Social context and the real-world consequences of social anxiety

2019 ◽  
Author(s):  
Juyoen Hur ◽  
Kathryn A. DeYoung ◽  
Samiha Islam ◽  
Allegra S. Anderson ◽  
Matthew Barstead ◽  
...  

Social anxiety lies on a continuum, and young adults with elevated symptoms are at risk for developing a range of debilitating psychiatric disorders. Yet, relatively little is known about the factors that govern the hour-by-hour experience and expression of social anxiety in daily life. Here, we used smartphone-based ecological momentary assessment (EMA) to intensively sample emotional experience across different social contexts in the daily lives of 228 young adults selectively recruited to represent a broad spectrum of social anxiety symptoms. Leveraging data from over 11,000 real-world assessments, results highlight the central role of close friends, family members, and romantic partners. The presence of close companions is associated with enhanced mood, yet socially anxious individuals have smaller confidant networks and spend less time with their close companions. Although higher levels of social anxiety are associated with a general worsening of mood, socially anxious individuals appear to derive larger benefits—lower levels of negative affect, anxiety, and depression—from the presence of their closest companions. In contrast, variation in social anxiety was unrelated to the amount of time spent with strangers, co-workers, and acquaintances; and we uncovered no evidence of emotional hypersensitivity to less-familiar individuals. Collectively, these findings provide a framework for understanding the deleterious consequences of social anxiety in emerging adulthood and set the stage for developing improved intervention strategies.

2019 ◽  
Vol 50 (12) ◽  
pp. 1989-2000 ◽  
Author(s):  
Juyoen Hur ◽  
Kathryn A. DeYoung ◽  
Samiha Islam ◽  
Allegra S. Anderson ◽  
Matthew G. Barstead ◽  
...  

AbstractBackgroundSocial anxiety lies on a continuum, and young adults with elevated symptoms are at risk for developing a range of psychiatric disorders. Yet relatively little is known about the factors that govern the hour-by-hour experience and expression of social anxiety in the real world.MethodsHere we used smartphone-based ecological momentary assessment (EMA) to intensively sample emotional experience across different social contexts in the daily lives of 228 young adults selectively recruited to represent a broad spectrum of social anxiety symptoms.ResultsLeveraging data from over 11 000 real-world assessments, our results highlight the central role of close friends, family members, and romantic partners. The presence of such close companions was associated with enhanced mood, yet socially anxious individuals had fewer confidants and spent less time with the close companions that they do have. Although higher levels of social anxiety were associated with a general worsening of mood, socially anxious individuals appear to derive larger benefits – lower levels of negative affect, anxiety, and depression – from their close companions. In contrast, variation in social anxiety was unrelated to the amount of time spent with strangers, co-workers, and acquaintances; and we uncovered no evidence of emotional hypersensitivity to these less-familiar individuals.ConclusionsThese findings provide a framework for understanding the deleterious consequences of social anxiety in emerging adulthood and set the stage for developing improved intervention strategies.


2019 ◽  
Vol 7 (5) ◽  
pp. 1094-1108 ◽  
Author(s):  
Robert Miranda ◽  
Stephanie E. Wemm ◽  
Hayley Treloar Padovano ◽  
Ryan W. Carpenter ◽  
Noah N. Emery ◽  
...  

Theories of addiction posit that stimuli associated with drug use, including both exteroceptive (e.g., paraphernalia) and interoceptive (e.g., feeling tense or stressed), evoke craving and contribute to the pathogenesis of substance misuse. Control over drug cue response and stress is essential for moderating use. Building from laboratory data supporting associations between cue exposure, stress, and craving, this study tested whether these associations generalize to real-world settings and examined whether a well-vetted neurocognitive control capacity (i.e., working memory, or WM) moderated associations. Youths ( N = 85; 15–24 years old) completed baseline and ecological momentary assessments. Cue exposure and participants’ average stress predicted higher craving. Youths with weaker WM experienced stronger craving at higher-stress moments but not when faced with cues. Interactions were present for both previous-moment and same-moment stress. Craving among adolescents with stronger WM was not swayed by momentary stress. Findings suggest that stronger WM protects against craving at more stressful moments.


2019 ◽  
Vol 75 (8) ◽  
pp. 1658-1667 ◽  
Author(s):  
Ted Ruffman ◽  
Jamin Halberstadt ◽  
Janice Murray ◽  
Fiona Jack ◽  
Tina Vater

Abstract Objectives We examined empathic accuracy, comparing young versus older perceivers, and young versus older emoters. Empathic accuracy is related to but distinct from emotion recognition because perceiver judgments of emotion are based, not on what an emoter looks to be feeling, but on what an emoter says s/he is actually feeling. Method Young (≤30 years) and older (≥60 years) adults (“emoters”) were unobtrusively videotaped while watching movie clips designed to elicit specific emotional states. The emoter videos were then presented to young and older “perceivers,” who were instructed to infer what the emoters were feeling. Results As predicted, older perceivers’ empathic accuracy was less accurate relative to young perceivers. In addition, the emotions of young emoters were considerably easier to read than those of older emoters. There was also some evidence of an own-age advantage in emotion recognition in that older adults had particular difficulty assessing emotion in young faces. Discussion These findings have important implications for real-world social adjustment, with older adults experiencing a combination of less emotional transparency and worse understanding of emotional experience.


2020 ◽  
Author(s):  
Ruksana Shaukat Jali ◽  
Nejra Van Zalk ◽  
David Boyle

BACKGROUND Subclinical (i.e., threshold) social anxiety can greatly affect young people’s lives, but existing solutions appear inadequate considering its rising prevalence. Wearable sensors may provide a novel way to detect social anxiety and result in new opportunities for monitoring and treatment that would be greatly beneficial for sufferers, society and healthcare services. Nevertheless, indicators such as skin temperature from wrist-worn sensors have not been used in prior work on physiological social anxiety detection. OBJECTIVE This study aimed to investigate whether subclinical social anxiety in young adults can be detected using physiological data obtained from wearable sensors, including Heart Rate (HR), Skin Temperature (ST) and Electrodermal Activity (EDA). METHODS Young adults (N = 12) with self-reported subclinical social anxiety (measured by the widely used self-reported version of the Liebowitz Social Anxiety Scale, LSAS-SR) participated in an impromptu speech task. Physiological data was collected using an E4 Empatica wearable device. Using the pre-processed data and following a supervised machine learning approach, various classification algorithms such as Support Vector Machine (SVM), Decision Tree, Random Forest and K-Nearest Neighbours (KNN) were used to develop models for three different contexts. Models were trained to (1) classify between baseline and socially anxious states, (2) differentiate between baseline, anticipation anxiety and reactive anxiety states, and (3) classify between social anxiety experienced by individuals with differing social anxiety severity. The predictive capability of the singular modalities was also explored in each of the three supervised learning experiments. The generalisability of the developed models was evaluated using 10-fold cross validation as a performance index. RESULTS With modalities combined, the developed models yielded accuracies between 97.54% and 99.48% when detecting between baseline and socially anxious states. Models trained to differentiate between baseline, anticipation anxiety and reactive anxiety states yielded accuracies between 95.18% and 98.10%. Alongside this, the models developed to detect between social anxiety experienced by individuals with differing anxiety severity scores successfully classified with accuracies between 98.86% and 99.52%. Surprisingly, EDA was identified as the most effective singular modality when differentiating between baseline and social anxiety states, whereas ST was the most effective modality when differentiating between anxiety experienced by individuals with differing social anxiety severity. CONCLUSIONS The results indicate that it is possible to accurately detect social anxiety as well as distinguish between levels of severity in young adults by leveraging physiological data collected from wearable sensors.


2021 ◽  
pp. 1-9
Author(s):  
Jaisal T. Merchant ◽  
Erin K. Moran ◽  
Michael J. Strube ◽  
Deanna M. Barch

Abstract Background Deficits in goal-directed behavior (i.e. behavior conducted to achieve a specific goal or outcome) are core to schizophrenia, difficult to treat, and associated with poor functional outcomes. Factors such as negative symptoms, effort-cost decision-making, cognition, and functional skills have all been associated with goal-directed behavior in schizophrenia as indexed by clinical interviews or laboratory-based tasks. However, little work has examined whether these factors relate to the real-world pursuit of goal-directed activities in this population. Methods This study aimed to fill this gap by using Ecological Momentary Assessment (four survey prompts per day for 1 week) to test hypotheses about symptom, effort allocation, cognitive, and functional measures associated with planned and completed goal-directed behavior in the daily lives of 63 individuals with schizophrenia. Results Individuals with schizophrenia completed more goal-directed activities than they planned [t(62) = −4.01, p < 0.001]. Motivation and pleasure (i.e. experiential) negative symptoms, controlling for depressive symptoms, negatively related to planned goal-directed behavior [odds ratio (OR) 0.92, p = 0.005]. Increased effort expenditure for high probability rewards (planned: OR 1.01, p = 0.034, completed: OR 1.01, p = 0.034) along with performance on a daily functional skills task (planned: OR 1.04, p = 0.002, completed: OR 1.03, p = 0.047) negatively related to both planned and completed goal-directed activity. Conclusions Our results present correlates of real-world goal-directed behavior that largely align with impaired ability to make future estimations in schizophrenia. This insight could help identify targeted treatments for the elusive motivated behavior deficits in this population.


2021 ◽  
Author(s):  
Farah Sayed ◽  
Amanda Lee McGowan ◽  
Mia Jovanova ◽  
Danielle Cosme ◽  
Yoona Kang ◽  
...  

Objective: Alcohol is theorized to be motivated by desires to regulate negative affect and/or to enhance positive affect. We tested the association between momentary affect and alcohol use in the daily lives of college students, hypothesizing that alcohol use would be more likely to follow increases in positive affect and that alcohol use would not be strongly associated with negative affect. Method: Using two ecological momentary assessment (EMA) studies consisting of two prompts per day for 28 days, we used multilevel hurdle models to test for lagged associations between positive and negative affect and alcohol use. There were 108 participants (60.19%; mean age = 20.20, SD=1.69) in EMA study 1 and 268 participants (60.03%women, mean age = 20.22, SD=1.96) in EMA study 2. To provide context for the affect-alcohol associations, we collected data on whether participants drank alone or with others at each drinking occasion and the drinking motives of participants using the Drinking Motives Questionnaire. Results: Alcohol use was more likely to occur following increases in positive affect. No significant associations emerged between fluctuations in negative affect and alcohol use. This pattern of findings was observed across both ecological momentary assessment studies. The majority of alcohol use occurred in social contexts. Conclusions: College students who report primarily social and enhancement motives for drinking and who seldom drink alone are more likely to drink following increases in positive affect.


1977 ◽  
Vol 131 (6) ◽  
pp. 610-615 ◽  
Author(s):  
Roisin Hall ◽  
David Goldberg

Social anxiety was found to be the most common complaint in a sample of psychiatric patients reporting social interaction difficulties. High social anxiety was shown to be associated with impairments to social behaviour in socially anxious psychiatric patients and non-psychiatric volunteers. A comparison was made of systematic desensitization and a form of social skills training in the treatment of social interaction difficulties associated with high social anxiety. This indicated that while both therapies were effective in the reduction of social anxiety, the training programme was the more effective in reducing problem behaviour, but desensitization appeared to lead to a wider generalization of improvement as indicated by increases in social participation.


2020 ◽  
pp. 1329878X2095252
Author(s):  
Liz Giuffre

When a nationwide lockdown was declared in Australia in March 2020, the role of the ABC as the public broadcaster became vital. Unprecedented pressure was placed on parents and carers as families were cut off from their physical networks and communities beyond immediate household groups. This article focuses on the specialist material created and curated by the ABC to entertain, educate and continue to provide cultural connection for households with children and young adults, particularly broadcast and post-broadcast outlets ABC Kids, ABC ME and Triple J. Notably, these outlets were able to provide both a connection to the ‘real world’ and ‘real events’ happening outside during this time, but they were also able to provide materials to escape and appease audience anxiety pitched at a level that is age appropriate.


2016 ◽  
Vol 33 (1) ◽  
pp. 44-64 ◽  
Author(s):  
Alice R. Norton ◽  
Maree J. Abbott

Social anxiety disorder (SAD) is characterised by a marked and persistent fear of social or performance situations. Cognitive models suggest that self-focused cognitive processes play a crucial role in generating and maintaining social anxiety, and that self-focused cognition occurs prior to, during, and following social situations (Clark & Wells, 1995; Rapee & Heimberg, 1997). There is a substantial body of empirical evidence demonstrating that socially anxious individuals engage in self-focused cognition during and following a social or performance situation. A smaller but growing body literature suggests that a similar process occurs prior to such situations, and that these three processes are interdependent. Furthermore, the vast majority of research to date indicates that self-focused cognitive processes are detrimental, and that they generate and maintain social anxiety in a variety of ways. However, there remains considerable scope for research to further explicate the role of these processes in the maintenance of SAD, and to enhance interventions designed to ameliorate their negative effects.


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