Social performance deficits in social anxiety disorder: reality during conversation and biased perception during speech
Abstract
Cognitive models emphasize that patients with social anxiety disorder (SAD) are mainly characterized by biased perception of their social performance. In addition, there is a growing body of evidence showing that SAD patients suffer from actual deficits in social interaction. To unravel what characterizes SAD patients the most, underestimation of social performance (defined as the discrepancy between self-perceived and observer-perceived social performance), or actual (observer-perceived) social performance, 48 patients with SAD and 27 normal control participants were observed during a speech and conversation. Consistent with the cognitive model of SAD, patients with SAD underestimated their social performance relative to control participants during the two interactions, but primarily during the speech. Actual social performance deficits were clearly apparent in the conversation but not in the speech. In conclusion, interactions that pull for more interpersonal skills, like a conversation, elicit more actual social performance deficits whereas, situations with a performance character, like a speech, bring about more cognitive distortions in patients with SAD.
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These interpersonal behaviors are likely to contribute to the maintenance of SAD by evoking responses in others that further reinforce the person's perceived low social status and their perceptions of defectiveness and social inadequacy.
“These interpersonal behaviors are likely to contribute to the maintenance of SAD by evoking responses in others that further reinforce the person's perceived low social status and their perceptions of defectiveness and social inadequacy [e.g., (124)].”
From MDMA-Assisted Therapy as a Means to Alter Affective, Cognitive, Behavioral, and Neurological Systems Underlying Social Dysfunction in Social Anxiety Disorder (2021) · cites this paper as [124]
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Deficits in joint action explain why socially anxious individuals are less well liked
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Avaliação da Ansiedade de Estudantes de Psicologia em Situações Experimentais de Falar em Público
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Processing of task-irrelevant natural scenes in social anxiety
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Disrupted joint action accounts for reduced likability of socially anxious individuals
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Manipulating Alcohol Expectancies in Social Anxiety: A Focus on Beliefs About Losing Control
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Response Bias Toward Fearful Stimuli Increases as Stimulus Noise Increases
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Social Phobia1 as a Deficit in Social Skills
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Social anxiety, attention control, and performance deficits
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- Authors
- Voncken, M. J., & Bögels, S. M.
- Affiliations
- Maastricht University (NL)
- University of Amsterdam (NL)
- Corresponding author
- Voncken, Marisol J.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2008-12
- Volume
- 22
- Issue
- 8
- Pages
- 1384-1392
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2151526020
- Cited by
- 145
- References
- 43
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 7 · 2023: 7 · 2022: 16 · 2021: 7 · 2020: 11 · 2019: 8 · 2018: 7 · 2017: 4 · 2016: 9 · 2015: 2 · 2014: 17 · 2013: 3 · 2012: 8
- FWCI
- 11.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- social anxiety disorder, social performance, self-perception, viewer perception, speech performance, conversation, social skills, cognitive distortions
- MeSH terms
- Adult, Cognition Disorders, Female, Humans, Interpersonal Relations, Judgment, Male, Models, Psychological, Phobic Disorders, Self Concept, Social Behavior, Social Perception, Speech, Bias, Control Groups
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