Skip to main content
Log in

Fear of Negative Evaluation Influences Eye Gaze in Adolescents with Autism Spectrum Disorder: A Pilot Study

  • SI: Emotion Regulation and Psychiatric Comorbidity in ASD
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Social anxiety is common among adolescents with Autism Spectrum Disorder (ASD). In this modest-sized pilot study, we examined the relationship between social worries and gaze patterns to static social stimuli in adolescents with ASD (n = 15) and gender-matched adolescents without ASD (control; n = 18). Among cognitively unimpaired adolescents with ASD, self-reported fear of negative evaluation predicted greater gaze duration to social threat cues (i.e., faces depicting disgust and anger). By comparison, there was no relationship between self-reported social fears and gaze duration in the controls. These findings call attention to the potential import of the impact of co-occurring psychopathology such as social anxiety, and particularly fear of negative evaluation, on social attention and cognition with adolescents who have ASD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  • American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychological Association.

    Google Scholar 

  • Amir, N., Klumpp, H., Elias, J., Bedwell, J. S., Yanasak, N., & Miller, L. S. (2005). Increased activation of the anterior cingulate cortex during processing of disgust faces in individuals with social phobia. Biological Psychiatry, 57, 975–981. doi:10.1016/j.biopsych.2005.01.044.

    Article  PubMed  Google Scholar 

  • Amir, N., Najmi, S., Bomyea, J., & Burns, M. (2010). Disgust and anger in social anxiety. International Journal of Cognitive Therapy, 3, 3–10. doi:10.1521/ijct.2010.3.1.3.

    Article  Google Scholar 

  • Armstrong, T., & Olatunji, B. O. (2012). Eye tracking of attention in the affective disorders: A meta-analytic review and synthesis. Clinical Psychology Review, 32, 704–723. doi:10.1016/j.cpr.2012.09.004.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bal, E., Harden, E., Lamb, D., Van Hecke, A. V., Denver, J. W., & Porges, S. W. (2010). Emotion recognition in children with autism spectrum disorders: Relations to eye gaze and autonomic state. Journal of Autism and Developmental Disorders, 40, 358–370. doi:10.1007/s10803-009-0884-3.

    Article  PubMed  Google Scholar 

  • Baron-Cohen, S. (1995). Mindblindness: An essay on autism and theory of mind. In L. Gleitman, S. Carey, E. Newport, & E. Spelke (Eds.), Learning, development, and conceptual change. Cambridge, MA: MIT Press.

    Google Scholar 

  • Baron-Cohen, S. (2008). Theories of the autistic mind. British Psychological Society, 21, 112–116.

    Google Scholar 

  • Beidel, D. C., & Turner, S. M. (2007). Shy children, phobic adults: Nature and treatment of social anxiety disorder (2nd ed.). Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Bellini, S. (2004). Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19, 78–86. doi:10.1177/10883576040190020201.

    Article  Google Scholar 

  • Berument, S., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism Screening Questionnaire: Diagnostic validity. British Journal of Psychiatry, 161, 839–843.

    Google Scholar 

  • Carleton, R. N., Collimore, K. C., McCabe, R. E., & Antony, M. M. (2011). Addressing revisions to the brief Fear of Negative Evaluation Scale: Measuring fear of negative evaluation across anxiety and mood disorders. Journal of Anxiety Disorders, 25, 822–828. doi:10.1016/j.janxdis.2011.04.002.

    Article  PubMed  Google Scholar 

  • Cartwright-Hatton, S., Tschernitz, N., & Gomersall, H. (2005). Social anxiety in children: Social skill deficit, or cognitive distortion? Behaviour Research and Therapy, 43, 131–141. doi:10.1016/j.brat.2003.12.003.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Article  PubMed  Google Scholar 

  • Constantino, J. N., & Gruber, C. P. (2005). Social Responsiveness Scale (SRS). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Constantino, J. N., & Todd, R. D. (2003). Autistic traits in the general population: A twin study. Archives of General Psychiatry, 60, 524–530. doi:10.1001/archpsyc.60.5.524.

    Article  PubMed  Google Scholar 

  • Corden, B., Chilvers, R., & Skuse, D. (2008). Avoidance of emotionally arousing stimuli predicts social-perceptual impairment in asperger’s syndrome. Neuropsychologia, 46, 137–147. doi:10.1016/j.neuropsychologia.2007.08.005.

    Article  PubMed  Google Scholar 

  • Corsello, C., Cook, E., & Leventhal, M. (2003, April). A screening instrument for autistic spectrum disorders. Paper presented at the Society for Research in Child Development Biennial Conference, Tampa, FL.

  • Dalton, K. M., Nacewicz, B. M., Johnstone, T., Schaefer, H. S., Gernsbacher, M. A., Goldsmith, H. H., et al. (2005). Gaze fixation and the neural circuitry of face processing in autism. Nature Neuroscience, 8(4), 519–526. doi:10.1038/nn1421.

    PubMed Central  PubMed  Google Scholar 

  • Eack, S. M., Mazefsky, C. A., & Minshew, N. J. (2014). Misinterpretation of facial expressions of emotions in verbal adults with autism spectrum disorder. Autism. Advance online publication. doi:10.1177/1362361314520755.

  • Evren, B., & Evren, C. (2007). Relationship between alexithymia and social anxiety in female outpatients with dermatological disorder presenting for psychiatric consultation. Journal of Clinical Psychology in Medical Settings, 14, 258–265. doi:10.1007/s10880-007-9072-9.

    Article  Google Scholar 

  • Garner, M., Mogg, K., & Bradley, B. P. (2006). Orienting and maintenance of gaze to facial expressions in social anxiety. Journal of Abnormal Psychology, 115, 760–770. doi:10.1037/0021-843X.115.4.760.

    Article  PubMed  Google Scholar 

  • Harms, M. B., Martin, A., & Wallace, G. L. (2010). Facial emotion recognition in autism spectrum disorders: A review of behavioral and neuroimaging studies. Neuropsychology Review, 20, 290–322. doi:10.1007/s11065-010-9138-6.

    Article  PubMed  Google Scholar 

  • Hobson, R. P., & Lee, A. (1998). Hello and goodbye: A study of social engagement in autism. Journal of Autism and Developmental Disorders, 28, 117–127. doi:10.1023/A:1026088531558.

    Article  PubMed  Google Scholar 

  • Inderbitzen-Nolan, H. M., Anderson, E. R., & Johnson, H. S. (2007). Subjective versus objective behavioral ratings following two analogue tasks: A comparison of socially phobic and non-anxious adolescents. Journal of Anxiety Disorders, 21, 76–90. doi:10.1016/j.janxdis.2006.03.013.

    Article  PubMed  Google Scholar 

  • Jones, W., Carr, K., & Klin, A. (2008). Absence of preferential looking to the eyes of approaching adults predicts level of social disability in 2-year-old toddlers with autism spectrum disorder. Archives of General Psychiatry, 65, 946–954. doi:10.1001/archpsyc.65.8.946.

    Article  PubMed  Google Scholar 

  • Joseph, R. M., Ehrman, K., McNally, R., & Keehn, B. (2008). Affective response to eye contact and face recognition ability in children with ASD. Journal of the International Neuropsychological Society, 14, 947–955. doi:10.1017/S1355617708081344.

    Article  PubMed  Google Scholar 

  • Kerns, C. M., & Kendall, P. C. (2012). The presentation and classification of anxiety in autism spectrum disorder. Clinical Psychology: Science and Practice, 19, 323–347.

    Google Scholar 

  • Kleinhans, N. M., Richards, T., Weaver, K., Johnson, L. C., Greenson, J., Dawson, G., & Aylward, E. (2010). Association between amygdala response to emotional faces and social anxiety in autism spectrum disorders. Neuropsychologia, 48(12), 3665–3670. doi:10.1016/j.neuropsychologia.2010.07.022.

    Article  PubMed Central  PubMed  Google Scholar 

  • Klin, A., Jones, W., Schultz, R., Volkmar, F., & Cohen, D. (2002). Visual fixation patterns during viewing of naturalistic social situations as predictors of social competence in individuals with autism. Archives of General Psychiatry, 59, 809–816. doi:10.1001/archpsyc.59.9.809.

    Article  PubMed  Google Scholar 

  • Klin, A., & Volkmar, F. R. (2000). Treatment and intervention guidelines for individuals with asperger syndrome. In A. Klin, F. R. Volkmar, & S. S. Sparrow (Eds.), Asperger syndrome (pp. 340–366). New York: Guilford Press.

    Google Scholar 

  • Kreiser, N. L., & White, S. W. (2014). Assessment of social anxiety in adolescents and adults with autism spectrum disorder. Clinical Psychology: Science and Practice, 21, 18–31.

    Google Scholar 

  • Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M. L., Ebeling, H., et al. (2008). Social anxiety in high-functioning children and adolescents with Autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 38, 1697–1709. doi:10.1007/s10803-008-0555-9.

    Article  PubMed  Google Scholar 

  • Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375. doi:10.1177/0146167283093007.

    Article  Google Scholar 

  • Levinson, C. A., & Rodebaugh, T. L. (2012). Social anxiety and eating disorder comorbidity: The role of negative social evaluation fears. Eating Behaviors, 13, 27–35. doi:10.1016/j.eatbeh.2011.11.006.

    Article  PubMed Central  PubMed  Google Scholar 

  • Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism Developmental Disorders, 36, 849–861. doi:10.1007/s10803-006-0123-0.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview—Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.

    Article  PubMed  Google Scholar 

  • MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding and suppression effect. Prevention Science, 1, 173–181. doi:10.1023/A:1026595011371.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mazefsky, C. A., Kao, J., & Oswald, D. P. (2011). Preliminary evidence suggesting caution in the use of psychiatric self-report measures with adolescents with high-functioning autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 164–174. doi:10.1016/j.rasd.2010.03.006.

    Article  PubMed Central  PubMed  Google Scholar 

  • Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. doi:10.1016/j.jaac.2010.05.017.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mesa, F., Nieves, M. M., & Beidel, D. C. (2011). Clinical presentation of social anxiety disorder in adolescents and young adults. In C. A. Alfano & D. C. Beidel (Eds.), Social anxiety in adolescents and young adults: Translating developmental science into practice (pp. 11–27). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Muris, P., Merckelbach, H., & Damsma, E. (2000). Threat perception bias in non-referred, socially anxious children. Journal of Clinical Child Psychology, 29, 348–359. doi:10.1207/S15374424JCCP2903_6.

    Article  PubMed  Google Scholar 

  • Pelphrey, K. A., Sasson, N. J., Reznick, J. S., Paul, G., Goldman, B. D., & Piven, J. (2002). Visual scanning of faces in autism. Journal of Autism and Developmental Disorders, 32, 249–261. doi:10.1023/A:1016374617369.

    Article  PubMed  Google Scholar 

  • Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behavior Research and Therapy, 35, 741–756.

    Article  Google Scholar 

  • Rapee, R. M., & Spence, S. H. (2004). The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24, 737–767.

    Article  PubMed  Google Scholar 

  • Rutter, M., Bailey, A., & Lord, C. (2003). The social communication questionnaire. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Sawyer, A. C. P., Williamson, P., & Young, R. L. (2011). Can gaze avoidance explain why individuals with asperger’s syndrome can’t regonize emotions from facial expressions? Journal of Autism and Developmental Disorders, 42, 606–618. doi:10.1007/s10803-011-1283-0.

    Article  Google Scholar 

  • Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929. doi:10.1097/CHI.0b013e318179964f.

    Article  PubMed  Google Scholar 

  • Somerville, L. H., Kim, H., Johnstone, T., Alexander, A. L., & Whalen, P. J. (2004). Human amygdala responses during presentation of happy and neutral faces: correlations with state anxiety. Biological Psychiatry, 55, 897–903.

    Article  PubMed  Google Scholar 

  • Spence, S. H. (1995). Social skills training: Enhancing social competence with children and adolescents. London: NFER Nelson Publishing Company.

    Google Scholar 

  • Tottenham, N., Tanaka, J., Leon, A. C., McCarry, T., Nurse, M., Hare, T. A., et al. (2009). The NimStim set of facial expressions: Judgments from untrained research participants. Psychiatry Research, 168, 242–249. doi:10.1016/j.psychres.2008.05.006.

    Article  PubMed Central  PubMed  Google Scholar 

  • van Steensel, F. J. A., Bögels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review, 14, 302–317. doi:10.1007/s10567-011-0097-0.

  • Volker, M. A., Lopata, C., Smerbeck, A. M., Knoll, V. A., Thomeer, M. L., Toomey, J. A., & Rodgers, J. D. (2010). BASC-2 PRS profiles for students with high-functioning autism spectrum disorders. Journal of Autism and Developmental Disorders, 40, 188–199. doi:10.1007/s10803-009-0849-6.

    Article  PubMed  Google Scholar 

  • Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457. doi:10.1037/h0027806.

    Article  PubMed  Google Scholar 

  • Westenberg, P. M., Gullone, E., Bokhorst, C. L., Heyne, D. A., & King, N. (2007). Social evaluation fear in childhood and adolescence: Normative developmental course and continuity of individual differences. British Journal of Developmental Psychology, 25, 471–483.

    Article  Google Scholar 

  • White, S. W., Ollendick, T., Albano, A., Oswald, D., Johnson, C., Southam-Gerow, M. A., et al. (2013). Randomized controlled trial: Multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(2), 382–394. doi:10.1007/s10803-012-1577-x.

    Article  PubMed Central  PubMed  Google Scholar 

  • White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229. doi:10.1016/j.cpr.2009.01.003.

  • White, S. W., & Roberson-Nay, R. (2009). Anxiety, social deficits, and loneliness in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1006–1013. doi:10.1007/s10803-009-0713-8.

    Article  PubMed  Google Scholar 

  • White, S. W., Schry, A. R., & Kreiser, N. L. (2014). Social worries and difficulties: Autism and/or social anxiety disorder? In T. E. Davis III, S. W. White & T. H. Ollendick (Eds.), Handbook of autism and anxiety (pp. 121–136). New York, NY: Springer.

  • White, S. W., Schry, A. R., & Maddox, B. B. (2012). Brief report: The assessment of anxiety in high-functioning adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 42, 1138–1145. doi:10.1007/s10803-011-1353-3.

    Article  PubMed  Google Scholar 

  • Wieser, M. J., Pauli, P., Weyers, P., Alpers, G. W., & Mühlberger, A. (2009). Fear of negative evaluation and the hypervigilance-avoidance hypothesis: An eye-tracking study. Journal of Neural Transmission, 116, 717–723. doi:10.1007/s00702-008-0101-0.

    Article  PubMed  Google Scholar 

  • Witwer, A. N., & Lecavalier, L. (2010). Validity of comorbid psychiatric disorders in youngsters with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 22, 367–380. doi:10.1007/s10882-010-9194-0.

    Article  Google Scholar 

Download references

Acknowledgments

We gratefully acknowledge the adolescents, and their parents, who volunteered in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan W. White.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

White, S.W., Maddox, B.B. & Panneton, R.K. Fear of Negative Evaluation Influences Eye Gaze in Adolescents with Autism Spectrum Disorder: A Pilot Study. J Autism Dev Disord 45, 3446–3457 (2015). https://doi.org/10.1007/s10803-014-2349-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-014-2349-6

Keywords

Navigation