PMID- 36641807 OWN - NLM STAT- MEDLINE DCOM- 20231003 LR - 20231003 IS - 1751-7893 (Electronic) IS - 1751-7885 (Print) IS - 1751-7885 (Linking) VI - 17 IP - 10 DP - 2023 Oct TI - The relevance of social anxiety for understanding social functioning and facial emotion recognition in individuals at clinical high-risk for psychosis. PG - 1021-1027 LID - 10.1111/eip.13396 [doi] AB - AIM: Individuals at clinical high risk (CHR) for psychosis often experience poor social functioning and impaired facial emotion recognition (FER); however, the impact of frequently comorbid symptoms upon these processes is underexplored. In particular, social anxiety is characteristic of this population and also related to poor social functioning and FER biases, such as misinterpreting neutral faces as negative or threatening; however, little is known about how social anxiety relates to these processes in CHR individuals. The present study examined the overlap of social anxiety, social functioning, and FER accuracy and bias. METHOD: Participants (CHR N = 62, healthy controls N = 52) completed the self-report Social Interaction Anxiety Scale (SIAS), Penn Emotion Recognition-40 (ER-40) behavioural task, and interviewer-rated Global Functioning Scale-Social (GFS-S). The ER-40 was used to assess both FER accuracy (e.g., overall number of correct responses) and bias (e.g., mislabelling neutral faces as angry). RESULTS: Consistent with previous research, relative to controls, CHR participants had more social anxiety (d = -1.07), poorer social functioning (d = -1.62), and performed more poorly on the FER task (e.g., d = -.37). Within CHR participants, social anxiety was related to an anger detection bias (r = .28), above and beyond positive symptom severity, which in turn was related to FER accuracy (r = .26) and social functioning (r = -.28). CONCLUSION: These findings suggest that ongoing work examining social processes within CHR individuals needs to account for social anxiety and that social anxiety may be a useful preventive intervention target. CI - (c) 2023 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd. FAU - Williams, Trevor F AU - Williams TF AUID- ORCID: 0000-0003-2202-7020 AD - Department of Psychology, Northwestern University, Evanston, Illinois, USA. FAU - Conley, Rachel E AU - Conley RE AD - Department of Psychology, Northwestern University, Evanston, Illinois, USA. FAU - Mittal, Vijay A AU - Mittal VA AD - Department of Psychology, Northwestern University, Evanston, Illinois, USA. LA - eng GR - R33 MH103231/MH/NIMH NIH HHS/United States GR - R21 MH110374/MH/NIMH NIH HHS/United States GR - R01 MH120088/MH/NIMH NIH HHS/United States GR - R01 MH112545/MH/NIMH NIH HHS/United States GR - R21 MH103231/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20230115 PL - Australia TA - Early Interv Psychiatry JT - Early intervention in psychiatry JID - 101320027 SB - IM MH - Humans MH - Social Interaction MH - *Facial Recognition MH - *Psychotic Disorders/psychology MH - Emotions MH - Anxiety/psychology PMC - PMC10349169 MID - NIHMS1862947 OTO - NOTNLM OT - clinical high risk for psychosis OT - psychosis OT - social anxiety OT - social cognition OT - social functioning EDAT- 2023/01/16 06:00 MHDA- 2023/10/03 06:47 PMCR- 2024/10/01 CRDT- 2023/01/15 16:59 PHST- 2022/11/07 00:00 [revised] PHST- 2022/05/29 00:00 [received] PHST- 2023/01/01 00:00 [accepted] PHST- 2024/10/01 00:00 [pmc-release] PHST- 2023/10/03 06:47 [medline] PHST- 2023/01/16 06:00 [pubmed] PHST- 2023/01/15 16:59 [entrez] AID - 10.1111/eip.13396 [doi] PST - ppublish SO - Early Interv Psychiatry. 2023 Oct;17(10):1021-1027. doi: 10.1111/eip.13396. Epub 2023 Jan 15.