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.     

Early information processing biases in social anxiety

Considerable controversy persists regarding the nature of threat-related attention biases in social anxiety. Previous studies have not considered how variations in the temporal and energetic dimensions of affective stimulus delivery interact with anxiety-related individual differences to predict biased attention. We administered a visual dot-probe task, using faces that varied in affective intensity (mild, moderate, strong) and presentation rate (100, 500, 1,250 ms) to a selected sample. The high, compared to the low, socially anxious group showed vigilance towards angry faces and emotionally ambiguous faces more generally during rapid (100 ms) presentations. By 1,250 ms, there was only a non-specific motor slowing associated with angry faces in the high socially anxious group. Findings suggest the importance of considering both chronometric and energetic dimensions of affective stimuli when examining anxiety-related attention biases. Future studies should consider using designs that more closely replicate aspects of real-world interaction to study processing biases in socially anxious populations.     

Understanding associations between negatively biased attention and depression and social anxiety: positively biased attention is key

ABSTRACT

Background and objectives: Although research supports the premise that depressed and socially anxious individuals direct attention preferentially toward negative emotional cues, little is known about how attention to positive emotional cues might modulate this negative attention bias risk process. The purpose of this study was to determine if associations between attention biases to sad and angry faces and depression and social anxiety symptoms, respectively, would be strongest in individuals who also show biased attention away from happy faces.

Methods: Young adults (N?=?151; 79% female; M?=?19.63 years) completed self-report measures of depression and social anxiety symptoms and a dot probe task to assess attention biases to happy, sad, and angry facial expressions.

Results: Attention bias to happy faces moderated associations between attention to negatively valenced faces and psychopathology symptoms. However, attention bias toward sad faces was positively and significantly related to depression symptoms only for individuals who also selectively attended toward happy faces. Similarly, attention bias toward angry faces was positively and significantly associated with social anxiety symptoms only for individuals who also selectively attended toward happy faces.

Conclusions: These findings suggest that individuals with high levels of depression or social anxiety symptoms attend preferentially to emotional stimuli across valences.     

Threat is in the eye of the beholder: social anxiety and the interpretation of ambiguous facial expressions

The current study investigated the tendency of individuals with high levels of social anxiety to interpret ambiguous facial expressions in a threatening manner. Results obtained from self-report measures were consistent with previous studies in which highly socially anxious individuals endorsed threatening interpretations for ambiguous social information. More importantly, highly socially anxious participants showed relative facilitation of processing of threatening faces following neutral faces when a priming technique was used to eliminate artifact due to response selection bias. These findings support the hypothesized social anxiety-linked interpretive bias.     

The effects of self-focus on attentional biases in social anxiety:An ERP study

Cognitive theories of social anxiety disorder suggest that biased attention plays a key role in maintaining symptoms. These biases include self-focus and attention to socially threatening stimuli in the environment. The goal of this study was to utilize ERPs that are elicited by a change detection task to examine biases in selective attention (i.e., N2pc) and working memory maintenance (i.e., contralateral delay activity; CDA). Additionally, the effect of self-focus was examined using false heart rate feedback. In support of the manipulation, self-focus cues resulted in greater self-reported self-consciousness and task interference, enhanced anterior P2 amplitude and reduced SPN amplitude. Moreover, P2 amplitude for self-focus cues was correlated with reduced task performance for socially anxious subjects only. The difference in P2 amplitude between self-focus and standard cues was correlated with social anxiety independent of depression. As hypothesized, socially anxious participants (n = 20) showed early selection and maintenance of disgust faces relative to neutral faces as indicated by the N2pc and CDA components. Nonanxious controls (n = 22) did not show these biases. During self-focus cues, controls showed marginal evidence of biased selection for disgust faces, whereas socially anxious subjects showed no bias in this condition. Controls showed an ipsilateral delay activity after being cued to attend to one hemifield. Overall, this study supports early and persistent attentional bias for social threat in socially anxious individuals. Furthermore, self-focus may disrupt these biases. These findings and supplementary data are discussed in light of cognitive models of social anxiety disorder, recent empirical findings, and treatment.     

Social Anxiety and Attention away from Emotional Faces

A substantial literature indicates that anxiety is often associated with selective attention to threat cues. Socially anxious individuals are excessively concerned about negative evaluation by others. One might therefore predict that high social anxiety would be associated with selective attention to negative facial expressions. On the other hand, some recent models have suggested that social anxiety may be associated with reduced processing of external social cues. A modified dot-probe task was used to investigate face attention. High and low socially anxious individuals were presented with pairs of pictures, consisting of a face (positive, neutral, or negative) and a household object, under conditions of social-evaluative threat or no threat. The results indicated that, compared to low socially anxious individuals, high socially anxious individuals show an attentional bias away from emotional (positive and negative) faces but this effect is only observed under conditions of social-evaluative threat. Theoretical and clinical implications of the results are discussed.     

社交焦虑个体对正性面孔刺激的解释偏差

本研究分别在短时（60ms）和长时（无时间限制）条件下呈现匹配的正性和中性面孔,要求高、低社交焦虑被试选择更具威胁性的面孔,以验证两者对正性刺激是否存在主观解释偏差,并考察该偏差产生于认知加工的哪一阶段。结果发现,长时条件下,高焦虑组选择正性面孔的比例显著高于低焦虑组;短时条件下无显著差异。提示高社交焦虑个体对正性刺激存在主观、外显的解释偏差,他们更倾向于对正性刺激做出消极解释,并且这种偏差产生于认知加工的后期。     

Health anxiety,anxiety sensitivity,and attentional biases for pictorial and linguistic health‐threat cues

The study investigated attentional biases for pictorial and linguistic health‐threat stimuli in high and low health anxious individuals, who were selected from the upper and lower quartile ranges of a normal sample using a screening measure of health anxiety. Attentional bias was assessed using a visual probe task which presented health‐threat and neutral pictures and words at two exposure durations, 500 ms and 1250 ms. The prediction that the high health anxious group would show a greater attentional bias for health‐threat cues than the low health anxious group was not supported despite the groups being well‐differentiated on a general measure of health anxiety, the Illness Attitudes Scale (IAS). Instead, the results indicated that individuals with high levels of anxiety sensitivity showed a significantly greater initial attentional bias for threat pictures compared with those with low anxiety sensitivity, as assessed by the Anxiety Sensitivity Index (ASI).     

Interpretation bias in social anxiety as detected by event-related brain potentials

Little is known about psychophysiological correlates of interpretation bias in social anxiety. To address this issue, the authors measured event-related brain potentials (ERPs) in high and low socially anxious individuals during a task wherein ambiguous scenarios were resolved with either a positive or negative ending. Specifically, the authors examined modulations of the P600, an ERP that peaks approximately 600 ms following stimulus onset and indexes violations of expectancy. Low-anxious individuals were characterized by an increased P600 to negative in comparison with positive sentence endings, suggesting a positive interpretation bias. In contrast, the high-anxious group evidenced equivalent P600 magnitude for negative and positive sentence endings, suggesting a lack of positive interpretation bias. Similar, but less reliable results emerged in earlier time windows, that is, 200-500 ms poststimulus. Reaction time, occurring around 900 ms poststimulus, failed to show a reliable interpretation bias. Results suggest that ERPs can detect interpretation biases in social anxiety before the emission of behavioral responses.     

Use of eye movement to measure smokers' attentional bias to smoking-related cues.

Smokers have attentional biases towards smoking-related cues, and such cues elicit cravings. Smokers also feel anxious during nicotine deprivation, and anxiety may exacerbate attentional biases toward aversive cues. We examined the attentional bias of smokers (n = 14) and a control group of nonsmokers (n = 16) towards smoking-related and aversive cues. Using an eye-tracking device, we measured eye movement when smoking-related, aversive, and control cues were presented simultaneously. We analyzed the number of initial fixations, and gaze duration, to identify the attentional bias. Smokers initially fixed their gaze on aversive cues, and maintained their gaze longer on smoking-related cues, in comparison to the control group. These results suggest that smokers show biased attentional orientation to smoking-related and aversive cues.     

Attention to Positive and Negative Social-Evaluative Words: Investigating the Effects of Social Anxiety,Trait Anxiety and Social Threat

The study investigated how attention to negative (threatening) and positive social-evaluative words is affected by social anxiety, trait anxiety and the expectation of social threat. High and low socially anxious individuals carried out a modified dot-probe task either while expecting to give a speech or under non-threatening conditions. High socially anxious individuals showed no significant attentional bias towards or away from social-evaluative words. This result significantly contrasted with an identical design that showed avoidance of emotional faces in high socially anxious participants drawn from the same population (Mansell et al ., 1999). Participants who expected to give a speech showed less attentional avoidance of negative and positive social-evaluative words. High trait anxiety was associated with selective attention to negative relative to positive social-evaluative words, consistent with earlier findings of attention to threat cues in high trait-anxious individuals. Implications for designing attention tasks and attentional bias across different dimensions of anxiety are discussed.     

Attentional biases to internal and external sources of potential threat in social anxiety

D. M. Clark and A. Wells (1995) proposed that a shift of attention inward toward interoceptive information is a central feature of social phobia. However, few studies have examined attentional biases toward internal physiological cues in social phobia. The current experiment assessed whether socially anxious individuals exhibit an attentional bias (a) toward cues for an internal source of potential threat (heart-rate information), (b) toward cues for an external source of potential threat (threatening faces) or (c) both. Ninety-one participants who were selected to form extreme groups based on a social anxiety screening measure performed a dot-probe task to assess location of attention. Results showed that socially anxious participants exhibited an attentional bias toward cues of internal, but not external, sources of potential threat.     

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.     

Interpreting neutral faces as threatening is a default mode for socially anxious individuals

The authors of the present study used an incidental learning paradigm to investigate the interpretation of neutral facial expressions in socially anxious individuals. Participants were asked to detect the location of a target following the presentation of a facial picture (i.e., cue). Unbeknownst to participants, the target location was contingent on the valence of the cue, and participants thus learned to associate different target locations with either positive or negative facial expressions. The authors subsequently used this learned association to assess interpretive biases. If socially anxious individuals interpret neutral faces in a negative manner, they should be faster to detect a target that appears in the location that is associated with negative face cues when the target is presented after a neutral face cue. The authors also assessed whether the anticipation of a feared situation influenced interpretive biases by comparing participants with and without a speech threat on this task. Results indicate that socially anxious individuals are characterized by an interpretive bias regardless of the threat manipulation. In contrast, nonanxious individuals interpreted neutral faces in a negative manner only when they were in the threat condition.     

Early information processing biases in social anxiety

Considerable controversy persists regarding the nature of threat-related attention biases in social anxiety. Previous studies have not considered how variations in the temporal and energetic dimensions of affective stimulus delivery interact with anxiety-related individual differences to predict biased attention. We administered a visual dot-probe task, using faces that varied in affective intensity (mild, moderate, strong) and presentation rate (100, 500, 1,250 ms) to a selected sample. The high, compared to the low, socially anxious group showed vigilance towards angry faces and emotionally ambiguous faces more generally during rapid (100 ms) presentations. By 1,250 ms, there was only a non-specific motor slowing associated with angry faces in the high socially anxious group. Findings suggest the importance of considering both chronometric and energetic dimensions of affective stimuli when examining anxiety-related attention biases. Future studies should consider using designs that more closely replicate aspects of real-world interaction to study processing biases in socially anxious populations.     

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.     

Attentional bias towards angry faces is moderated by the activation of a social processing mode in the general population

ABSTRACT

Dot-probe studies usually find an attentional bias towards threatening stimuli only in anxious participants, but not in non-anxious participants. In the present study, we conducted two experiments to investigate whether attentional bias towards angry faces in unselected samples is moderated by the extent to which the current task requires social processing. In Experiment 1, participants performed a dot-probe task involving classification of either socially meaningful targets (schematic faces) or meaningless targets (scrambled schematic faces). Targets were preceded by two photographic face cues, one angry and one neutral. Angry face cues only produced significant cueing scores (i.e. faster target responses if the target replaced the angry face compared to the neutral face) with socially meaningful targets, not with meaningless targets. In Experiment 2, participants classified only meaningful targets, which were either socially meaningful (schematic faces) or not (schematic houses). Again, mean cueing scores were significantly moderated by the social character of the targets. However, cueing scores in this experiment were non-significant in the social target condition and significantly negative in the non-social target condition. These results suggest that attentional bias towards angry faces in the dot-probe task is moderated by the activation of a social processing mode in unselected samples.     

成年期残疾个体对不同类型社交线索的注意偏向

为了探讨成年期残疾个体对不同类型社交线索的注意偏向,以正常人作为对照组,通过两个实验,分别采用情绪Stroop任务和同中选异任务考察了成年期残疾个体对社交反馈言语线索和社交反馈情绪线索的注意偏向。研究发现:(1)残疾人对社交拒绝词的颜色命名显著快于正常人,即残疾人对消极社交反馈言语线索存在注意偏向;(2)残疾人对愤怒面孔的检测显著快于正常人,正常人对快乐面孔的检测显著快于残疾人,即残疾人对消极社交反馈情绪线索更加敏感,而正常人则对积极社交反馈情绪线索更加敏感;(3)残疾人不存在对消极社交反馈情绪线索的注意解脱困难。     

Autobiographical memory bias in social anxiety

In social anxiety the psychological self is closely related to the feared stimulus. Socially anxious individuals are, by definition, concerned about how the self is perceived and evaluated by others. As autobiographical memory is strongly related to views of the self it follows that biases in autobiographical memory play an important role in social anxiety. In the present study high (n = 19) and low (n = 29) socially anxious individuals were compared on autobiographical memory bias, current goals, and self-discrepancy. Individuals high in social anxiety showed a bias towards recalling more negative and more social anxiety-related autobiographical memories, reported more current goals related to overcoming social anxiety, and showed larger self-discrepancies. The pattern of results is largely in line with earlier research in individuals with PTSD and complicated grief. This suggests that the relation between autobiographical memory bias and the self is a potentially valuable trans-diagnostic factor.     

Expectancy bias mediates the link between social anxiety and memory bias for social evaluation

Social anxiety (SA) involves a multitude of cognitive symptoms related to fear of evaluation, including expectancy and memory biases. We examined whether memory biases are influenced by expectancy biases for social feedback in SA. We hypothesised that, faced with a socially evaluative event, people with higher SA would show a negative expectancy bias for future feedback. Furthermore, we predicted that memory bias for feedback in SA would be mediated by expectancy bias. Ninety-four undergraduate students (55 women, mean age = 19.76 years) underwent a two-visit task that measured expectations about (Visit 1) and memory of (Visit 2) feedback from unknown peers. Results showed that higher levels of SA were associated with negative expectancy bias. An indirect relationship was found between SA and memory bias that was mediated by expectancy bias. The results suggest that expectancy biases are in the causal path from SA to negative memory biases for social evaluation.