or anticipated communication with another person or persons.^[1] This psychological response can manifest in physiological symptoms such as increased heart rate, sweating, or trembling, as well as behavioral avoidance of communicative situations.^[2] The concept of communication apprehension was first systematically explored and termed by communication scholar James C. McCroskey in 1970, building on earlier ideas of "reticence" and "stage fright" to describe a broader anxiety tied to oral communication.^[3] McCroskey's initial work focused on developing measurement tools to quantify this anxiety, recognizing its impact on educational and social contexts.^[3] By 1977, the framework expanded to emphasize its trait-like nature for some individuals, while later refinements in the 1980s distinguished it from related constructs like shyness or social anxiety.^[1] Communication apprehension is categorized into four primary types based on its scope and triggers: trait CA, a general personality-based predisposition affecting communication across most situations; context CA, anxiety specific to particular settings like public speaking or group discussions; audience CA, discomfort linked to certain types of listeners, such as authority figures; and situational CA, a temporary response to unique circumstances within a context. Trait CA is considered the most stable and pervasive form, often rooted in genetic and environmental factors during childhood.^[4] These distinctions allow for targeted assessment and intervention, highlighting that not all anxiety is inherent but can be context-dependent. Measurement of CA typically relies on self-report scales developed by McCroskey, with the most widely used being the Personal Report of Communication Apprehension-24 (PRCA-24), a 24-item questionnaire that assesses the four types through Likert-scale responses. The PRCA-24 demonstrates high reliability (alpha coefficients around 0.90-0.95) and has been validated across diverse populations, including students and professionals.^[3] Prevalence studies indicate that approximately 20% of the general population, particularly college students, exhibit high levels of trait CA, leading to significant avoidance behaviors.^[5] High communication apprehension has profound effects on personal and professional development, including reduced participation in classes, lower academic achievement, limited career opportunities in communication-intensive fields, and strained interpersonal relationships.^[1] Individuals with elevated CA often underperform in interviews, public roles, and team settings, perpetuating a cycle of isolation and further anxiety.^[4] Research underscores the need for interventions like systematic desensitization or cognitive-behavioral training to mitigate these impacts, with evidence showing reductions in CA levels post-treatment.^[1]

Overview

Definition

Communication apprehension (CA) is an individual's level of fear or anxiety associated with either real or anticipated communication with another person or persons.^[6] Coined by James C. McCroskey in the 1970s, this psychological construct originally emphasized a broadly based anxiety related to oral communication, distinguishing it as a specific response to interpersonal or public speaking interactions rather than a generalized emotional state.^[4] In contrast to broader forms of anxiety that may arise from various stressors, CA is uniquely linked to the act of communicating, often triggered by the anticipation of evaluation or failure in social exchanges. It comprises three primary components: cognitive, involving negative thoughts such as fears of inadequacy or rejection; affective, encompassing emotional responses like dread or unease; and behavioral, characterized by avoidance or withdrawal from communicative situations.^[7] Foundational research by McCroskey estimates that 15-20% of the general population experiences high levels of CA, significantly impacting their social and professional interactions.^[6]

Historical Development

The concept of communication apprehension (CA) originated in the late 1960s and early 1970s within communication studies, evolving from prior psychological inquiries into speech anxiety and social withdrawal. James C. McCroskey, a professor at West Virginia University, pioneered the formalization of CA as a specific construct, distinguishing it from general anxiety by focusing on its ties to oral communication contexts. In his foundational 1970 article, McCroskey defined CA as an individual's level of fear or anxiety associated with either real or anticipated communication with others, and he developed initial self-report measures to quantify it.^[3] This work built on earlier explorations, such as Gerald M. Phillips's 1968 conceptualization of reticence as a consistent pattern of avoidance among otherwise normal speakers, driven by self-perceived communicative inadequacy rather than clinical pathology.^[8] The 1970s marked key milestones in CA's theoretical refinement, with McCroskey's research emphasizing its behavioral manifestations, including avoidance and disruption in interactions. His 1976 publication further elaborated on rhetorical aspects of fear and avoidance in communication, positioning CA as a barrier to effective public and interpersonal discourse.^[4] Concurrently, Judee K. Burgoon's 1976 scale for unwillingness to communicate introduced a related predisposition toward evasion, often rooted in apprehension, alienation, or introversion, which complemented McCroskey's framework by highlighting motivational factors.^[9] By the 1980s, CA research expanded to differentiate stable, personality-based forms from those triggered by specific environments, laying groundwork for nuanced applications in education and therapy. McCroskey's ongoing contributions during this decade solidified these distinctions, influencing pedagogical approaches to mitigate apprehension in speech training.^[4] The 1990s brought integration with biological perspectives through communibiology, as Michael J. Beatty, McCroskey, and colleagues proposed in 1998 that CA reflects innate temperamental traits with a strong genetic component, shifting emphasis from purely learned behaviors to neurobiological underpinnings.^[10] In the post-2000 era, CA's scope broadened to digital realms, with studies from the 2010s onward examining anxiety in online interactions, such as social media and virtual meetings, where reduced nonverbal cues can exacerbate fears similar to face-to-face encounters.^[11] Recent critiques in the 2020s have highlighted the Western bias in CA scholarship—predominantly based on U.S. samples—and advocated for cross-cultural validations, with research comparing apprehension levels across diverse global contexts to enhance universality.^[12]

Classification

Trait Communication Apprehension

Trait communication apprehension represents an enduring personality-based predisposition to experience fear or anxiety related to oral communication in nearly all situations, distinguishing it as a stable trait rather than a temporary response. Coined by James C. McCroskey, this form of apprehension is characterized by a broad avoidance of communicative interactions, where individuals with high trait levels consistently perceive communication as threatening and opt for withdrawal to minimize discomfort.^[13] Rooted in inherent temperament, it manifests across everyday conversations, such as casual chats with acquaintances, or reluctance to participate in group discussions, leading to reduced social engagement across contexts.^[10] Prevalence estimates indicate that 15 to 20 percent of American college students experience high levels of trait communication apprehension, with this figure reflecting severe cases that significantly impair interpersonal and professional interactions.^[14] For instance, affected individuals may habitually defer speaking in meetings or avoid initiating dialogues, perpetuating cycles of isolation. Theoretically, trait communication apprehension aligns with Hans Eysenck's personality model, particularly along the introversion-extraversion and neuroticism dimensions, where neurotic introverts report elevated apprehension due to heightened emotional reactivity and lower sociability.^[15] Genetic influences further underpin this trait, as proposed in the communibiological paradigm by Michael J. Beatty and James C. McCroskey, which posits CA as a largely inherited temperamental expression; twin studies on related constructs, such as social composure (inversely linked to apprehension), yield heritability estimates as high as 88 percent.^[16] Overall, heritability estimates for communication traits vary widely based on behavioral genetic research.^[17] In contrast to state anxiety, which arises transiently in response to specific events, trait communication apprehension remains consistent over time, unaffected by isolated circumstances and instead reflecting a core personality disposition that influences communication behaviors enduringly.^[18]

Contextual Communication Apprehension

Contextual communication apprehension refers to fear or anxiety associated with real or anticipated communication within specific, generalized contexts, such as public speaking or small group discussions, rather than across all situations. This form of apprehension is distinct in its focus on recurring environmental or format-based triggers, allowing individuals to experience high anxiety in one setting—like oral presentations—while remaining relatively comfortable in others, such as written exchanges via email.^[4] The scope encompasses a range of oral communication formats where immediate feedback or visibility heightens vulnerability, but it excludes one-time events or audience-specific factors.^[4] Key examples illustrate this context-bound nature. Oral presentations represent the most prevalent trigger, with studies estimating that approximately 75% of individuals experience mild to moderate apprehension in such scenarios, often manifesting as stage fright during formal speeches. Small group discussions and meetings also commonly elicit this anxiety, as participants must navigate turn-taking and collective input in interactive settings, though levels tend to be lower than in solo public speaking. In contrast, apprehension diminishes significantly in low-context media like email, where asynchronous and non-verbal elements reduce immediacy.^[19]^[20] Research findings highlight how contextual communication apprehension intensifies in evaluative environments, such as classrooms, where performance is scrutinized and graded, leading to peak anxiety levels during assignments like student speeches. Developmental studies trace these patterns to early negative experiences, including traumatic school speeches that condition avoidance behaviors persisting into adulthood. Sub-variations distinguish performance-oriented contexts, like delivering monologues, from interaction-focused ones, such as dyadic conversations, with McCroskey's 1980s surveys demonstrating 20-30% variance in apprehension scores across these contexts, underscoring the role of situational format in modulating anxiety.^[21] Trait communication apprehension can amplify these context-specific responses in predisposed individuals.^[4]

Audience-Based Communication Apprehension

Audience-based communication apprehension refers to the fear or anxiety associated with communicating with specific types of audiences, where the level of discomfort varies depending on the audience's characteristics, such as familiarity, status, or group size. Individuals may experience heightened anxiety when interacting with strangers, superiors, or large groups, while feeling relatively at ease with close friends or family members. This form of apprehension is consistent over time with particular audiences but does not extend to all communication contexts, distinguishing it from more generalized forms of anxiety.^[22] Common patterns include heterosocial communication apprehension, which arises during interactions with members of the opposite sex, often leading to avoidance of such conversations due to perceived social risks. Similarly, authority-based apprehension manifests in professional settings, such as speaking to bosses or authority figures, where fear of evaluation or negative judgment intensifies. Research indicates that these audience-specific triggers can significantly influence overall communication patterns, with studies showing that apprehension levels fluctuate predictably based on audience composition—higher in unfamiliar or high-status groups and lower in supportive, intimate ones.^[23]^[24] Theoretically, audience-based communication apprehension is grounded in social evaluation fears, as outlined in self-presentation theory, which posits that anxiety emerges when individuals are motivated to convey a desired image but doubt their ability to do so effectively in the eyes of the audience. This theory emphasizes the role of perceived scrutiny from specific others in triggering evaluative concerns. Cross-cultural variations further underscore this, with higher levels observed in hierarchical societies where status differences amplify evaluation fears; for instance, individuals in Taiwan report greater apprehension with authority audiences compared to those in the United States, reflecting cultural norms around power distance.^[25] Measurement of audience-based apprehension is captured through subscales in established tools like the Personal Report of Communication Apprehension (PRCA-24), which includes items assessing anxiety in dyadic interactions with strangers versus acquaintances, thereby revealing the selective nature of this apprehension type. These subscales allow researchers to isolate audience effects from other influences, providing nuanced insights into how specific relational dynamics contribute to overall anxiety profiles.^[26]

Situational Communication Apprehension

Situational communication apprehension (SCA) refers to a transient form of anxiety that arises specifically in response to particular communication events or contexts, rather than as a stable personality trait. Unlike enduring predispositions, SCA manifests as a short-term emotional response that typically diminishes or resolves once the situation concludes, often triggered by the unique demands of the immediate environment. This state-like apprehension is characterized by heightened fear or discomfort during real or anticipated interactions in isolated high-pressure scenarios, such as a one-time presentation or negotiation.^[27] Common examples of SCA include job interviews, where the stakes of evaluation create temporary unease, or participation in debate competitions, which involve novelty and unpredictability leading to acute anxiety spikes. Unexpected confrontations, such as addressing a sudden crisis in a group setting, can also elicit this response, as individuals experience intensified apprehension due to the event's immediacy and lack of rehearsal. Research adapting Spielberger's State-Trait Anxiety Inventory (STAI) to communication contexts has demonstrated that such spikes occur prominently in novel or high-stakes moments, with state anxiety levels correlating significantly with situational demands (r = .69 across contexts).^[28]^[27] Several factors influence the intensity of SCA, including the novelty of the situation, its unpredictability, and the individual's level of preparation. Novel situations, where prior experience is limited, heighten apprehension by introducing uncertainty, while unpredictability—such as ambiguous audience reactions—amplifies the perceived risk. Preparation mitigates these effects; studies from the 1980s indicate that situational elements like novelty and subordinate status account for up to 48.7% of variance in public speaking anxiety scores. Additionally, elements such as formality, audience dispersion, and external evaluation contribute to SCA by increasing self-focus and potential for negative outcomes.^[28]^[29] SCA aligns closely with Spielberger's conceptualization of state anxiety as a momentary emotional reaction to specific stressors, distinct from trait anxiety's chronic nature. This transient quality positions SCA within broader classifications of communication apprehension as a context-specific variant, emphasizing its role in isolated incidents rather than recurring patterns. The Situational Communication Apprehension Measure (SCAM), developed by McCroskey and Richmond in 1982, quantifies this state by assessing anxiety in targeted scenarios, confirming its separation from stable traits.^[30]^[27]

Measurement

Personal Report of Communication Apprehension (PRCA)

The Personal Report of Communication Apprehension (PRCA) was developed by James C. McCroskey in 1970 as a self-report instrument to quantify trait-like oral communication apprehension across diverse situational contexts, building on earlier measures like the Personal Report of Confidence as a Speaker.^[31] This initial version addressed the need for a multidimensional tool that captured apprehension not limited to public speaking alone, drawing from empirical data on anxiety patterns in communication behaviors. Subsequent revisions enhanced its psychometric properties: the PRCA-24 emerged in 1982 with refined items for greater precision.^[32]^[13] The PRCA-24, the most widely adopted variant, consists of 24 statements rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), divided into four subscales of six items each: interpersonal (dyadic conversations), meetings (interactions in formal small groups), groups (informal discussions), and public speaking (presentations to audiences).^[13] These subscales briefly align with classifications of communication apprehension by evaluating anxiety in specific contextual types. To compute scores, responses to reverse-scored items (phrased to indicate low apprehension) are inverted before summing; the total CA score ranges from 24 to 120, where higher values signify greater overall apprehension, and subscale scores (12–60) provide context-specific insights.^[33] The instrument exhibits strong reliability, with Cronbach's alpha values consistently above 0.90 for the total scale and ranging from 0.70 to 0.90 for subscales across diverse samples, indicating excellent internal consistency.^[13] Its validity is supported by convergent correlations with behavioral avoidance measures (r > 0.50) and predictive utility in forecasting communication performance, as evidenced in validation studies.^[32] The PRCA has been utilized in over 1,000 empirical studies since its inception, underscoring its foundational role in communication research, with recent validations (as of 2025) confirming its reliability in online and international contexts.^[13]^[34] Normative data from U.S. general populations yield a mean total score of approximately 70 (SD ≈ 15), with scores above 80 denoting high apprehension levels.^[13] In applications, the PRCA functions as a diagnostic tool in educational programs to screen for high-apprehension students and tailor interventions like desensitization training, and in clinical therapy to monitor reductions in CA symptoms over time.^[35] Despite its strengths, the scale's reliance on self-reports introduces bias risks, such as social desirability effects where individuals underreport anxiety, potentially skewing results.^[36] Additionally, its development in predominantly Western, individualistic cultures limits cross-cultural sensitivity, as items may not adequately reflect apprehension manifestations in collectivist societies where group harmony influences anxiety differently.^[37]

Other Assessment Tools

Behavioral assessments offer objective evaluations of communication apprehension by observing avoidance and distress indicators in controlled settings, such as role-play simulations or video-recorded speaking tasks. Researchers often employ checklists to score behaviors like pacing, stuttering, or evasion on Likert-type scales (e.g., 1-5 for intensity or frequency), allowing quantification of observable anxiety manifestations. For instance, the Timed Behavioral Checklist (TBCL; Paul, 1966) has been utilized in 1980s studies to track behavioral indices of distress during simulated communication scenarios, providing convergent validity with self-report measures.^[38] Physiological measures capture autonomic responses to communication apprehension, using tools like heart rate monitors and skin conductance sensors during tasks such as public speaking or interviews. These indicators reveal non-conscious arousal that may not be fully reflected in self-reports, with biofeedback applications from the 2000s demonstrating moderate to strong correlations (often >0.50) between physiological changes and reported anxiety levels. A 2004 study, for example, found heart rate elevations during speeches significantly associated with fear of negative evaluation, though skin conductance responses varied by individual anxiety profiles.^[39] Such measures complement traditional assessments by highlighting somatic components of apprehension.^[40] Beyond the dominant self-report instruments like the PRCA, several specialized scales address distinct facets of communication apprehension. The Unwillingness-to-Communicate Scale (UTCS; Burgoon, 1976) comprises 20 items that gauge a global predisposition to avoid oral communication, emphasizing motivational and alienative avoidance across social contexts.^[9] Similarly, the Speech Anxiety Thoughts Inventory (SATI; Cho, Smits, & Telch, 2004) features 23 items focused on cognitive distortions, such as anticipated negative evaluation or performance failure, during public speaking; it identifies two primary factors—anticipation of poor outcome and audience scrutiny—offering targeted insight into thought patterns driving apprehension.^[41] Post-2015 developments in digital tools have introduced real-time assessment capabilities for communication apprehension, leveraging AI and multimodal data to track anxiety dynamically. Machine learning models, for instance, analyze acoustic features (e.g., pauses, pitch variation) and visual cues (e.g., gestures, eye contact) from video or audio inputs, achieving correlations as high as 0.825 with established self-report scales like the PRCS.^[42] Neural network-based apps, such as those using LSTM for oral presentation monitoring, predict anxiety episodes in real time with promising accuracy, capturing subtle, non-conscious signals overlooked by static questionnaires and supporting immediate interventions.^[43] These emerging technologies enhance ecological validity by simulating naturalistic communication while integrating physiological proxies through sensor-equipped devices.

Causes and Risk Factors

Psychological Factors

Cognitive aspects of communication apprehension (CA) often involve negative self-talk and perfectionism, which amplify fears associated with social interactions. Negative self-talk manifests as internal dialogues that predict failure or ridicule during communication, contributing to heightened anxiety levels. For instance, perfectionism, characterized by unrealistic standards for performance, correlates positively with CA, as individuals set excessively high expectations for flawless delivery, leading to avoidance behaviors.^[44] A key element is the fear of negative evaluation, where individuals anticipate harsh judgment from others, as conceptualized in the Fear of Negative Evaluation Scale developed by Watson and Friend in 1969. This fear drives cognitive distortions that perpetuate CA by focusing on potential criticism rather than the interaction itself. Irrational beliefs further exacerbate these cognitive patterns, such as the absolutist demand "I must be flawless" in social exchanges, which stems from rational emotive behavior therapy (REBT) principles. These beliefs, identified as rigid and non-empirical, generate emotional distress and maladaptive avoidance in communicative situations. Research confirms a direct link between such irrational beliefs and CA, where challenging them reduces apprehension intensity.^[45] Personality traits, particularly within the Big Five model, play a significant role in predisposing individuals to CA. High neuroticism, marked by emotional instability and proneness to negative affect, shows a moderate positive correlation with CA (r ≈ 0.40), indicating that those scoring high on this trait experience greater anxiety in communicative contexts. Anxious attachment styles, rooted in early relational patterns, are associated with elevated CA, as anxiously attached individuals harbor persistent worries about rejection in social exchanges. Developmental origins of CA include childhood trauma and parental modeling, which shape internal psychological responses. Experiences of trauma, such as emotional neglect, can foster enduring fears of vulnerability in communication, leading to heightened apprehension in adulthood. Parental modeling, where children observe and internalize high CA from caregivers, significantly influences trait development, with studies showing that elementary-aged children of apprehensive parents exhibit similar patterns. Heritability estimates from communibiology suggest a genetic component of approximately 80% for CA, underscoring innate temperamental influences alongside learned behaviors.^[46] Neurobiological links reveal amygdala hyperactivity as a core mechanism in CA, particularly evident in functional magnetic resonance imaging (fMRI) studies from the 2010s. During speech anticipation tasks, socially anxious individuals—overlapping with high CA—display prolonged amygdala activation, reflecting exaggerated threat detection and impaired emotion regulation. This hyperactivity correlates with CA severity, highlighting how neural responses to perceived social threats contribute to the psychological underpinnings of apprehension.^[47] Cultural factors significantly contribute to the development of communication apprehension (CA), particularly through differences in societal norms regarding individualism versus collectivism as outlined in Hofstede's cultural dimensions theory. In collectivist cultures, such as Japan, where group harmony and conformity are prioritized, individuals often experience higher levels of CA due to the emphasis on avoiding personal expression that might disrupt social cohesion. In contrast, individualist cultures like the United States encourage self-expression, resulting in lower average CA scores. Cross-cultural comparisons, including studies of university students, confirm that Japanese participants report substantially higher CA than Americans, with cultural orientation explaining key variances in apprehension levels.^[48]^[49]^[50] Family dynamics and upbringing also shape CA through modeled behaviors and interaction patterns. Research on family communication patterns reveals that protective and consensual orientations, characterized by parental reticence and emphasis on conformity, predict higher CA in children by limiting open dialogue and reinforcing avoidance of conflict. Sibling dynamics, such as competitive or dismissive interactions, further model reticent communication styles that persist into adulthood. These influences highlight how early familial environments foster or inhibit communicative confidence.^[51]^[52] Educational experiences, especially during formative years, exacerbate CA through reinforcing negative associations with oral communication. Studies from the 1970s, including McCroskey's foundational work, demonstrated that punitive feedback in classroom settings, such as criticism during oral exams or recitations, significantly increases apprehension by associating speaking with failure and embarrassment. This effect is evident across elementary and secondary levels, where repeated negative reinforcement leads to long-term avoidance of public speaking.^[53]^[54] Social learning processes amplify CA by internalizing observed failures in communication from external sources. Media portrayals of awkward or rejected interactions, such as in films or television depicting social blunders, contribute to learned anxiety about similar situations through observational modeling, as explained by social learning theory applied to CA. Peer rejection experiences, including bullying, further entrench this apprehension; longitudinal studies link early victimization to heightened adult CA and related social withdrawal, with bullied individuals showing persistent fear of interpersonal evaluation.^[55]^[56] In the modern era, digital environments have introduced new environmental pressures on CA, particularly audience-based forms. Post-2010 research indicates that social media-induced fear of missing out (FOMO) and information overload intensify apprehension by amplifying concerns over online scrutiny and exclusion from virtual interactions. Excessive exposure to curated social feeds heightens perceived risks of negative feedback, exacerbating avoidance in both digital and face-to-face contexts. Recent studies (as of 2023) note increased CA linked to remote communication during the COVID-19 pandemic, with prolonged virtual interactions contributing to fatigue and heightened anxiety in online settings.^[57]^[58]

Manifestations and Effects

Behavioral Patterns

Individuals with high levels of communication apprehension (CA) commonly exhibit avoidance behaviors to minimize exposure to anxiety-provoking interactions. These include topic evasion, prolonged silence, or physical withdrawal, such as leaving social gatherings prematurely. Research delineates varying degrees of avoidance associated with high CA, ranging from mild hesitation in initiating conversations to complete disengagement from communicative situations.^[13] Verbal cues associated with CA often manifest as disrupted speech patterns. High-CA speakers tend to provide monosyllabic responses and increased use of filler words, such as "um" or "uh," which correlate positively with apprehension levels in classroom settings.^[20] Nonverbal signs further reveal CA through observable indicators of discomfort and withdrawal. Individuals frequently avoid eye contact, with studies showing significant gaze aversion in dyadic interactions relative to low-CA peers. Additional cues include fidgeting behaviors like self-touching, closed body postures such as crossed arms or backward leaning, and reduced gesturing, all of which signal detachment and tension.^[59]^[20] Over time, these patterns contribute to chronic under-participation in social and professional environments. High-CA individuals consistently limit their involvement in group discussions or meetings, opting instead for peripheral roles that require minimal verbal or nonverbal engagement.^[60]

Physiological and Emotional Symptoms

Communication apprehension triggers a range of physiological responses through activation of the autonomic nervous system, primarily the sympathetic branch, which prepares the body for perceived stress in communicative situations. Common manifestations include elevated heart rate, excessive sweating, dry mouth, and tremors or shaking, reflecting the body's fight-or-flight mechanism.^[40] These symptoms have been documented in early biofeedback research from the 1970s, where electromyographic (EMG) monitoring revealed heightened muscle tension and arousal levels among individuals prone to communication apprehension during simulated speaking tasks.^[61] Emotionally, individuals experiencing communication apprehension often report intense negative affect, such as dread and anticipation of failure, embarrassment from potential social judgment, and acute panic that disrupts cognitive focus. These feelings vary in intensity, from mild sensations akin to "butterflies in the stomach" to severe, phobia-like fear that can overwhelm the person entirely.^[62] In trait-based communication apprehension, this emotional distress extends beyond isolated events, contributing to a chronic sense of emotional drain and persistent unease in everyday interactions. The onset of these symptoms is typically acute, beginning 10-30 minutes prior to anticipated communication as anxiety builds during the preparatory phase, and peaking during initial confrontation with the situation.^[63] Gender differences are evident, with women generally reporting greater emotional intensity associated with these symptoms.^[64]

Impacts on Individuals and Interactions

Communication apprehension (CA) has profound negative effects on individuals' self-perception and professional trajectories. High levels of CA are strongly associated with reduced self-esteem, with studies reporting correlations ranging from r = -0.52 to r = -0.72 between oral CA and self-esteem measures across diverse populations.^[65] This inverse relationship persists across age groups and contexts, as individuals with elevated CA often internalize their communication difficulties as personal inadequacies, leading to diminished confidence in social and professional domains. Professionally, high CA limits career advancement by restricting visibility and assertiveness; individuals with high CA are more likely to occupy lower-level positions, earn less, and experience fewer promotions due to avoidance of communication-intensive roles and interactions with superiors.^[66] For instance, research indicates that fewer high-CA individuals reach top organizational positions, as escalating communication demands in leadership roles exacerbate their challenges.^[67] On the interpersonal front, CA undermines relationship quality by fostering avoidance behaviors that result in social isolation and loneliness. High CA correlates positively with loneliness, as affected individuals engage less in dyadic and group interactions, leading to fewer friendships and weaker relational bonds over time.^[68] Longitudinal research supports this, showing that persistent CA contributes to sustained emotional withdrawal and poorer relational outcomes, such as reduced intimacy and support networks in both personal and familial contexts.^[69] These patterns not only heighten feelings of alienation but also perpetuate a cycle where limited social practice further entrenches CA. At a broader societal level, CA impedes group productivity and educational attainment. In team settings, high-CA members participate less actively, contributing fewer ideas and reducing overall group output; studies link this reduced involvement to lower job satisfaction and diminished collective performance in collaborative environments.^[66] Educationally, CA acts as a barrier in courses emphasizing oral communication, correlating with lower grades, reduced class participation, and higher dropout rates among college students.^[70] Longitudinal analyses confirm that students with high CA achieve lower GPAs and are more prone to academic withdrawal, limiting their long-term opportunities.^[71] Although predominantly detrimental, mild CA can occasionally yield positive outcomes by motivating thorough preparation and rehearsal, which may enhance performance in structured communication tasks.^[72] This adaptive effect aligns with optimal arousal theories, where low-to-moderate anxiety prompts greater effort without overwhelming the individual.

Treatments and Management

Therapeutic Approaches

Cognitive Behavioral Therapy (CBT) is a widely used therapeutic approach for addressing communication apprehension (CA), particularly by targeting the cognitive distortions and negative thought patterns that exacerbate anxiety in social and public speaking situations. This structured intervention typically involves 8-12 sessions focused on identifying irrational beliefs, such as fears of negative evaluation, and replacing them with more adaptive thoughts through techniques like cognitive restructuring and behavioral experiments. Meta-analyses have demonstrated CBT's efficacy in reducing symptoms of social anxiety disorder (SAD), which encompasses CA, with large between-group effect sizes (g = 0.87) indicating substantial symptom improvement across individual, group, and remote formats.^[73] For youth with SAD, pre-post effect sizes reach g = 0.99, with greater reductions associated with more sessions and inclusion of social skills components, supporting its role in achieving lasting clinical recovery.^[74] Systematic desensitization, originally adapted by Joseph Wolpe in 1958 from classical conditioning principles, remains a foundational behavioral therapy for CA, emphasizing gradual exposure to anxiety-provoking stimuli while paired with relaxation techniques. The process begins with constructing a hierarchy of feared situations—starting with low-anxiety scenarios like imagining a brief conversation and progressing to real-life public speaking—and systematically desensitizing the individual through deep muscle relaxation or guided imagery to inhibit the fear response. Empirical studies confirm its effectiveness in alleviating public-speaking anxiety, with significant reductions in trait and state anxiety measures compared to no-treatment controls, though outcomes can be enhanced by positive expectancy cues.^[75] In comparative trials, it yields notable decreases in communication apprehension scores (mean reduction of 21 points on the PRCA-24) and physiological symptoms, demonstrating comparable efficacy to integrative approaches for behavioral patterns of avoidance.^[76]^[77] Skills training programs, often modeled after structured group formats like Toastmasters International, focus on building practical communication competencies through repeated practice, peer feedback, and performance refinement to diminish CA over time. These interventions typically involve 10 or more sessions where participants deliver graded presentations, receive constructive evaluations, and incorporate techniques such as vocal modulation and body language awareness to foster confidence. Research from the late 20th century and beyond shows that such programs significantly lower public speaking anxiety, with highly apprehensive individuals experiencing drops of approximately 30 points on standardized scales like the PRPSA after systematic training, outperforming control groups in anxiety reduction.^[78] When combined with other methods, skills training contributes to decreased negative thoughts and behavioral manifestations, though it is most effective when not sequenced as the initial component in multifaceted treatments.^[79] Virtual Reality Exposure Therapy (VRET) has emerged as a promising modern intervention for CA, particularly for public speaking anxiety, by providing immersive, controlled simulations of anxiety-provoking scenarios. Participants engage in gradual exposure within virtual environments, such as speaking to a virtual audience, allowing practice without real-world risks while incorporating relaxation or cognitive techniques. As of 2024-2025, systematic reviews and trials indicate VRET's effectiveness in reducing speech apprehension, with studies showing significant decreases in anxiety measures comparable to traditional exposure therapies, and advantages in accessibility and patient engagement.^[80] Pharmacological options, such as beta-blockers (e.g., propranolol or atenolol), are occasionally employed as adjuncts for managing the physiological symptoms of CA, particularly in performance-specific contexts like public speaking, but they are not considered a primary treatment per guidelines for anxiety disorders. These medications, taken as needed 1-2 hours before an event at low doses (e.g., 20-40 mg propranolol), block adrenaline's effects to reduce tachycardia, tremors, and sweating, thereby interrupting the cycle of somatic feedback that intensifies anxiety. Clinical reviews endorse their short-term, intermittent use for circumscribed situations until behavioral confidence improves, with evidence of improved performance and symptom control in controlled studies, though they lack efficacy for generalized CA and require medical screening for contraindications like low heart rate.^[81]^[82]

Self-Help Strategies

Individuals experiencing communication apprehension (CA) can employ preparation techniques such as visualization and rehearsal to build confidence prior to communicative situations. Visualization involves mentally rehearsing a successful interaction, imagining oneself speaking fluently and receiving positive responses, which helps reframe anxiety into anticipation.^[83] Studies demonstrate that imagined interactions, a form of mental rehearsal, significantly reduce speaking apprehension and anxiety levels by enhancing perceived control and reducing negative self-focus.^[84] Rehearsal complements this by practicing the actual content aloud in a safe environment, allowing individuals to refine delivery and anticipate challenges, thereby lowering trait CA over time through repeated exposure to simulated scenarios.^[85] Relaxation methods offer accessible ways to manage the physiological symptoms of CA without professional intervention. Deep breathing techniques, such as diaphragmatic breathing, activate the parasympathetic nervous system to counteract the fight-or-flight response, reducing situational anxiety before communication tasks.^[86] For instance, incorporating deep breathing exercises into daily routines has been shown to decrease CA in public speaking contexts by promoting calmness and improving vocal control.^[87] The 4-7-8 breathing method—in which one inhales for 4 seconds, holds for 7 seconds, and exhales for 8 seconds—serves as a quick tool for immediate anxiety relief, particularly beneficial for those with trait CA when practiced consistently.^[88] Progressive muscle relaxation (PMR), involving systematic tensing and releasing of muscle groups, further alleviates tension associated with CA, fostering a relaxed state that enhances focus during interactions.^[89] Research indicates PMR effectively lowers anxiety in high-stakes speaking situations by distinguishing between tension and relaxation cues.^[90] Exposure practices enable gradual desensitization to anxiety-provoking situations through self-directed challenges. Starting with low-stakes interactions, such as one-on-one conversations with trusted individuals, and progressively advancing to larger groups builds tolerance to CA triggers.^[91] Graduated exposure has proven effective in reducing speech anxiety, with participants showing sustained decreases in apprehension after systematic progression.^[72] Journaling complements this by documenting experiences, noting anxiety levels before and after challenges, and reflecting on successes, which reinforces progress and identifies patterns for adjustment.^[92] Lifestyle adjustments, including regular exercise and adequate sleep, support long-term CA management by addressing underlying physiological factors. Physical activity correlates negatively with CA, as higher fitness levels are associated with lower anxiety in communicative settings, potentially explaining a notable portion of variance in apprehension scores.^[93] Aerobic exercises like walking or jogging, performed routinely, enhance mood and resilience, indirectly mitigating CA through improved self-efficacy.^[94] Similarly, prioritizing 7-9 hours of quality sleep nightly reduces emotional reactivity, as poor sleep exacerbates anxiety responses during social interactions.^[95] Consistent sleep hygiene, such as maintaining a regular bedtime, helps stabilize mood and cognitive function, thereby diminishing the intensity of CA symptoms.^[96]

References

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[PDF] APPREHENSION - James C. McCroskey
McCroskey is Professor and Chairman of the De- partment of Speech Communication at West Virginia. University. IA. Stafford Metz. Number of Pupils with Handicaps ...Missing: original | Show results with:original
[7]
Communication Apprehension: Intervention Techniques - Hazel
Jun 5, 2008 · ... cognitive, affective/physiological, and behavioral components, different interventions emphasize one component over the others. That is ...
[8]
Reticence: Pathology of the normal speaker - Taylor & Francis Online
Jun 2, 2009 · Reticence: Pathology of the normal speaker. Gerald M. Phillips Associate Professor of Speech, The Pennsylvania State University. Pages 39-49 ...
[9]
The unwillingness‐to‐communicate scale: Development and ...
The construct of unwillingness to communicate represents a global predisposition to avoid communication, whether due to apprehension, alienation, ...
[10]
Communication apprehension as temperamental expression
Communication apprehension is proposed to be an expression of inborn, biological functioning, independent of social learning, and linked to temperament.
[11]
Investigating the effects of online communication apprehension and ...
This study examines the impact of two forms of online anxiety on employees' virtual organizational dissent: online communication apprehension and digital ...
[12]
Seeking to Understand the Impact of Collaboration on Intercultural ...
Nov 15, 2020 · A cross-cultural analysis of communication apprehension: A comparison of three European nations. Journal of Intercultural Communication, 2015, ...
[13]
http://www.jamescmccroskey.com/publications/bookchapters/003_1984_C1.pdf
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While communication apprehension is clearly a severe personal ...
McCroskey and Andersen found that communication students who were highly apprehensive scored significantly lower than less apprehensive students on the American ...
[15]
[PDF] Eysenck's BIG THREE and Communication Traits
Similarly, singing apprehension was found to reflect the same temperament variables as those negative communication traits ~uch as shyness, com- munication ...
[16]
[PDF] A Twins Study of Communicative Adaptability: Heritability of ...
Ultimately, however, the overall value of the communibiological perspective probably resides in the role prescribed to emotion and affect in communication. The ...
[17]
A Twins study of communicative adaptability: Heritability of ...
In the present study, heritability estimates for the dimensions of communicative adaptability were derived from correlations based on identical and fraternal ...
[18]
Communication Apprehension - Oxford Bibliographies
Sep 27, 2017 · CA is generally defined as people's fear or anxiety related to actual or anticipated communication with others.
[19]
Assessing public speaking fear with the short form of the Personal ...
About 77% of the general population fears public speaking. · At a clinical level, recent studies confirm that public speaking anxiety is amenable to cognitive– ...
[20]
[PDF] Communicaton Apprehension and Nonverbal Behavior: A - ERIC
ABSTRACT. This paper reviews the existing body of research on the relationship between communication apprehension (CA) and nonverbal behavior.
[21]
The relationship of communication apprehension to communication ...
This meta‐analytic review examines the connection between communication apprehension (CA) and communication behaviors.
[22]
Communication Apprehension and Social Anxiety - iResearchNet
Audience-based communication apprehension is anxiety toward communication with a specific person or group. It tends to be consistent across time with those ...
[23]
Heterosocial Communicative Behavior and Communication ...
A study investigated the relationship between levels of communication apprehension (high or low) and eight heterosocial (between sexes) communicative ...
[24]
Com 202 Flashcards - Quizlet
Hence, persons with audience-based communication apprehension may experience anxiety when communicating with strangers or their superiors. Situational-based ...
[25]
Sources of differences in communication apprehension between ...
May 21, 2009 · The results indicated that Chinese in Taiwan scored significantly higher in communication apprehension than Americans.
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[PDF] lllunicating With Supervisors: A Test of a Theoretical Relation
Audience-Based Communication Apprehension. A subject's audience- based communication apprehension was operationalized as the subject's score on the ...
[27]
A research note: Communication Monographs: Vol 51, No 1
Jun 2, 2009 · This study revealed that trait communication apprehension, as measured by the Personal Report of Communication Apprehension (PRCA‐24), correlates significantly ...
[28]
[PDF] SITUATIONAL AND PREDISPOSITIONAL CORRELATES OF ...
Situational factors like novelty, subordinate status, conspicuousness, dissimilarity, and prior history correlate with public speaking anxiety. Prior history, ...
[29]
Situational factors and audience anxiety - Semantic Scholar
Oct 1, 1990 · The impact of evaluation and preparation time on high public speaking anxious speakers' thoughts, behavior, and state‐communication apprehension.<|control11|><|separator|>
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Situational Communication Apprehension Measure - ResearchGate
The Situational Communication Apprehension Measure (SCAM) was developed by McCroskey and Richmond (1982, 1985) to measure state communication apprehension ...Missing: characteristics | Show results with:characteristics
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[PDF] VALIDITY OF THE PRCA AS AN INDEX OF ORAL ...
James C. McCroskey, "The Implementation of a Large Scale Program of Systematic Desensi- tization for. Communication. Apprehension:".
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Validity of the PRCA as an index of oral communication apprehension
This paper reviews the research which has employed the PRCA to measure the construct of oral communication apprehension.Missing: prevalence | Show results with:prevalence
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[PDF] Personal Report of Communication Apprehension
McCroskey was interested in a person's trait or dispositional anxieties across all or most communication situations. Recent inves- tigations have expanded CA to ...Missing: history | Show results with:history
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[PDF] NOTE **************************************************************
The Personal Report of Public. Speaking Apprehension (PRPSA), developed by McCroskey (1970), was chosen to measure students' traitlike CA for two reasons. First ...
[35]
Content Validity of PRCA-24: Communication Apprehension Measure
Aug 9, 2025 · This construct was measured using the PRCA-24, which captures communication apprehension in group, meeting, interpersonal, and speech contexts ( ...
[36]
Cross-cultural adaptation and psychometric evaluation among ...
Feb 4, 2021 · The Personal Report of Communication Apprehension (PRCA-24) is the most widely used measure of CA, even among healthcare students. Objective.
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[PDF] As********************************************************* - ERIC
*Communication Apprehension ... Rep9rt of Communictipn Apprehension (PRCA; McCroskey, 1970). ... rated on the Timed Behavioral Checklist (TBCL; Paul, 1966), a 20- ...
[38]
Differential relations between heart rate and skin conductance, and ...
Differential relations between heart rate and skin conductance, and public speaking anxiety ... Physiological, cognitive and behavioural aspects of social anxiety ...Missing: correlations | Show results with:correlations
[39]
Measuring Public Speaking Anxiety: Self-report, behavioral, and ...
Abstract. Self-reports are typically used to assess public speaking anxiety. In this study, we examined whether self-report, observer report, and behavioral ...
[40]
The Speech Anxiety Thoughts Inventory: scale development and ...
For example, Cho et al. (2004) found that fear of an audience's negative evaluations and predictions of poor performance are the two underlying cognitive ...
[41]
[PDF] Automatic Assessment and Analysis of Public Speaking Anxiety
We investigate less intrusive methods to approximate public speaking anxiety using machine learning. This approach could find applications in the assessment of ...Missing: digital 2015-2025
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Real-time Public Speaking Anxiety Prediction Model for Oral ...
We present our method for ground truth data collection and the results of neural network models for real-time anxiety detection using audio data. Our results ...
[43]
The Relationships Among Perfectionism, Communication ...
Aug 5, 2025 · This study investigated the relationships among perfectionism, communication apprehension (CA), and temperament.Missing: talk | Show results with:talk
[44]
Defining and Confirming the Relationship between Irrational Beliefs ...
A study sought to affirm the previously established relationship between irrational beliefs and communication apprehension. Four hundred and fifty-four ...Missing: REBT | Show results with:REBT
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Altered time course of amygdala activation during speech ...
The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious ...Behavioral Responses · Ventral Striatum Responses · Discussion<|separator|>
[46]
Communication apprehension and cultural context: A comparison of ...
Aug 10, 2025 · The data showed a significantly higher level of communication apprehension in the Japanese sample than in the American sample.
[47]
The 6 dimensions model of national culture by Geert Hofstede
Individualism does not mean egoism. It means that individual choices and decisions are expected. Collectivism does not mean closeness. It means that one "knows ...Missing: apprehension | Show results with:apprehension
[48]
[PDF] A Cross-Cultural Analysis of Communication Apprehension
People of more collectivist cultures are more likely to perform their activities in groups; while individuals in individualist cultures emphasize the individual ...
[49]
[PDF] family communication patterns, communication apprehension
Family communication patterns, parental confirmation, and children‟s perceptions of their relationships with parents. Paper presented at the annual meeting ...
[50]
A Research on Communication Apprehension in Children in the ...
Mar 17, 2021 · This study was designed to examine that to what extent parent communication apprehension and family communication orientation foresee the level ...
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[PDF] State of the Art 0 1-'--{ ORAL COMMUNICATION APPREHENSION
Randolph and. McCroskey (1977) advanced what initially ap- peared to be a promising theory designed to explain differential CA levels among children within the.
[52]
[PDF] Measurement of Communioation Apprehension among - ERIC
Results indicated that (1) oral communication apprehension was found to exist from the first to the twelfth grade with consis- tent reliability of measurement, ...<|separator|>
[53]
http://www.jamescmccroskey.com/publications/074.pdf
[54]
Poor social, communication skills linked to peer rejection, bullying
Oct 30, 2013 · Poor social and communication skills heighten risks of peer rejection and bullying involvement for students with disabilities, according to ...Missing: apprehension portrayals longitudinal
[55]
Factors mediating social media-induced fear of missing out (FoMO ...
Our study investigates the association between FoMO and social media fatigue, which is mediated by information and communication overload, online subjective ...Missing: post- | Show results with:post-
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(PDF) Analyzing College Students' Social Media Communication ...
Aug 23, 2018 · This study aims to test the relationship between social media CA and introversion in relationship to social media use and social media addiction.
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The Communication Apprehension and Frequent Use of Fillers of ...
Jan 9, 2023 · This study determined the correlation between communication apprehension and the frequent use of fillers by the students.
[58]
communication apprehension - James C. McCroskey
The term "communication apprehension" was coined by McCroskey2 and refers to an anxiety syndrome associated with either real or anticipated communication with ...
[59]
[PDF] Avoiding Communication - James C. McCroskey
McCroskey. For over 60 years, communication avoidance, anxiety, and fear have consti- tuted a major concern of social scientists who study communication. In.
[60]
ED079789 - Biofeedback as Intrapersonal Communication., 1973-Apr
EMG feedback may be used in conjunction with systematic desensitization to reduce communication apprehension. (EE). Descriptors: Biofeedback, Communication ...
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Selected Physiological Dimensions of Communication Apprehension
Communication apprehension (CA) is generally defined as a predisposition to avoid communication, if possible, or experience anxiety symptoms when forced to ...Missing: self- reports 0.6
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2.4: Reducing Communication Apprehension - Social Sci LibreTexts
Mar 31, 2023 · Communication apprehension has a psychological basis, so mind-body techniques such as visualization can be important to reducing anxiety.
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[PDF] Do Women Shy Away from Public Speaking? A Field Experiment
(1990) that, in their meta-analysis of communication apprehension, document that females report systematically more communication anxiety than males. In a ...
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Studies of the relationship between communication apprehension ...
Aug 7, 2025 · Five studies are reported which indicate a substantial correlation (r =−.52 to r =−.72) between oral communication apprehension and self-esteem.<|control11|><|separator|>
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[PDF] communication apprehension in the workplace
Having high communication apprehension in the workplace can cause several problems. The initial problem, as we have seen is in getting a job in the first place.
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[PDF] COMMUNICATION APPREHENSION AFFECTS PERFORMANCE
Communication Apprehension was initially defined by James McCroskey, the father of CA and a prolific researcher in the field, as “an individual's level of ...
[67]
[PDF] How Does Communication Anxiety Influence Well-Being ...
Downs et al. (1987) found that communication apprehension is positively related to feelings of loneliness within an older adult population. Their later research ...
[68]
(PDF) Loneliness, communicative competence, and ... - ResearchGate
Aug 9, 2025 · Previous research has shown that contexts of communication apprehension bear distinctive correlations with factors such as loneliness ...
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Ericson, P.M. and Gardner, J.W. (1992) Two longitudinal ... - Scirp.org.
Ericson, P.M. and Gardner, J.W. (1992) Two longitudinal studies of communication apprehension and its effects on college student's success.Missing: loneliness | Show results with:loneliness
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ERIC - EJ444232 - ERIC
Two Longitudinal Studies of Communication Apprehension and Its Effects on College Students' Success. Ericson, Philip M.; Gardner, John W. Communication ...Missing: loneliness | Show results with:loneliness
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Full article: Review and Analysis of Successful PSA Interventions
Exposure-Based Interventions. Ayres and Heuett (Citation2000) examined the effects of performance visualization on reducing communication apprehension (CA).
[72]
Full article: Cognitive behaviour therapy for social anxiety disorder
Jun 19, 2024 · The overall analysis indicated that CBT is a highly efficacious treatment, producing large between-group effect sizes at post-treatment when ...
[73]
Review A comprehensive meta-analysis of cognitive-behavioral ...
Our results support the effectiveness of CBT in reducing severity of SA symptoms both in clinical and in school settings.Missing: apprehension | Show results with:apprehension
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Part 12. Systematic desensitization - PMC - NIH
Systematic desensitization was developed by South African psychologist Joseph Wolpe. In the 1950s Wolpe discovered that the cats of Wits University could ...
[75]
[PDF] The Comparative Effectiveness of Systematic Desensitization and ...
Sep 1, 1989 · Many studies investigating SD have found it to be more effective in reducing interper- sonal communication (dyadic relationships) anxiety than ...
[76]
Systematic desensitization and expectancy in the treatment of ...
Results demonstrate the effectiveness of SD treatment for public-speaking anxiety and suggest a small expectancy effect. Recommended articles ...
[77]
The effectiveness of a skills‐based program in reducing public ...
Aug 7, 2025 · Research was conducted to test the effectiveness of a skills-based program as a method for reducing anxiety during public speaking.
[78]
Coping with public speaking anxiety: An examination of various ...
May 21, 2009 · This study examined whether the sequencing of cognitive, affective, and behavioral components of an intervention designed to help people ...
[79]
[PDF] The Management of Performance Anxiety with Beta-Adrenergic ...
prescription medications to control performance anxiety symptoms; beta-blocking ... For symptoms of performance anxiety, pharmacologic treatment should ...
[80]
Social Anxiety Disorder: A Common, Underrecognized Mental ...
Nov 15, 1999 · Montvale, N.J.: Medical Economics Data, 1999. Cost to the patient will be greater, depending on prescription filling fee. Psychotherapeutic ...
[81]
Effects of Imagined Interactions and Rehearsal on Speaking ...
Abstract. Imagined interactions (IIs) constitute a type of social cognition that can reduce fear of communication. Through the mental preparation enabled by ...
[82]
Effects of imagined interactions and rehearsal on speaking ...
Imagined interactions (IIs) constitute a type of social cognition that can reduce fear of communication. Through the mental preparation enabled by IIs, ...
[83]
[PDF] Webster, Stephanie TITLE Visualization and Rational-Emotive Ther
Abstract. This study examined the effects of rational-emotive therapy (RET) and visualization as interventions to reduce communication apprehension as measured ...
[84]
[PDF] The Influence of Diaphragmatic Breathing to Reduce Situational ...
Considerable research has focused on how to help students overcome communication apprehension (CA),. “the fear or anxiety associated with real or anticipated.
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[PDF] The impact of a relaxation exercise on communication apprehension ...
people who engage in public communication, but for some people the fear is extreme and debilitating. McCroskey claims that 20 percent of school children and ...<|control11|><|separator|>
[86]
4-7-8 breathing: How it works, benefits, techniques, and uses
The 4-7-8 breathing technique involves breathing in for 4 seconds, holding the breath for 7 seconds, and exhaling for 8 seconds.Missing: communication | Show results with:communication<|separator|>
[87]
Relaxation Techniques - StatPearls - NCBI Bookshelf - NIH
Progressive Muscle Relaxation (PMR) is a relaxation technique targeting the symptom of tension associated with anxiety. The exercise involves tensing and ...Missing: apprehension | Show results with:apprehension
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Progressive muscle relaxation to decrease anxiety in clinical ...
Students reported that progressive muscle relaxation in this study resulted in improved relaxation, thinking, and communication skills. Abstract. Nursing ...Missing: apprehension | Show results with:apprehension<|separator|>
[89]
Graduated exposure plus feedback in the treatment of speech anxiety
Results indicated that the graduated exposure/shaping plus feedback treatment group demonstrated significantly greater speech anxiety reduction than the no- ...
[90]
Creating an Exposure Hierarchy | Article - Therapist Aid
Jun 7, 2022 · This guide offers an easy-to-follow roadmap for creating an exposure hierarchy, which is often the centerpiece of exposure therapy.Missing: apprehension journaling
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a correlation study to analyze the relationship between ...
The result showed a strong correlation between the level of physical activity and speech anxiety score. The physical activity has a strong relationship with ...
[92]
Communication apprehension and exercise adherence
This thesis explored whether adhering to an exercise program could significantly predict an individual's level of communication apprehension (CA).
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Sleep deprivation and its effects on communication during individual ...
Feb 28, 2019 · Sleep loss has been shown to cause impairments in a number of aspects central for successful communication, ranging from poorer linguistic ...Missing: quality apprehension
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The impact of sleep quality on emotion regulation difficulties in ...
Jul 11, 2024 · Moreover, poor sleep quality can heighten negative emotional responses, potentially leading to an increase in symptoms of anxiety and depression ...