1 Being looked at and social anxiety Judgments of being looked at is a marker of social anxiety in males; measuring the cone of direct gaze. Yae Young Juna Isabelle Maraschelb, Colin W.G. Cliffordc Mark R Daddsd, * a sdf b sdf c sdf d sdf Abstract Previous studies suggest that socially anxious individuals overestimate the number of people looking at them. In order to test this, the current study measured the level of accuracy in discerning who is looking at them and not (cone of direct gaze) by using the gaze categorisation task. The CoDG measures the range of eye gaze directions that you perceive as looking directly at you. Results revealed that socially anxious males had a wider CoDG than low socially anxious males. High and low socially anxious females did not differ in their CoDG. Furthermore, both low socially anxious males and females had an emotion effect on CoDG, where fearful faces narrow cones than neutral or angry, but high socially anxious males did not reflect these findings. Males then appear more susceptible for their gaze perception to be affected by individual differences, whereas females are more influenced by contextual information (emotions). We explain these results by the innate preferences for social stimuli, like eye contact, in females allowing immunity to their individual differences. Keywords: accuracy, gaze perception, eyes, gender, emotion 2 Being looked at and social anxiety 1. Introduction Socially anxious people differ from non-socially anxious people in that they have an excessive fear of scrutiny – one of the most common underlying fears associated with social anxiety (Barlow & Durand, 2009). A main feature that activates the feeling of being scrutinised is whether that person is looking directly at you or not, or more specifically, whether you think they are looking at you or not. This perception of feeling looked at can be measured by using the Gaze Categorisation Task (GCT), devised by Calder and colleagues (Mareschal, Calder, Dadds, & Clifford, in review). The index produced is commonly known as the cone of direct gaze (CoDG). By using the CoDG, researchers are able to quantitatively analyse what factors influence the accuracy in judging eye gaze direction. Throughout this article, the gazer refers to the face stimuli or person that is doing the gazing. The term, observer is defined as the individual who is judging where the gazer is looking. CoDG is a range of gaze directions that an observer perceives as direct (i.e. looking directly at them). Put in another way, it is the level of accuracy in discerning direct from averted gazes. The edges of this cone and anywhere in between are where the observer judges the eye gaze as looking at him/her. The GCT used to measure the gaze cone involves the presentation of faces looking at varying directions. The subject is required to judge whether each face is looking directly at them or not which generates the estimated width of when the subject perceives a direct and averted gaze (i.e. the cone of direct gaze). Previous studies that have used CoDG measurements investigated how emotions and other contextual features affect how much we feel looked at by others. For instance, Mareschal and colleagues (in review) found that gaze perception involves the combination of head orientations with eye gaze. Specifically, participants were better at differentiating a direct gaze from an averted one when shown just the eyes than when the eye gazes were 3 Being looked at and social anxiety superimposed onto a head facing straight at the observer. This was because such head orientation causes participants to perceive the face as looking at them, which has been supported by other studies (Cline, 1967; Gibson & Pick, 1963; Langton, Honeyman, & Tessler, 2004; Martin & Rovira, 1982; Symons, Lee, Cedrone, & Nishimura, 2004). Another study looked into the effects of emotions on gaze perception by measuring the CoDG of angry and fearful faces (Ewbank, Jennings, & Calder, 2009). They found that observers had a wider gaze cone for angry faces than for fearful or neutral faces. In other words, angry faces were thought to be looking at the participant over a wider range of gaze directions. The shared-signal hypothesis lends support for this finding (Adams & Kleck, 2003), which states that eye gaze and emotional expressions are processed together and consequently enhance the perception of each other. More specifically, approach-related emotions such as happiness and anger enhance the processing of direct gazes because a direct gaze implies an approaching motivation. Avoidant-related emotions, on the other hand, enhance averted gaze processing as they both imply a withdrawing motivation. Ewbank and colleagues (2009) also found great variations between subjects and suggested individual differences to play a significant role. One possible individual factor, as previously mentioned, includes social anxiety. The hypervigilance-avoidance theory has implications on how social anxiety might play a role in gaze judgments. This theory suggests that social anxiety is characterised by an initial hypervigilance to threatening stimuli, which after a prolonged period (of about roughly 500ms) is followed by avoidance to the stimuli (Onnis, Dadds, & Bryant, 2011; Wieser, Pauli, Weyers, Alpers, & Muhlberger, 2009). Because socially anxious people have a fear of being observed, the initial attentional grab towards the eyes increase the chances of evaluating eye gaze to be direct. Soon after, this early vigilance is followed by avoidance of the eyes, preventing those who are socially 4 Being looked at and social anxiety anxious from re disconfirming their perception that others are looking at them. Hence, people who are socially anxious may have a wider CoDG or poorer accuracy in perceiving direct gaze due to this gaze processing method. One study tested this hypothesis (Gamer, Hecht, Seipp, & Hiller, 2011). Eight patients with social phobia and eight healthy controls had their CoDG measured using the centeringdecentering task (Gamer et al., 2011). In the centering task, participants adjusted the eyes of a face (that was originally looking extreme right or left) just so that the face was looking directly at them. The decentering task was similar to the centering task, but the face began by displaying a direct gaze, and participants were to adjust the eyes so that the face started to no longer look at them. Each participant performed these two tasks when head orientation was facing towards or away from the participant and sometimes in the presence of another head (distractor head), which was displayed on a second monitor beside the first. Results revealed the CoDG of social phobic patients widened only in the presence of distractor head. Surprisingly, in the absence of a second gazer, Gamer et al.’s (2011) results found no effect of social anxiety on perception of gaze direction. However, with only 16 participants in total, there is great room for a type II error. Furthermore, the centring and decentring adjustment method is not optimal for measuring gaze cones as these tasks are a lot less reliable and prone to variability compared to the gaze categorisation procedure (Hock & Schoner, 2010). It is also unrealistic that anyone would be asked to manipulate another person’s eyes to centre or decentre their gaze, or gaze at a face for prolonged periods of time. Thus, the task does not reflect an authentic situation and lacks statistical power and so further investigation is needed to find whether social anxiety levels affect how much one perceives to be looked at. 5 Being looked at and social anxiety When considering sociality factors (such as eye gaze and social anxiety), it is important to take gender into account because there is an innate preference for social stimuli for females but not in males (Connellan, Baron-Cohen, Wheelwright, Batki, & Ahluwalia, 2000; Lutchmaya & Baron-Cohen, 2002; Lutchmaya, Baron-Cohen, & Raggatt, 2002). In particular, females respond to eye contact and eye gaze differently to males. Studies have shown that females – both as infants and adults– make more eye contact and prefer faces and mutual direct gaze over mobiles, while male infants prefer mobiles (Bayliss, di Pellegrino, & Tipper, 2005; Connellan et al., 2000; Lutchmaya & Baron-Cohen, 2002). Females are also better at engaging in joint attention (looking in the direction another is looking at) and depend on gaze direction to affect their attention more than males (Geary, 1999).This dependence on and early experience of gaze direction would lead to better discriminating ability in whether someone is looking at them or not. That is, females may have a narrower CoDG than males due to their sensitivity to eye gaze. Other socially-related variables, such as the familiarity of a face, affect gaze cueing differently between genders as well. Female participants who were more familiar with the faces in the task were using gaze cues to influence their decisions more than the unfamiliar group (Deaner, Shepherd, & Platt, 2007). This pattern of results was not the case for males. If Deaner et al.’s (2007) results generalise to other social factors, it is plausible that the effects that emotions have on eye gaze (i.e. angry faces lead to an overestimation in the number of direct gazes perceived), may be largely seen in females. This is a reasonable assumption as females perform better on emotion recognition tasks than males (Baron-Cohen, Jolliffe, Mortimore, & Robertson, 1997). Therefore, being able to recognise an emotion more accurately suggests advanced emotions processing and enhances the ability to judge gaze direction. 6 Being looked at and social anxiety Gender differences can also be found in social anxiety symptoms (Pierce, 2009). For instance, young socially anxious women are likely to have more physiological arousal, feel more observed by others and be anxious on more social situations than males (Ingles et al., 2011). Men, on the other hand, are more likely to escape and avoid social situations (Ingles et al., 2011). Consequently, males might avoid eye gaze more intensely because direct eye gaze signals the intention to engage in social interaction. As suggested by the hypervigilanceavoidance hypothesis, deliberately avoiding the eyes can increase the chances of mistaking the gazer to be looking at them and hence, generate a wider CoDG. Thus, more avoidance in high socially anxious males could be associated with overestimating the number of people looking at them compared to high socially anxious females. Therefore, there were two main aims of this study. Firstly, we wanted to determine whether socially anxious individuals, in particular males, feel more looked at by measuring their cones of direct gaze. Secondly, we wanted to see whether emotions had a greater effect on gaze perception for females than males. Due to the novelty of this study, we also explored possible mechanisms that underlie an effect between social anxiety and CoDG. This included how comfortable or frequent participants feel looked at, the gender of the experimenter and gazers and the level of threat perceived in each face. It was hypothesised that high social anxiety (especially high socially anxious males) participants have a wider CoDG than low social anxiety participants. Furthermore, we proposed that gaze cones would be wider for angry faces and narrower for fearful faces (Ewbank et al., 2009), and that this effect will be greater in females. 7 Being looked at and social anxiety 2. Method 2.1. Participants 93 students (Male = 33; Mage = 19.18; SDage = 2.270), who were enrolled in courses Psychology 1A or Psychology 1B at the University of New South Wales participated for course credit. All participants had corrected-to-normal vision. Participants eligible for this study were those who were high (reported “4” out of a total score of 4) or low (reported “1”) on the 9th question of the Depression Anxiety and Stress Scale (DASS) measure (“I was worried about situations in which I might panic and make a fool of myself”). Written and informed consent were obtained from participants. 2.2. Materials and Stimuli 2.2.1. Face Stimuli. Four male faces from Daz software (Mareschal et al., in review) were used for this study. These faces were all expressing a neutral emotion, presented at the centre of the screen and had hair removed to avoid distraction from the eyes and facial expressions. At a viewing distance of roughly 57cm, the faces subtended on average at 15.1x11.2 degrees. For each of the faces, angry, fearful and neutral faces were manipulated using the software FaceGenerator, Adobe Photoshop and FaceFilter Studio 2. Figure 1a shows each male face stimulus expressing each emotion. Ultimately, each face stimulus had its eyes removed, was set to grey-scale and had an image size of 1024 x 767 pixels. To ensure each face was conveying the right emotion, they were shown to 10 people (NMale = 5) who were asked to state the emotion expressed out of 4 possible choices (unsure, neutral, fear and anger). On average, participants correctly reported emotions 90% of the time. 2.2.2. Eye gaze. There were nine eye gaze directions which subtended at different horizontal visual angles (-12º, -6º, -3º, -1º, 0º, 1º, 3º, 6º, 12º; see Figure 1b) These deviations 8 Being looked at and social anxiety were generated following the method of Mareschal et al. (in review). An eyes-only stimulus was superimposed on each face and independently manipulated using MATLAB™ (MathWorks Ltd) to rotate the eyes along the horizontal axis. Each of these nine eye deviations was repeated three times for each of the four faces used. This was done for the three emotion conditions: neutral, fear and anger. Therefore, in one run there was a total 432 faces. 2.2.3. Gaze Categorisation Task. A computer program, using MATLAB was used to measure the cone of direct gaze. The laptop was always positioned facing the centre of the chair. Each face was randomly presented for 500ms, followed by a 300ms inter-stimulus interval (Figure 2). Participants were then required to indicate the gaze of the faces as averted to the left, direct or right by using the keys “j”, “k”, and “l” respectively. The screen remained grey and the next stimulus was presented after the participant pressed one of the response keys. If a key other than the response keys was pressed, a short, unobtrusive sound was set off and the next stimulus was shown. These data were neglected. 2.2.4. Measures of Social Anxiety. Both the Social Avoidance and Distress (SAD;(Watson & Friend, 1969)) and Fear of Negative Evaluation (FNE; Watson, & Friend, 1969) scales are self-report questionnaires and were used to measure social anxiety levels. 2.3. Design A 2 x 2 x (3) mixed design was used, where the two between-subjects factors were Gender (Male and Female) and Social Anxiety (HSA – High Socially Anxious; LSA – Low Socially Anxious), and the within-subjects design was the Emotions (N – Neutral; F – Fear; A – Anger) expressed by the face stimuli. To categorise participants into either high or low socially anxious groups, those who scored 16 or more (out of a total score of 30) on the FNE were categorised into the HSA group, and 15 or below into the NSA group. This was because 9 Being looked at and social anxiety cut-off for the top quartile of social anxiety levels in the non-clinical population is roughly 15-17 (Mansell, Clark, Ehlers, & Chen, 1999; Winton, Clark, & Edelmann, 1995). The dependent variable measured was the cone of direct gaze, which was measured using the gaze categorisation task (see below or Mareschal et al., in review). 2.3.1. Mechanisms of Gender Effects (MOGE). This questionnaire consisted of 19 items that addressed four possible mechanisms that account for gender differences in CoDG and social anxiety levels: level of comfort when being looked at by others; level of threat perceived in face stimuli; the gender of the gazer, and; awareness of the experimenter. Responses to these questions were made on a 5-item Likert scale, where 1 stood for “not at all”, 2 “only slightly”, 3 “moderately”, 4 “quite a lot” and 5 “extremely”. See Appendix B.1 for a sample of the questionnaire. 2.4. Procedure Participants were given an information sheet to read. Once the consent form was completed, participants were told a brief instruction of the tasks. When explaining the instructions for the computer task, it was emphasised that participants were to sit still and to minimise moving their heads in order to keep the visual angles consistent. A chin-rest was not used as it has been reported to cause discomfort. The experimenter remained in the room, but emphasised that she will not be watching them perform the task and sat with her back to the participant. The computer task was run twice, allowing an un-timed break in between until the participant wished to continue. After, the FNE and SADS questionnaires were asked to be filled out. For 60 of these subjects (Male = 19, Mage = 19.03, SD = 2.456), the MOGE questionnaire was also handed out. Upon completion, the researcher thanked the participant, debriefed them. 10 Being looked at and social anxiety 2.5. Data analysis 2.5.1. Measuring CoDG. The gaze cones were measured using the method of Mareschal et al. (in review). Firstly, responses from the two runs were compiled into one data set for each participant. Figure 3 shows the data for one participant as a function of the eye deviation for the neutral face condition. The data for the “left” (diamonds), “right” (triangles) and “direct” (squares) responses are plotted as a proportion of the total number of responses for each eye deviation. For example, when the eye deviation was -12, this participant always responded “left”. Logistic functions were fit to the proportion of left and right responses (dashed and dotted curves) and a function for “direct” (solid curbe) was fit by removing the sum of the left and right curves from 1(Ewbank et al., 2009). Curve fits used the NelderMead simplex method (Nelder & Mead, 1965). This method minimises the residual variance and can be operated through the fminsearch function on MatLab. The cone of direct gaze is taken as the measure between the points of intersection between the two averted curves and the “direct” curve: one where the left and direct responses crossed over and the other where the direct and right responses crossed. These two cross-overs are termed categorical boundaries. 2.5.2. Statistical Approach. Independent samples t-tests were used to compare genders and social anxiety groups on their age, FNE scores, SAD scores and CoDG. To investigate whether contextual and individual factors interacted to influence CoDG, MANOVAs were used when Emotions variable were analysed, and ANOVA was used to analyse betweensubject factors Gender and Social Anxiety (High or Low). Paired sample t-tests were carried out to observe simple main effects of emotions on CoDG. All correlations reported in this experiment were a one-tailed bivariate Pearson correlation. Moderate correlations (greater than .20) were reported. Alpha for all statistical analyses was controlled at .05. 11 Being looked at and social anxiety 3. Results 3.1. Group demographics Table 1 shows the group characteristics of High and Low Social Anxiety groups. Both Social Anxiety groups did not differ in age, percentage of males in each group and FNE scores. Table 2 shows the group characteristics of males and females. There were no significant differences between gender groups on age and FNE scores. 3.2. Interaction between contextual and individual factors on CoDG Emotions, gender and social anxiety interacted to affect CoDG. This was reflected by a significant a three-way interaction MANOVA effect amongst the three variables (F(2,87) = 3.119, p < .05). From observing Figure 4, HSA males appeared to have a wider CoDG than low socially anxious males. However, this was not significant when analysing these groups via a univariate ANOVA (F(1,31) = 1.906, p = .177). It also seemed like CoDGs in high socially anxious males were wider than their female counterparts, but was also non-significant (F(1,27) = 1.501, p = .231). Furthermore, effects of emotions on CoDG were not exacerbated in HSA groups, determined by a non-significant result from MANOVA (F(2,87) = 1.608, p = .206). When analysing Figure 4, high socially anxious males clearly did not conform to the general pattern of emotions effects on gaze perception. This was shown statistically by using paired-samples t-tests to compare how two emotions affected CoDG. Fearful faces were narrowing CoDG significantly more than neutral or angry faces for females (Fear-Neutral: t(58) = -3.676, p < .005; Fear-Anger: t(58) = -2.284, p < .05), but not for males (Fear-Neutral: t(32) = -2.009, p= .053; Fear-Anger: t(32) = -.581, p= .565). Fearful faces were also 12 Being looked at and social anxiety narrowing CoDG significantly more than both neutral and angry faces in LSA group (FearNeutral: t(62) = -3.383, p < .005; -Fear t(62) = -2.031, p < .05), but in the HSA group, fear only narrowed the CoDG more than neutral faces (Fear-Neutral: t(28) = -2.575, p<.05 FearAnger: t(28) = -1.083, p= .288). This trend is clearly visible in Figure 4, where high socially anxious males are not following the same trend of different emotional expressions on CoDGs. A MANOVA has also revealed a significant main effect for Emotions on CoDG (F(2,87) = 7.875, p < .005). Paired-samples t-tests revealed that the CoDG width was narrower for fearful faces compared to neutral (t(91) = -4.181, p < .001) or angry (t(91) = 2.207, p < .05) faces. Angry faces on the other hand, were not different to neutral faces in affecting the CoDG (t(91) = .1692, p = .094). 3.3. Analysis of possible mechanisms underlying gender difference Correlations between each subtype of the MOGE questionnaire on social anxiety measures (FNE and SAD) are shown in Table 3. Levels of social anxiety were generally correlating more on each subtype of the MOGE questionnaire for females than for males. For females, high social anxiety was most correlated with their level of comfort of being looked at by other females (where more discomfort was associated with higher social anxiety: r = .302; p < .05). The level of awareness of the experimenter’s presence was most significantly correlated with FNE scores in males, especially the awareness of the experimenter’s gender (r = .302). It might be interesting to note that the relationship between awareness of the experimenter and level of social anxiety in males was stronger in the SAD measure (r = .519; p < .05) Table 4 shows correlations between subtypes of the MOGE questionnaires and CoDG across each emotion for males. For males, the gender of the face seemed relevant to their CoDG, where more awareness led to a narrow gaze (r = -.447). Social anxiety levels in males 13 Being looked at and social anxiety were moderately correlated in a positive fashion with CoDG. However, this was only observed for neutral and fearful faces, but not angry faces, as suggested by the three-way MANOVA. Correlations between CoDG subtype measures from the MOGE and FNE scores were generated for females and shown in Table 4. CoDG was strongly and negatively correlated with how comfortable female participants feel at being looked at (r = -.536; p < .01). The more they felt looked at by others was associated with a narrower CoDG (r = -.316), especially for fearful faces (r = -.352; p < .05). Other variables had no noteworthy associations with CoDG in females. 4. Discussion The aim of this study was to investigate whether the feeling of being looked at is a marker of social anxiety. As predicted, high social anxiety levels were associated with an overestimation in perceiving direct gazes and were only found in males. Furthermore, fearful faces produced a narrow gaze cone than angry or neutral faces. This effect was more prominent for females than males. The trend indicating that a wider cone of gaze is a specific social anxiety marker in males is supported by the hypervigilance-avoidance hypothesis (e.g. Onnis et al., 2011). That is, socially anxious individuals find an initial grab towards social stimuli (such as the eyes) and actively avoid them, preventing them from disconfirming their beliefs of being looked at. Males in particular avoid anxiety-provoking situations more than females (Ingles et al., 2011), explaining why gaze cones were wider for only socially anxious males. Females, on the other hand, do not show such widening effect with increasing levels of social anxiety because of their early experience to identifying eye gaze (Connellan et al., 2000; Lutchmaya & BaronCohen, 2002). 14 Being looked at and social anxiety Possible mechanisms underlying social anxiety effects on gaze perception revealed that social anxiety in females decreased their level of comfort of being looked at by others, which consequently widened their CoDGs. However, social anxiety in females increased the perceived frequency of being looked at, which narrowed their CoDGs. Hence, direct gaze perception in high social anxiety in females is affected by these two opposing mechanisms. As a result, these two mechanisms cancel out each other and generate no significant correlation between social anxiety and CoDG. For males, social anxiety was not associated with widening the perception of direct gaze through these mechanisms. Once again, in accordance with the hypervigilance-avoidance hypothesis, a wider cone of direct gaze is due to avoiding the gazing face before one can properly determine whether the face was looking at them or not (Onnis et al., 2011). The recorded amount of discomfort in women is relative to how likely they are to avoid the gazes of others, which ultimately widens their gaze cones. However, when correlating social anxiety with CoDG, there is barely any association. This is most likely because females have more experience in engaging in eye gaze and discriminating gaze directions (Connellan et al., 2000; Lutchmaya et al., 2002). An advantage in telling apart where someone is looking may have nullified any effect of social anxiety on gaze perception. In the study reported here, results have shown that fearful faces narrowed perception of direct gaze more than angry and neutral faces, where effects of anger and neutral did not differ. However, past research found that our ability to distinguish true direct gaze from averted was worse when faced with angry faces compared to fearful and neutral, where fearful was not different to neutral (e.g. Ewbank et al., 2009). A reasonable account for this discrepancy is that the absence of an anger effect is due to the neutral faces looking almost as 15 Being looked at and social anxiety threatening as angry faces. An alternative reason is that the neutral faces were ambiguous, which also increases the chances of it being perceived as threatening (Georgiou et al., 2005). Nevertheless, there was a significant difference between angry and fearful faces in affecting how we perceive direct gaze as suggested by the shared signal hypothesis (Adams & Kleck, 2003). Overall, emotions are one of the socially-relevant contextual cues that make an impact on whether we judge a person to be looking at us or not. Hence, our current findings support previous CoDG studies and the shared-signal hypothesis. Interestingly, gaze perception for women as more affected by emotions than men. Though this could be due to a larger sample size for women, this finding can also be explained by their earlier experience in eye gaze. Such experience allows women to attenuate to finer details and contextual factors without being interrupted by their individual differences. There are a few limitations that should be considered. The most problematic was the statistical power problem which reduced the study’s ability to detect any significant effects. Furthermore, though we instructed participants the importance of keeping their head still, it is difficult for them to remain in the same position for 15 minutes continuously. Despite instructions, participants may have been moving their observing position within trials. This increases the amount of variance generated by each person, and ultimately increases error variance in each between-subjects group. Especially, socially anxious males may have been subconsciously leaning backwards as they have a higher tendency to avoid social situations than females (Ingles et al., 2011). This may have led them to systematically have a wider CoDG than other groups. Hence, the small sample size and large variance may account for the substantial standard errors and wider gaze cones in high socially anxious males. The current study has opened up multiple paths that require further investigation. Future studies should consider other factors that could affect CoDG. For instance, autism- 16 Being looked at and social anxiety spectrum disorders are associated with a lack of eye contact and reduced joint attention (Lutchmaya & Baron-Cohen, 2002; Lutchmaya et al., 2002). Hence, it may be of interest to look into how autism-like traits have an effect on direct gaze perception. Other individual differences affecting sociality, like conduct disorder or psychopathic-like traits may be interesting to investigate. Eye-tracking measures might be used to further support how wider gaze cones in high socially anxious individuals were due to their conscious effort to avoid eye gaze, preventing disconfirmation of whether they were being looked at. Physiological measures such as heart rate, and skin conductance rates (sweating) might further investigate whether social anxiety has a correlative relationship with gaze perception. Likewise, brain-imaging studies might be helpful in finding gender or trait social anxiety differences in brain activation when processing emotions and eye gaze. The current findings of a large gender effect is an indication that other studies measuring eye gaze or are using tasks involving eye gaze should be cautious with collapsing data across gender. Gender differences should be analysed before combining data or else, studies may be at risk of missing an important gender effect. It is important to examine cognitive biases in anxious people and address them during treatment. An act of avoidance to prevent disconfirmation of negative thoughts is commonly found in anxious people. These cognitive biases and safety behaviours are the main causes for maintaining high levels of anxiety (Foa, Gilboa-Schechtman, Amir, & Freshman, 2000). The current study has indicated that such safety behaviour is the primary causal factor for socially anxious males in thinking they were being looked at. Hence, to overcome this fear, preventing their tendencies to avoid eye gaze can be a useful intervention. In addition, the 17 Being looked at and social anxiety CoDG can be easily incorporated as a diagnostic tool for detecting thoughts of being frequently looked at, even in children and intellectually disabled patients, due to its simplicity. The present study found that male and females differ in how contextual and individual factors affect perception of direct eye gaze. That is, high socially anxious males overestimate the number of people looking at them than low socially anxious males. Direct gaze perception in females, on the other hand, are not affected by their levels of social anxiety. Furthermore, while females show that perception of direct gaze in fearful faces are more accurate than neutral or angry faces, only low socially anxious males showed this effect. This is because males are less experienced with discriminating eye gaze directions which makes their perception of eye gazes more susceptible to individual factors. Hence, females are less likely to be affected by individual differences such as traits of social anxiety because being a woman alone gives them an advantage in eye gaze perception. Males, on the other hand, are more influenced by their levels of social anxiety, due to their lack of early exposure to eye gaze perception-enhancing experiences. Therefore, there are gender differences in what contextual and individual factors are processed or given more weight when perceiving direct gaze. 18 Being looked at and social anxiety References Adams, Reginald B., Jr., & Kleck, Robert E. (2003). Perceived gaze direction and the processing of facial displays of emotion. Psychological Science, 14, 644-647. Baron-Cohen, Simon, Jolliffe, Therese, Mortimore, Catherine, & Robertson, Mary. (1997). Another advanced test of theory of mind: Evidence from very high functioning adults with autism or Asperger Syndrome. Journal of Child Psychology and Psychiatry, 38, 813-822. 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Winton, Emma C., Clark, David M., & Edelmann, Robert J. (1995). Social anxiety, fear of negative evaluation and the detection of negative emotion in others. Behaviour Research and Therapy, 33, 193-196. 21 Being looked at and social anxiety Figure 4. Mean effects of gender, social anxiety and emotion and Cone of Direct Gaze width. Bars represent standard errors of the means for each group. 22 Being looked at and social anxiety Figure 3. Grand mean plot showing the measurement of the Cone of Direct Gaze (CoDG). The proportion of responses plotted against the number of visual degrees of gaze deviation away from direct. The triangles represent the mean proportion of responses the participant said “right”. The squares represent the “direct” responses and the diamonds the “left” responses. The CoDG is calculated by finding the difference between gaze deviations at the intersection between the right and direct response line and the intersection between the left and direct response line (as indicated by the vertical dotted lines). The three faces are visual presentations of the gaze deviation at -12, 0 and 12 degrees (from left to right). 23 Being looked at and social anxiety Figure 2. Illustration of one trial during the gaze categorization task. The face stimulus was presented for 500ms, followed by a 300ms grey screen. During the 300ms period, the computer did not register responses. After this, the program waited for the participant response before presenting the next stimulus. 24 Being looked at and social anxiety Figure 1a. Sample of each male face displaying the three emotions: i) neutral, ii) fear, and iii) anger. 1b. Sample of one neutral male face stimuli displaying all nine eye gazes. 25 Being looked at and social anxiety Age High Social Anxiety Low Social Anxiety (n = 29) (n = 63) M SD M SD t(90) p 18.900 1.291 19.330 2.609 -0.853 .396 -0.650 .517 15.098 < 0.001 % males FNE 31 21.97 38 3.375 8.95 4.034 FNE = Fear of Negative Evaluation scores Table 1: Means, standard deviations and significance of difference between social anxiety groups on age, proportion of males (%), social anxiety scores and Cones of Direct Gaze. 26 Being looked at and social anxiety Females Low SA Threat1 Males High SA Low SA High SA -0.299 0.000 -0.390 0.980 0.107 0.058 -0.580 0.300 Comfort -0.681 -0.344 0.228 -0.048 Exp pres 0.176 -0.060 0.249 -0.075 Exp gen 0.030 0.200 -0.188 0.302 -0.400 -0.180 -0.208 0.780 Face gender aware Freq looked SA = social anxiety. Ratings of 1); Threat = how threatening the faces were rated; 2) Face gender aware = how aware participants were of the gazers’ gender; 3) Comfort = how comfortable participants feel when looked at by others; 4) Experimenter = how aware participants were of the experimenter’s presence; 5) Awareness of experimenter’s gender (female); 6) Frequency = how frequently participants feel they are being looked at. Table 2: Correlations of each dimension of the MOGE (Mechanisms of Gender Effects) questionnaire with the width of Cone of Direct Gaze for low and high anxious males and females.
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