Evidence map›Paper›PMID 29157845›Full record

ArticleBiological psychiatry2018

Face Perception in Social Anxiety: Visuocortical Dynamics Reveal Propensities for Hypervigilance or Avoidance.

Lisa M McTeague, Marie-Claude Laplante, Hailey W Bulls, Joshua R Shumen, Peter J Lang, Andreas Keil

Abstract read
In one paragraph

Article in Biological psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lisa M McTeagueDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina. Electronic address: mcteague@musc.edu.
Marie-Claude LaplanteWomen's Health Center, James A. Haley Veterans' Hospital, Tampa.
Hailey W BullsDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa.
Joshua R ShumenCenter for the Study of Emotion and Attention at the University of Florida, Gainesville, Florida.
Peter J LangCenter for the Study of Emotion and Attention at the University of Florida, Gainesville, Florida.
Andreas KeilCenter for the Study of Emotion and Attention at the University of Florida, Gainesville, Florida.

Funding

Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GEORGE, MARK S · 2015 to 2024
$12.7M
Acquisition and extinction of affective bias in perception: A single trial approaR01MH097320 · NIMH · UNIVERSITY OF FLORIDA · PI DING, MINGZHOU, KEIL, ANDREAS · 2012 to 2016
$1.7M
Remediating Emotion Deficits in PTSD: Probing and Modulating NeurocircuitsK23MH104849 · NIMH · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCTEAGUE, LISA M · 2014 to 2017
$746k
Hypervigilance versus perceptual avoidance in social phobiaR01MH084932 · NIMH · UNIVERSITY OF FLORIDA · PI KEIL, ANDREAS · 2009 to 2011
$714k
Attention Capture in Fear, Anxiety, and DepressionR21MH082702 · NIMH · UNIVERSITY OF FLORIDA · PI LANG, PETER J · 2009 to 2010
$403k
NICHD NIH HHS P2C HD086844NIMH NIH HHS K23 MH104849NIMH NIH HHS R01 MH084932NIMH NIH HHS R01 MH097320NIMH NIH HHS R21 MH082702
6 · The paper itself

Abstract

backgroundTheories of aberrant attentional processing in social anxiety, and anxiety disorders more broadly, have postulated an initial hypervigilance or facilitation to clinically relevant threats and consequent defensive avoidance. However, existing objective measurements utilized to explore this phenomenon lack the resolution to elucidate attentional dynamics, particularly covert influences.

methodsWe utilized a continuous measure of visuocortical engagement, the steady-state visual evoked potential in response to naturalistic angry, fearful, happy, and neutral facial expressions. Participants were treatment-seeking patients with principal diagnoses of social anxiety circumscribed to performance situations (n = 21) or generalized across interaction contexts (n = 42), treatment-seeking patients with panic disorder with agoraphobia (n = 25), and 17 healthy participants.

resultsAt the principal disorder level, only circumscribed social anxiety patients showed sustained visuocortical facilitation to aversive facial expressions. Control participants as well as patients with panic disorder with agoraphobia and generalized social anxiety showed no bias. More finely stratifying the sample according to clinical judgment of social anxiety severity and interference revealed a linear increase in visuocortical bias to aversive expressions for all but the most severely impaired patients. This group showed an opposing sustained attentional disengagement.

conclusionsRather than shifts between covert vigilance and avoidance of aversive facial expressions, social anxiety appears to confer a sustained bias for one or the other. While vigilant attention reliably increases with social anxiety severity for the majority of patients, the most impaired patients show an opposing avoidance. These distinct patterns of attentional allocation could provide a powerful means of personalizing neuroscience-based interventions to modify attention bias and related impairment.

Indexed as

Facial ExpressionAdultAgoraphobiaAnxietyAttentionCerebral CortexElectroencephalographyEvoked Potentials, VisualFacial RecognitionHumansPanic DisorderPhobia, SocialAgoraphobiaEEGPanic disorderRDoCSocial anxietyssVEP

Identifiers

PMID29157845
PMCPMC5889302

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.