Understanding the Emergence of Social Anxiety in Children With Behavioral Inhibition.

Understanding the Emergence of Social Anxiety in Children With Behavioral Inhibition.
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DOI:
10.1016/j.biopsych.2020.10.004
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发表时间:
2021-04-01
影响因子:
10.6
通讯作者:
Henderson HA
Henderson HA
中科院分区:
医学1区
文献类型:
--
作者:
Fox NA;Buzzell GA;Morales S;Valadez EA;Wilson M;Henderson HA

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Behavioral Inhibition (BI) is a temperament characterized in early childhood by distress to novelty and avoidance of unfamiliar people and is one of the best known risk factors for the development of social anxiety. However, nearly 60% of children with BI do not go on to meet criteria for social anxiety disorder. In this review we present an approach to understanding differential developmental trajectories among children with BI. We review research using laboratory-based tasks which isolate specific attention processes that enhance versus mitigate risk for social anxiety among behaviorally inhibited children and studies that suggest BI is associated with heightened detection of novelty or threat. Moreover, stimulus-driven control processes, which we term automatic control, increase the probability that behaviorally inhibited children display socially reticent behavior and develop social anxiety. In contrast, goal-driven control processes, which we term planful control decrease risk for anxiety. We suggest that these three categories of processes (detection, automatic control, and planful control) function together to determine whether behaviorally inhibited children are able to flexibly regulate their initial reactions to novelty, and in turn, decrease risk for social anxiety. Although laboratory-based tasks have identified these processes underlying risk and resilience, the challenge is linking them to the emotions, thoughts, and behaviors of behaviorally inhibited children in real-world contexts.
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