The Effect of Social Anxiety on Top-Down Attentional Orienting to Emotional Faces

One of the fundamental factors maintaining social anxiety is biased attention toward threatening facial expressions. Typically, this bias has been conceptualized as driven by an overactive bottom-up attentional system; however, this potentially overlooks the role of top-down attention in being able to modulate this bottom-up bias. Here, the role of top-down mechanisms in directing attention toward emotional faces was assessed with a modified dot-probe task, in which participants were given a top-down cue ("happy" or "angry") to attend to a happy or angry face on each trial, and the cued face was either presented with a face of the other emotion (angry, happy) or a neutral face. This study found that social anxiety was not associated with differences in shifting attention toward cued angry faces. However, participants with higher levels of social anxiety were selectively impaired in attentional shifting toward a cued happy face when it was paired with an angry face, but not when paired with a neutral face. The results indicate that top-down attention can be used to orient attention to emotional faces, but that higher levels of social anxiety are associated with selective deficits in top-down control of attention in the presence of threat.