Social anxiety and interpersonal perception: a social relations model analysis

Cognitive models of social phobia posit that an individual's negative beliefs about the way he or she is perceived by others (metaperceptions) are a core feature of the disorder. The social relations model () was used to analyze interpersonal perception data collected following unstructured social interactions in 62 socially anxious (SA) and 62 not socially anxious (NSA) individuals. Using this model, the interpersonal perceptions were analyzed to evaluate whether pathological levels of social anxiety are associated with self-perceptions, metaperceptions, and perceptions from others. SA participants saw themselves negatively and believed others saw them negatively. Although seen as more nervous by others, SA participants were not seen as less likeable. A mediational model demonstrated that the negative metaperceptions of SA individuals were more a function of their own self-perceptions than the negative perceptions of others. These findings were not attributable to depressive symptoms. Implications for theory and treatment of social phobia are discussed.     

I Did OK,but Did I Like It? Using Ecological Momentary Assessment to Examine Perceptions of Social Interactions Associated With Severity of Social Anxiety and Depression

Socially anxious and depressed individuals tend to evaluate their social interactions negatively, but little is known about the specific real-time contributors to these negative perceptions. The current study examined how affect ratings during social interactions predict later perceptions of those interactions, and whether this differs by social anxiety and depression severity. Undergraduate participants (N = 60) responded to a smartphone application that prompted participants to answer short questions about their current affect and social context up to 6 times a day for 2 weeks. At the end of each day, participants answered questions about their perceptions of their social interactions from that day. Results indicated that the link between negative affective experiences reported during social interactions and the end-of-day report of enjoyment (but not effectiveness) of those experiences was more negative when social anxiety was more severe. The link between negative affective experiences rated during social interactions and the end-of-day report of effectiveness (but not enjoyment) during those social encounters was more negative when depression was more severe. These findings demonstrate the importance of examining self-perceptions of social interactions based both on the extent to which individuals think that they met the objective demands of an interaction (i.e., effectiveness, mastery) and the extent to which they liked or disliked that interaction (i.e., enjoyment, pleasure). These findings also highlight how real-time assessments of daily social interactions may reveal the key experiences that contribute to negative self-evaluations across disorders, potentially identifying critical targets for therapy.     

I’m Not Feeling It: Momentary Experiential Avoidance and Social Anxiety Among Individuals With Social Anxiety Disorder

Previous studies have found that social anxiety and experiential avoidance (EA) are significantly associated, but the directionality of this relationship has not been firmly established. The present study examined momentary EA and social anxiety using repeated measurements during an opposite-sex interaction. Participants were 164 individuals (50% female): 42 were diagnosed with social anxiety disorder (SAD) and the remaining 122 were non-socially-anxious individuals (NSAs). Participants formed 42 experimental dyads including 1 individual with SAD and 1 NSA individual, and 40 control dyads including 2 NSA individuals. Lower-level mediational modeling indicated that for individuals with SAD, a reciprocal relationship was observed in which changes in both EA and social anxiety mediated changes in each other. However, changes in EA explained approximately 89% of changes in social anxiety whereas changes in social anxiety explained approximately 52% of changes in EA throughout the interaction. For NSA individuals, only social anxiety predicted EA. These findings point to a deleterious cycle driven mostly by EA among individuals with SAD, but not NSA individuals. Findings are discussed within the context of previous empirical findings as well as acceptance and commitment therapy (ACT) and cognitive-behavioral models of psychopathology.     

Parent-Child Interactions in Anxious Families

A considerable amount of research has examined factors associated with the etiology and maintenance of anxiety disorders in children. The familial nature of anxiety has been well-established, with genetic studies showing that approximately 30% of the variance is accounted for by genetic factors. Research into the family environment documents behavioral differences in interactions between non-anxious parent-child and anxious parent-child dyads, including less granting of autonomy, and parental withdrawal and disengagement. Recent theoretical work in the field of anxiety suggests that attachment models and coercive operant patterns could create a bi-directional coercive interaction pattern, similar to that seen in interactions of parents and aggressive children. The current study investigated parent and child behaviors coded from interaction tasks across four groups based on anxiety status: anxious parent/anxious child, non-anxious parent/anxious child, anxious parent/non-anxious child, and non-anxious parent/non-anxious child to empirically examine hypothesized interactive patterns. The study sample consisted of 158 parent-child (ages 3–12 years) dyads. Results support an interaction between parent and child anxiety on behavior within dyads. The current study provides an important step in identifying processes linked to familial anxiety.     

A transactional approach to social anxiety and the genesis of interpersonal closeness: Self, partner, and social context

It remains unclear whether social anxiety interferes with the generation of closeness during initial encounters. We addressed the question of whether perceived closeness between strangers differs as a function of dyad characteristics (i.e., self and partner levels of social anxiety) and social context. We conducted an experiment with 90 participants randomly assigned to either a 45-minute personal disclosure or small-talk dyadic conversation. Multilevel modeling results yielded a 3-way interaction, such that the effect of social anxiety on closeness generated during the interaction was moderated by social anxiety reported by interaction partners and social context. In the personal disclosure condition, perceived closeness was greatest when the most socially anxious individuals interacted with each other. In the small-talk condition, perceived closeness was greatest when the least socially anxious individuals interacted with each other. Across conditions, partners with substantial differences in social anxiety (i.e., mixed dyads) reported relatively less closeness than partners with similar levels of social anxiety. Social anxiety effects were not attributable to depressive symptoms or physical attraction to partners. These findings suggest that neglecting specific qualities of interaction partners and social situational factors may lead to spurious conclusions in understanding interpersonal outcomes related to social anxiety.     

Interactions between mothers and children: impacts of maternal and child anxiety

This study, an expansion of an earlier study of parenting behaviors of anxious mothers, examined the relationship of both mother and child anxiety disorders to mother behavior in parent--child interactions. Participants were 68 mother--child dyads with children ranging in age from 7 to 15 years. Mothers and children completed diagnostic evaluations and engaged in conversational tasks; behaviors were rated by coders who were blind to diagnosis. Mothers of anxious children, regardless of their own anxiety, were less warm (p <.05) toward their children. They also granted less autonomy (p <.01). There was an interaction between mother and child anxiety in predicting maternal catastrophizing (p <.01), with anxious mothers and nonanxious mothers of anxious children likely to catastrophize. Theoretical and research implications are discussed.     

Social Anxiety and the Generation of Positivity During Dyadic Interaction: Curiosity and Authenticity Are the Keys to Success

What drives positive affective and interpersonal experiences during social interaction? Undergraduates with high (n = 63) or low (n = 56) trait social anxiety (SA) were paired with unfamiliar low SA partners in a 45-minute conversation task. Throughout the task, participants and their conversation partners completed measures of affiliative goals, affect, curiosity, authenticity, and attentional focus. Both affective and interpersonal outcomes were assessed. Dyadic analyses revealed that participants’ affiliative goals during the social interaction predicted positive outcomes for both themselves and their partners, although the link between affiliative goals and positive affect was weaker for participants with high SA. Mediation analyses demonstrated that adopting affiliative goals may promote more positive outcomes by increasing participants’ curiosity and felt authenticity. Taken together, results illuminate the pathways through which people with varying levels of trait SA may derive interpersonally generated positive affect and positive social outcomes, with implications for clinical theory and practice.     

Consequences of anticipatory processing on cognitive symptoms of social anxiety

Anticipatory processing is an anxious style of repetitive negative thought associated with social anxiety (SA) that was proposed by Clark and Wells. Considerable research has examined factors of Clark and Wells' cognitive model of SA (e.g. attention, interpretation), but few studies have examined anticipatory processing, which is hypothesized to interact with other components in the model. In the current study, individuals high in social anxiety symptoms (HSA; N = 56) and control participants [Normal Control (NC); N = 52] engaged in an anticipation or distraction task prior to a threatened social interaction. HSAs who anticipated had higher self-focused attention than NCs who anticipated and HSAs in the distraction condition, suggesting an important relationship between anticipation and self-focus that is specific to HSAs. Those who anticipated endorsed more negative interpretations than those who engaged in distraction, regardless of SA status. However, this relationship was mediated by self-focus. Implications in the context of Clark and Wells' model and future directions are discussed.     

Anxiogenic Patterns in Mother-Child Interactions

ABSTRACT

The current study examined psychosocial variables associated with the development of anxiety in children. While previous literature has established parental affectionless control as an important contributor to the development of anxiety in children, few have examined this construct within the dynamic context of parent-child interaction. In the current study, the affect and behavior of anxious mothers and their children (ages 6 to 12 years) were examined during two mildly stressful tasks, with a total of 64 mother-child dyads participating in the study. Analyses supported the hypothesis that maternal affectionless control mediates the relationship between child anxiety and child disengagement/withdrawal from difficult tasks. Results are discussed in terms of implications for psychosocial mechanisms of the familial transmission of anxiety.     

Visual Attention Patterns of Socially Anxious Individuals When Using Facebook: An Eye Tracking Study

Social networking sites (SNSs) are an increasingly used medium for social interactions. For socially anxious individuals, SNS-based communication is often preferred over traditional face-to-face socializing. Yet, research on SNSs usage and social anxiety is still less common, with extant studies being mostly correlational among healthy nonanxious participants. Conversely, here, we examined differences in actual gaze patterns to social and nonsocial stimuli between socially anxious and nonanxious individuals while using Facebook. Socially anxious and nonanxious student participants freely viewed a genuine Facebook profile page designed for the present study, for 3.5 minutes, containing 12 social and 12 nonsocial picture stimuli. Gaze patterns on social and nonsocial areas of interest (AOIs) were explored. Subjective uneasiness experienced when viewing the social pictures and state anxiety were also assessed. Finally, 2 weeks following the task, we evaluated participants’ willingness to participate in a follow-up (fictitious) study that required them to passively view their own Facebook profile, and then to actively use it. Results showed that compared with nonanxious participants, socially anxious participants demonstrated a viewing pattern less favoring social pictures, reflecting an attentional avoidance tendency. A significant inverse correlation between subjective uneasiness and percent of dwell time spent on the social AOI emerged. Socially anxious participants also reported higher levels of state anxiety, which was significantly positively correlated with uneasiness scores. Finally, socially anxious participants were also less willing to actively use their Facebook profile page. This study suggests that social anxious individuals are characterized by attentional and behavioral avoidance tendencies when using Facebook.     

The relationship of post-event processing to self-evaluation of performance in social anxiety

Socially anxious and control participants engaged in a social interaction with a confederate and then wrote about themselves or the other person (i.e., self-focused post-event processing [SF-PEP] vs. other-focused post-event processing [OF-PEP]) and completed several questionnaires. One week later, participants completed measures concerning their evaluation of their performance in the social interaction and the degree to which they engaged in post-event processing (PEP) during the week. Socially anxious individuals evaluated their performance in the social interaction more poorly than control participants, both immediately after and 1 week later. Socially anxious individuals assigned to the SF-PEP condition displayed fewer positive feelings about their performance compared to the socially anxious individuals in the OF-PEP condition as well as controls in either condition. Also, the trait tendency to engage in PEP moderated the effect of social anxiety on participants' evaluation of their performance in the interaction, such that high socially anxious individuals with high trait PEP scores evaluated themselves in the interaction more negatively at the later assessment. These results suggest that PEP and other self-evaluative processes may perpetuate the cycle of social anxiety.     

The Moderating Effects of Self-Talk Content on Self-Talk Functions

The purpose of the study was to examine whether different types of self-talk serve different functions. Twenty-one female swimming class students were initially tested on an experimental water polo precision task. After a three-day program during which participants practiced self-talk on swimming drills, they were tested again on the experimental task, using attentional and anxiety control self-talk cues. In addition, participants completed a questionnaire assessing perceived functions of self-talk, for each of the two self-talk cues that were used. Repeated measures multivariate analysis of variance (MANOVA) revealed that according to participants’ perceptions the anxiety control self-talk cue had greater impact on anxiety control than the attentional self-talk cue (p < .01), whereas effects for attention, effort, confidence, and automaticity were similar when using attentional and anxiety control cues. Furthermore, repeated measures MANOVAs for each self-talk cue revealed that both cues mostly assisted concentration to the task (p < .01). The results partially support that the use of different types of self-talk may serve different functions depending on the content of the employed cues.     

Adverse psychological outcomes in colorectal cancer screening: does health anxiety play a role?

People who are anxious about their health are more likely to misinterpret health information as personally threatening and less likely to be reassured by medical investigations that show they are free from disease. Consequently, health anxious people would be expected to react more adversely to cancer screening, but this possibility has rarely been explored. The moderating role of health anxiety on the psychological impact of participating in colorectal cancer screening was examined among a sub-sample of 3535 participants in a large, community-based trial of colorectal cancer screening in the UK. The screening modality was flexible sigmoidoscopy, which examines the bowel for pre-cancerous polyps. It was predicted that health anxiety would be associated with more worry about cancer before screening, a greater increase in worry if polyps were detected, and less reassurance after a clear result. As expected, health anxious participants were more anxious and more worried about bowel cancer both before and after screening. However, they experienced greater reductions in anxiety and worry about cancer following the examination. They reported lower levels of reassurance following screening, but also expressed more positive reactions to the experience. The positive psychological benefits of attending medical investigations should be examined in future work, because this may go some way towards explaining why health anxious people repeatedly seek medical interventions.     

Affective outcomes in superficial and intimate interactions: Roles of social anxiety and curiosity

We examined the roles of trait curiosity and social anxiety (and the contributions of the behavioral inhibition and activation systems; BIS, BAS) in predicting positive and negative affect (PA; NA) during social interactions. In Study 1, individuals interacted with same-sex confederates on topics that gradually escalated in emotional self-disclosure. In Study 2, cross-sex pairs of students were randomly assigned to a closeness-generating or small-talk interaction. There were several consistent findings across studies. Higher curiosity uniquely predicted greater interpersonally generated PA. Higher social anxiety uniquely predicted greater interpersonally generated NA in Study 1, and in Study 2, this relationship varied by social context. Specifically, high compared to low socially anxious individuals reported greater NA during small-talk, with no differences during intimate interactions. Furthermore, Study 2 demonstrated that individuals with stronger BAS’s experienced greater PA in the intimate compared to small-talk condition. There appear to be important traits that differentially contribute to appetitive and aversive interpersonal experiences.     

A multilevel analysis of the interpersonal behavior of socially anxious people

We investigate the interpersonal behavior of socially anxious (SA) and non-socially anxious (NSA) individuals at three different levels of analysis, focusing on the dimensions of warmth and dominance. Study 1 examines self-reported general interaction styles, Study 2 explores behavior occurring within the context of a single interaction, and in Study 3 we focus on the performance of a single conversational act (a disagreement). Studies 1 and 2 adopt the framework of Interpersonal Circumplex Theory (IPC; Kiesler, 1983), which is well suited for studying trait-level and interaction-level social behaviors, while Study 3 is grounded in Politeness Theory (PT; Brown & Levinson, 1987), which can be used to analyze individual acts at the microstructural level. The potential mutual relevance of PT and IPC is also discussed.     

The relationship of self-talk frequency to communication apprehension and public speaking anxiety

This research examines how self-talk is related to the nature and prevalence of communication apprehension and public speaking anxiety. In Study 1, we examined the relationship between general communication apprehension (CA) and the frequency and nature of general self-talk. Results showed that higher CA scores were associated with more frequent self-critical self-talk than lower CA scores. In Study 2, we examined how self-talk pertaining to the preparation for an upcoming speech related to public speaking anxiety. Results showed that self-critical and social-assessing self-talk were positively related to people’s anxiety scores, whereas self-reinforcing self-talk was negatively associated with their anxiety. Implications of these results for the management of public speaking anxiety are discussed.     

Day-to-day relationships between self-awareness, daily events, and anxiety

Every day for 3 weeks, 41 participants provided measures of their state private and public self-consciousness (self-awareness, SA), and anxiety, and they described the events that occurred each day. Multilevel random coefficient modeling analyses found that daily private and public SA were positively related to the importance and frequency of daily negative social events and to daily anxiety. Public SA was also positively related to the importance and frequency of daily positive social events. Neither public nor private SA was related to the importance and frequency of daily achievement events. The strength of the relationship between public SA and positive social events was stronger for people who were less anxious, less depressed, and for those with greater self-esteem. Analyses of lagged relationships suggested that increased private SA led to increased negativity of social events, whereas increased public SA led to increased positivity of social events, and increased anxiety led to increased private SA.     

Expanding the topography of social anxiety. An experience-sampling assessment of positive emotions, positive events, and emotion suppression

The relation between social anxiety and hedonic activity remains poorly understood. From a self-regulatory perspective, we hypothesized that socially anxious individuals experience diminished positive experiences and events on days when they are unable to manage socially anxious feelings adequately. In this 21-day experience-sampling study, we constructed daily measures of social anxiety and emotion regulation. Greater dispositional social anxiety was associated with less positive affect and fewer positive events in everyday life. Among individuals defined as socially anxious from their scores on a global self-report measure of social anxiety, the number of positive events was lowest on days when they both were more socially anxious and tended to suppress emotions and highest on days when they were less socially anxious and more accepting of emotional experiences. Irrespective of dispositional social anxiety, participants reported the most intense positive emotions on the days when they were both least socially anxious and most accepting of emotional experiences. Possible clinical implications are discussed.     

Social anxiety and vulnerability for problematic drinking in college students: the moderating role of post-event processing

Socially anxious college students are at increased risk for engaging in problematic drinking (i.e. heavy or risky drinking) behaviors that are associated with the development of an alcohol use disorder. The present study examined whether post-event processing (PEP), repeatedly thinking about and evaluating one’s performance in a past social situation, strengthens the association between social anxiety and vulnerability to problematic drinking among college students. Eighty-three college drinkers with high or low social anxiety participated in a social interaction task and were exposed to a manipulation that either promoted or inhibited PEP about the social interaction. Among participants randomized to the PEP promotion condition, those with high social anxiety exhibited a greater urge to use alcohol after the social interaction and greater motivation to drink to cope with depressive symptoms over the week following the manipulation than did those with low social anxiety. These findings suggest that targeting PEP in college drinking intervention programs may improve the efficacy of such programs for socially anxious students.     

Virtual social interactions in social anxiety--the impact of sex, gaze, and interpersonal distance

In social interactions, interpersonal distance between interaction partners plays an important role in determining the status of the relationship. Interpersonal distance is an important nonverbal behavior, and is used to regulate personal space in a complex interplay with other nonverbal behaviors such as eye gaze. In social anxiety, studies regarding the impact of interpersonal distance on within-situation avoidance behavior are so far rare. Thus the present study aimed to scrutinize the relationship between gaze direction, sex, interpersonal distance, and social anxiety in social interactions. Social interactions were modeled in a virtual-reality (VR) environment, where 20 low and 19 high socially anxious women were confronted with approaching male and female characters, who stopped in front of the participant, either some distance away or close to them, and displayed either a direct or an averted gaze. Gaze and head movements, as well as heart rate, were measured as indices of avoidance behavior and fear reactions. High socially anxious participants showed a complex pattern of avoidance behavior: when the avatar was standing farther away, high socially anxious women avoided gaze contact with male avatars showing a direct gaze. Furthermore, they showed avoidance behavior (backward head movements) in response to male avatars showing a direct gaze, regardless of the interpersonal distance. Overall, the current study proved that VR social interactions might be a very useful tool for investigating avoidance behavior of socially anxious individuals in highly controlled situations. This might also be the first step in using VR social interactions in clinical protocols for the therapy of social anxiety disorder.