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.     

Social anxiety and interpretation biases for facial displays of emotion: emotion detection and ratings of social cost

The current study assessed the processing of facial displays of emotion (Happy, Disgust, and Neutral) of varying emotional intensities in participants with high vs. low social anxiety. Use of facial expressions of varying intensities allowed for strong external validity and a fine-grained analysis of interpretation biases. Sensitivity to perceiving negative evaluation in faces (i.e., emotion detection) was assessed at both long (unlimited) and brief (60 ms) stimulus durations. In addition, ratings of perceived social cost were made indicating what participants judged it would be like to have a social interaction with a person exhibiting the stimulus emotion. Results suggest that high social anxiety participants did not demonstrate biases in their sensitivity to perceiving negative evaluation (i.e. disgust) in facial expressions. However, high social anxiety participants did estimate the perceived cost of interacting with someone showing disgust to be significantly greater than low social anxiety participants, regardless of the intensity of the disgust expression. These results are consistent with a specific type of interpretation bias in which participants with social anxiety have elevated ratings of the social cost of interacting with individuals displaying negative evaluation.     

场景对面孔情绪探测的影响：特质性焦虑的调节作用

本研究采用面孔情绪探测任务, 通过状态-特质焦虑问卷筛选出高、低特质性焦虑被试, 考察场景对不同情绪效价以及不同情绪强度的面部表情加工的影响, 并探讨特质性焦虑在其中所发挥的作用。结果发现：(1)对于不同情绪效价的面部表情, 场景对其情绪探测的影响存在差异：对于快乐面部表情, 在100%、80%和20%三个情绪层级上, 在场景与面孔情绪性一致情况下, 被试对面孔情绪探测的正确率显著高于不一致情况; 对于恐惧面部表情, 在80%、60%、40%和20%四个情绪层级上, 均发现一致条件比不一致条件有着更高的情绪探测正确率。(2)对于高特质性焦虑组, 一致条件和不一致条件中的面孔情绪探测正确率并没有显著差异, 即高特质性焦虑组并未表现出显著的场景效应; 而低特质性焦虑组则差异显著, 即出现显著的场景效应。该研究结果表明：(1)对于情绪强度较低的面部表情, 快乐与恐惧面孔情绪探测都更容易受到场景的影响。(2)相比于中等强度快乐面孔, 场景更容易影响中等强度恐惧面孔情绪的探测。(3)特质性焦虑的个体因素在场景对面孔情绪探测的影响中发挥调节作用, 高特质性焦虑者在情绪识别中较少受到场景信息的影响。     

预期焦虑对面孔表情加工的影响

预期焦虑是由于对未发生结果的负性投射造成的焦虑情绪。本文比较了被试在不同预期焦虑水平下观看愉快、中性及恐惧面孔时的行为和脑电数据。发现在高预期焦虑水平下,恐惧面孔诱发的N170波幅显著大于低预期焦虑水平,而愉快和中性面孔在两种水平下诱发的波幅差异不显著;且预期焦虑水平对恐惧面孔诱发的N170波幅的调节强度与个体的特质焦虑得分显著相关。这些结果表明,预期焦虑水平会影响面孔表情加工,且不同情绪面孔受到的影响不同。我们推测,预期焦虑水平会通过影响杏仁核等脑区的激活来调节颞上回对恐惧面孔的加工。     

Effect of self-focused attention on post-event processing in social anxiety

The study investigated the relationship between self-focused attention (SFA) and post-event processing (PEP) in social anxiety. SFA is the process of directing attention to internal stimuli during a social interaction. PEP is a detailed review of performance following an interaction. Highly socially anxious students (N = 82) were randomly assigned to a high SFA (n = 40) or low SFA condition (n = 42) and completed baseline measures of social anxiety, depression, trait SFA, and trait rumination. After SFA was manipulated via instructions, participants engaged in a 5-min unstructured conversation with a confederate, followed by a manipulation check. PEP was assessed the next day online. The high SFA group reported a similar amount of positive PEP but more frequent negative PEP over the 24-h period compared to the low SFA group. These results provide support for a causal relationship between SFA and PEP and have important applications for the development of effective cognitive-behavioural interventions.     

Social anxiety and attentional biases: A top-down contribution?

Selective attention toward threatening facial expressions has been found to precipitate and maintain symptoms of social anxiety. However, the automaticity of this bias is under debate. In the present study, we aimed to test whether top-down (controlled) engagement and disengagement of attention toward threatening faces is associated with social anxiety. This was examined by testing the impact of a secondary working memory (WM) load on attentional biases. In a variation of the dot-probe task, participants’ attention was initially cued to the left or right of fixation before an upright face paired with an inverted face was presented (displaying a disgust or neutral expression), and participants responded to a subsequently presented probe. The task was performed under no-load, low-load (one-digit memory task), and high-load (six-digit memory task) conditions. Social anxiety was not found to be associated with delayed disengagement from threat. However, surprisingly, high social anxiety was associated with an engagement bias away from threat, whereas low social anxiety was associated with a bias toward threat. These results were unaffected by the WM load manipulation. This indicates that engagement with threatening facial expressions has minimal contributions from top-down mechanisms, since it is likely that orienting to facial expressions occurs relatively automatically.     

特质焦虑在面部表情前注意加工阶段的影响：来自ERP的证据

为探讨高特质焦虑者在前注意阶段对情绪刺激的加工模式以明确其情绪偏向性特点, 本研究采用偏差-标准反转Oddball范式探讨了特质焦虑对面部表情前注意加工的影响。结果发现: 对于低特质焦虑组, 悲伤面孔所诱发的早期EMMN显著大于快乐面孔, 而对于高特质焦虑组, 快乐和悲伤面孔所诱发的早期EMMN差异不显著。并且, 高特质焦虑组的快乐面孔EMMN波幅显著大于低特质焦虑组。结果表明, 人格特质是影响面部表情前注意加工的重要因素。不同于普通被试, 高特质焦虑者在前注意阶段对快乐和悲伤面孔存在相类似的加工模式, 可能难以有效区分快乐和悲伤情绪面孔。     

The effects of social anxiety on emotional face discrimination and its modulation by mouth salience

People high in social anxiety experience fear of social situations due to the likelihood of social evaluation. Whereas happy faces are generally processed very quickly, this effect is impaired by high social anxiety. Mouth regions are implicated during emotional face processing, therefore differences in mouth salience might affect how social anxiety relates to emotional face discrimination. We designed an emotional facial expression recognition task to reveal how varying levels of sub-clinical social anxiety (measured by questionnaire) related to the discrimination of happy and fearful faces, and of happy and angry faces. We also categorised the facial expressions by the salience of the mouth region (i.e. high [open mouth] vs. low [closed mouth]). In a sample of 90 participants higher social anxiety (relative to lower social anxiety) was associated with a reduced happy face reaction time advantage. However, this effect was mainly driven by the faces with less salient closed mouths. Our results are consistent with theories of anxiety that incorporate an oversensitive valence evaluation system.     

Interpretation bias and social anxiety: does interpretation bias mediate the relationship between trait social anxiety and state anxiety responses?

Two studies aimed to examine whether high socially anxious individuals are more likely to negatively interpret ambiguous social scenarios and facial expressions compared to low socially anxious individuals. We also examined whether interpretation bias serves as a mediator of the relationship between trait social anxiety and state anxiety responses, in particular current state anxiety, bodily sensations, and perceived probability and cost of negative evaluation pertaining to a speech task. Study 1 used ambiguous social scenarios and Study 2 used ambiguous facial expressions as stimuli to objectively assess interpretation bias. Undergraduate students with high and low social anxiety completed measures of state anxiety responses at three time points: baseline, after the interpretation bias task, and after the preparation for an impromptu speech. Results showed that high socially anxious individuals were more likely to endorse threat interpretations for ambiguous social scenarios and to interpret ambiguous faces as negative than low socially anxious individuals. Furthermore, negative interpretations mediated the relationship between trait social anxiety and perceived probability of negative evaluation pertaining to the speech task in Study 1 but not Study 2. The present studies provide new insight into the role of interpretation bias in social anxiety.     

Trait anxiety, defensiveness and selective processing of threat: an investigation using two measures of attentional bias

Attentional biases for threat were examined in a non-clinical sample (N=60), with each participant tested on both the modified Stroop colour-naming and dot probe tasks. Three groups were selected on the basis of trait anxiety and social desirability scale (SDS) scores: “low anxiety” (LA: low trait, low SDS), “repressor” (REP: low trait, high SDS) and “high anxiety” (HA: high trait, low SDS). Results from the colour-naming task suggested that high levels of defensiveness (in combination with low trait anxiety) were associated with greater avoidance of threat. The REP group showed less interference in colour-naming threat than neutral words; whereas the HA group showed increased interference due to threat words. On the dot probe task, there was a general tendency for this non-clinical sample as a whole to show avoidance of social threat relative to neutral words, but there was no bias for physical threat words. Avoidance of social threat was significant only within the REP group. No relationships were found between the measures of cognitive bias from the two tasks, suggesting different underlying mechanisms. Results are discussed in relation to previous findings and theoretical views of the effects of anxiety and defensiveness on the processing of threat.     

互动情境下个体对他人面部表情的加工受到他人社会地位的影响

前人研究表明他人的社会地位影响个体对其面部表情的加工,但是他人地位如何影响个体对其面部表情加工的神经机制并不清楚。本研究首先让被试完成时间估计任务,然后让评价者（高VS低地位）根据被试任务成绩给予面部表情（愉悦、中性和愤怒）反馈,同时记录被试加工评价者面部表情的ERP成分。脑电结果发现,在早期的P1阶段,当评价者给予愤怒和愉悦表情作为反馈评价刺激时,低地位评价者比高地位评价者诱发了更强的P1波幅;在N2加工阶段,只有当评价者给予愉悦表情作为反馈评价刺激时,高地位评价者比低地位评价者诱发的N2波幅更强;在后期P3加工阶段,只有当评价者给予愉悦表情作为反馈评价刺激时,低地位评价者比高地位评价者诱发了更强的P3波幅。当前研究结果说明评价者的地位不仅影响了个体对其面部表情加工的早期阶段,而且还影响了个体对其面部表情加工的后期阶段。     

Relationship between social anxiety and perceived trustworthiness

Four different patterns of biased ratings of facial expressions of emotions have been found in socially anxious participants: higher negative ratings of (1) negative, (2) neutral, and (3) positive facial expressions than nonanxious controls. As a fourth pattern, some studies have found no group differences in ratings of facial expressions of emotion. However, these studies usually employed valence and arousal ratings that arguably may be less able to reflect processing of social information. We examined the relationship between social anxiety and face ratings for perceived trustworthiness given that trustworthiness is an inherently socially relevant construct. Improving on earlier analytical strategies, we evaluated the four previously found result patterns using a Bayesian approach. Ninety-eight undergraduates rated 198 face stimuli on perceived trustworthiness. Subsequently, participants completed social anxiety questionnaires to assess the severity of social fears. Bayesian modeling indicated that the probability that social anxiety did not influence judgments of trustworthiness had at least three times more empirical support in our sample than assuming any kind of negative interpretation bias in social anxiety. We concluded that the deviant interpretation of facial trustworthiness is not a relevant aspect in social anxiety.     

Higher sensitivity for low spatial frequency expressions in social anxiety: Evident in indirect but not direct tasks?

We tested whether socially anxious individuals perform better in processing facial information with low spatial frequencies (LSFs). For this, we presented socially anxious and nonanxious participants with hybrid face stimuli that contained independent facial expressions in high (HSF) and LSF bands. In two tasks, participants either rated the images according to "angriness" or had to learn how hybrid facial expressions predicted the location of an upcoming target. We found mostly additive effects of LSF and HSF information in the rating task for both groups. In contrast, socially anxious participants showed better prediction performance for LSF expressions in the implicit learning task. We conclude that socially anxious participants are more sensitive to facial information within LSFs, but this higher sensitivity may become mostly evident in indirect tasks. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Improving the Ability of Elementary School-Age Children to Identify Emotion in Facial Expression

The authors evaluated an intervention program developed to remediate children's deficits in reading emotions in facial expressions. Thirty children from 2 elementary schools in suburban Atlanta participated in 6 30-min sessions over 4 weeks in which they were taught to discriminate, identify, express, and apply facial expression cues. The ability to read emotion in facial expressions significantly improved for the intervention group compared with the control group. Improvement on identifying facial expressions was associated with increased feelings of lower social anxiety and higher self-worth for girls. Boys' self-concept was negatively related to improvement. On the basis of the results, the authors suggested that structured interventions like the present one could be used to improve students' nonverbal processing abilities within public school settings, but with some cautions regarding the impact of new learning for boys.     

When does anxiety help or hinder cognitive test performance? The role of working memory capacity

Cognitive interference theories (e.g. attentional control theory, processing efficiency theory) suggest that high levels of trait anxiety predict adverse effects on the performance of cognitive tasks, particularly those that make high demands on cognitive resources. We tested an interaction hypothesis to determine whether a combination of high anxiety and low working memory capacity (WMC) would predict variance in demanding cognitive test scores. Ninety six adolescents (12‐ to 14‐years‐old) participated in the study, which measured self‐report levels of trait anxiety, working memory, and cognitive test performance. As hypothesized, we found that the anxiety‐WMC interaction explained a significant amount of variance in cognitive test performance (ΔR² .07, p < .01). Trait anxiety was unrelated to cognitive test performance for those adolescents with average WMC scores (β = .13, p > .10). In contrast, trait anxiety was negatively related to test performance in adolescents with low WMC (β = ?.35, p < .05) and positively related to test performance in those with high WMC (β = .49, p < .01). The results of this study suggest that WMC moderates the relationship between anxiety and cognitive test performance and may be a determinant factor in explaining some discrepancies found in the literature. Further research is needed to fully understand the mechanisms involved.     

Understanding the role of configural processing in face emotion recognition in Parkinson’s disease

This investigation examined whether impairment in configural processing could explain deficits in face emotion recognition in people with Parkinson’s disease (PD). Stimuli from the Radboud Faces Database were used to compare recognition of four negative emotion expressions by older adults with PD (n = 16) and matched controls (n = 17). Participants were tasked with categorizing emotional expressions from upright and inverted whole faces and facial composites; it is difficult to derive configural information from these two types of stimuli so featural processing should play a larger than usual role in accurate recognition of emotional expressions. We found that the PD group were impaired relative to controls in recognizing anger, disgust and fearful expressions in upright faces. Then, consistent with a configural processing deficit, participants with PD showed no composite effect when attempting to identify facial expressions of anger, disgust and fear. A face inversion effect, however, was observed in the performance of all participants in both the whole faces and facial composites tasks. These findings can be explained in terms of a configural processing deficit if it is assumed that the disruption caused by facial composites was specific to configural processing, whereas inversion reduced performance by making it difficult to derive both featural and configural information from faces.     

Focusing on fear: attentional disengagement from emotional faces

Evidence suggests that anxiety is associated with a shift of visual attention toward threatening stimuli in the environment, such as facial expressions (Mogg & Bradley, 1999). More recent evidence, however, indicates that anxiety may be better characterized by a failure to rapidly disengage the visual attention system away from threat-related facial expressions (Fox, Russo, Bowles, & Dutton, 2001). The present study further investigates this delayed disengagement hypothesis. Results show that high trait-anxious individuals, in contrast to low trait-anxious individuals, take longer to classify peripheral target letters when fearful facial expressions were presented at fixation relative to sad, happy, or neutral expressions. These findings demonstrate a specific tendency to dwell on fear-relevant stimuli, as opposed to negative information in general. These findings are considered from an evolutionary perspective and the possible role of delayed disengagement from threat in the maintenance of anxiety states is also discussed.     

The association between ruminative thinking and negative interpretation bias in social anxiety

Cognitive models propose that both, negative interpretations of ambiguous social situations and ruminative thoughts about social events contribute to the maintenance of social anxiety disorder. It has further been postulated that ruminative thoughts fuel biased negative interpretations, however, evidence is rare. The present study used a multi-method approach to assess ruminative processing following a social interaction (post-event processing by self-report questionnaire and social rumination by experience sampling method) and negative interpretation bias (via two separate tasks) in a student sample (n?=?51) screened for high (HSA) and low social anxiety (LSA). Results support the hypothesis that group differences in negative interpretations of ambiguous social situations in HSAs vs. LSAs are mediated by higher levels of post-event processing assessed in the questionnaire. Exploratory analyses highlight the potential role of comorbid depressive symptoms. The current findings help to advance the understanding of the association between two cognitive processes involved in social anxiety and stress the importance of ruminative post-event processing.     

Ruminative coping and post-event processing in social anxiety

Cognitive models of social anxiety implicate various factors in the initiation and maintenance of socially anxious states, including anticipatory processing, self-focused attention and post-event processing. The present study focused on post-event processing, which is a post-mortem analysis following a social event that is described as ruminative in nature and serves to maintain social anxiety. Participants (N=112; 64 women, 48 men) were presented with vignettes that involved making mistakes in public and were instructed to record their thoughts to allow for the examination of the content of post-event processing. Ruminative coping and distraction were assessed via self-report. Results indicated that participants high in social anxiety (n=55) were more likely to ruminate and less likely to distract when faced with socially anxious stressors compared to those low in social anxiety (n=57). Further, as hypothesized, participants high in social anxiety recorded more negative thoughts and more upward counterfactual thoughts ('if only' type thoughts on how things could have been better; associated with negative affect) compared to those low in social anxiety. These results are discussed in terms of cognitive models of social anxiety.     

Focusing on fear: Attentional disengagement from emotional faces

Evidence suggests that anxiety is associated with a shift of visual attention toward threatening stimuli in the environment, such as facial expressions (Mogg & Bradley, 1999). More recent evidence, however, indicates that anxiety may be better characterized by a failure to rapidly disengage the visual attention system away from threat-related facial expressions (Fox, Russo, Bowles, & Dutton, 2001). The present study further investigates this delayed disengagement hypothesis. Results show that high trait-anxious individuals, in contrast to low trait-anxious individuals, take longer to classify peripheral target letters when fearful facial expressions were presented at fixation relative to sad, happy, or neutral expressions. These findings demonstrate a specific tendency to dwell on fear-relevant stimuli, as opposed to negative information in general. These findings are considered from an evolutionary perspective and the possible role of delayed disengagement from threat in the maintenance of anxiety states is also discussed.