Social anxiety is related to reduced face gaze during a naturalistic social interaction

References

• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
   Google Scholar
• Aron, A., Melinat, E., Aron, E. N., Vallone, R. D., & Bator, R. J. (1997). The experimental generation of interpersonal closeness: A procedure and some preliminary findings. Personality and Social Psychology Bulletin, 23(4), 363–377. https://doi.org/10.1177/0146167297234003
   Web of Science ®Google Scholar
• Baker, S. R., & Edelmann, R. J. (2002). Is social phobia related to lack of social skills? Duration of skill-related behaviours and ratings of behavioural adequacy. British Journal of Clinical Psychology, 41(3), 243–257. https://doi.org/10.1348/014466502760379118
   PubMedGoogle Scholar
• Carr, S. J., & Dabbs, J. M. (1974). The effects of lighting, distance, and intimacy of topic on verbal and visual behavior. Sociometry, 37(4), 592–600. https://doi.org/10.2307/2786430
   Google Scholar
• Chen, J., van den Bos, E., & Westenberg, P. M. (2020). A systematic review of visual avoidance of faces in socially anxious individuals: Influence of severity, type of social situation, and development. Journal of Anxiety Disorders, 70, 102193. https://doi.org/10.1016/j.janxdis.2020.102193
   PubMed Web of Science ®Google Scholar
• Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. Liebowitz, D. Hope, & F. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). Guilford Press.
   Google Scholar
• Colegrave, N., & Ruxton, G. D. (2003). Confidence intervals are a more useful complement to nonsignificant tests than are power calculations. Behavioral Ecology, 14(3), 446–447. https://doi.org/10.1093/beheco/14.3.446
   Web of Science ®Google Scholar
• Cuming, S., & Rapee, R. M. (2010). Social anxiety and self-protective communication style in close relationships. Behaviour Research and Therapy, 48(2), 87–96. https://doi.org/10.1016/j.brat.2009.09.010
   PubMed Web of Science ®Google Scholar
• Daly, S. (1978). Behavioural correlates of social anxiety. British Journal of Social and Clinical Psychology, 17(2), 117–120. https://doi.org/10.1111/j.2044-8260.1978.tb00252.x
   PubMedGoogle Scholar
• Derlega, V. J., Winstead, B. A., Wong, P. T., & Hunter, S. (1985). Gender effects in an initial encounter: A case where men exceed women in disclosure. Journal of Social and Personal Relationships, 2(1), 25–44. https://doi.org/10.1177/0265407585021002
   Web of Science ®Google Scholar
• Exline, R., Gray, D., & Schuette, D. (1965). Visual behavior in a dyad as affected by interview content and sex of respondent. Journal of Personality and Social Psychology, 1(3), 201–209. https://doi.org/10.1037/h0021865
   PubMed Web of Science ®Google Scholar
• Freeth, M., Foulsham, T., & Kingstone, A. (2013). What affects social attention? Social presence, eye contact and autistic traits. PLOS ONE, 8(1), e53286. https://doi.org/10.1371/journal.pone.0053286
   PubMed Web of Science ®Google Scholar
• Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: a comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31(6), 1025–1035. https://doi.org/10.1017/S0033291701004056
   PubMed Web of Science ®Google Scholar
• Gobel, M. S., Kim, H. S., & Richardson, D. C. (2015). The dual function of social gaze. Cognition, 136, 359–364. https://doi.org/10.1016/j.cognition.2014.11.040
   PubMed Web of Science ®Google Scholar
• Gray, E., Beierl, E. T., & Clark, D. M. (2019). Sub-types of safety behaviours and their effects on social anxiety disorder. PLoS ONE, 14(10), e0223165. https://doi.org/10.1371/journal.pone.0223165
   PubMed Web of Science ®Google Scholar
• Günther, V., Kropidlowski, A., Schmidt, F. M., Koelkebeck, K., Kersting, A., & Suslow, T. (2021). Attentional processes during emotional face perception in social anxiety disorder: A systematic review and meta-analysis of eye-tracking findings. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 111, 110353. https://doi.org/10.1016/j.pnpbp.2021.110353
   PubMed Web of Science ®Google Scholar
• Haensel, J. X., Danvers, M., Ishikawa, M., Itakura, S., Tucciarelli, R., Smith, T. J., & Senju, A. (2020). Culture modulates face scanning during dyadic social interactions. Scientific Reports, 10(1), 1–11. https://doi.org/10.1038/s41598-020-58802-0
   PubMed Web of Science ®Google Scholar
• Hessels, R. S., Holleman, G. A., Cornelissen, T. H. W., Hooge, I. T. C., & Kemner, C. (2018). Eye contact takes two – autistic and social anxiety traits predict gaze behavior in dyadic interaction. Journal of Experimental Psychopathology, 9(2), jep.062917. https://doi.org/10.5127/jep.062917
   Web of Science ®Google Scholar
• Hessels, R. S., Holleman, G. A., Kingstone, A., Hooge, I. T. C., & Kemner, C. (2019). Gaze allocation in face-to-face communication is affected primarily by task structure and social context, not stimulus-driven factors. Cognition, 184, 28–43. https://doi.org/10.1016/j.cognition.2018.12.005
   PubMed Web of Science ®Google Scholar
• Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36(4), 193–209. https://doi.org/10.1080/16506070701421313
   PubMedGoogle Scholar
• Howell, A. N., Zibulsky, D. A., Srivastav, A., & Weeks, J. W. (2016). Relations among social anxiety, eye contact avoidance, state anxiety, and perception of interaction performance during a live conversation. Cognitive Behaviour Therapy, 45(2), 111–122. https://doi.org/10.1080/16506073.2015.1111932
   PubMed Web of Science ®Google Scholar
• Jourard, S. M. (1971). Self-disclosure: An experimental analysis of the transparent self. Wiley.
   Google Scholar
• Judah, M. R., Hager, N. M., Nako, K., & Blanchette, D. (2019). Gaze avoidance explains the association between anxiety sensitivity social concerns and social anxiety. International Journal of Cognitive Therapy, 12(3), 205–216. https://doi.org/10.1007/s41811-019-00050-w
   Web of Science ®Google Scholar
• Kang, S. H., & Gratch, J. (2010). Virtual humans elicit socially anxious interactants’ verbal self-disclosure. Computer Animation and Virtual Worlds, 21(3-4), 473–482. https://doi.org/10.1002/cav.345
   Web of Science ®Google Scholar
• Kashdan, T. B., Goodman, F. R., Machell, K. A., Kleiman, E. M., Monfort, S. S., Ciarrochi, J., & Nezlek, J. B. (2014). A contextual approach to experiential avoidance and social anxiety: Evidence from an experimental interaction and daily interactions of people with social anxiety disorder. Emotion, 14(4), 769–781. https://doi.org/10.1037/a0035935
   PubMed Web of Science ®Google Scholar
• Kashdan, T. B., & Roberts, J. E. (2004). Social anxiety’s impact on affect, curiosity, and social self-efficacy during a high self-focus social threat situation. Cognitive Therapy and Research, 28(1), 119–141. https://doi.org/10.1023/B:COTR.0000016934.20981.68
   Web of Science ®Google Scholar
• Kashdan, T. B., & Roberts, J. E. (2006). Affective outcomes in superficial and intimate interactions: Roles of social anxiety and curiosity. Journal of Research in Personality, 40(2), 140–167. https://doi.org/10.1016/j.jrp.2004.10.005
   Web of Science ®Google Scholar
• Ketay, S., Welker, K. M., Beck, L. A., Thorson, K. R., & Slatcher, R. B. (2019). Social anxiety, cortisol, and early-stage friendship. Journal of Social and Personal Relationships, 36(7), 1954–1974. https://doi.org/10.1177/0265407518774915
   Web of Science ®Google Scholar
• Kleinke, C. L. (1986). Gaze and eye contact: A research review. Psychological Bulletin, 100(1), 78–100. https://doi.org/10.1037/0033-2909.100.1.78
   PubMed Web of Science ®Google Scholar
• Kley, H., Tuschen-Caffier, B., & Heinrichs, N. (2012). Safety behaviors, self-focused attention and negative thinking in children with social anxiety disorder, socially anxious and non-anxious children. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 548–555. https://doi.org/10.1016/j.jbtep.2011.07.008
   PubMed Web of Science ®Google Scholar
• Konovalova, I., Antolin, J. V., Bolderston, H., & Gregory, N. J. (2021). Adults with higher social anxiety show avoidant gaze behaviour in a real-world social setting: A mobile eye tracking study. PlOS ONE, 16(10), e0259007. https://doi.org/10.1371/journal.pone.0259007
   PubMed Web of Science ®Google Scholar
• Langer, J. K., Lim, M. H., Fernandez, K. C., & Rodebaugh, T. L. (2017). Social anxiety disorder is associated with reduced eye contact during conversation primed for conflict. Cognitive Therapy and Research, 41(2), 220–229. https://doi.org/10.1007/s10608-016-9813-x
   Web of Science ®Google Scholar
• Leigh, E., Chiu, K., & Clark, D. M. (2021). Self-focused attention and safety behaviours maintain social anxiety in adolescents: An experimental study. PLoS ONE, 16(2), 1–13. https://doi.org/10.1371/journal.pone.0247703
   Web of Science ®Google Scholar
• Levine, M., & Ensom, M. H. H. (2001). Post hoc power analysis: An idea whose time has passed? Pharmacotherapy: Official Journal of the American College of Clinical Pharmacy, 21(4), 405–409. https://doi.org/10.1592/phco.21.5.405.34503
   Google Scholar
• Liebowitz, M. R. (1987). Social phobia. In D. F. Klein (Ed.), Modern problems of pharmacopsychiatry (Vol. 22, pp. 141–173). Karger. https://doi.org/10.1159/000414022.
   Google Scholar
• McManus, F., Sacadura, C., & Clark, D. M. (2008). Why social anxiety persists: An experimental investigation of the role of safety behaviours as a maintaining factor. Journal of Behavior Therapy and Experimental Psychiatry, 39(2), 147–161. https://doi.org/10.1016/j.jbtep.2006.12.002
   PubMed Web of Science ®Google Scholar
• Miller, M. K., & Dechant, M. (2021). Meeting you, seeing me: The role of social anxiety, visual feedback, and interface layout in a get-to-know-you task via video chat. Conference on Human Factors in Computing Systems – Proceedings. https://doi.org/10.1145/3411764.3445664
   Google Scholar
• Montesi, J. L., Conner, B. T., Gordon, E. A., Fauber, R. L., Kim, K. H., & Heimberg, R. G. (2013). On the relationship among social anxiety, intimacy, sexual communication, and sexual satisfaction in young couples. Archives of Sexual Behavior, 42(1), 81–91. https://doi.org/10.1007/s10508-012-9929-3
   PubMed Web of Science ®Google Scholar
• Olsen, A. (2012). Tobii I-VT fixation filter – Algorithm description. White Paper. http://www.tobii.com/eye-tracking-research/global/library/white-papers/the-tobii-i-vt-fixation-filter/.
   Google Scholar
• Papsdorf, M., & Alden, L. (1998). Mediators of social rejection in social anxiety: Similarity, self-disclosure, and overt signs of anxiety. Journal of Research in Personality, 32(3), 351–369. https://doi.org/10.1006/jrpe.1998.2219
   Web of Science ®Google Scholar
• Piccirillo, M. L., Taylor Dryman, M., & Heimberg, R. G. (2016). Safety behaviors in adults with social anxiety: Review and future directions. Behavior Therapy, 47(5), 675–687. https://doi.org/10.1016/j.beth.2015.11.005
   PubMed Web of Science ®Google Scholar
• Risko, E. F., Richardson, D. C., & Kingstone, A. (2016). Breaking the fourth wall of cognitive science: Real-world social attention and the dual function of gaze. Current Directions in Psychological Science, 25(1), 70–74. https://doi.org/10.1177/0963721415617806
   Web of Science ®Google Scholar
• Rogers, S. L., Speelman, C. P., Guidetti, O., & Longmuir, M. (2018). Using dual eye tracking to uncover personal gaze patterns during social interaction. Scientific Reports, 8(1), 1–9. https://doi.org/10.1038/s41598-018-22726-7
   PubMedGoogle Scholar
• Rösler, L., Göhring, S., Strunz, M., & Gamer, M. (2021). Social anxiety is associated with heart rate but not gaze behavior in a real social interaction. Journal of Behavior Therapy and Experimental Psychiatry, 70, 101600. https://doi.org/10.1016/j.jbtep.2020.101600
   PubMed Web of Science ®Google Scholar
• Schneier, F. R., Rodebaugh, T. L., Blanco, C., Lewin, H., & Liebowitz, M. R. (2011). Fear and avoidance of eye contact in social anxiety disorder. Comprehensive Psychiatry, 52(1), 81–87. https://doi.org/10.1016/j.comppsych.2010.04.006
   PubMed Web of Science ®Google Scholar
• Sparrevohn, R. M., & Rapee, R. M. (2009). Self-disclosure, emotional expression and intimacy within romantic relationships of people with social phobia. Behaviour Research and Therapy, 47(12), 1074–1078. https://doi.org/10.1016/j.brat.2009.07.016
   PubMed Web of Science ®Google Scholar
• Spence, S. H., & Rapee, R. M. (2016). The etiology of social anxiety disorder: An evidence-based model. Behaviour Research and Therapy, 86, 50–67. https://doi.org/10.1016/j.brat.2016.06.007
   PubMed Web of Science ®Google Scholar
• Stevens, S., Hofmann, M., Kiko, S., Mall, A. K., Steil, R., Bohus, M., & Hermann, C. (2010). What determines observer-rated social performance in individuals with social anxiety disorder? Journal of Anxiety Disorders, 24(8), 830–836. https://doi.org/10.1016/j.janxdis.2010.06.005
   PubMed Web of Science ®Google Scholar
• Tyler, C., Light, S., Notthoff, A., & Cacciamani, L. (2021). Eye gaze during controversial conversations depends on agreement and conversational role. Journal of Nonverbal Behavior, 45(3), 351–366. https://doi.org/10.1007/s10919-021-00363-5
   Web of Science ®Google Scholar