Effects of social context information on neural face processing in youth with social anxiety disorder

Bibliographic Data

ID21344796
AuthorsAnna‐Lina Rauschenbach (0009-0008-7707-7563, Department of Clinical Child and Adolescent Psychology Leipzig University Leipzig Germany, corresponding author), Vera Hauffe (0009-0004-8630-3738, Department of Clinical Psychology and Psychotherapy University of Freiburg Freiburg im Breisgau Germany), Jakob Fink‐Lamotte (0000-0002-4384-4903, Department of Clinical Psychology University of Potsdam Potsdam Germany), Brunna Tuschen‐caffier (0000-0002-2565-7792, Department of Clinical Psychology and Psychotherapy University of Freiburg Freiburg im Breisgau Germany), Julian Schmitz (0000-0002-9421-4792, Department of Clinical Child and Adolescent Psychology Leipzig University Leipzig Germany)
Year2026
Volume67
Issue5
Pages620-630
Publication date2026-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Child Psychology and Psychiatry (JOURNAL)
Journal identifiersISSN: 0021-9630 • E-ISSN: 1469-7610
PublisherWiley (PUBLISHER • GB)
DOI10.1111/jcpp.70026
PMID40757613
OpenAlexW4412891094
LanguageEN
References cited42

BACKGROUND: Social anxiety disorder (SAD) in youth is associated with significant psychosocial impairments; however, the cognitive and neural mechanisms that maintain it, particularly during childhood and adolescence, remain underexplored. Cognitive models emphasize the role of altered face processing, and neutral facial expressions may be perceived as threatening. Due to their ambiguous nature, contextual cues may play a particularly important role in interpretation. METHODS: We presented neutral child faces paired with social context information varying in valence (negative, neutral, positive) while continuous EEG was recorded. Subjective valence ratings and neural responses (P100, N170, and LPP) were assessed in children and adolescents aged 10-15 years with SAD (n = 53), clinical controls with specific phobias (SP; n = 41), and healthy controls (HC; n = 61). RESULTS: Overall, context information affected both the subjective and neural responses to neutral faces in all children and adolescents, for example, more negative ratings for negatively contextualized faces. Further, participants with SAD generally rated all faces as more negative compared to HCs. Neurally, they showed lower N170 amplitudes compared to both control groups in response to all neutral faces, independent of the context valence. However, only younger children (aged 10-12 years) with SAD showed higher LPP amplitudes than younger HCs. CONCLUSIONS: Processing biases seem to be already present in children and adolescents with SAD, both at the subjective and neural level. Social context information influences neutral face processing but is independent of psychopathology. Future studies examining age effects are needed to investigate whether childhood reflects a particularly sensitive period for the development of processing biases

Anxiety · Audiology · Cognition · Context (archaeology) · Developmental psychology · Face perception · Facial expression · Neural correlates of consciousness · Perception · Psychiatry · Psychopathology · Psychosocial · Social anxiety · Social cognition · Social information processing · Valence (chemistry) · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Communication · Face Recognition and Perception · Medicine · Neural and Behavioral Psychology Studies · Neuroscience · Psychology

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