Social Anxiety and Social Anxiety Disorder
Abstract
Research on social anxiety and social anxiety disorder has proliferated over the years since the explication of the disorder through cognitive-behavioral models. This review highlights a recently updated model from our group and details recent research stemming from the (a) information processing perspective, including attention bias, interpretation bias, implicit associations, imagery and visual memories, and (b) emotion regulation perspective, including positive emotionality and anger. In addition, we review recent studies exploring the roles of self-focused attention, safety behaviors, and post-event processing in the maintenance of social anxiety. Within each area, we detail the ways in which these topics have implications for the treatment of social anxiety and for future research. Finally, we conclude with a discussion of how several of the areas reviewed contribute to our model of social anxiety disorder.
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Social anxiety symptoms are particularly contextually bound.
“SA symptoms are particularly contextually bound, and thus, it is of utmost relevance to consider the sensitivity of the context [2].”
From Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review (2024) · cites this paper as [2]
Social anxiety disorder is a heterogeneous clinical condition that usually entails high levels of dysfunction and is marked by dynamic deployment of cognitions, emotions, and behaviors in interaction with others and in different contexts.
“SAD is a heterogeneous clinical condition that usually entails high levels of dysfunction in the lives of people who experience it. This heterogeneous nature of SAD is marked by the dynamic deployment of cognitions, emotions, and behaviors in the interaction with others and in different contexts [2].”
From Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review (2024) · cites this paper as [2]
Most cited models of the emergence of social anxiety and the etiology of SAD are 'cognitive' and present social anxiety as a product of a specific type of attention, stimuli interpretation, or both.
“The most cited models of emergence of social anxiety experience and etiology of SAD are connoted as ‘cognitive’ and present social anxiety as a product of a specific type of attention, stimuli interpretation, or both [9,10,11].”
From Shame or What Makes Irrational Social Anxiety Rational. (2025) · cites this paper as [11]
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Zou, J. B., Hudson, J. L., & Rapee, R. M. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.03.014 · Cited by 52 · see citing works
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Negative self-imagery blocks inferences
Hirsch, C. R., Mathews, A., Clark, D. M., Williams, R., & Morrison, J. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(03)00057-3 · Cited by 49 · see citing works
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Anger suppression after imagined rejection among individuals with social anxiety
Breen, W. E., & Kashdan, T. B. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.04.009 · Cited by 47 · see citing works
Social Interaction Anxiety and the Discounting of Positive Interpersonal Events
Vassilopoulos, S., & Banerjee, R. (2010) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465810000433 · Cited by 43 · see citing works
Laposa, J. M., Cassin, S. E., & Rector, N. A. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2009.10.009 · Cited by 41 · see citing works
Laposa, J. M., & Rector, N. A. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.01.004 · Cited by 39 · see citing works
The moderated effects of video feedback for social anxiety disorder
Rodebaugh, T. L., Heimberg, R. G., Schultz, L. T., & Blackmore, M. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.04.007 · Cited by 38 · see citing works
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Interpersonal problems in social phobia versus unipolar depression
Stangier, U., Esser, F., Leber, S., Risch, A. K., & Heidenreich, T. (2006) · Depression and Anxiety · doi:10.1002/da.20190 · Cited by 28 · see citing works
Weeks, J. W., & Heimberg, R. G. (2012) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2012.680782 · Cited by 16 · see citing works
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Image Generation in Individuals with Generalized Social Phobia
Amir, N., Najmi, S., & Morrison, A. S. (2011) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9395-6 · Cited by 9 · see citing works
Self-citation
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Dryman, M. T., & Heimberg, R. G. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.07.004 · Cited by 554 · see citing works
Self-citationSocial anxiety disorder and stuttering: current status and future directions.
Iverach, L., & Rapee, R. M. (2014) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2013.08.003 · Cited by 337 · see citing works
Attention bias modification for social anxiety: A systematic review and meta-analysis
Heeren, A., Mogoașe, C., Philippot, P., & McNally, R. J. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.06.001 · Cited by 312 · see citing works
Wong, Q. J. J., & Rapee, R. M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.05.069 · Cited by 277 · see citing works
“Over the last 20 years, a number of reviews of risk factors for SAD along with theories about their interrelationships have been published (e.g., Morrison and Heimberg, 2013; Higa-McMillan and Ebesutani, 2011; Kimbrel, 2008; Ollendick and Benoit, 2012; Wong Table 1 Systematic search results: models…”
BackgroundInterpretation bias in social anxiety: A systematic review and meta-analysis
Chen, J., Short, M. A., & Kemps, E. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.07.121 · Cited by 233 · see citing works
Safety Behaviors in Adults With Social Anxiety: Review and Future Directions.
Piccirillo, M., Dryman, M., & Heimberg, R. (2016) · The Behavior Therapist · doi:10.1016/j.beth.2015.11.005 · Cited by 154 · see citing works
Self-citationA cognitive-behavioral model of social anxiety disorder
Heimberg, R., Brozovich, F. A., & Rapee, R. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-394427-6.00024-8 · Cited by 196 · see citing works
Self-citationKashdan, T. B., Goodman, F. R., Machell, K. A., Kleiman, E. M., Monfort, S. S., Ciarrochi, J., & Nezlek, J. B. (2014) · Emotion · doi:10.1037/a0035935 · Cited by 187 · see citing works
“This unwillingness may in turn lead to maladaptive efforts to resist, escape, and avoid such experiences (Morrison & Heimberg, 2013).”
Brain oxytocin in social fear conditioning and its extinction: involvement of the lateral septum
Zoicas, I., Slattery, D. A., & Neumann, I. D. (2014) · Neuropsychopharmacology · doi:10.1038/npp.2014.156 · Cited by 189 · see citing works
Self esteem, dependency, self-efficacy and self-criticism in social anxiety disorder
Iancu, I., Bodner, E., & Ben-Zion, I. Z. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.11.018 · Cited by 183 · see citing works
“According to the cognitive models of SAD [3,37], dysfunctional self-views play an important role in the maintenance of the disorder.”
BackgroundMethodInfluentialThe Role of Emotion and Emotion Regulation in Social Anxiety Disorder
Jazaieri, H., Morrison, A. S., Goldin, P. R., & Gross, J. J. (2014) · Current Psychiatry Reports · doi:10.1007/s11920-014-0531-3 · Cited by 180 · see citing works
Self-citationKashdan, T. B., & Farmer, A. S. (2014) · Emotion · doi:10.1037/a0035796 · Cited by 162 · see citing works
“Unfortunately, the prevention mode inherent to SAD disrupts the ability to pay attention to situational and proprioceptive cues when emotionally aroused (see Morrison & Heimberg, 2013).”
The Influence of the COVID-19 Pandemic on Social Anxiety: A Systematic Review
Kindred, R., & Bates, G. W. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032362 · Cited by 119 · see citing works
Everaert, J., Bronstein, M. V., Castro, A. A., Cannon, T. D., & Joormann, J. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103510 · Cited by 115 · see citing works
Detection, processing and reinforcement of social cues: regulation by the oxytocin system
Menon, R., & Neumann, I. D. (2023) · Nature Reviews Neuroscience · doi:10.1038/s41583-023-00759-w · Cited by 100 · see citing works
“Fear and avoidance of social situations is a characteristic feature of SAD 124 , which has been modelled in an operant social fear conditioning paradigm in mice 30,125 .”
BackgroundInfluentialTrait and Daily Emotion Regulation in Social Anxiety Disorder
Blalock, D. V., Kashdan, T. B., & Farmer, A. S. (2016) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9739-8 · Cited by 105 · see citing works
“fear of having perceived flaws exposed in social situations, leading to negative evaluations and ultimately, rejection (Morrison and Heimberg 2013; Moscovitch 2009).”
BackgroundSocial anxiety is characterized by biased learning about performance and the self.
Koban, L., Schneider, R., Ashar, Y. K., Andrews‐Hanna, J. R., Landy, L. N., Moscovitch, D. A., Wager, T. D., & Arch, J. J. (2017) · Emotion · doi:10.1037/emo0000296 · Cited by 103 · see citing works
“…showed negatively biased, but not overall reduced social learning about themselves and their performance, suggests that learning biases may occur independently of or synergistically with known attentional biases (Morrison & Heimberg, 2013)—a possibility that future studies could test directly.”
Heeren, A., Billieux, J., Philippot, P., Raedt, R. D., Baeken, C., de Timary, P., Maurage, P., & Vanderhasselt, M. (2016) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsw119 · Cited by 104 · see citing works
“Indeed, as argued by cognitive theorists of SAD (Heimberg et al., 2010; Morrison and Heimberg, 2013; Wong and Rapee, 2016), AB for threat may interfere with the ability to process external nonthreat cues that disconfirm the negative beliefs of people with SAD when they encounter socially challenging situations.”
BackgroundAudience effects: what can they tell us about social neuroscience, theory of mind and autism?
Hamilton, A. F. D. C., & Lind, F. (2016) · Culture and Brain · doi:10.1007/s40167-016-0044-5 · Cited by 97 · see citing works
Factor Analysis of the Five Facet Mindfulness Questionnaire in a Heterogeneous Clinical Sample
Curtiss, J., & Klemanski, D. H. (2014) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-014-9429-y · Cited by 92 · see citing works
Effects of cognitive bias modification on social anxiety: A meta-analysis
Liu, H.-N., Li, X.-W., Han, B.-X., & Liu, X. (2017) · PLoS ONE · doi:10.1371/journal.pone.0175107 · Cited by 79 · see citing works
Xu, J., Ni, S., Ran, M., & Zhang, C. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00626 · Cited by 86 · see citing works
Social anxiety and problematic social media use: A systematic review and meta-analysis
Wu, W., Huang, L., & Yang, F. (2024) · Addictive Behaviors · doi:10.1016/j.addbeh.2024.107995 · Cited by 96 · see citing works
Neural pathways of embarrassment and their modulation by social anxiety
Müller‐Pinzler, L., Gazzola, V., Keysers, C., Sommer, J. B., Jansen, A., Frässle, S., Einhäuser, W., Paulus, F. M., & Krach, S. (2015) · NeuroImage · doi:10.1016/j.neuroimage.2015.06.036 · Cited by 82 · see citing works
“Our correlational data with subclinical social anxiety support the notion that in public contexts, persons with greater social anxiety pay increased attention to others which might be related to the clinically well-described negative bias in terms of what the audience might think of them (Morrison and Heimberg, 2013).”
BackgroundResultInfluentialTheory of mind and peer relationships: The role of social anxiety
Ronchi, L., Banerjee, R. A., & Lecce, S. (2019) · Social Development · doi:10.1111/sode.12417 · Cited by 79 · see citing works
“…to which excessive self-focus during arousing social interactions precludes anxious children from attending important external social information (Morrison & Heimberg, 2013), such as others’ mental states (Colonnesi et al., 2016); thus negatively affecting social outcomes (Hughes & Devine, 2015).”
BackgroundFraunfelter, L.-A., Gerdes, A. B. M., & Alpers, G. W. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104707 · Cited by 77 · see citing works
Developmental Epidemiology of Social Anxiety and Social Phobia in Adolescents
Knappe, S., Sasagawa, S., & Creswell, C. (2015) · Social Anxiety and Phobia in Adolescents · doi:10.1007/978-3-319-16703-9_3 · Cited by 74 · see citing works
Adolescents’ short-form video addiction and sleep quality: the mediating role of social anxiety
Jiang, L., & Yoo, Y. (2024) · BMC Psychology · doi:10.1186/s40359-024-01865-9 · Cited by 76 · see citing works
“Severe social anxiety can also cause social anxiety disorders in individuals [13, 14].”
BackgroundUndersociality: miscalibrated social cognition can inhibit social connection
Nicholas Epley, A., Kardas, M., Zhao, X., Atir, S., & Schroeder, J. (2022) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2022.02.007 · Cited by 73 · see citing works
“For instance, one body of research confirms that people differ in social anxiety – those higher in social anxiety expect more negative evaluations from others, give more attention to potential threats in an interaction, and aremore socially avoidant [17].”
BackgroundElectrocortical measures of information processing biases in social anxiety disorder: A review
Harrewijn, A., Schmidt, L. A., Westenberg, P. M., Tang, A., & van der Molen, M. J. W. (2017) · Biological Psychology · doi:10.1016/j.biopsycho.2017.09.013 · Cited by 67 · see citing works
Negativity-bias in forming beliefs about own abilities
Müller-Pinzler, L., Czekalla, N., Mayer, A. V., Stolz, D. S., Gazzola, V., Keysers, C., Paulus, F. M., & Krach, S. (2019) · Scientific Reports · doi:10.1038/s41598-019-50821-w · Cited by 68 · see citing works
Kivity, Y., & Huppert, J. D. (2016) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000075 · Cited by 79 · see citing works
Kadafi, A., Alfaiz, A., Ramli, M., Asri, D. N., & Finayanti, J. (2021) · Islamic Guidance and Counseling Journal · doi:10.25217/igcj.v4i1.1018 · Cited by 68 · see citing works
Gutiérrez-García, A., & Calvo, M. G. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.11.025 · Cited by 67 · see citing works
“There is indeed evidence that descriptions of ambiguous social scenarios are interpreted by socially anxious individuals in a more negative, or a less positive, manner than by non-anxious ones (see Mobini, Reynolds, & Mackintosh, 2013; Morrison & Heimberg, 2013).”
BackgroundLewis, E. J., Yoon, K. L., & Joormann, J. (2017) · Cognition & Emotion · doi:10.1080/02699931.2017.1310088 · Cited by 66 · see citing works
Behavioural and neural correlates of self-focused emotion regulation in social anxiety disorder
Gaebler, M., Daniels, J. K., Lamke, J.-P., Fydrich, T., & Walter, H. (2014) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.130080 · Cited by 64 · see citing works
“There is evidence that the attention bias in patients with SAD also manifests as diminished processing of positive (social) information.(7) Future studies should extend the investigation of voluntary emotion regulation through selffocused reappraisal to positively valenced stimuli.”
BackgroundInfluentialNeural correlates of negative expectancy and impaired social feedback processing in social anxiety
Gu, R., Ao, X., Mo, L., & Zhang, D. (2020) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsaa038 · Cited by 64 · see citing works
Liu, G., Zhang, D., Pan, Y., Hu, T., He, N., Chen, W., & Wang, Z. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.11.067 · Cited by 60 · see citing works
“Social anxiety (SA) has been defined as a common human experience characterized by intense fear of evaluation by others in social situations (Morrison & Heimberg, 2013).”
BackgroundSocial anxiety is negatively associated with theory of mind and empathic accuracy.
Alvi, T., Kouros, C. D., Lee, J., Fulford, D., & Tabak, B. A. (2019) · Journal of Abnormal Psychology · doi:10.1037/abn0000493 · Cited by 62 · see citing works
“Theoretical models posit that difficulties in interpersonal relationships in individuals with SAD may arise from a misunderstanding of others’ thoughts and intentions for both negative and positive content (Morrison & Heimberg, 2013).”
BackgroundInfluentialQasmieh, N., Makol, B. A., Augenstein, T. M., Lipton, M. F., Deros, D. E., Karp, J. N., Keeley, L. M., Truong, M. L., Racz, S. J., & Reyes, A. D. L. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1040-5 · Cited by 56 · see citing works
Liao, J., Xia, T., Xu, X., & Li, P. (2023) · Behavioral Sciences · doi:10.3390/bs13080692 · Cited by 56 · see citing works
“According to the cognitive model of social phobia [1,74], negative self-views play important roles in the maintenance of the disorder.”
BackgroundInfluentialSocial anxiety in adult males with autism spectrum disorders
Spain, D., Happe, F. G. E., Johnston, P., Campbell, M., Sin, J., Daly, E., Ecker, C., Anson, M., Chaplin, E., Glaser, K., et al. (2016) · Research in Autism · doi:10.1016/j.rasd.2016.08.002 · Cited by 57 · see citing works
“In addition, the internal consistency of the measures in this ASD sample closely mirrored those reported from typically developing samples. processing, such as. deficits in emotion recognition, although findings are not wholly consistent (Morrison and Heimberg, 2013).”
BackgroundResultInfluentialBeing watched: Effects of an audience on eye gaze and prosocial behaviour
Cañigueral, R., & Hamilton, A. F. D. C. (2019) · Acta Psychologica · doi:10.1016/j.actpsy.2019.02.002 · Cited by 59 · see citing works
“…analysis corroborates these studies by showing that people with social anxiety traits, who have increased concerns to gain social approval (Cremers & Roelofs, 2016; Morrison & Heimberg, 2013), are more likely to change their behaviour (to signal good reputation) when other people are observing.”
BackgroundResultPersonalized networks of social anxiety disorder and depression and implications for treatment
Piccirillo, M. L., & Rodebaugh, T. L. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.10.034 · Cited by 53 · see citing works
Too bad: Bias for angry faces in social anxiety interferes with identity processing.
Hagemann, J., Straube, T., & Schulz, C. (2016) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2016.02.005 · Cited by 51 · see citing works
Rezeppa, T. L., Okuno, H., Qasmieh, N., Racz, S. J., Borelli, J. L., & Reyes, A. D. L. (2020) · Behavior Therapy · doi:10.1016/j.beth.2020.07.006 · Cited by 51 · see citing works
Behavioral and EEG responses to social evaluation: A two-generation family study on social anxiety
Harrewijn, A., van der Molen, M. J. W., van Vliet, I. M., Tissier, R., & Westenberg, P. M. (2017) · NeuroImage Clinical · doi:10.1016/j.nicl.2017.11.010 · Cited by 50 · see citing works
Brown, M. L., & Levinson, C. A. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23728 · Cited by 47 · see citing works
Arad, G., Shamai‐Leshem, D., & Bar‐Haim, Y. (2021) · Cognitive Therapy and Research · doi:10.1007/s10608-021-10231-7 · Cited by 51 · see citing works
Social anxiety and behavioral assessments of social cognition: A systematic review
Alvi, T., Kumar, D., & Tabak, B. A. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.130 · Cited by 56 · see citing works
Neural circuit basis of pathological anxiety
Akiki, T. J., Jubeir, J., Bertrand, C., Tozzi, L., & Williams, L. M. (2024) · Nature reviews. Neuroscience · doi:10.1038/s41583-024-00880-4 · Cited by 57 · see citing works
“Individuals with SAD experience exaggerated fear and avoidance of social situations owing to concerns about negative evaluation or rejection 112 .”
Fergus, T. A., Wheless, N. E., & Wright, L. C. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.08.007 · Cited by 48 · see citing works
Treatment of social approach processes in adults with social anxiety disorder
Alden, L. E., Buhr, K., Robichaud, M., Trew, J. L., & Plasencia, M. L. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000306 · Cited by 48 · see citing works
“Multiple outcome studies support the effectiveness of cognitive–behavioral regimens in reducing SAD symptoms and maintaining treatment gains for up to 4 years (e.g., Clark et al., 2003, 2006; Heimberg et al., 1998; see Morrison & Heimberg, 2013).”
Anxiety and speaking in people who stutter: An investigation using the emotional Stroop task
Hennessey, N. W., Dourado, E., & Beilby, J. M. (2013) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2013.11.001 · Cited by 48 · see citing works
“Models of anxiety, including those specific to social anxiety (e.g., Morrison & Heimberg, 2013), emphasise interactions between behavioural, physiological and cognitive components (Balsamo et al., 2013; Elwood et al., 2012).”
BackgroundKhan, A. N., Bilek, E. L., Tomlinson, R. C., & Becker‐Haimes, E. M. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2020.12.002 · Cited by 49 · see citing works
Automatic Neural Processing of Disorder-Related Stimuli in Social Anxiety Disorder: Faces and More
Schulz, C., Mothes‐Lasch, M., & Straube, T. (2013) · Frontiers in Psychology · doi:10.3389/fpsyg.2013.00282 · Cited by 47 · see citing works
“…of SAD might be due to automatic cognitive biases in the processing of social information (Beck et al., 1985; Clark and Wells, 1995; Bögels and Mansell, 2004; Morrison and Heimberg, 2013), such as increased automatic processing of angry faces (GilboaSchechtman et al., 1999; Mogg et al., 2004).”
BackgroundMethodAttention bias dynamics and symptom severity during and following CBT for social anxiety disorder.
Davis, M. L., Rosenfield, D., Bernstein, A., Zvielli, A., Reinecke, A., Beevers, C. G., Koster, E. H. W., & Smits, J. A. J. (2016) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000125 · Cited by 47 · see citing works
“Attention bias is thereby thought to drive a variety of maladaptive processes implicated in social anxiety disorder (e.g., misinterpretation of threat; Clark & Wells, 1995; Heinrichs & Hofmann, 2001; Morrison & Heimberg, 2013).”
BackgroundHeeren, A., Maurage, P., & Philippot, P. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.04.030 · Cited by 45 · see citing works
“Cognitive theorists have argued that AB may be causally implicated in the maintenance, and perhaps in the etiology, of SAD (Clark and Wells, 1995; Rapee and Heimberg, 1997; for a review, see Morrison and Heimberg (2013)).”
Large-scale brain functional network abnormalities in social anxiety disorder
Zhang, X., Yang, X., Wu, B., Pan, N., He, M., Wang, S., Kemp, G. J., & Gong, Q. (2022) · Psychological Medicine · doi:10.1017/s0033291722003439 · Cited by 48 · see citing works
Lin, Y., & Fan, Z. (2022) · Current Psychology · doi:10.1007/s12144-021-02443-7 · Cited by 50 · see citing works
“More seriously, social anxiety will develop into social anxiety disorder (SAD) when it impairs social functioning (Morrison & Heimberg, 2013).”
BackgroundWhat does it take to be rigid? Reflections on the notion of rigidity in autism
Petrolini, V., Jorba, M., & Vicente, A. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1072362 · Cited by 49 · see citing works
“skills are related to experiencing social anxiety [see (44)].”
BackgroundMapping Dynamic Interactions Among Cognitive Biases in Depression
Everaert, J., Bernstein, A., Joormann, J., & Koster, E. H. W. (2020) · Emotion Review · doi:10.1177/1754073919892069 · Cited by 44 · see citing works
“…across a wide range of mental disorders (for reviews and meta-analyses, see Brooks, Prince, Stahl, Campbell, & Treasure, 2011; Eysenck, Derakshan, Santos, & Calvo, 2007; Field, Munafò, & Franken, 2009; Lazarov et al., 2019; Mitte, 2008; Morrison & Heimberg, 2013; Savulich, Shergill, & Yiend, 2012).”
Lazarov, A., Basel, D., Dolan, S. C., Dillon, D. G., Pizzagalli, D. A., & Schneier, F. R. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.063 · Cited by 45 · see citing works
ERP evidence for emotional sensitivity in social anxiety.
Cui, L.-X., Dong, X.-F., & Zhang, S. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.09.111 · Cited by 41 · see citing works
A Review of Scales to Measure Social Anxiety Disorder in Clinical and Epidemiological Studies
Wong, Q. J. J., Gregory, B., & McLellan, L. F. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0677-2 · Cited by 45 · see citing works
Gentili, C., Vanello, N., Cristea, I. A., David, D., Ricciardi, E., & Pietrini, P. (2015) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2015.03.005 · Cited by 42 · see citing works
“According to cognitive models of SAD (Clark and Wells, 1995), the development of the disorder is not just related to emotional hyperactivity, but also to biased information, leading to abnormal and excessive responses (Morrison and Heimberg, 2013).”
BackgroundUrech, A., Krieger, T., Chesham, A., Mast, F. W., & Berger, T. (2015) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2015.00154 · Cited by 43 · see citing works
“Q J Exp Psychol A (2001) 54(3):665–81.”
InfluentialEffect of Parent–Child Attachment on College Students’ Social Anxiety: A Moderated Mediation Model
Yu, Y., Liu, S., Song, M., Fan, H., & Zhang, L. (2019) · Psychological Reports · doi:10.1177/0033294119862981 · Cited by 42 · see citing works
Association of factor V Leiden with Behçet's disease.
Mammo, L. A., Al-Dalaan, A., Bahabri, S., & Saour, J. (1997) · PubMed · Cited by 42 · see citing works
Kim, H.-J., Lee, S., Jung, D., Hur, J.-W., Lee, H.-J., Lee, S., Kim, G., Cho, C., Choi, S., Lee, S., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/23024 · Cited by 38 · see citing works
“Cognitive and emotional components are known to be involved in the development of SAD [42].”
BackgroundSocial anxiety disorder exhibit impaired networks involved in self and theory of mind processing
Cui, Q., Vanman, E. J., Long, Z., Pang, Y., Chen, Y., Wang, Y., Duan, X., Chen, H., Gong, Q., Zhang, W., et al. (2017) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsx050 · Cited by 40 · see citing works
“Although many studies have emphasised the role of emotional dysfunction in the pathophysiology of SAD (Phan et al., 2006; Etkin and Wager, 2007), the contribution of impairments in self- and theory-of-mind (ToM)-processing remain relatively unexamined (Moscovitch, 2009; Morrison and Heimberg, 2013).”
BackgroundInfluentialEffects of post-exposure naps on exposure therapy for social anxiety
Pace-Schott, E. F., Bottary, R. M., Kim, S.-Y., Rosencrans, P. L., Vijayakumar, S., Orr, S. P., Lasko, N. B., Goetter, E. M., Baker, A. W., Bianchi, M. T., et al. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.10.015 · Cited by 40 · see citing works
“Social Anxiety Disorder (SAD) (APA, 2013) can occur with a range of severities varying from a circumscribed fear of public speaking to a debilitating generalized condition that severely limits social interactions (Morrison and Heimberg, 2013).”
BackgroundMultimodal Brain MRI of Deep Gray Matter Changes Associated With Inflammatory Bowel Disease
Goodyear, B. G., Heidari, F., Ingram, R. J. M., Cortese, F., Sharifi, N., Kaplan, G. G., Ma, C., Panaccione, R., Sharkey, K. A., & Swain, M. G. (2022) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izac089 · Cited by 41 · see citing works
Effects of stress on sleep quality: multiple mediating effects of rumination and social anxiety
Zhang, J., Li, X., Tang, Z., Xiang, S., Tang, Y., Hu, W., Tan, C., & Wang, X. (2024) · Psicologia Reflexão e Crítica · doi:10.1186/s41155-024-00294-2 · Cited by 57 · see citing works
“This thinking pattern leads individuals to excessively focus on their performance in social situations and potential negative evaluations, thereby increasing the degree of social anxiety (Morrison & Heimberg, 2013).”
BackgroundKivity, Y., & Huppert, J. D. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.02.029 · Cited by 39 · see citing works
Fears and fear-related cognitions in children with selective mutism
Vogel, F., Gensthaler, A., Stahl, J., & Schwenck, C. (2019) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-019-01281-0 · Cited by 39 · see citing works
Kivity, Y., & Huppert, J. D. (2018) · Cognition & Emotion · doi:10.1080/02699931.2018.1446414 · Cited by 38 · see citing works
“For example, in Heimberg’s updated model of social anxiety (Morrison & Heimberg, 2013), emotion dysregulation in social anxiety disorder (SAD) includes behavioural attempts to avoid feeling anxious (such as avoidance or escape from stressful situations) and expressive suppression due to believing…”
BackgroundCognitive behaviour therapy for social anxiety in autism spectrum disorder: a systematic review
Spain, D., Sin, J., Harwood, L., Mendez, M. A., & Happé, F. (2017) · Advances in Autism · doi:10.1108/aia-07-2016-0020 · Cited by 37 · see citing works
“This raises a question about whether SA in ASD is underpinned by impairments in social skills, unlike SA in other populations (Morrison and Heimberg, 2013; Rapee and Heimberg, 1997).”
BackgroundJordan, D. G., Winer, E. S., Salem, T., & Kilgore, J. (2017) · Cognition & Emotion · doi:10.1080/02699931.2017.1289895 · Cited by 37 · see citing works
“These results are somewhat unsurprising, however, when considering differences in heterogeneity between the constructs of depression and social anxiety (Fried & Nesse, 2015; Morrison & Heimberg, 2013).”
ResultKimmig, A.-C. S., Dresler, T., Hudak, J., Haeussinger, F. B., Wildgruber, D., Fallgatter, A. J., Ehlis, A., & Kreifelts, B. (2018) · Journal of Neural Transmission · doi:10.1007/s00702-018-1954-5 · Cited by 35 · see citing works
Vulnerabilities in social anxiety: Integrating intra- and interpersonal perspectives
Ginat-Frolich, R., Gilboa-Schechtman, E., Huppert, J. D., Aderka, I. M., Alden, L. E., Bar-Haim, Y., Becker, E. S., Bernstein, A., Geva, R., Heimberg, R. G., et al. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102415 · Cited by 36 · see citing works
Self-citationKivity, Y., Cohen, L., Weiss, M., Elizur, J., & Huppert, J. D. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.10.021 · Cited by 35 · see citing works
Zhao, X., Dang, C., & Maes, J. H. R. (2020) · Biological Psychology · doi:10.1016/j.biopsycho.2019.107840 · Cited by 34 · see citing works
Heitmann, C. Y., Feldker, K., Neumeister, P., Brinkmann, L., Schrammen, E., Zwitserlood, P., & Straube, T. (2017) · NeuroImage Clinical · doi:10.1016/j.nicl.2017.01.020 · Cited by 34 · see citing works
“Automatic threat processing, that is, the attentional capture by, and the detection and processing of, threat stimuli that are outside the current attentional focus and/or task-irrelevant (Carretié, 2014; Moors and De Houwer, 2006), is considered a critical factor for the development and maintenance of SAD and other a…”
BackgroundTargeted Memory Reactivation During REM Sleep in Patients With Social Anxiety Disorder
Borghese, F., Henckaerts, P., Guy, F., Mayo, C., Delplanque, S., Schwartz, S., & Perogamvros, L. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.904704 · Cited by 33 · see citing works
“It is a chronic disorder with a lifetime prevalence rate of 13% and an early onset in adolescence (3, 4).”
BackgroundThe Relationship between Perfectionism and Social Anxiety: A Moderated Mediation Model
Wang, Y., Chen, J., Zhang, X., Lin, X., Sun, Y., Wang, N., Wang, J., & Luo, F. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912934 · Cited by 38 · see citing works
“When it reaches a certain degree of severity such that functioning is impaired, it is referred to as social anxiety disorder [2].”
BackgroundMairet, K. S., Boag, S., & Warburton, W. (2014) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 33 · see citing works
The role of shame and self-criticism in social anxiety: a daily diary study in a nonclinical sample
Lazarus, G., & Shahar, B. (2018) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2018.37.2.107 · Cited by 32 · see citing works
Parental phubbing and academic burnout in adolescents: the role of social anxiety and self-control
Jiang, Y., Lin, L., & Hu, R. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1157209 · Cited by 33 · see citing works
“Social anxiety is one of the most prevalent anxiety symptoms in adolescents and is characterized by a strong and irrational feeling of embarrassment in social situations (Morrison and Heimberg, 2013; Alkozei et al., 2014).”
BackgroundEmotion Regulation in Social Anxiety Disorder
Goldin, P. R., Jazaieri, H., & Gross, J. J. (2014) · Social Anxiety · doi:10.1016/b978-0-12-394427-6.00017-0 · Cited by 31 · see citing works
Social anxiety and interpersonal stress generation: the moderating role of interpersonal distress
Siegel, D. M., Burke, T. A., Hamilton, J. L., Piccirillo, M. L., Scharff, A., & Alloy, L. B. (2018) · Anxiety Stress & Coping · doi:10.1080/10615806.2018.1482723 · Cited by 31 · see citing works
Deng, X., Chen, X., Zhang, L., Gao, Q., Li, X., & An, S. (2022) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2022.100329 · Cited by 31 · see citing works
Daniel, K. E., Baee, S., Boukhechba, M., Barnes, L. E., & Teachman, B. A. (2019) · Depression and Anxiety · doi:10.1002/da.22970 · Cited by 30 · see citing works
“…self (Hope, Rapee, Heimberg, & Dombeck, 1990), this study examines whether social anxiety, a form of psychopathology that is intimately tied to emotion dysregulation (see Morrison & Heimberg, 2013, for review), moderates different ways of measuring the effectiveness of ER attempts in daily life.”
BackgroundPerfectionism and Perfectionistic Self-Presentation in Social Anxiety
Flett, G. L., & Hewitt, P. L. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-394427-6.00007-8 · Cited by 30 · see citing works
Duijndam, S., Karreman, A., Denollet, J., & Kupper, N. H. M. (2020) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2020.09.013 · Cited by 29 · see citing works
Busch, C. A., Wiesenthal, N. J., Mohammed, T. F., Anderson, S., Barstow, M., Custalow, C., Gajewski, J., Garcia, K., Gilabert, C. K., Hughes, J., et al. (2023) · CBE—Life Sciences Education · doi:10.1187/cbe.22-10-0195 · Cited by 37 · see citing works
“FNE is also distinct from social anxiety, which pertains to affective reactions in social situations regardless of whether evaluation from others occurs (Weeks et al. , 2005; Morrison and Heimberg, 2013).”
Social anxiety and perception of (un)trustworthiness in smiling faces
Gutiérrez-García, A., & Calvo, M. G. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.07.004 · Cited by 28 · see citing works
Social anxiety and trustworthiness judgments of dynamic facial expressions of emotion
Gutiérrez-García, A., & Calvo, M. G. (2016) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2016.04.003 · Cited by 28 · see citing works
Huppert, J., Kivity, Y., Cohen, L., Strauss, A. Y., Elizur, Y., & Weiss, M. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.08.002 · Cited by 29 · see citing works
du Rocher, A. R., & Pickering, A. D. (2023) · Current Psychology · doi:10.1007/s12144-023-04624-y · Cited by 27 · see citing works
“Moreover, self-report studies show that both trait social interaction anxiety and trait social phobia are negatively correlated with dispo-sitional attentional control (Morrison & Heimberg, 2013b).”
- Authors
- Morrison, A. S., & Heimberg, R. G.
- Affiliations
- Temple University (US)
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2013-03-28
- Volume
- 9
- Issue
- 1
- Pages
- 249-274
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- OpenAlex
- W2147509803
- Cited by
- 480
- References
- 127
- Citations by year
- 2026: 54 · 2025: 71 · 2024: 80 · 2023: 61 · 2022: 39 · 2021: 20 · 2020: 26 · 2019: 22 · 2018: 23 · 2017: 19 · 2016: 24 · 2015: 21 · 2014: 16 · 2013: 3
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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 › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- social anxiety, social anxiety disorder, cognitive-behavioral model, attentional bias, interpretation bias, implicit associations, imagery, visual memory, positive affectivity, anger, self-focus, safety behavior, post-event processing, social anxiety treatment
- MeSH terms
- Attention, Emotions, Humans, Models, Psychological, Phobic Disorders, Self Concept
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