Social fearfulness in the human brain
Abstract
Social fearfulness is expressed on a continuum of severity from moderate distress to incapacitating fear. The present article focuses on the brain states associated with this broad dimension of social anxiety in humans. In total, 70 published studies are summarized documenting the neural correlates of social anxiety during states of rest, threat-related cognitive-affective activation, and acute symptom provocation. Neural exaggeration in limbic (amygdala) and paralimbic (insula) regions appears to be associated with functional outcomes involving increased attention for and processing of social threat. Evidence is also reviewed showing that social anxiety is characterized by atypical functional connectivity in certain brain networks. Despite a higher prevalence of social anxiety disorder among females, males have been overrepresented in the published clinical studies (constituting approximately 56% of the total participants). We evaluate the prospects of nonhuman animal models of social anxiety and discuss several promising directions for future research. The review highlights the need to adopt an integrative, network-based approach to the study of the neural substrates underlying social anxiety.
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The amygdala, insula, and ACC are increasingly implicated in the pathophysiology of GSAD.
“these three regions in particular-amygdala, insula, and ACC-are increasingly implicated in the pathophysiology of GSAD (Etkin and Wager, 2007;Marazziti et al, 2014;Miskovic and Schmidt, 2012).”
From Oxytocin modulation of amygdala functional connectivity to fearful faces in generalized social anxiety disorder (2015) · cites this paper as Miskovic and Schmidt, 2012
Reduction in MeA Crfr2 mRNA expression in both environmental and genetic models of social disorders points to possible involvement of stress system components in the amygdala in core symptoms of autism in humans, as well as social deficits in other psychopathologies such as social anxiety disorder and schizophrenia.
“Finally, the reduction in expression levels of MeA Crfr2 mRNA in both an environmental model and a genetic model of social disorders in mice points to a possible involvement of stress system components in the amygdala in core symptoms of autism in humans, as well as in social deficits in other psychopathologies, such as social anxiety disorder 41 and schizophrenia.”
From Ucn3 and CRF-R2 in the medial amygdala regulate complex social dynamics (2016) · cites this paper as [41]
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- Authors
- Miskovic, V., & Schmidt, L. A.
- Affiliations
- McMaster University (CA)
- McMaster Children's Hospital (CA)
- Corresponding author
- Miskovic, Vladimir
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 36
- Issue
- 1
- Pages
- 459-478
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W1977569036
- Semantic Scholar
- 405d131f9f1a28bf6b6e5023a58c17d5632110ad
- Cited by
- 126
- References
- 260
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 1 · 2020: 12 · 2019: 7 · 2018: 8 · 2017: 11 · 2016: 14 · 2015: 7 · 2014: 18 · 2013: 14 · 2012: 6
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Natural Sciences and Engineering Research Council of Canada (NSERC)
- Social Science and Humanities Research Council of Canada (SSHRC)
- NSERC
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- social anxiety, neural correlates, amygdala, insula, limbic system, paralimbic system, functional connectivity, brain networks, sex differences
- MeSH terms
- Animals, Brain, Brain Mapping, Electroencephalography, Evoked Potentials, Fear, Humans, Phobic Disorders, Neuroimaging
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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