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Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review
Javier Fernández-Álvarez1,2, Desirée Colombo1, Juan Martín Gómez Penedo3
1Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castellon de la Plana, Spain.
JMIR Mental Health
|April 4, 2024
Summary
Ambulatory assessment (AA) offers a powerful method to study social anxiety (SA) and social anxiety disorder (SAD) in real-time. This review synthesizes recent research, highlighting AA
Area of Science:
- Psychology
- Clinical Psychology
- Psychiatry
Background:
- Growing interest in real-time social anxiety (SA) and social anxiety disorder (SAD) research.
- Proliferation of studies utilizing ambulatory assessment (AA) for in-situ data collection.
- Lack of synthesized reviews on AA applications in SA and SAD research.
Approach:
- Systematic literature search following PRISMA guidelines.
- Searched Scopus, PubMed, and Web of Science databases.
- Included 70 articles for qualitative synthesis.
Key Points:
- Ambulatory assessment (AA) enables exploration of emotional, cognitive, and behavioral dynamics in SA and SAD.
- Key topics include emotion regulation, perseverative cognition, cognitive factors, substance use, and interactional patterns.
- Emerging areas: AA in psychological interventions, multimodal sensor/biosensor assessment, and transcultural differences.
Conclusions:
- AA provides a powerful methodology complementing lab experiments and self-report measures for SA.
- AA illuminates cognitive, emotional, and behavioral antecedents and consequences of SA.
- AA aids understanding the development and maintenance of SAD as a mental disorder.
Keywords:
ambulatory assessmentanxietyassessmentbehavioralcognitivedevelopmentecological momentary assessmentemotionalintensive longitudinal methodsmHealthmental disordermental healthmobile healthmobile phonemonitoringqualitative synthesisreviewsocial anxietysocial anxiety disordersystematic reviewuse
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Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
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01:19Autism Spectrum Disorder
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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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01:18Anxiety: Overview
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Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
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