Positive attention bias in high socially anxious individuals: Evidence from an ERP study

J Affect Disord. 2022 Dec 15:319:300-308. doi: 10.1016/j.jad.2022.09.087. Epub 2022 Sep 23.

Abstract

The Bivalent Fear of Evaluation (BFEO) model posits that the fear of positive evaluation (FPE) is a core feature of social anxiety. As such, high socially anxious individuals may show attention bias when faced with positive stimuli. However, most of the previous studies focused on the negative attention bias of social anxiety, and less on the attention bias of positive stimuli. Meanwhile, the effect of stimulus presentation time on the attention bias pattern was unclear. In order to investigate this question, we used a dot-probe paradigm with facial expressions (happy, fearful, angry, neutral) presented for 100 ms and 500 ms. The ERP results showed: (1) For high socially anxious group, happy faces elicited a larger N1 for valid than for invalid cued probes, whereas for healthy control group, angry faces elicited a larger N1 for valid than for invalid cued probes. (2) When valid cues following happy faces presented for 500 ms, the N1 amplitude was larger than that of invalid cues. However, when valid cues following angry and fear faces presented for 100 ms, the N1 amplitude was larger than that of invalid cues. The results showed difficulty in attention disengagement of high socially anxious individuals from positive stimuli, as reflected by N1, illustrating the positive attention bias in social anxiety. These results prove that FPE may contribute to maintaining social anxiety.

Keywords: Dot-probe; ERPs; Positive faces; Social anxiety.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anger
  • Anxiety
  • Attentional Bias*
  • Facial Expression*
  • Fear
  • Humans