Cited by 170Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Research TopicsChild and Adolescent Psychosocial and Emotional Development

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An integrative network approach to social anxiety disorder: The complex dynamic interplay among attentional bias for threat, attentional control, and symptoms

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Heeren, Alexandre, McNally, Richard J.·2016·Journal of Anxiety Disorders

DOI 10.1016/j.janxdis.2016.06.009

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Abstract

Cognitive models posit that social anxiety disorder (SAD) is associated with and maintained by biased attention allocation vis-à-vis social threat. However, over the last decade, there has been intense debate regarding whether AB in SAD results from preferential engagement with or difficulty in disengaging from social threat. Further, recent evidence suggests that AB may merely result from top-down attentional impairments vis-à-vis non-emotional material. Consequently, uncertainty still abounds regarding both the relative importance and the mutual interactions of these different processes and SAD symptoms. Inspired by novel network approaches to psychopathology that conceptualize symptoms as complex dynamic systems of mutually interacting variables, we computed weighted directed networks to investigate potential causal relations among laboratory measures of attentional components and symptoms of social anxiety disorder. Global and local connectivity of network structures revealed that the three most central variables were the orienting component of attention as well as both avoidance and fear of social situations. Neither preferential attention engagement with threat nor difficulty disengaging from threat exhibited high relative importance as predictors of symptoms in the network. Together, these findings suggest the value of extending the network approach beyond self-reported clinical symptoms to incorporate process-level measures from laboratory tasks to gain new insight into the mechanisms of SAD.

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Authors: Heeren, A., & McNally, R. J.
Affiliations: Harvard University (US)
Corresponding author: Heeren, Alexandre
ORCID: Heeren, Alexandre
McNally, Richard J.
Venue: Journal of Anxiety Disorders
Publisher: Elsevier BV
Published: 2016-08
Volume: 42
Pages: 95-104
ISSN: 0887-6185 (ISSN-L)
DOI: 10.1016/j.janxdis.2016.06.009
OpenAlex: W2469879789
Cited by: 170
References: 113
Citations by year: 2026: 5 · 2025: 9 · 2024: 11 · 2023: 11 · 2022: 16 · 2021: 25 · 2020: 28 · 2019: 18 · 2018: 19 · 2017: 19 · 2016: 9
FWCI: 30.76
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Anxiety Disorders (publishedVersion)
PubMed (publishedVersion)
Digital Access to Libraries (submittedVersion, other-oa)
DIAL (Catholic University of Leuven) (submittedVersion)
Funders: Belgian National Fund (#FC78142)
Belgian Foundation for Vocation
“WBI World Excellence Grant” (sub/2015/228106243177)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: social anxiety disorder, attentional control, directed weighted networks, orienting, avoidance, top-down attention, symptom mechanisms
MeSH terms: Attentional Bias, Phobia, Social, Adolescent, Adult, Anxiety, Attention, Fear, Female, Humans, Male, Young Adult, Self Report, Symptom Assessment

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An integrative network approach to social anxiety disorder: The complex dynamic interplay among attentional bias for threat, attentional control, and symptoms

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