Abstract
Relative and absolute attentional biases in response times and error rates to social and health threat words were investigated in a sample of female undergraduates with high and low social anxiety (n = 63; mean age = 20.22) and high and low depression (n = 63; mean age = 20.30). A dot-probe paradigm measured attention to (1) social threat versus neutral words, (2) social threat versus health threat words, and (3) health threat versus neutral words. Participants with low social anxiety displayed an absolute bias in response times but not error rates away from social threat words. In contrast, participants with high social anxiety displayed an absolute bias in error rates but not response times toward social threat words. Findings suggest that attention toward social threat may not be unique to social anxiety, and that individuals with high social anxiety may lack a protective bias away from social threat.
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Notes
Median response times were used to calculate bias scores as medians are less affected by extreme scores than means (Howell 1997).
References
Amir, N., Freshman, M., & Foa, E. (2002). Enhanced Stroop interference for threat in social phobia. Journal of Anxiety Disorders, 16(1), 1–9. doi:10.1016/S0887-6185(01)00084-6.
Arend, I., & Botella, J. (2002). Emotional stimuli reduce the attentional blink in sub-clinical anxious subjects. Psicothema, 14(2), 209–214.
Asmundson, G. J. G., Sandler, L. S., Wilson, K. G., & Walker, J. R. (1992). Selective attention toward physical threat in patients with panic disorder. Journal of Anxiety Disorders, 6(4), 295–303. doi:10.1016/0887-6185(92)90001-N.
Asmundson, G. J. G., & Stein, M. B. (1994). Selective processing of social threat in patients with generalized social phobia: Evaluation using a dot-probe paradigm. Journal of Anxiety Disorders, 8(2), 107–117. doi:10.1016/0887-6185(94)90009-4.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van Ijzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133(1), 1–24. doi:10.1037/0033-2909.133.1.1.
Bögels, S. M., & Mansell, W. (2004). Attention processes in the maintenance and treatment of social phobia: Hypervigilance, avoidance and self-focused attention. Clinical Psychology Review, 24(7), 827–856. doi:10.1016/j.cpr.2004.06.005.
Bradley, B. P., Mogg, K., & Lee, S. C. (1997). Attentional biases for negative information in induced and naturally occurring dysphoria. Behaviour Research and Therapy, 35(10), 911–927. doi:10.1016/S0005-7967(97)00053-3.
Bradley, B. P., Mogg, K., White, J., Groom, C., & de Bono, J. (1999). Attentional bias for emotional faces in generalized anxiety disorder. The British Journal of Clinical Psychology, 38(3), 267–278. doi:10.1348/014466599162845.
Buckner, J. D., Maner, J. K., & Schmidt, N. B. (2009). Difficulty disengaging attention from social threat in social anxiety. Cognitive Therapy and Research. doi:10.1007/s10608-008-9205-y.
Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.
Eastwood, J. D., Smilek, D., Oakman, J. M., Farvolden, P., van Ameringen, M., Mancini, C., et al. (2005). Individuals with social phobia are biased to become aware of negative faces. Visual Cognition, 12(1), 159–179. doi:10.1080/13506280444000175.
Gilbert, P. (2000). The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7(3), 174–189. doi:10.1002/1099-0879(200007)7:3<174::AID-CPP236>3.0.CO;2-U.
Grant, D. M., & Beck, J. G. (2006). Attentional biases in social anxiety and dysphoria: Does comorbidity make a difference? Journal of Anxiety Disorders, 20(4), 520–529. doi:10.1016/j.janxdis.2005.05.003.
Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., & Liebowitz, M. R. (1992). Assessment of anxiety in social interaction and being observed by others: The Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy, 23(1), 53–73. doi:10.1016/S0005-7894(05)80308-9.
Heinrichs, N., & Hofmann, S. G. (2001). Information processing in social phobia: A critical review. Clinical Psychology Review, 21(5), 751–770. doi:10.1016/S0272-7358(00)00067-2.
Howell, D. C. (1997). Statistical methods for psychology (4th ed.). Belmont, CA: Wadsworth Publishing Company.
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey replication. Archives of General Psychiatry, 62(6), 617–627. doi:10.1001/archpsyc.62.6.617.
Kowler, E. (1995). Eye movements. In S. M. Kosslyn & D. N. Osheron (Eds.), Visual cognition (215–265). Cambridge, MA: MIT Press.
Leech, G., Rayson, P., & Wilson, A. (2001). Word frequencies in written and spoken English: Based on the British National Corpus. England: Longman.
Lubman, D. I., Peters, L. A., Mogg, K., Bradley, B. P., & Deakin, J. F. W. (2000). Attentional bias for drug cues in opiate dependence. Psychological Medicine, 30(1), 169–175. doi:10.1017/S0033291799001269.
MacLeod, C., & Mathews, A. (1988). Anxiety and the allocation of attention to threat. The Quarterly Journal of Experimental Psychology. A, 40(4), 653–670.
Mathews, A., & Mackintosh, B. (1998). A cognitive model of selective processing in anxiety. Cognitive Therapy and Research, 22(6), 539–560. doi:10.1023/A:1018738019346.
Mathews, A., Ridgeway, V., & Williamson, D. A. (1996). Evidence for attention to threatening stimuli in depression. Behaviour Research and Therapy, 34(9), 695–705. doi:10.1016/0005-7967(96)00046-0.
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36(4), 455–470. doi:10.1016/S0005-7967(97)10031-6.
McCabe, S. B., Gotlib, I. H., & Martin, R. A. (2000). Cognitive vulnerability for depression: Deployment of attention as a function of history of depression and current mood state. Cognitive Therapy and Research, 24(4), 427–444. doi:10.1023/A:1005579719849.
Mogg, K., Bradley, B. P., de Bono, J., & Painter, M. (1997). Time course of attentional bias for threat information in non-clinical anxiety. Behaviour Research and Therapy, 35(4), 297–303. doi:10.1016/S0005-7967(96)00109-X.
Musa, C., Lépine, J.-P., Clark, D. M., Mansell, W., & Ehlers, A. (2003). Selective attention in social phobia and the moderating effect of a concurrent depressive disorder. Behaviour Research and Therapy, 41(9), 1043–1054. doi:10.1016/S0005-7967(02)00212-7.
Osman, A., Gutierrez, P. M., Barrios, F. X., Kopper, B. A., & Chiros, C. E. (1998). The Social Phobia and Social Interaction Anxiety Scales: Evaluation of psychometric properties. Journal of Psychopathology and Behavioral Assessment, 20(3), 249–264. doi:10.1023/A:1023067302227.
Pishyar, R., Harris, L. M., & Menzies, R. G. (2004). Attentional bias for words and faces in social anxiety. Anxiety, Stress and Coping, 17(1), 23–36. doi:10.1080/10615800310001601458.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. doi:10.1177/014662167700100306.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756. doi:10.1016/S0005-7967(97)00022-3.
Salkovskis, P. M., Rimes, K. A., Warwick, H. M. C., & Clark, D. M. (2002). The Health Anxiety Inventory: Development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychological Medicine, 32(5), 843–853.
Schneider, W., Eshman, A., & Zuccolotto, A. (2002). E-Prime: A user’s guide. Pittsburgh, PA: Psychology Software Tools, Inc.
Shields, M. (2004). Social anxiety disorder—beyond shyness. In Health reports: 2004 annual report (pp. 45–61). Ottawa, Ontario: Statistics Canada.
Strine, T. W., Chapman, D. P., Kobau, R., & Balluz, L. (2005). Associations of self-reported anxiety symptoms with health-related quality of life and health behaviors. Social Psychiatry and Psychiatric Epidemiology, 40(6), 432–438. doi:10.1007/s00127-005-0914-1.
Suslow, T., Junghanns, K., & Arolt, V. (2001). Detection of facial expressions of emotions in depression. Perceptual and Motor Skills, 92, 857–868. doi:10.2466/PMS.92.3.857-868.
Turk, C. L., Lerner, J., Heimberg, R. G., & Rapee, R. M. (2001). An integrated cognitive-behavioral model of social anxiety. In S. G. Hofmann & P. M. DiBartolo (Eds.), From social anxiety to social phobia: Multiple perspectives (pp. 281–303). Needham Heights, MA: Allyn & Bacon.
Vassilopoulos, S. P. (2005). Social anxiety and the vigilance-avoidance pattern of attentional processing. Behavioural and Cognitive Psychotherapy, 33(1), 13–24. doi:10.1017/S1352465804001730.
Weinstock, L. S. (1999). Gender differences in the presentation and management of social anxiety disorder. The Journal of Clinical Psychiatry, 60(Suppl. 9), 9–13.
Wells, A., White, J., & Carter, K. E. P. (1997). Attention training: Effects on anxiety and beliefs in panic and social phobia. Clinical Psychology & Psychotherapy, 4(4), 226–232. doi:10.1002/(SICI)1099-0879(199712)4:4<226::AID-CPP129>3.0.CO;2-M.
Williams, J. M. G., Mathews, A., & MacLeod, C. (1996). The emotional Stroop task and psychopathology. Psychological Bulletin, 120(1), 3–24. doi:10.1037/0033-2909.120.1.3.
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Roberts, K.E., Hart, T.A. & Eastwood, J.D. Attentional Biases to Social and Health Threat Words in Individuals With and Without High Social Anxiety or Depression. Cogn Ther Res 34, 388–399 (2010). https://doi.org/10.1007/s10608-009-9245-y
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DOI: https://doi.org/10.1007/s10608-009-9245-y