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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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“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]
In the citing paper
“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]
In the citing paper
“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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Self-citationRodebaugh, T. L., & Rapee, R. M. (2005) · Cognitive Therapy and Research · doi:10.1007/s10608-005-9634-9 · Cited by 35
(2011) · Journal of Evidence-Based Psychotherapies · Cited by 34
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
Weeks, J. W., & Heimberg, R. G. (2012) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2012.680782 · Cited by 16
Self-citationNilsson, J.-E., Lundh, L., Faghihi, S., & Roth-Andersson, G. (2011) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2011.05.004 · Cited by 16
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
Self-citation
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Cited by
Sorted by citations
Dryman, M. T., & Heimberg, R. G. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.07.004 · Cited by 554
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
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
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“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
Metadata
- 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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