Low Social Anxiety Research Articles

The neural correlates of social anxiety modulating conflict-driven cognitive control: An ERP study

According to attentional control theory and processing efficiency theory, anxiety impairs top-down cognitive control and processing efficiency under threat-related stimuli conditions. However, what is the resulting pattern under an emotionally neutral condition? Therefore, the study examined whether individuals with social anxiety exhibited the cognitive control deficiency in absence of emotional information and how social anxiety modulated cognitive control performance by recording the N2, N450, and SP components in the Stroop task. Behavioral data showed that participants with high social anxiety (HSA) showed slower response times than low social anxiety (LSA). ERP data showed that in HSA participants, congruent trials elicited more negative N2 than incongruent trials, but this was not for LSA ones. The N450 was more negative under incongruent condition than congruent ones. This effect was noticeable in LSA participants, but not in HSA ones. The conflict SP was more positive under incongruent condition than congruent one in HSA participants but not in LSA ones. The significant group differences of the N450 and SP were found mainly for incongruent condition. The present findings indicate that individuals with HSA exhibited cognitive control deficiency for neutral stimuli and an individual’s social anxiety modulates the neural correlates of conflict-driven cognitive control.

Adolescents' social anxiety dynamics in a latent transition analysis and its psychosocial effects

Background/ObjectiveThe present study aims to explore the dynamics of social anxiety profiles in adolescents over time and the psychosocial effects these dynamics have. MethodA representative sample of Andalusian (southern Spain) adolescents in Secondary Education was drawn. The study used single-stage stratified cluster sampling. A total of 2,140 students aged 11-16 years (47% girls; MageT1 = 13.68, SD = 1.27) were involved at two time points with a six-month interval. ResultsThe results provided a four-profile structure: low social anxiety, moderate cognitive disturbance, high with difficulties in new situations, and high social anxiety. The latent transition analysis showed a stability in the social anxiety profiles of between 58%-61%. Those adolescents who remained in or transitioned to profiles with higher social anxiety scored worse on peer adjustment, peer victimization and subjective well-being. ConclusionsThe study may contribute the improvement of the psychological treatments in social anxiety and reduce adverse effects on peer relationships and well-being by distinguishing the profiles and their dynamics.

Putting on your best face: investigating social anxiety in Instagram users

ABSTRACT Objective Socially anxious individuals may prefer social media platforms over in-person interactions. For those with high social anxiety (SA), Facebook-related tasks have been associated with anxiety, negative thoughts, and safety behaviours. However, Instagram-related research remains limited. The present study aimed to assess Instagram use alongside cognitive and behavioural processes among participants with low, medium, and high SA. We hypothesised that when using Instagram, individuals with higher SA would (1) experience more negative social cognitions, (2) report higher body image concerns, (3) endorse more safety behaviours when posting pictures, and (4) engage in more photo manipulation. Method A sample of 213 Instagram users completed an online survey and were divided into groups based on SA severity. Results The high SA group reported comparing themselves to others and being more anxious on Instagram than the low and medium SA groups. Four 3 (SA groups) x 2 (gender) ANOVAs revealed support for the first three hypotheses and that there was no interaction effect between SA and gender for all outcomes. Conclusions Results expand our understanding of how specific social media platforms may be aversive for individuals with high SA, which has important implications for conceptualising the role of safety behaviours in online interactions. KEY POINTS What is already known on this topic: Individuals with high social anxiety may prefer online social interactions. Clark and Wells’ cognitive model of social anxiety can be extended to the online social media platforms. Social anxiety may be underpinned by body image concerns. What this paper adds: Instagram users with social anxiety experienced more negative social media cognitions and reported more safety behaviours. Instagram users with social anxiety also experienced more body image concerns. Despite gender differences in photo manipulation, an associated relationship with social anxiety was not supported.

Frontal EEG alpha-delta ratio and social anxiety across early adolescence

Although the mean age of onset of social anxiety disorder (SAD) is during adolescence, we know relatively little about the neurodevelopmental correlates of subsyndromal social anxiety in early adolescence before SAD manifests. Here we examined frontal EEG alpha/delta ratio (a putative proxy of brain maturation) in relation social anxiety symptoms across early adolescence. Resting regional EEG spectral power measures were collected continuously for 4 min (2 min eyes-open, 2 min eyes-closed) in slow (i.e., delta) and fast (i.e., alpha) frequencies at Time 1, and self-reported social anxiety measures were collected concurrently at Time 1 and then prospectively approximately one year later (Time 2) in 103 typically developing 12- to 14-year-olds (46.6% female, Mage = 12.91 years, SDage = 0.81 years). Using a latent class growth curve analysis, stable high and stable low social anxiety classes were derived from the two assessments. Controlling for children's age, sex, and pubertal development, we found that youth in the stable high social anxiety class were more likely to exhibit a relatively lower frontal alpha/delta ratio, reflecting ostensibly less brain maturation relative to youth in the stable low social anxiety class. Results were specific to social anxiety and did not extend to symptoms of generalized anxiety. Findings are discussed in terms of the putative functions of less brain maturation in understanding individual differences in complex human social behavior.

Social Anxiety and Its Correlates Among Lebanese Adults: Role of Self-Esteem, Depression, Alcohol Use Disorder, Alexithymia, and Work Fatigue.

Objective: To evaluate factors associated with social anxiety disorder among the Lebanese population, construct a new model associating these factors, and compare its uniformity with a theoretical framework.Methods: A total of 789 participants were enrolled in this cross-sectional survey study. The Liebowitz Social Anxiety Scale was used to assess fear and avoidance. The study was conducted from November 2017 to March 2018.Results: Depression (β = 0.229, P = .013), emotional exhaustion/work fatigue (β = 0.275, P = .001), and experiencing a divorce (β = 15.413, P < .001) were significantly associated with higher social phobia. Higher self-esteem (β = -0.427, P = .048) and higher relationship management (β = -0.381, P = .001) were significantly associated with lower social phobia.Conclusions: This study provides crucial information about the psychological factors of social anxiety among the Lebanese population. Divorce, depression, and emotional exhaustion/work fatigue were associated with higher social anxiety. Low self-esteem and better relationship management were associated with lower social anxiety. Psychotherapy interventions may be beneficial to reduce depression and work fatigue and improve emotional intelligence and self-esteem.

Promoting positive social classroom environments to enhance students’ mental health? Effectiveness of a school-based programme in Norway

VIP partnership is a universal school-programme designed to strengthen the social classroom climate. This quasi-experimental study examined whether the effectiveness of VIP partnership on students’ happiness, joint depression/anxiety symptoms, and loneliness was moderated by baseline level of social anxiety (no, low, and high). Participants were upper secondary students from 10 test schools (n = 1101) and seven control schools (n = 734) in Norway. Data were collected at baseline, post-test (10 weeks) and six-month follow-up. Result at post-test indicated a significant main effect of participation in VIP partnership on happiness (d = .12), and simple effects on joint depression/anxiety symptoms among students with no (d = -.30) or low (d = -.14) social anxiety at baseline. No significant effects were found for post-test loneliness or either outcome measures at six-month follow-up. A universal programme targeting social participation may not be sufficiently intensive to generate substantial and lasting improvements in adolescent mental health and loneliness.

Examining the Effects of Stuttering and Social Anxiety on Interpretations of Ambiguous Social Scenarios Among Adolescents

PurposeThe proclivity to construe ambiguous information in a negative way is known as interpretation bias, which has been implicated in the onset and/or maintenance of social anxiety. The purpose of this study was to examine group and individual differences in interpretation bias among young people who stutter and their typically fluent peers during the adolescent years when social fears and worries tend to escalate. MethodsA total of 99 adolescents (13 to 19 years old) participated, including 48 adolescents who stutter (67% male) and 51 typically fluent controls (68% male). They completed a computerized vignette-based interpretation bias task in which they first read 14 short ambiguous social scenarios (half including a verbal interaction, half including a non-verbal interaction). They were then presented with four possible interpretations of each scenario including two negative interpretations (one target, one foil) and two positive interpretations (one target, one foil). Participants used a 4-point Likert scale to rate how similar in meaning each interpretation was to the original scenario. Participants also completed self-report measures of social and general anxiety, and provided a speech sample for stuttering analysis. ResultsThere was no effect of stuttering on interpretations; the adolescents who stutter rated interpretations across both verbal and non-verbal scenarios comparably to the controls, and stuttering severity did not affect interpretation ratings. However, across groups, there was a significant effect of social anxiety such that higher social anxiety was associated with more negative interpretations, and lower social anxiety was associated with more positive interpretations. DiscussionThis study provides preliminary evidence that social anxiety may affect how adolescents interpret ambiguous social cues in verbal and non-verbal scenarios more than stuttering, although more research into how people who stutter process social information is warranted.

Social anxiety and eating disorders in medical students

Aim. Assessment of social anxiety and eating disorders prevalence in students of Voronezh State Medical University after N.N. Burdenko.&#x0D; Methods. The study was conducted in 20202021 among students of Voronezh State Medical University on the basis of the Voronezh Regional Psychoneurological Dispensary and the Lion-Med clinic. Were used printed and online versions of the Liebowitz Social Anxiety Scale and the Dutch Eating Disorders Questionnaire (DEBQ). It was carried out correlation analysis of data between the general statistical indicators of the sample (gender, age, year of education) and the data of the questionnaires for each question separately. The correlation coefficient for nonparametric scale types (Pearson correlation coefficient) was used in the analysis.&#x0D; Results. Overall, significant level of anxiety was in diagnosed 525 (45.09%) people. The average duration of anxiety symptoms was 1.5 years. High level of social anxiety was estimated in 14.57% (169 people), marked level was revealed in 5.28% (61 people), moderate level was diagnosed in 14.08% (163 people), low social anxiety level was diagnosed in 11.09% (132 people), 54.98% didnt have any features of social anxiety (641 people). Restrictive and emotional types of eating disorders correlate with the female gender and the older year of education (p 0.01). There were no significant correlations between the gender of the respondents and the year of education in relation to the external type of eating disorder.&#x0D; Conclusion. Attention is drawn, firstly, to the relatively high percentage of social anxiety among medical students, and secondly, to the presence of eating behaviors predisposing to eating disorders. Features of restrictive and emotional eating behavior correlate with the year of education (the older the course, the more often these types of eating patterns are revealed).

The mediating role of hopelessness in the relationship between self-esteem, social anxiety, and suicidal ideation among Japanese university students who visited a university health care center

• In Japan, suicide is a major mental problem, especially among early adulthood. • Self-esteem and social anxiety were associated with suicidal ideation. • Hopelessness mediated the effects of self-esteem and social anxiety on suicidal ideation. • Targeting self-esteem, social anxiety and hopelessness may help prevent suicide. : Suicide is a serious social health problem, especially among young adults. This study aimed to investigate the link between self-esteem, social anxiety, hopelessness, and suicidal ideation among Japanese university students. : Data were collected from 322 university students (Mage = 21; 61.8% male) who visited the Hokkaido University Health Care Center in Japan for psychiatric consultation. Participants completed questionnaires including the Rosenberg Selfesteem Scale, Liebowitz Social Anxiety Scale, Beck Hopelessness Scale, and Patient Health Questionnaire 9, to measure the severity of depression and suicidal ideation. Structural equation models were created to examine the direct and indirect effects of self-esteem and social anxiety on suicidal ideation through hopelessness. : Multiple regression analysis showed that self-esteem and social anxiety were significant predictors of suicidal ideation. Results from structural equation modeling indicated that the effects of self-esteem and social anxiety on suicidal ideation were partially mediated by hopelessness. Bootstrap results indicated that the direct and indirect effects were significant. In a sub-analysis, hopelessness also partially mediated the relationship between self-esteem, social anxiety and depression. : The cross-sectional nature and sample collecting method of the study may prevent the results from being generalized to the overall populations. Additionally, the reliability of the ninth item of PHQ-9 in evaluating suicidal ideation remains conflicted. : This study demonstrated the mediating role of hopelessness in suicidal university students with low self-esteem and high social anxiety. Our results suggest that future suicide prevention programs may be more effective when targeting subjects' self-esteem, social anxiety, and hopelessness levels.

The recognition of dynamic-emotional faces in individuals with high and low social anxiety: An ERP study

Individuals with high social anxiety (HSA) show abnormal processing of emotional faces, which may increase their social anxiety. A growing number of event-related potential (ERP) studies have explored the neural mechanisms underlying the static-emotional face processing of HSA individuals. In view of the ecological validity of dynamic faces, this study will further explore the time course of dynamic-emotional face processing in individuals with HSA. To this end, 30 high and 30 low social anxiety (LSA) participants were asked to perform an identification task of dynamic-emotional faces while their brain responses were recorded using an ERP technique. The behavioral results showed the recognition accuracy of dynamic faces was higher than static faces when these faces were happy. For the P100 component, HSA participants showed higher P100 mean amplitudes of dynamic than static faces in the left hemisphere when they viewed happy, but not angry faces. In addition, increased N170 mean amplitudes of dynamic-happy faces were showed. Furthermore, the LPP mean amplitudes of dynamic faces were smaller than those of static faces. In sum, this study could provide a better understanding of the time course of dynamic-emotional face processing in HSA individuals.

Exploring the role of trauma in underpinning sexualised drug use ('chemsex') among gay, bisexual and other men who have sex with men in Singapore.

Sexualised drug use (SDU) has been identified as a major risk factor for HIV, as well as other mental health comorbidities among gay, bisexual and other men who have sex with men (GBMSM). While multiple studies have been conducted on the topic, few have explored the role of trauma in underpinning experiences of SDU among substance use treatment-experienced GBMSM. This qualitative study investigates life histories of trauma, and proposes a framework to better situate the factors driving SDU among treatment-experienced GBMSM. We conducted semi-structured in-depth interviews with 33 purposively-sampled GBMSM with a history of SDU, and seeking treatment for it in Singapore. Interview topics included participants' experiences and life histories of SDU, substance use, incarceration, trauma, as well as stories of resilience and ongoing recovery from SDU. Interviews were audio-recorded, transcribed, coded, and analysed using inductive thematic analysis, from which a trauma-informed framework was developed. Participants firstly articulated the positive and desired aspects of SDU, such as its utility in allowing them to achieve positive emotional states, sexual enhancement, and feelings of connectedness and intimacy. Participants also described how SDU, in contrast, was used as a coping mechanism to deal with emotional and situational 'precipitants', including dealing with loneliness and a low self-esteem, sexual shame and social anxiety, as well as general stressful situations. Participants also articulated how such precipitants were underpinned by experiences of trauma, including those relating to HIV-related stigma, racism, sexual violence, death and loss, neglect, as well as internalised homophobia. Next, participants illustrated how such trauma were in turn reinforced by several 'preconditions', including the accessibility of substances, emphasis on sexual capital, and lack of access to mainstream support structures in the gay male community, alongside general sociolegal barriers to accessing care. This study proposes the role of trauma and the preconditions underpinning them in motivating SDU among a sample of largely substance use treatment-experienced GBMSM in Singapore. Interventions that provide support for GBMSM seeking treatment for SDU should provide trauma-informed care to address the complex barriers to treatment effectiveness.

Monitoring mental health of college students using smartphones

A better understanding of an individual’s smartphone use can help researchers to improve methods for early detection, evaluation, and intervention of anxiety disorders.For this reason, we present an exploratory study of behavioral markers extracted from smartphone data. We examine fine-grained behaviors before and after smartphone communication events across social anxiety levels. To discover behavioral markers, we model the smartphone as a linear dynamical system with the accelerometer data as output. In a two-week study of 52 college students, we find substantially different behavioral markers prior to and after outgoing phone calls when comparing individuals with high and low social anxiety.

Recall, response bias and recognition are differentially impacted by social anxiety irrespective of feedback modality

Background and objectivesThis study replicates and extends Houle-Johnson et al.’s (2019) findings to better understand the role of feedback modality, ambiguity and social anxiety in the recognition and recall of self-relevant feedback. MethodsParticipants gave a speech and were provided with positive, negative, and ambiguous feedback via written text, (n = 33) or recorded sentences (n = 31) and later completed a recognition and recall task for the feedback. ResultsRecognition (p = .80, ηp2 = 0) and recall (p = .09, ηp2 = 0.08) did not differ between written or recorded feedback. All participants demonstrated a negative response bias (p < .001, ηp2 = 0.22) and recalled more negative than positive feedback (p = .02, ηp2 = 0.10) but were no more accurate in recognizing negative compared to positive feedback (p = .08, ηp2 = 0). Although social anxiety did not impact recognition accuracy (p = .94, ηp2 = 0), participants with high social anxiety demonstrated a more pronounced negative response bias (p < .01, ηp2 = 0.11) and negative recall bias (p = .02, SE = 1.12) than low social anxiety participants. Moreover, the more negatively ambiguous items were perceived, the more likely they were identified old in the high social anxiety group, whereas the opposite was true for the low social anxiety group (B = .13, p < .10). LimitationsTask believability was relatively low across all participants. ConclusionsOur findings suggest that modality does not influence memory for feedback. Moreover, social anxiety might be characterized by a negative bias in recall and response bias, but not necessarily increased accuracy in recognition of negative feedback.

Differences in the Gamma Interbrain Synchrony Between High and Low Social Anxiety Adolescent-Parent Dyads During Emotional Processing

Behavioral synchrony during social interactions is foundational for the development of social relationships. Behavioral inhibition (BI), characterized by wariness to social novelty and increased anxiety, may influence how children engage in moment-to-moment behavioral synchrony. EEG-derived frontal Alpha asymmetry and Delta-Beta coupling reflect approach-avoidance behavior and emotion regulation, respectively. We examined the relation between intradyadic behavioral synchrony in energy levels and peer gaze, BI, and EEG measures (N = 136, 68 dyads, MeanAge = 10.90 years) during unstructured and structured interactions. Energy levels were negatively synchronized when both children exhibited right Alpha asymmetry. If either child exhibited left Alpha asymmetry, the dyad exhibited more positive synchrony. Peer gaze was less synchronized during the unstructured task with left Alpha asymmetry. Greater positive Delta-Beta coupling in BI children was associated with more peer gaze synchrony. Peer gaze was asynchronous when BI children exhibited negative Delta-Beta coupling and their partner exhibited positive coupling.

Empathic Communication Among Women with High or Low Social Anxiety

Empathic Communication Among Women with High or Low Social Anxiety

Apprehension about the future: Investigating the phenomenological characteristics of episodic future thinking in socially anxious adolescents

Background and objectivesSocial anxiety is a future-oriented mood characterized by apprehension about others’ negative evaluations in anxiety-provoking social situations that may occur in the future. Episodic future thinking (EFT) is a form of future-oriented cognition that allows a pre-experiencing of our personal futures. The literature suggests that anxious individuals show increased negative expectancies about future events. However, few studies have been conducted on EFT in social anxiety. The current study investigated the phenomenological characteristics of EFT in adolescents with high and low social anxiety. MethodsTwenty-two high social anxiety (HSA) and 24 low social anxiety (LSA) adolescents simulated one anxiety-provoking social event and one neutral event. They then rated the phenomenological characteristics of the events. ResultsHSA adolescents imagined anxiety-provoking social events from an observer perspective more than LSA adolescents. HSA adolescents also imagined anxiety-provoking social events as more negative and containing less clear contextual details than LSA adolescents. In contrast, no group differences were found for neutral events. Moreover, participants imagined more self-referential information for anxiety-provoking social events than neutral events. HSA participants imagined less other-referential information than LSA participants, regardless of the event type. LimitationsThis study used a subclinical sample with high and low social anxiety. The sample size was small, and only adolescents aged 15–17 years were included. It is difficult to generalize the present findings across different anxiety-provoking social events. The specificity of EFT was not evaluated. ConclusionsOur findings highlight the importance of EFT in the psychopathology of adolescent social anxiety.

P236 Low Social support and distinct anxiety as a crucial feature in depressive IBD patients

Abstract Background Depression is a common comorbidity of Inflammatory Bowel Disease (IBD) which leads to deterioration of the state of disease. The physician needs to know which psychiatric and temperamental characteristics have to be met in order to adapt his treatment to depressive patients. Therefore we compared patients with elevated depressive scores to those with normal scores. Methods 291 IBD patients in 3 specialized IBD clinics in Germany (Ulm, Blaubeuren, Biberach) answered an anonymous questionnaire on their disease itself, on socio-demographic parameters and 6 psychological tests (HADS, STAI-S, STAI-T, FSozU, Neo-FFI, BL-R). Results The questionnaire was completed by 139 (47,3%) male and 155 (52,7%) female patients, 185 (63,4%) with Crohn’s disease and 107 (36,6%) with ulcerative colitis. 229 patients (79,0%) had a normal depression score (=NormD) (HADS-D), 59 (21,0%) had a borderline to very severe elevated score (elevated depression score = ElevD). We characterized ElevD patients with the aid of a personality test (Neo-FFI) as more neurotic (p&amp;lt;0.001), but less extroverted (p&amp;lt;0.001), open for experience (p=0.042), agreeable (p=0.004) and conscientious (p=0.001) than patients with NormD. The Hospital Anxiety and Depression Scale (HADS-D) revealed them as more anxious (p&amp;lt;0.001). This was confirmed by the State Trait Anxiety Inventory (STAI-S/-T) which showed ElevD patients to be more anxious as a state (p&amp;lt;0.001) and as a trait (p&amp;lt;0.001). Moreover patients with ElevD percieve their social support as little as seen in the FSozU (p&amp;lt;0.001). In addition there are lower scores in the Short Inflammatory Bowel Disease Questionnaire (SIBDQ) (p&amp;lt;0.001), the Complaints List (B-LR) (p&amp;lt;0.001) and the fact that most of the patients with ElevD had an active disease (43 (75,4%)) of the group. Conclusion IBD patients with an elevated depression score are more neurotic and less extroverted, open for experience, agreeable and conscientious than other patients. They are anxious and have little social support combined with many complaints and low quality of life. To improve their situation or to prevent it, the treating physician needs to be more sensitive to the patient’s state of mind and inquire more about their general complaints and especially their social support system so he is able to intervene and optimize the quality of life.

Social orienting is reduced in williams syndrome

IntroductionWilliams syndrome (WS) is a rare genetic disorder caused by a deletion at chromosome 7q1123. WS is associated with high empathy, relatively good face memory and low social anxiety. Despite these strengths, WS individuals typically have an intellectual disability, difficulties with visuospatial perception, non-social anxiety and complex social cognition. Attention to other’s eyes is crucial for adaptive social understanding. Consequently, eyes trigger quick and automatic gaze shifts in typically developing individuals. It is not known whether this process is atypical in WS.ObjectivesTo examine visual attention to other’s eyes in Williams syndrome.MethodsIndividuals with WS (n = 35; mean age 23.5 years) were compared to controls (n = 167) in stratified age groups (7 month, 8-12 years, 13-17 years, adults). Participants were primed to look at either the eyes or the mouth of human faces. The latency and likelihood of a first gaze shift from, or to the eyes, was measured with eye tracking.ResultsWS individuals were less likely, and slower to orient to the eyes than typically developing controls in all age groups from eight years of age (all p &lt;.001), but did not differ from 7 months old infants. In contrast to healthy individuals from eight years and above, WS individuals did not show a preference to orient towards the eyes relative to the mouth.ConclusionsDespite the hyper-social behavioral phenotype, WS is associated with reduced attention to other’s eyes during early stages of processing. This could contribute to the difficulties with complex social cognition observed in this group.DisclosureNo significant relationships.

Social Anxiety and the Generation of Positivity During Dyadic Interaction: Curiosity and Authenticity Are the Keys to Success

What drives positive affective and interpersonal experiences during social interaction? Undergraduates with high (n = 63) or low (n = 56) trait social anxiety (SA) were paired with unfamiliar low SA partners in a 45-minute conversation task. Throughout the task, participants and their conversation partners completed measures of affiliative goals, affect, curiosity, authenticity, and attentional focus. Both affective and interpersonal outcomes were assessed. Dyadic analyses revealed that participants’ affiliative goals during the social interaction predicted positive outcomes for both themselves and their partners, although the link between affiliative goals and positive affect was weaker for participants with high SA. Mediation analyses demonstrated that adopting affiliative goals may promote more positive outcomes by increasing participants’ curiosity and felt authenticity. Taken together, results illuminate the pathways through which people with varying levels of trait SA may derive interpersonally generated positive affect and positive social outcomes, with implications for clinical theory and practice.

Hubungan Antara Body Shaming Dan Citra Diri Dengan Kecemasan Sosial Pada Siswa SMP Ekasakti Semarang

Verbal speech can make people affected by body shaming become down, lazy to do anything, cry, and become sad. The role of teachers and parents is very important in terms of providing support to students who are victims of body shaming and need to take firm action from the school concerned. The population in this study were students of class VIII SD class IX SMP Ekasakti Semarang, totaling 210 female students. The data collection method used a questionnaire with a Likert scale instrument consisting of four options. The test results show that there is a positive and significant relationship between body shaming and social anxiety, so the higher the body shaming, the higher the social anxiety, conversely the lower the body shaming, the lower the social anxiety, the two variables are strongly correlated, meaning that the higher the image. The students themselves will have lower social anxiety, on the other hand, the lower their self-image, the higher their social anxiety, so the two variables have strong correlation.