Skip to main content
Log in

Social Anxiety and Gaze Avoidance: Averting Gaze but not Anxiety

  • Original Article
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

Despite preliminary evidence that individuals with higher social anxiety tend to avoid eye contact during at least some social encounters, the function of this behavior remains unknown. Cognitive theories of social anxiety suggest that gaze avoidance may function as an attempt to avoid signs of social threat. However, it is unclear whether this behavior is effective for reducing anxiety and, if it is effective, whether this benefit is only present in the short-term. The goal of the current study was to test whether gaze avoidance is effective in reducing anxiety for individuals with higher social anxiety during short social conversations among peers. Participants completed a short social interaction with another undergraduate participant in which eye contact was manipulated halfway through the interaction. Recordings of the interactions were later coded for amount of eye contact; this allowed us to obtain an objective measure of adherence to the manipulation instructions. Participants were instructed to make either more or less eye contact, or continue as before. Being asked to make less eye contact was the most anxiety-provoking condition for participants with higher social anxiety. We propose, in line with previous research on safety behaviors, that avoiding eye contact in an effort to regulate state anxiety is an ineffective strategy over time for individuals with higher social anxiety. Therefore gaze avoidance may be a particularly important safety behavior to target in treatment for social anxiety disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Notes

  1. Due to expected cell frequencies less than 5, we were unable to include the following ethnicities: American Indian or Alaskan Native, Black, Hispanic, Multiracial, and Not Listed. Thus, we were only able to test whether the frequencies of Asian and White participants varied by condition.

  2. To rule out the possibility that these interaction effects were due to a difference between the conditions other than our manipulation, we tested whether these effects were present prior to the manipulation instructions. The SIAS was the only significant predictor of state anxiety after the first interaction (part r = .52, p < .001), but no significant main or interactive effects for the condition variables were found (ps > .30). Conditions were therefore equivalent regarding state anxiety prior to randomization to instructions regarding eye contact.

  3. The overall pattern of the results was similar when we used state anxiety at the mid-point of the conversation as the predicted variable.

  4. This analysis does not include ratings of how much participants liked the experimenter (when the experimenter was a conversation partner) because this analysis concerns how much partners liked the primary participant and experimenters were never primary participants. Some ratings were made by experimenters, but this practice is consistent with previous studies (e.g., Alden and Bieling 1998).

References

  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.

    Google Scholar 

  • Alden, L. E., & Bieling, P. (1998). Interpersonal consequences of the pursuit of safety. Behaviour Research and Therapy, 36, 53–64. doi:10.1016/S0005-7967(97)00072-7.

    Article  PubMed  CAS  Google Scholar 

  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. doi:10.1037/0033-2909.107.2.238.

    Google Scholar 

  • Bentler, P. M. (1995). EQS: Structural equations program manual, Version 5.0. Los Angeles: BMDP Statistical Software.

  • Berg, C. Z., Shapiro, N., Chambless, D. L., & Ahrens, A. H. (1998). Are emotions frightening? II: An analogue study of fear of emotion, interpersonal conflict, and panic onset. Behavior Research and Therapy, 36, 3–15. doi:10.1016/S0005-7967(97)10027-4.

    Article  CAS  Google Scholar 

  • Brown, T. A., Chorpita, B. F., & Barlow, D. A. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192. doi:10.1037/0021-843X.107.2.179.

    Article  PubMed  CAS  Google Scholar 

  • Brown, E. J., Turovsky, R. G., Juster, H. A., Brown, T. A., & Barlow, D. H. (1997). Validation of the Social Interaction Anxiety Scales and the Social Phobia Scale across the anxiety disorders. Psychological Assessment, 9, 21–27. doi:10.1037/1040-3590.9.1.21.

    Article  Google Scholar 

  • Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. Social phobia: Diagnosis, assessment, and treatment, 41, 68. doi:10.1016/S0005-7967(97)00022-3.

    Google Scholar 

  • Dalton, K. M., Nacewicz, B. M., Johnstone, T., Schaefer, H. S., Gernsbacher, M. A., Goldsmith, H. H., et al. (2005). Gaze fixation and the neural circuitry of face processing in autism. Nature Neuroscience, 8, 519–526. doi:10.1038/nn1421.

    PubMed  CAS  Google Scholar 

  • Farabee, D. J., Holcolm, M. L., Ramsey, S. L., & Cole, S. G. (1993). Social anxiety and speaker gaze in persuasive atmosphere. Journal of Research in Personality, 27, 365–376. doi:10.1006/jrpe.1993.1025.

    Article  Google Scholar 

  • Garner, M., Mogg, K., & Bradley, B. P. (2006). Orienting and maintenance of gaze to facial expressions in social anxiety. Journal of Abnormal Psychology, 115, 760–770. doi:10.1037/0021-843X.115.4.760.

    Article  PubMed  Google Scholar 

  • Gilbert, P. (2001). Evolution and social anxiety: The role of attraction, social competition, and social hierarchies. Psychiatric Clinics of North America, 24, 723–751. doi:10.1016/S0193-953X(05)70260-4.

    Article  PubMed  CAS  Google Scholar 

  • Heimberg, R. G., Mueller, G. P., Holt, C. S., & Hope, D. A. (1992). Assessment of anxiety in social interaction and being observed by others: the Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy, 23, 53–73. doi:10.1016/S0005-7967(98)00032-1.

    Article  Google Scholar 

  • Hietanen, J., Leppänen, J., Peltola, M., Linna-aho, K., & Ruuhiali, H. (2008). Seeing direct and averted gaze activates the approach-avoidance motivational brain systems. Neuropsychologia, 46, 2423–2430. doi:10.1016/j.neuropsychologia.2008.02.029.

    Article  PubMed  Google Scholar 

  • Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: a comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36, 193–209. doi:10.1080/16506070701421313.

    Article  PubMed  Google Scholar 

  • Horley, K., Williams, L. M., Gonsalvez, C., & Gordon, E. (2004). Face to face: Visual scanpath evidence for abnormal processing of facial expressions in social phobia. Psychiatry Research, 127, 43–53. doi:10.1016/j.psychres.2004.02.016.

    Article  PubMed  Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. doi:10.1080/10705519909540118.

    Article  Google Scholar 

  • Jawaid, A., Schmolck, H., & Schulz, P. E. (2008). Hypersociability in Williams syndrome: A role for the amygdala? Cognitive Neuropsychiatry, 13, 338–342. doi:10.1080/13546800802243334.

    Article  PubMed  Google Scholar 

  • Jöreskog, K. G., & Sörbom, D. (1981). LISREL V: Analysis of linear structural relationships by the method of maximum likelihood. Chicago: National Educational Resources.

    Google Scholar 

  • Kendon, A. (1967). Some functions of gaze-direction in social interaction. Acta Psychologica, 26, 22–63.

    Article  PubMed  CAS  Google Scholar 

  • Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470. doi:10.1016/S0005-7967(97)10031-6.

    Article  PubMed  CAS  Google Scholar 

  • McManus, F., Sacadura, C., & Clark, D. M. (2008). Why social anxiety persists: An experimental investigation of the role of the safety behaviors as a maintaining factor. Journal of Behavior Therapy and Experimental Psychiatry, 39, 147–161. doi:10.1016/j.jbtep.2006.12.002.

    Article  PubMed  Google Scholar 

  • Milosevic, I., & Radomsky, A. S. (2008). Safety behaviour does not necessarily interfere with exposure therapy. Behaviour Research and Therapy, 46, 1111–1118. doi:10.1016/j.brat.2008.05.011.

    Article  PubMed  Google Scholar 

  • Morgan, H., & Raffle, C. (1999). Does reducing safety behaviors improve treatment response in patients with social phobia? Australian and New Zealand Journal of Psychiatry, 33, 503–510. doi:10.1080/j.1440-1614.1999.00599.x.

    Article  PubMed  CAS  Google Scholar 

  • Moscovitch, D. A. (2009). What is the core fear in social phobia? A new model to facilitate individualized case conceptualization and treatment. Cognitive Behavioral Practice, 16, 123–124. doi:1077-7229/08/123-134.

    Article  Google Scholar 

  • Moukheiber, A., Rautureau, G., Perez-Diaz, F., Soussignan, R., Dubal, S., Jouvent, R., et al. (2010). Gaze avoidance in social phobia: Objective measure and correlates. Behavior Research and Therapy, 48, 147–151. doi:10.1016/j.brat.2009.09.012.

    Article  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (1998–2009). Mplus user’s guide (5th ed.). Los Angeles, CA: Muthén & Muthén.

    Google Scholar 

  • Neter, J., Wasserman, W., & Kutner, M. G. (1989). Applied linear regression analysis. Homewood, IL: Irwin.

    Google Scholar 

  • Plasencia, L. M., Alden, L. E., & Taylor, C. T. (2011). Differential effects of safety behaviour subtypes in social anxiety disorder. Behaviour Research Therapy, 49, 665–675. doi:10.1016/j.brat.2011.07.005.

    Article  PubMed  Google Scholar 

  • Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behavior research and therapy, 8, 741–756. doi:10.1016/S0005-7967(97)00022-3.

    Article  Google Scholar 

  • Rodebaugh, T. L. (2004). I might look OK, but I’m still doubtful, anxious, and avoidant: The mixed effects of enhanced video feedback on social anxiety symptoms. Behaviour Research and Therapy, 42, 1435–1451. doi:10.1016/j.brat.2003.10.004.

    Article  PubMed  Google Scholar 

  • Rodebaugh, T. L., Heimberg, R. G., Brown, P. J., Fernandez, K. C., Blanco, C., Schneier, F. R., et al. (2011). More reasons to be straightforward: Findings and norms for two scales relevant to social anxiety. Journal of Anxiety Disorders, 25, 623–630. doi:10.1016/j.janxdis.2011.02.002.

    Article  PubMed  Google Scholar 

  • Salkovskis, P. M. (1991). The importance of behavior in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19, 6–19. doi:10.1017/S0141347300011472.

    Article  Google Scholar 

  • Schneier, F. R., Rodebaugh, T. L., Blanco, C., Lewin, H., & Liebowitz, M. R. (2011). Fear and avoidance of eye contact in social anxiety disorder. Comprehensive Psychiatry, 52, 81–87. doi:10.1016/j.comppsych.2010.04.006.

    Article  PubMed  Google Scholar 

  • Senju, A., Hasegawa, T., & Tojo, Y. (2005). Does perceived direct gaze boost detection in adults and children with and without autism? The stare-in-the-crowd effect revisited. Visual Cognition, 12, 1474–1496. doi:10.1080/13506280444000797.

    Article  Google Scholar 

  • Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory (Form Y) Self-Evaluation Questionnaire. In collaboration with Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. Palo Alto, CA: Consulting Psychologists Press.

  • Steiger, J. H., & Lind, J. C. (1980). Statistically-based tests for the number of factors. Paper presented at the annual Spring Meeting of the Psychometric Society, Iowa City, Iowa.

  • Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10. doi:10.1007/BF02291170.

    Article  Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. doi:10.1037/0022-3514.54.6.1063.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Rina Matsumoto, Lucas Delort, Bethany McCord, Reuben Karchem, Elizabeth Riley, and Ali Hong for their work in collecting and coding data for this project.

Conflict of Interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas L. Rodebaugh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Langer, J.K., Rodebaugh, T.L. Social Anxiety and Gaze Avoidance: Averting Gaze but not Anxiety. Cogn Ther Res 37, 1110–1120 (2013). https://doi.org/10.1007/s10608-013-9546-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-013-9546-z

Keywords

Navigation