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The present study was designed to elucidate attentional bias in social anxiety using a spatial cueing task and to examine whether attentional biases are differentiated by threat level. The participants were recruited from a larger sample of about 1500 undergraduates completing the Social Phobia Scale and Social Interaction Anxiety Scale. Those who had scores above the moderate level of social anxiety on these scales and agreed to participate were assigned to the social anxiety group and those with scores under the mean to the normal control group. Social anxiety group was divided into clinical social anxiety disorder group and subclinical social anxiety disorder group using the Structured Clinical Interview for DSM-IV. Participants were informed that they would make a speech to a live video camera in which they would be evaluated for their performance. Next, they completed the spatial cueing task which assessed the speed of engagement and disengagement from pictorial cues depicting high-threat, low-threat, or neutral content with three exposure durations (80msec, 300msec, and 500msec). Firstly, clinical social anxiety disorder group did not show initial vigilance toward high-threat pictures at 80msec exposure time, but showed difficulty in disengagement at 300msec, which was followed by avoidance for high-threat pictures at 500msec. Secondly, subclinical social anxiety disorder group did not show any attentional bias both high-threat pictures. Thirdly, the effect of low-threat on disengagement delay and avoidance was different between clinical social anxiety disorder group and subclinical social anxiety disorder group: clinical social anxiety disorder group showed disengagement delay at 300msec and avoidance at 500msec which was same with attentional bias pattern with high-threat pictures due to negative interpretation bias effect for low-threat stimuli, but subclinical social anxiety disorder group showed enhanced disengagement delay 500msec instead of attentional avoidance at 500msec due to threat negation. Implication and future research direction was discussed.
김교헌, 김원식 (2001). 한국판 행동억제체계(BAS/BIS)척도, 한국심리학회지: 건강, 6(2), 19-37.
김정택, 신동균 (1978). STAX의 한국표준화에 관한 연구. 최신의학, 21(11), 69-75.
이정윤, 최정훈 (1997). 한국판 사회공포증 척도 (K-SAD, K-FNE)의 신뢰도 및 타당도 연구. 한국심리학회지: 임상, 16(2), 251- 264.
한오수, 홍진표 (2000). Structured Clinical Interview for Axis I Disorder of DSM-IV. 서울: 하나의학사.
Amir, N., Foa, E. B., & Coles, M. E. (1998). Negative interpretation bias in social phobia. Behaviour research and therapy, 36(10), 945-957.
Asmundson, G. J. G, & Stein, M. B. (1994). Selective processing of social threat in patients with generalized social phobia: Evaluation using a dot-probe paradigm. Journal of Anxiety Disorders, 8(2), 107-117.
Barbas, H., Saha, S., Rempel-Clower, N., (2003). Serial pathways from primate prefrontal cortex to autonomic areas may influence emotional expression. BMC Neuroscience, 4, 25-37.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J, & van IJzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study. Psychological bulletin, 133(1), 1-24.
Barros-Loscertales, A., Meseguer, V., Sanjuan, V., Belloch, M. A., Parcet, R., Torrubia, C. A. (2006). Behavioral inhibition system activity is associated with increased amygdala and hippocampal gray matter volume: A voxel- based morphometry study. 33(3), 1011-1015.
Beard, C., & Amir, N. (2008). A multi-session interpretation modification program: Changes in interpretation and social anxiety symptom. Behaviour research and therapy, 46(10), 1135- 1141.
Bradley, B. P., Mogg, K., Falla, S. J., & Hamilton, L. R. (1998). Attentional bias for threatening facial expressions in anxiety: Manipulation of stimulus duration. Cognition and Emotion, 12(6), 737-753.
Bradley, B. P, Mogg, K., & Millar, N. H. (2000). Covert and overt orienting of attention to emotional faces in anxiety. Cognition and Emotion, 14(6), 789-808.
Brown, E. J., Turovsky, J., Heimberg, R. G., Juster, H. R., Brown, T. A, & Barlow, D. H. (1997). Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale across the anxiety disorders. Psychological Assessment, 9(1), 21-27.
Buckner, J. D., Maner, J. K., & Schmidt, N. B. (2010). Difficulty disengaging attention from social threat in social anxiety. Cognitive Therapy and Research, 34(1), 99-105.
Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety. Advances in behaviour research and therapy, 5(1), 51-62.
Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of personality and social psychology, 67, 319-319.
Chen, Y. P., Ehlers, A, Clark, D. M., & Mansell, W. (2002). Patients with generalized social phobia direct their attention away from faces. Behaviour research and therapy, 40(6), 677-687.
Cisler, J. M, & Koster, E. H. W. (2010). Mechanisms of attentional biases towards threat in the anxiety disorders: An integrative review. Clinical Psychology Review, 30(2), 203- 216.
Cisler, J. M, & Olatunji, B. O. (2010). Components of attentional biases in contamination fear: Evidence for difficulty in disengagement. Behaviour research and therapy, 48(1), 74-78.
Clark, D. M, & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (Vol.41, pp.69-93). NewYork, NY: Guilford.
Clark, D. A, & Yuen, P. (1998). Social anxiety and the allocation of attention: Evaluation using the face stimuli in a dot-probe paradigm. unpublished manuscript.
Clark, D. M. (2001). A cognitive perspective on social phobia. In W. R. Crozier & L. E. Alden (Eds.), International hand book of social anxiety: Concepts, research and interventions relating to the self and shyness (pp.405-430). New York: John Wiley & Sons.
Ebstein, R. P. (2006). The molecular genetic architecture of human personality: beyond self-report questionnaires. Molecular Psychiatry, 11, 427-445.
Ellenbogen, M. A, & Schwartzman, A. E. (2009). Selective attention and avoidance on a pictorial cueing task during stress in clinically anxious and depressed participants. Behaviour research and therapy, 47(2), 128-138.
Esteves, F. (1999). Attentional bias to emotional facial expressions. European Review of Applied Psychology, 49, 91-97.
Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: a meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. The American journal of psychiatry, 164(10), 1476-1488.
Eysenck, M. W. (1992). The nature of anxiety. In G. A. E. & M. W. Eysenck (Eds.), Handbook of individual differences: Biological perspectives (pp.157). Oxford, England, UK: John Wiley & Sons.
Fox, E., Russo, R., Bowles, R., & Dutton, K. (2001). Do threatening stimuli draw or hold visual attention in subclinical anxiety? Journal of experimental psychology: General, 130(4), 681- 700.
Furmark, T., Tillfors, M., Garpenstrand, H., Marteinsdottir, I., Långström, B., Oreland, L., Fredrikson, M. (2004) Serotonin transporter polymorphism related to amygdala excitability and symptom severity in patients with social phobia. Neuroscience Letter, 362, 189-192.
Gamble, A. L. & Rapee, R. M. (2010). The time-course of attention to emotional faces in social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 41, 39-44.
Garner, M., J., Mogg, K., & Bradley, B. P. (2006). Orienting and maintenance of gaze to facial expressions in social anxiety. Journal of abnormal psychology, 115(4), 760-770.
Gest, S. D. (1997). Behavioral inhibition: stability and associations with adaptation from childhood to early adulthood. Journal of personality and social psychology, 72(2), 467-475.
Gilboa-Schechtman, E., Foa, E. B, & Amir, N.. (1999). Attentional biases for facial expressions in social phobia: The face-in-the-crowd paradigm. Cognition and Emotion, 13(3), 305- 318.
Gray, J. A. (1981). A critique of Eysenck’s theory of personality A model for personality (pp.246- 276): Springer.
Gray, J. A., & McNaughton, N. (2000). The Neuropsychology of Anxiety: an Enquiry into the functions of the septo-hippocampal system, 2nd edition. Oxford University Press, Oxford.
Hackmann, A., Clark, D. M, & McManus, F. (2000). Recurrent images and early memories in social phobia. Behaviour research and therapy, 38(6), 601-610.
Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., & Liebowitz, M. R. (1993). Assessment of anxiety in social interaction and being observed by others: The Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy, 23(1), 53-73.
Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36(4), 193-209.
Horley, K., Williams, L. M., Gonsalvez, C., Gordon, E. (2003). Social phobics do not see eye to eye: A visual scanpath study of emotional expression processing. Journal of Anxiety Disorders, 17(1), 33-44.
Iidaka, T. Matsumoto, A., Ozaki, N., Suzuki, N., Iwata, N. Yamamoto, Y. Okada, T., & Sadato, N. (2006). Volume of left amygdala subregion predicted temperamental trait of harm avoidance in female young subjects. A voxel-based morphometry study. Brain Research, 1125(1), 85-93.
Keay, K. A., & Bandler, R. (2001). Parallel circuits mediating distinct emotional coping reactions to different types of stress. Neuroscience & Biobehavioral Review, 25(7-8), 669-678.
Klumpp, H., & Amir, N. (2009). Examination of vigilance and disengagement of threat in social anxiety with a probe detection task. Anxiety, Stress and Coping, 22(3), 283-296.
Koster, E. H. W., Crombez, G., Van Damme, S., Verschuere, B., & De Houwer, J. (2004). Does imminent threat capture and hold attention. Emotion, 4(3), 312-317.
Koster, E. H. W., Crombez, G., Verschuere, B., & de Houwer, J. (2006). Attention to threat in anxiety-prone individuals: Mechanisms underlying attentional bias. Cognitive Therapy and Research, 30(5), 635-643.
Koster, E. H. W., de Raedt, R., Goeleven, E., Franck, E., & Crombez, G. (2005). Mood- congruent attentional bias in dysphoria: maintained attention to and impaired disengagement from negative information. Emotion, 5(4), 446-455.
Lee, T-H., Lee, K., Lee, K-Y., Choi, J-S., & Kim, H-T. (2006). Korea University Facial Expression Collection: KUEFC.
Lundh, L., & Öst, L. (1996). Recognition bias for critical faces in social phobics. Behaviour research and therapy, 34(10), 787-794.
MacLeod, C., & Mathews, A. (1988). Anxiety and the allocation of attention to threat. Quarterly Journal of Experimental Psychology: Human Experimental Psychology, 38, 659-670.
MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of abnormal psychology, 111(1), 107-123.
Mansell, W., & Clark, D. M. (1999). How do I appear to others? Social anxiety and processing of the observable self. Behaviour Research and Therapy, 37, 419-439.
Mathews, A., & MacLeod, C. (1985). Selective processing of threat cues in anxiety states. Behaviour research and therapy, 23(5), 563-569.
Mathews, A., Mogg, K., May, J., & Eysenck, M. (1989). Implicit and explicit memory bias in anxiety. Journal of abnormal psychology, 98(3), 236-240.
Mathews, A., & MacLeod, C. (1994). Cognitive approaches to emotion and emotional disorders. Annual review of psychology, 45(1), 25-50.
Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of abnormal psychology, 109(4), 602-615.
Mathews, A., Ridgeway, V., Cook, E., & Yiend, J. (2007). Inducing a benign interpretational bias reduces trait anxiety. Journal of behavior therapy and experimental psychiatry, 38(2), 225-236.
Mattia, J. I, Heimberg, R. G, & Hope, D. A. (1993). The revised Stroop color-naming task in social phobics. Behaviour research and therapy, 31(3), 305-313.
Mogg, K., & Bradley, B. P. (1998). A cognitive-motivational analysis of anxiety. Behaviour research and therapy, 36(9), 809-848.
Mogg, K., & Bradley, B. P. (2002). Selective orienting of attention to masked threat faces in social anxiety. Behaviour research and therapy, 40(12), 1403-1414.
Mogg, K., Bradley, B. P., Miles, F., & Dixon, R. (2004). Time course of attentional bias for threat scenes: Testing the vigilance‐avoidance hypothesis. Cognition and Emotion, 18(5), 689- 700.
Mogg, K., Philippot, P., & Bradley, B. P. (2004). Selective attention to angry faces in clinical social phobia. Journal of abnormal psychology, 113(1), 160-165.
Moriya, J., & Tanno, Y. (2007). Attentional disengagement from social threat stimuli in social anxiety. Japanese Journal of Cognitive Psychology, 4, 123-131.
Moriya, J., & Tanno, Y. (2011). The time course of attentional disengagement from angry faces in social anxiety. Journal of behavior therapy and experimental psychiatry, 42(1), 122-128.
Mulken, S. & Bögels, S. M. (1999). Learning history in fear of blushing. Behaviour Research and Therapy, 37, 1159-1167.
Öhman, A. (1996). Preferential preattentive processing of threat in anxiety: Preparedness and attentional biases. In R. M. Rapee (Ed.), Current controversies in the anxiety disorders (Vol.2, pp.253-290). NewYork: Guilford Press.
Öhman, A., & Wiens, S. (2004). The Concept of an Evolved Fear Module and Cognitive Theories of Anxiety. Paper presented at the Feelings and emotions: the Amsecterdamec symposium.
Onnis, R., Dadds, M. R., & Bryant, R. A. (2011). Is there a mutual relationship between opposite attentional biases underlying anxiety? Emotion, 11(3), 582-594.
Ouimet, A. J., Gawronski, B., & Dozois, D. J. A. (2009). Cognitive vulnerability to anxiety: A review and an integrative model. Clinical Psychology Review, 29(6), 459-470.
Phan, K. L, Fitzgerald, D. A., Nathan, P. J., Tancer, M. E. (2006) Association between amygdala hyperactivity to harsh faces and severity of social anxiety in generalized social phobia. Biological Psychiatry, 59, 424-429.
Pishyar, R., Harris, L. M, & Menzies, R. G. (2004). Attentional bias for words and faces in social anxiety. Anxiety, Stress and Coping, 17(1), 23-36.
Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of applied psychology, 88(5), 879.
Rapee, R. M. (1995). Descriptive psychopathology of social phobia. In R. G. Heimberg, M. R. Leibowitz, D. A. Hope, & D. R. Schneier (Eds.), Social Phobia: Diagnosis, assessment, and treatment (pp.41-66). New York: Guilford Press.
Rapee, R. M, & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour research and therapy, 35(8), 741-756.
Rapee, R. M., & Spence, S. H. (2004). The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24(7), 737-767.
Rossignol, M., Anselme, C., Vermeulen, N., Philippot, P. & Campanella, S. (2007). Categorical perception of anger and disgust facial expression is affected by non-clinical social anxiety: An ERP study, Brain Research, 1132(1), 166-176.
Salemink, E., van den Hout, M., & Kindt, M. (2007). Trained interpretive bias: validity and effects on anxiety. Journal of behavior therapy and experimental psychiatry, 38(2), 212-224.
Savitz, J. B. & Ramesar, R. S. (2004). Genetic variants implicated in personality: A review of the more promising candidates. American Journal of Medical Genetics: Neuropsychiatric Genetics, 131(1), 20-32.
Stallings, M. C., Hewitt, J. K., Cloninger, C. R., Heath, A. C., & Eaves, L. J. (1996). Genetic and environmental structure of the Tridimensional Personality Questionnaire: Three or four temperament dimensions? Journal of Personality and Social Psychology, 70(1), 127- 140.
Stirling, L. J, Eley, T. C, & Clark, D. M. (2006). Preliminary evidence for an association dbetween social anxiety symptoms and avoidance of negative faces in school-age children. Journal of Clinical Child and Adolescent Psychology, 35(3), 431-439.
Straube, T., Mentzel, H., & Miltner, W. H. R. (2006). Neural mechanismsec of automatic and direct processing of phobogenic stimuli in specific phobia. Biological psychiatry, 59(2), 162-170.
Turner, S. M., Beidel, D. C., & Larkin, K. T. (1986). Situational determinants of social anxiety in clinic and nonclinic samples: Physiological and cognitive correlates. Journal of Consulting and Clinical Psychology, 54(4), 523-527.
Van Den Hout, M., Tenney, N., Huygens, K., & de Jong, P. (1997). Preconscious processing bias in specific phobia. Behaviour research and therapy, 35(1), 29-34.
Williams, J. M. G, Watts, F. N, MacLeod, C., & Mathews, A. (1997). Cognitive psychology and emotional disorders (2nd ed.). Chichester, England: Wiley.
Wilson, E., & MacLeod, C. (2003). Contrasting two accounts of anxiety-linked attentional bias: selective attention to varying levels of stimulus threat intensity. Journal of abnormal psychology, 112(2), 212-218.
Yiend, J. (2010). The effects of emotion on attention: A review of attentional processing of emotional information. Cognition and Emotion, 24(1), 3-47.