Abstract
The aim of this study was to investigate the association between fear of blushing and self-rated propensity to flush to physical stimuli. Two hundred and five respondents rated fear of blushing, social anxiety, blushing propensity, facial pallor in threatening situations, and facial flushing to physical exercise, heat and ingesting alcohol. Facial flushing propensity predicted fear of blushing independently of associations with social anxiety, self-rated blushing propensity and other documented predictors. In addition, after controlling for other predictors, facial pallor in threatening situations was associated with reduced fear of blushing. These findings suggest that a predisposition to flush is a marker of a more general hyper-reactivity of facial blood vessels. This predisposition could increase self-awareness of blushing and the odds that blushing is noticed by others, hence augmenting fear of blushing.
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References
Bögels, S. M. (2006). Task concentration training versus applied relaxation, in combination with cognitive therapy, for social phobia patients with fear of blushing, trembling, and sweating. Behaviour Research and Therapy, 44(8), 1199–1210. https://doi.org/10.1016/j.brat.2005.08.010.
Bögels, S. M., & Reith, W. (1999). Validity of two questionnaires to assess social fears: The Dutch social phobia and anxiety inventory and the blushing, trembling and sweating questionnaire. Journal of Psychopathology and Behavioral Assessment, 21, 51–66. https://doi.org/10.1023/A:1022812227606.
Brummelman, E., Nikolic, M., & Bogels, S. M. (2018). What's in a blush? Physiological blushing reveals narcissistic children's social-evaluative concerns. Psychophysiology, 55(10), e13201. https://doi.org/10.1111/psyp.13201.
Dijk, C., de Jong, P. J., & Peters, M. L. (2016). Judgmental biases of individuals with a fear of blushing: The role of relatively strict social norms. Clinical Psychology & Psychotherapy, 23(2), 176–182. https://doi.org/10.1002/cpp.1958.
Dijkstra, P., Barelds, D. P. H., & Buwalda, F. (2014). Fear of blushing: Relations with personality among children and adults. Personality and Individual Differences, 66, 5–9. https://doi.org/10.1016/j.paid.2014.02.034.
Drummond, P. D. (1997). Correlates of facial flushing and pallor in anger-provoking situations. Personality and Individual Differences, 23(4), 575–582. https://doi.org/10.1016/S0191-8869(97)00077-9.
Drummond, P. D. (2013). Psychophysiology of the blush. In W. R. Crozier & P. J. de Jong (Eds.), The psychological significance of the blush (pp. 15–38). Cambridge: Cambridge University Press.
Drummond, P. D., Back, K., Harrison, J., Helgadottir, F. D., Lange, B., Lee, C., et al. (2007). Blushing during social interactions in people with a fear of blushing. Behaviour Research and Therapy, 45(7), 1601–1608. https://doi.org/10.1016/j.brat.2006.06.012.
Drummond, P. D., Camacho, L., Formentin, N., Heffernan, T. D., Williams, F., & Zekas, T. E. (2003). The impact of verbal feedback about blushing on social discomfort and facial blood flow during embarrassing tasks. Behaviour Research and Therapy, 41(4), 413–425.
Drummond, P. D., & Gatt, S. J. (2018). Early maladaptive schemas in people with a fear of blushing. Clinical Psychologist, 22, 203–210. https://doi.org/10.1111/cp.12114.
Drummond, P. D., & Lazaroo, D. (2012a). The effect of facial blood flow on ratings of blushing and negative affect during an embarrassing task: Preliminary findings. Journal of Anxiety Disorders, 26(2), 305–310. https://doi.org/10.1016/j.janxdis.2011.12.012.
Drummond, P. D., & Lazaroo, D. (2012b). The effect of niacin on facial blood flow in people with an elevated fear of negative evaluation. European Neuropsychopharmacology, 22(3), 200–204. https://doi.org/10.1016/j.euroneuro.2011.07.013.
Drummond, P. D., & Lim, H. K. (2000). The significance of blushing for fair- and dark-skinned people. Personality and Individual Differences, 29(6), 1123–1132. https://doi.org/10.1016/S0191-8869(99)00259-7.
Drummond, P. D., Minosora, K., Little, G., & Keay, W. (2013). Topical ibuprofen inhibits blushing during embarrassment and facial flushing during aerobic exercise in people with a fear of blushing. European Neuropsychopharmacology, 23, 1747–1753. https://doi.org/10.10106/j.euroneuro.2013.07.013.
Drummond, P. D., Shapiro, G. B., Nikolić, M., & Bögels, S. M. (2020). Treatment options for fear of blushing. Current Psychiatry Reports, 22(6), 28. https://doi.org/10.1007/s11920-020-01152-5.
Drummond, P. D., & Su, D. (2012). The relationship between blushing propensity, social anxiety and facial blood flow during embarrassment. Cognition and Emotion, 26(3), 561–567. https://doi.org/10.1080/02699931.2011.595775.
Eleftheriades, R., Fiala, C., & Pasic, M. D. (2020). The challenges and mental health issues of academic trainees. F1000Res, 9, 104. https://doi.org/10.12688/f1000research.21066.1.
Girish, G., D’Souza, R. E., D’Souza, P., Lewis, M. G., & Baker, D. M. (2017). Role of surgical thoracic sympathetic interruption in treatment of facial blushing: A systematic review. Postgraduate Medicine, 129(2), 267–275. https://doi.org/10.1080/00325481.2017.1283207.
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. https://doi.org/10.1016/S0005-7894(05)80308-9.
Heinrichs, N., Rapee, R. M., Alden, L. A., Bögels, S., Hofmann, S. G., Oh, K. J., et al. (2006). Cultural differences in perceived social norms and social anxiety. Behaviour Research and Therapy, 44(8), 1187–1197. https://doi.org/10.1016/j.brat.2005.09.006.
Hornyak, M. E., Naver, H. K., Rydenhag, B., & Wallin, B. G. (1990). Sympathetic activity influences the vascular axon reflex in the skin. Acta Physiologica Scandinavic, 139(1), 77–84. https://doi.org/10.1111/j.1748-1716.1990.tb08899.x.
Johnson, J. M., Minson, C. T., & Kellogg, D. L., Jr. (2014). Cutaneous vasodilator and vasoconstrictor mechanisms in temperature regulation. Comprehensive Physiology, 4(1), 33–89. https://doi.org/10.1002/cphy.c130015.
Kong, L. M., Zeng, J. Y., Zheng, W. B., Shen, Z. W., & Wu, R. H. (2019). Effects of acute alcohol consumption on the human brain: Diffusional Kurtosis imaging and arterial spin-labeling study. AJNR American Journal of Neuroradiology, 40(4), 641–647. https://doi.org/10.3174/ajnr.A5992.
Leary, M. R., & Meadows, S. (1991). Predictors, elicitors, and concomitants of social blushing. Journal of Personality and Social Psychology, 60, 254. https://doi.org/10.1037/0022-3514.60.6.2.254.
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, 455–470. https://doi.org/10.1016/S0005-7967(97)10031-6.
Mulkens, S., & Bögels, S. M. (1999). Learning history in fear of blushing. Behaviour Research and Therapy, 37(12), 1159–1167. https://doi.org/10.1016/S0005-7967(99)00022-4.
Nikolić, M., Colonnesi, C., de Vente, W., Drummond, P. D., & Bögels, S. M. (2015). Blushing and social anxiety: A meta-analysis. Clinical Psychology: Science and Practice, 22(2), 177–193. https://doi.org/10.1111/cpsp.12102.
Olday, J., Currie, E., & Drummond, G. B. (2003). The incidence of flushing on induction of anaesthesia in patients who blush easily. Anaesthesia, 58(3), 275–277.
Shields, S. A., Mallory, M. E., & Simon, A. (1990). The experience and symptoms of blushing as a function of age and reported frequency of blushing. Journal of Nonverbal Behavior, 14(3), 171–187. https://doi.org/10.1007/bf00996225.
Thorstenson, C. A., Pazda, A. D., & Lichtenfeld, S. (2019). Facial blushing influences perceived embarrassment and related social functional evaluations. Cognition and Emotion. https://doi.org/10.1080/02699931.2019.1634004.
Toda, N., & Ayajiki, K. (2010). Vascular actions of nitric oxide as affected by exposure to alcohol. Alcohol and Alcoholism, 45(4), 347–355. https://doi.org/10.1093/alcalc/agq028.
Voncken, M. J., & Bögels, S. M. (2009). Physiological blushing in social anxiety disorder patients with and without blushing complaints: Two subtypes? Biological Psychology, 81(2), 86–94. https://doi.org/10.1016/j.biopsycho.2009.02.004.
Watson, D., & Friend, R. (1969). Measure of social evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457. https://doi.org/10.1037/h0027806.
Wong, B. J., & Hollowed, C. G. (2017). Current concepts of active vasodilation in human skin. Temperature (Austin), 4(1), 41–59. https://doi.org/10.1080/23328940.2016.1200203.
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Sally J. Gatt, Bronwyn Lester, Rachel Home, Brodie Cooper, Kiri Adams and Carla Letizia helped to assemble the materials and collect the data.
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Drummond, P.D. Flushing propensity predicts fear of blushing. Motiv Emot 44, 686–694 (2020). https://doi.org/10.1007/s11031-020-09839-1
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DOI: https://doi.org/10.1007/s11031-020-09839-1