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Improving Emotion Control in Social Anxiety by Targeting Rhythmic Brain Circuits.

Sjoerd Meijer1, Bob Bramson2,3, Ivan Toni2

  • 1Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging (DCCN), Radboud University Nijmegen, Nijmegen 6525 EN, the Netherlands sjoerd.meijer@donders.ru.nl.

The Journal of Neuroscience : the Official Journal of the Society for Neuroscience
|March 26, 2026
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Summary
This summary is machine-generated.

This study enhanced brain connectivity in socially anxious individuals using non-invasive electrical stimulation. This improved their control over social approach and avoidance behaviors, offering a new therapeutic avenue for anxiety disorders.

Keywords:
approach-avoidance behavioremotion controlphase-amplitude couplingsocial anxietytranscranial electrical brain stimulation

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Psychology

Background:

  • Social avoidance is a core symptom of social anxiety disorder, often hindering treatment effectiveness.
  • Difficulties in controlling social approach and avoidance behaviors maintain social anxiety disorder.
  • Existing therapies struggle with the core issue of impaired behavioral control in social anxiety.

Purpose of the Study:

  • To test a non-invasive method for enhancing control over social approach and avoidance behavior in socially anxious individuals.
  • To investigate the role of prefrontal-sensorimotor theta-gamma phase-amplitude coupling in emotional-action control.
  • To explore the potential of neurophysiological enhancement for treating social anxiety disorder.

Main Methods:

  • Participants received dual-site phase-coupled electrical stimulation targeting theta-gamma phase-amplitude coupling.
  • Brain activity (fMRI-BOLD) and behavior were measured during a social approach-avoidance task under different stimulation conditions (in-phase, anti-phase, sham).
  • The study involved participants of both sexes performing automatic and controlled emotional actions.

Main Results:

  • In-phase stimulation selectively improved control over approach-avoidance actions in socially anxious individuals.
  • Neural responses in a specific prefrontal cortex region were modulated by in-phase stimulation, correlating with trait anxiety levels.
  • The findings suggest enhanced endogenous rhythmic coupling supports emotional-action control.

Conclusions:

  • Non-invasive electrical brain stimulation can enhance neurophysiological connectivity to improve control over social avoidance.
  • This approach offers a mechanistically grounded intervention for persistent avoidance in anxiety disorders.
  • The study highlights the potential of targeting brain rhythms for clinical interventions in social anxiety.