Self-referential and anxiety-relevant information processing in subclinical social anxiety: an fMRI study

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• 作者：Anna Abraham (1)
  Carolin Kaufmann (1) (2)
  Ronny Redlich (1) (2)
  Andrea Hermann (3)
  Rudolf Stark (3)
  Stephan Stevens (1)
  Christiane Hermann (1)
  
• 关键词：Social anxiety ; Social cognition ; Neuroimaging ; Self ; referential processing ; Emotion processing ; Fear of negative evaluation
• 刊名：Brain Imaging and Behavior
• 出版年：2013
• 出版时间：March 2013
• 年：2013
• 卷：7
• 期：1
• 页码：35-48
• 全文大小：475KB
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• 作者单位：Anna Abraham (1)
  Carolin Kaufmann (1) (2)
  Ronny Redlich (1) (2)
  Andrea Hermann (3)
  Rudolf Stark (3)
  Stephan Stevens (1)
  Christiane Hermann (1)
  
  1. Department of Clinical Psychology, Justus Liebig University of Giessen, Otto-Behagel-Strasse 10F, 35394, Giessen, Germany
  2. University of Muenster, Muenster, Germany
  3. Bender Institute of Neuroimaging, Justus-Liebig-University of Giessen, Giessen, Germany
  

文摘

The fear of negative evaluation is one of the hallmark features of social anxiety. Behavioral evidence thus far largely supports cognitive models which postulate that information processing biases in the face of socially relevant information are a key factor underlying this widespread phobia. So far only one neuroimaging study has explicitly focused on the fear of negative evaluation in social anxiety where the brain responses of social phobics were compared to healthy participants during the processing of self-referential relative to other-referential criticism, praise or neutral information. Only self-referential criticism led to stronger activations in emotion-relevant regions of the brain, such as the amygdala and medial prefrontal cortices (mPFC), in the social phobics. The objective of the current study was to determine whether these findings could be extended to subclinical social anxiety. In doing so, the specificity of this self-referential bias was also examined by including both social and non-social (physical illness-related) threat information as well as a highly health anxious control group in the experimental paradigm. The fMRI findings indicated that the processing of emotional stimuli was accompanied by activations in the amygdala and the ventral mPFC, while self-referential processing was associated with activity in regions such as the mPFC, posterior cingulate and temporal poles. Despite the validation of the paradigm, the results revealed that the previously reported behavioral and brain biases associated with social phobia could not be unequivocally extended to subclinical social anxiety. The divergence between the findings is explored in detail with reference to paradigm differences and conceptual issues.