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First published online June 14, 2017

Aversive eye gaze during a speech in virtual environment in patients with social anxiety disorder

Abstract

Objective:

One of the main characteristics of social anxiety disorder is excessive fear of social evaluation. In such situations, anxiety can influence gaze behaviour. Thus, the current study adopted virtual reality to examine eye gaze pattern of social anxiety disorder patients while presenting different types of speeches.

Methods:

A total of 79 social anxiety disorder patients and 51 healthy controls presented prepared speeches on general topics and impromptu speeches on self-related topics to a virtual audience while their eye gaze was recorded. Their presentation performance was also evaluated.

Results:

Overall, social anxiety disorder patients showed less eye gaze towards the audience than healthy controls. Types of speech did not influence social anxiety disorder patients’ gaze allocation towards the audience. However, patients with social anxiety disorder showed significant correlations between the amount of eye gaze towards the audience while presenting self-related speeches and social anxiety cognitions.

Conclusion:

The current study confirms that eye gaze behaviour of social anxiety disorder patients is aversive and that their anxiety symptoms are more dependent on the nature of topic.

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Published In

Article first published online: June 14, 2017
Issue published: March 2018

Keywords

  1. Social anxiety disorder
  2. public speech
  3. eye gaze
  4. virtual environment

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© The Royal Australian and New Zealand College of Psychiatrists 2017.
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PubMed: 28610445

Authors

Affiliations

Haena Kim
Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea
Jung Eun Shin
Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea
Yeon-Ju Hong
Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
Yu-Bin Shin
Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
Young Seok Shin
Department of Medical IT and Marketing, Eulji University, Seongnam, Republic of Korea
Kiwan Han
Department of Mental Health Research, National Center for Mental Health, Seoul, Republic of Korea
Jae-Jin Kim
Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
Soo-Hee Choi
Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea
Department of Psychiatry and Institute of Human Behavioral Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

Notes

Soo-Hee Choi, Department of Psychiatry, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea. Email: [email protected]

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