Gaze direction differentially affects avoidance tendencies to happy and angry faces in socially anxious individuals

Increasing evidence indicates that eye gaze direction affects the processing of emotional faces in anxious individuals. However, the effects of eye gaze direction on the behavioral responses elicited by emotional faces, such as avoidance behavior, remain largely unexplored. We administered an Approach-Avoidance Task (AAT) in high (HSA) and low socially anxious (LSA) individuals. All participants responded to photographs of angry, happy and neutral faces (presented with direct and averted gaze), by either pushing a joystick away from them (avoidance) or pulling it towards them (approach). Compared to LSA, HSA were faster in avoiding than approaching angry faces. Most crucially, this avoidance tendency was only present when the perceived anger was directed towards the subject (direct gaze) and not when the gaze of the face-stimulus was averted. In contrast, HSA individuals tended to avoid happy faces irrespectively of gaze direction. Neutral faces elicited no approach-avoidance tendencies. Thus avoidance of angry faces in social anxiety as measured by AA-tasks reflects avoidance of subject-directed anger and not of negative stimuli in general. In addition, although both anger and joy are considered to reflect approach-related emotions, gaze direction did not affect HSA's avoidance of happy faces, suggesting differential mechanisms affecting responses to happy and angry faces in social anxiety.     

Attention to faces and gaze-following in social anxiety: preliminary evidence from a naturalistic eye-tracking investigation

Social attentional biases are a core component of social anxiety disorder, but research has not yet determined their direction due to methodological limitations. Here we present preliminary findings from a novel, dynamic eye-tracking paradigm allowing spatial–temporal measurement of attention and gaze-following, a mechanism previously unexplored in social anxiety. 105 participants took part, with those high (N?=?27) and low (N?=?25) in social anxiety traits (HSA and LSA respectively) entered into the analyses. Participants watched a video of an emotionally-neutral social scene, where two actors periodically shifted their gaze towards the periphery. HSA participants looked more at the actors’ faces during the initial 2s than the LSA group but there were no group differences in proportion of first fixations to the face or latency to first fixate the face, although HSA individuals’ first fixations to the face were shorter. No further differences in eye movements were found, nor in gaze-following behaviour, although these null effects could potentially result from the relatively small sample. Findings suggest attention is biased towards faces in HSA individuals during initial scene inspection, but that overt gaze-following may be impervious to individual differences in social anxiety. Future research should seek to replicate these effects.     

Time course of selective attention to face regions in social anxiety: eye-tracking and computational modelling

ABSTRACT

We investigated the time course of selective attention to face regions during judgment of dis/approval by low (LSA) and high (HSA) social anxiety undergraduates (with clinical levels on questionnaire measures). The viewers’ gaze direction was assessed and the stimulus visual saliency of face regions was computed, for video-clips displaying dynamic facial expressions. Social anxiety was related to perception of disapproval from faces with an ambiguous smile (i.e. with non-happy eyes), but not those with congruent happy eyes and a smile. HSA observers selectively looked earlier at the eye region, whereas LSA ones preferentially looked at the smiling mouth. Consistently, gaze allocation was less related to visual saliency of the smile for HSA than for LSA viewers. The attentional bias towards the less salient eye region – thus opposing the automatic capture by the smile – suggests that it is strategically driven in HSA individuals, possibly aimed at detecting negative evaluators.     

Attention allocation in social anxiety during a speech

Cognitive models assume that social anxiety is associated with and maintained by biased information processing, leading to change in attention allocation, which can be measured by examining eye movement. However, little is known about the distribution of attention among positive, neutral and negative stimuli during a social task and the relative importance of positive versus negative biases in social anxiety. In this study, eye movement, subjective state anxiety and psychophysiology of individuals with high trait social anxiety (HSA) and low trait social anxiety (LSA) were measured during a speech task with a pre-recorded audience. The HSA group showed longer total fixation on negative stimuli and shorter total fixation on positive stimuli compared to the LSA group. We observed that the LSA group shifted attention away from negative stimuli, whereas the HSA group showed no differential attention allocation. The total duration of fixation on negative stimuli predicted subjective anxiety ratings. These results point to a negative bias as well as a lack of a positive bias in HSA individuals during social threat.     

Social anxiety and cognitive expectancy of aversive outcome in avoidance conditioning

Fear conditioning studies have shown that social anxiety is associated with enhanced expectancy of aversive outcome. However, the relation between cognitive expectancy and social anxiety has never been tested in avoidance conditioning paradigms. We compared 48 low (LSA) and high socially anxious individuals (HSA) on subjective expectancy of aversive outcome during an avoidance conditioning task. Displays of neutral faces were coupled with an aversive outcome (US): a shout and a shock. Participants could avoid the US by pressing a correct button from a button box. First, HSA showed higher US expectancy than LSA during the initial phase of avoidance conditioning, supporting the view that socially anxious individuals have an expectancy bias when social situations are ambiguous. Second, when the avoidance response became unavailable, LSA showed lower US expectancy than HSA, suggesting that low socially anxious individuals are prone to a positive bias when perceived threat is high. A lack of such positive bias in socially anxious individuals may lead to higher susceptibility to safety behavior interpretations. Together, these findings support the role of cognitive processes in avoidance conditioning and underscore the relevance to encounter avoidance learning when studying social anxiety.     

Memory-based attentional biases: Anxiety is linked to threat avoidance

The purpose of the present research was to examine if anxiety is linked to a memory-based attentional bias, in which attention to threat is thought to depend on implicit learning. Memory-based attentional biases were defined and also demonstrated in two experiments. A total of 168 university students were shown a pair of faces that varied in their emotional $ content (angry, neutral, and happy), with each type of emotion being consistently preceded by a particular neutral cue face, appearing in the same position. Eye movements were measured during these cue faces and during the emotional faces. The results of two experiments indicated that anxiety was connected with a tendency to avert one's gaze from the positions of angry faces to the positions of happy faces, before these were shown on the screen. This, in turn, caused a reduced perception of angry relative to happy faces. In Experiment 2, participants were also not aware of having a memory-based attentional bias.     

The Influence of Anticipatory Processing on Attentional Biases in Social Anxiety

Research on cognitive theories of social anxiety disorder (SAD) has identified individual processes that influence this condition (e.g., cognitive biases, repetitive negative thinking), but few studies have attempted to examine the interaction between these processes. For example, attentional biases and anticipatory processing are theoretically related and have been found to influence symptoms of SAD, but they rarely have been studied together (i.e., Clark & Wells, 1995). Therefore, the goal of the current study was to examine the effect of anticipatory processing on attentional bias for internal (i.e., heart rate feedback) and external (i.e., emotional faces) threat information. A sample of 59 participants high (HSA) and low (LSA) in social anxiety symptoms engaged in a modified dot-probe task prior to (Time 1) and after (Time 2) an anticipatory processing or distraction task. HSAs who anticipated experienced an increase in attentional bias for internal information from Time 1 to Time 2, whereas HSAs in the distraction condition and LSAs in either condition experienced no changes. No changes in biases were found for HSAs for external biases, but LSAs who engaged in the distraction task became less avoidant of emotional faces from Time 1 to Time 2. This suggests that anticipatory processing results in an activation of attentional biases for physiological information as suggested by Clark and Wells.     

The development of emotional face and eye gaze processing

Recent research has demonstrated that infants' attention towards novel objects is affected by an adult's emotional expression and eye gaze toward the object. The current event-related potential (ERP) study investigated how infants at 3, 6, and 9 months of age process fearful compared to neutral faces looking toward objects or averting gaze away from objects. Furthermore, we examined how the processing of novel objects is affected by gaze direction and emotional expression. We hypothesized that an adult's fearful expression should be particularly salient when it is directed toward a referent in the environment. Furthermore, responses to objects should be increased if the face previously expressed fear toward the object. Three-month-olds did not show differential neural responses to fearful vs. neutral faces regardless of gaze direction. Six-month-olds showed an enhanced negative central (Nc) component for fearful relative to neutral faces looking toward objects, but not when eye gaze was averted away from the objects. Furthermore, 6-month-olds showed an enhanced Nc for objects that had been gaze-cued by a fearful compared to a neutral face. Nine-month-olds showed an enhanced Nc for fearful relative to neutral faces in both eye gaze conditions and showed an enhanced Nc for objects that had been gaze-cued by a neutral face. The findings are discussed in the context of social cognitive and brain development.     

Biases in eye movements to threatening facial expressions in generalized anxiety disorder and depressive disorder

The study investigated biases in selective attention to emotional face stimuli in generalized anxiety disorder (GAD) and depressive disorder, using a modified probe detection task. There were 4 face types: threatening, sad, happy, and neutral. Measures of attentional bias included (a) the direction and latency of the initial eye movement in response to the faces and (b) manual reaction time (RT) to probes replacing the face stimuli 1,000 ms after their onset. Results showed that individuals with GAD (without depressive disorder) were more likely to look first toward threat faces rather than neutral faces compared with normal controls and those with depressive disorder. They also shifted their gaze more quickly toward threat faces, rather than away from them, relative to the other two groups. There were no significant findings from the manual RT data. Implications of the results for recent theories of clinical anxiety and depression are discussed.     

Anxiety and sensitivity to eye gaze in emotional faces

This paper reports three studies in which stronger orienting to perceived eye gaze direction was revealed when observers viewed faces showing fearful or angry, compared with happy or neutral, emotional expressions. Gaze-related spatial cueing effects to laterally presented fearful faces and centrally presented angry faces were also modulated by the anxiety level of participants, with high- but not low-state anxious individuals revealing enhanced shifts of attention. In contrast, both high- and low-state anxious individuals demonstrated enhanced orienting to averted gaze when viewing laterally presented angry faces. These results provide novel evidence for the rapid integration of facial expression and gaze direction information, and for the regulation of gaze-cued attention by both the emotion conveyed in the perceived face and the degree of anxiety experienced by the observer.     

Awareness of faces is modulated by their emotional meaning

A central question in perception is how stimuli are selected for access to awareness. This study investigated the impact of emotional meaning on detection of faces using the attention blink paradigm. Experiment 1 showed that fearful faces were detected more frequently than neutral faces, and Experiment 2 revealed preferential detection of fearful faces compared with happy faces. To rule out image artifacts as a cause for these results, Experiment 3 manipulated the emotional meaning of neutral faces through fear conditioning and showed a selective increase in detection of conditioned faces. These results extend previous reports of preferential detection of emotional words or schematic objects and suggest that fear conditioning can modulate detection of formerly neutral stimuli.     

Affective primes suppress attention bias to threat in socially anxious individuals

Anxious individuals show an attention bias towards threatening information. However, under conditions of sustained environmental threat this otherwise-present attention bias disappears. It remains unclear whether this suppression of attention bias can be caused by a transient activation of the fear system. In the present experiment, high socially anxious and low socially anxious individuals (HSA group, n=12; LSA group, n=12) performed a modified dot-probe task in which they were shown either a neutral or socially threatening prime word prior to each trial. EEG was collected and ERP components to the prime and faces displays were computed. HSA individuals showed an attention bias to threat after a neutral prime, but no attention bias after a threatening prime, demonstrating that suppression of attention bias can occur after a transient activation of the fear system. LSA individuals showed an opposite pattern: no evidence of a bias to threat with neutral primes but induction of an attention bias to threat following threatening primes. ERP results suggested differential processing of the prime and faces displays by HSA and LSA individuals. However, no group by prime interaction was found for any of ERP components.     

Anxiety meets fear in perception of dynamic expressive gaze

This study investigated in 2 experiments whether reflexive cuing of attention that occurs after perception of a gaze cue is greater for fearful than for happy faces in normal participants, as hypothesized from a social neuroscience perspective. To increase neuroecological validity, dynamic stimulus presentation was used to display faces that simultaneously morphed from a neutral expression into a happy or fearful one and shifted eye gaze from the center to the periphery. Shifts of attention resulting from a natural fearful gaze were expected to be related to participants' anxiety traits, in agreement with the often found increased selective attention to threat in anxious participants. Both hypotheses were confirmed: Fearful faces induced stronger gaze cuing than happy faces, and the strength of this cuing effect was correlated to participants' anxiety levels. These results suggest a neural network, which integrates the processing of gaze, expression, and emotional states to adaptively prime vigilance under threatening circumstances.     

“Avoiding or approaching eyes”? Introversion/extraversion affects the gaze-cueing effect

We investigated whether the extra-/introversion personality dimension can influence processing of others’ eye gaze direction and emotional facial expression during a target detection task. On the basis of previous evidence showing that self-reported trait anxiety can affect gaze-cueing with emotional faces, we also verified whether trait anxiety can modulate the influence of intro-/extraversion on behavioral performance. Fearful, happy, angry or neutral faces, with either direct or averted gaze, were presented before the target appeared in spatial locations congruent or incongruent with stimuli’s eye gaze direction. Results showed a significant influence of intra-/extraversion dimension on gaze-cueing effect for angry, happy, and neutral faces with averted gaze. Introverts did not show the gaze congruency effect when viewing angry expressions, but did so with happy and neutral faces; extraverts showed the opposite pattern. Importantly, the influence of intro-/extraversion on gaze-cueing was not mediated by trait anxiety. These findings demonstrated that personality differences can shape processing of interactions between relevant social signals.     

Paranoid cognitions,failure, and focus of attention in college students

Three experiments examined aspects of the link between focus of attention, manipulated by use of video camera and monitor, and paranoid and depressive cognitions in a sample of college students. In Experiment 1 participants were exposed to either a failure or neutral task, under high (HSA) or low self-awareness (LSA) conditions. HSA triggered paranoid cognitions on neutral and failure tasks; failure alone triggered depressive cognitions. In Experiment 2 the camera switched focus thrice between participant and experimenter using only neutral tasks. Paranoia scores initially were higher in the HSA condition. Paranoia scores increased when participants moved from LSA to HSA. Paranoia scores never fell when moving from HSA to LSA conditions. Experiment 3 used only HSA and failure, and showed how a priming task that increased the accessibility of either positive or negative self-cognitions led to significantly different paranoia and depression scores.     

Interpretation of facial expressions and social anxiety: Specificity and source of biases

Cognitive-behavioural models of social phobia (Clark & Wells, 1995; Rapee & Heimberg, 1997) propose that biased information processing contributes to the maintenance of social phobia. Given the importance of facial expressions in social interactions, recent investigations of these information-processing biases have increasingly used facial stimuli. The current study utilised schematic faces of emotional expressions to investigate interpretations of facial expressions and specific facial features in individuals with high and low social anxiety. Individuals with elevated social anxiety demonstrated biases in their perceptions of negative valence from the faces, whereas group differences were not observed for perceptions of activity or potency. Further, although the two groups generally utilised the same facial features to interpret facial expressions, the results suggested that individuals with high social anxiety may be more lenient in perceiving threat in faces than individuals without social anxiety.     

Depression impairs the ability to ignore the emotional aspects of facial expressions: Evidence from the Garner task

We assessed dysphoric and clinically distressed individuals' ability to ignore the emotional aspects of facial expressions using the Garner speeded‐classification task. Garner's paradigm tests the ability to selectively focus on a single relevant dimension while ignoring variations on other, irrelevant, ones. In the present task, the stimuli were faces of men and women expressing happy, angry, and neutral emotions. In Experiments 1 and 2, dysphoric and nondysphoric participants performed the Garner task, focusing on gender and ignoring emotion (Experiment 1) and focusing on emotion and ignoring gender (Experiment 2). Results suggest that dysphoric individuals exhibited more difficulty ignoring the emotional dimension of social stimuli even under specific instructions to do so than nondysphoric individuals. In Experiments 3 and 4, we replicated these results in clinically distressed and nondistressed individuals. The results of Experiment 3 further suggested that depression was more closely associated with the inability to selectively ignore emotion than was social anxiety. Experiment 4 confirmed that this failure of selective attention was specific to processing emotional, and not gender features. The implications of these findings for cognitive and interpersonal theories of depression are discussed.     

I just love the attention: implicit preference for direct eye contact

Seven studies used the Implicit Association Test to measure preference for gaze direction. For faces with neutral expressions, people clearly preferred eyes looking towards them compared to eyes gazing to the right or left (Experiment 1). This preference remained for faces shown turned to the side (Experiment 2) and upside-down (Experiment 3). Even angry faces were preferred with direct compared to averted gaze (Experiments 4 and 5). Furthermore, preference for eye contact did not correlate to performance on the Reading the Mind in the Eyes Test (RMET) or the Autism Quotient (AQ); note performance on the RMET and the AQ was only weakly correlated although both are claimed to measure social cognition. When the faces were replaced by coloured shapes (Experiment 6) or arrows (Experiment 7) people showed a weaker preference for the category label “looking at you” versus “looking to the side”. Overall, people revealed a robust preference for direct rather than averted gaze which generalized across face pose and expression. Together with a weaker preference for arrows pointing towards them, this is consistent with people having an implicit preference for self-directed attention.     

Predictive gaze cues affect face evaluations: The effect of facial emotion

When we see someone change their direction of gaze, we spontaneously follow their eyes because we expect people to look at interesting objects. Bayliss and Tipper (2006) examined the consequences of observing this expectancy being either confirmed or violated by faces producing reliable or unreliable gaze cues. Participants viewed different faces that would consistently look at the target, or consistently look away from the target: The faces that consistently looked towards targets were subsequently chosen as being more trustworthy than the faces that consistently looked away from targets. The current work demonstrates that these gaze contingency effects are only detected when faces create a positive social context by smiling, but not in the negative context when all the faces held angry or neutral expressions. These data suggest that implicit processing of the reward contingencies associated with gaze cues relies on a positive emotional expression to maintain expectations of a favourable outcome of joint attention episodes.     

Selective attention to angry faces in clinical social phobia

This study investigated the time course of attentional responses to emotional facial expressions in a clinical sample with social phobia. With a visual probe task, photographs of angry, happy, and neutral faces were presented at 2 exposure durations: 500 and 1250 ms. At 500 ms, the social phobia group showed enhanced vigilance for angry faces, relative to happy and neutral faces, in comparison with normal controls. In the 1250-ms condition, there were no significant attentional biases in the social phobia group. Results are consistent with a bias in initial orienting to threat cues in social anxiety. Findings are discussed in relation to recent cognitive models of anxiety disorders.