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Gaze avoidance

MedGen UID:
1842056
•Concept ID:
C5826390
•
Finding
Synonym: Gaze aversion
 
HPO: HP:0034436

Definition

A deliberate avoidance of eye contact. [from HPO]

Professional guidelines

PubMed

Rates of Extreme Neonatal Hyperbilirubinemia and Kernicterus in Children and Adherence to National Guidelines for Screening, Diagnosis, and Treatment in Sweden.
Alkén J, Håkansson S, Ekéus C, Gustafson P, Norman M
JAMA Netw Open 2019 Mar 1;2(3):e190858. doi: 10.1001/jamanetworkopen.2019.0858. PMID: 30901042Free PMC Article
Implementing clinical guidelines to prevent catheter-associated urinary tract infections and improve catheter care in nursing homes: Systematic review.
Gould D, Gaze S, Drey N, Cooper T
Am J Infect Control 2017 May 1;45(5):471-476. doi: 10.1016/j.ajic.2016.09.015. PMID: 28456320
The role of disgust emotions in predicting self-management in wound care.
Gaind S, Clarke A, Butler PE
J Wound Care 2011 Jul;20(7):346-50. doi: 10.12968/jowc.2011.20.7.346. PMID: 21841724

Recent clinical studies

Etiology

Candidate Biological Markers for Social Anxiety Disorder: A Systematic Review.
Caldiroli A, Capuzzi E, Affaticati LM, Surace T, Di Forti CL, Dakanalis A, Clerici M, Buoli M
Int J Mol Sci 2023 Jan 3;24(1) doi: 10.3390/ijms24010835. PMID: 36614278Free PMC Article
No evidence that gaze anxiety predicts gaze avoidance behavior during face-to-face social interaction.
Tönsing D, Schiller B, Vehlen A, Spenthof I, Domes G, Heinrichs M
Sci Rep 2022 Dec 9;12(1):21332. doi: 10.1038/s41598-022-25189-z. PMID: 36494411Free PMC Article
Emotional conflict adaptation predicts intrusive memories.
Grueschow M, Jelezarova I, Westphal M, Ehlert U, Kleim B
PLoS One 2020;15(2):e0225573. Epub 2020 Feb 20 doi: 10.1371/journal.pone.0225573. PMID: 32078627Free PMC Article
Gaze avoidance and perseverative language in fragile X syndrome and autism spectrum disorder: brief report.
Friedman L, Sterling A, Barton-Hulsey A
Dev Neurorehabil 2018 Feb;21(2):137-140. Epub 2018 Jan 15 doi: 10.1080/17518423.2018.1424264. PMID: 29333915Free PMC Article
Gaze avoidance in social phobia: objective measure and correlates.
Moukheiber A, Rautureau G, Perez-Diaz F, Soussignan R, Dubal S, Jouvent R, Pelissolo A
Behav Res Ther 2010 Feb;48(2):147-51. Epub 2009 Oct 8 doi: 10.1016/j.brat.2009.09.012. PMID: 19863948

Diagnosis

Candidate Biological Markers for Social Anxiety Disorder: A Systematic Review.
Caldiroli A, Capuzzi E, Affaticati LM, Surace T, Di Forti CL, Dakanalis A, Clerici M, Buoli M
Int J Mol Sci 2023 Jan 3;24(1) doi: 10.3390/ijms24010835. PMID: 36614278Free PMC Article
Social anxiety is associated with heart rate but not gaze behavior in a real social interaction.
Rösler L, Göhring S, Strunz M, Gamer M
J Behav Ther Exp Psychiatry 2021 Mar;70:101600. Epub 2020 Jul 11 doi: 10.1016/j.jbtep.2020.101600. PMID: 32882674Free PMC Article
Gaze avoidance and perseverative language in fragile X syndrome and autism spectrum disorder: brief report.
Friedman L, Sterling A, Barton-Hulsey A
Dev Neurorehabil 2018 Feb;21(2):137-140. Epub 2018 Jan 15 doi: 10.1080/17518423.2018.1424264. PMID: 29333915Free PMC Article
Unconscious avoidance of eye contact in autism spectrum disorder.
Madipakkam AR, Rothkirch M, Dziobek I, Sterzer P
Sci Rep 2017 Oct 17;7(1):13378. doi: 10.1038/s41598-017-13945-5. PMID: 29042641Free PMC Article
Nonverbal expression in autism of Asperger type.
Tantam D, Holmes D, Cordess C
J Autism Dev Disord 1993 Mar;23(1):111-33. doi: 10.1007/BF01066422. PMID: 8463192

Therapy

Attention guidance augmentation of virtual reality exposure therapy for social anxiety disorder: a pilot randomized controlled trial.
Rubin M, Muller K, Hayhoe MM, Telch MJ
Cogn Behav Ther 2022 Sep;51(5):371-387. Epub 2022 Apr 6 doi: 10.1080/16506073.2022.2053882. PMID: 35383544Free PMC Article
Improving social gaze behavior in fragile X syndrome using a behavioral skills training approach: a proof of concept study.
Gannon CE, Britton TC, Wilkinson EH, Hall SS
J Neurodev Disord 2018 Aug 28;10(1):25. doi: 10.1186/s11689-018-9243-z. PMID: 30153790Free PMC Article
Anxiety symptoms and children's eye gaze during fear learning.
Michalska KJ, Machlin L, Moroney E, Lowet DS, Hettema JM, Roberson-Nay R, Averbeck BB, Brotman MA, Nelson EE, Leibenluft E, Pine DS
J Child Psychol Psychiatry 2017 Nov;58(11):1276-1286. Epub 2017 Jul 24 doi: 10.1111/jcpp.12749. PMID: 28736915Free PMC Article
Single dose testosterone administration alleviates gaze avoidance in women with Social Anxiety Disorder.
Enter D, Terburg D, Harrewijn A, Spinhoven P, Roelofs K
Psychoneuroendocrinology 2016 Jan;63:26-33. Epub 2015 Sep 9 doi: 10.1016/j.psyneuen.2015.09.008. PMID: 26402923
Effects of intranasal oxytocin on social anxiety in males with fragile X syndrome.
Hall SS, Lightbody AA, McCarthy BE, Parker KJ, Reiss AL
Psychoneuroendocrinology 2012 Apr;37(4):509-18. Epub 2011 Aug 20 doi: 10.1016/j.psyneuen.2011.07.020. PMID: 21862226Free PMC Article

Prognosis

Does gaze anxiety predict actual gaze avoidance and is it more informative than social anxiety?
Chen J, van den Bos E, Westenberg PM
J Behav Ther Exp Psychiatry 2024 Mar;82:101896. Epub 2023 Aug 11 doi: 10.1016/j.jbtep.2023.101896. PMID: 37741178
Impairment in reading negative social cues extends beyond the face in autism.
Lott-Sandkamp LL, Spengler FB, Heinrichs M
J Psychiatr Res 2023 Aug;164:350-356. Epub 2023 Jun 26 doi: 10.1016/j.jpsychires.2023.06.032. PMID: 37399756
No evidence that gaze anxiety predicts gaze avoidance behavior during face-to-face social interaction.
Tönsing D, Schiller B, Vehlen A, Spenthof I, Domes G, Heinrichs M
Sci Rep 2022 Dec 9;12(1):21332. doi: 10.1038/s41598-022-25189-z. PMID: 36494411Free PMC Article
Emotional conflict adaptation predicts intrusive memories.
Grueschow M, Jelezarova I, Westphal M, Ehlert U, Kleim B
PLoS One 2020;15(2):e0225573. Epub 2020 Feb 20 doi: 10.1371/journal.pone.0225573. PMID: 32078627Free PMC Article
A novel eye-tracking paradigm for indexing social avoidance-related behavior in fragile X syndrome.
Klusek J, Moser C, Schmidt J, Abbeduto L, Roberts JE
Am J Med Genet B Neuropsychiatr Genet 2020 Jan;183(1):5-16. Epub 2019 Aug 16 doi: 10.1002/ajmg.b.32757. PMID: 31418535Free PMC Article

Clinical prediction guides

Does gaze anxiety predict actual gaze avoidance and is it more informative than social anxiety?
Chen J, van den Bos E, Westenberg PM
J Behav Ther Exp Psychiatry 2024 Mar;82:101896. Epub 2023 Aug 11 doi: 10.1016/j.jbtep.2023.101896. PMID: 37741178
No evidence that gaze anxiety predicts gaze avoidance behavior during face-to-face social interaction.
Tönsing D, Schiller B, Vehlen A, Spenthof I, Domes G, Heinrichs M
Sci Rep 2022 Dec 9;12(1):21332. doi: 10.1038/s41598-022-25189-z. PMID: 36494411Free PMC Article
Examining Phenotypic Differences in Gaze Avoidance Between Autism Spectrum Disorder and Fragile X Syndrome.
Wilkinson EH, Britton TC, Hall SS
Am J Intellect Dev Disabil 2022 Nov 1;127(6):435-454. doi: 10.1352/1944-7558-127.6.435. PMID: 36306410Free PMC Article
Evaluation of the correlation between gaze avoidance and schizophrenia psychopathology with deep learning-based emotional recognition.
Jeon G, Choi HS, Jung DU, Moon S, Kim G, Kim SJ, Moon JJ, Kim YS, Jeon DW
Asian J Psychiatr 2022 Feb;68:102974. Epub 2021 Dec 28 doi: 10.1016/j.ajp.2021.102974. PMID: 34974374
Emotional conflict adaptation predicts intrusive memories.
Grueschow M, Jelezarova I, Westphal M, Ehlert U, Kleim B
PLoS One 2020;15(2):e0225573. Epub 2020 Feb 20 doi: 10.1371/journal.pone.0225573. PMID: 32078627Free PMC Article

Recent systematic reviews

Candidate Biological Markers for Social Anxiety Disorder: A Systematic Review.
Caldiroli A, Capuzzi E, Affaticati LM, Surace T, Di Forti CL, Dakanalis A, Clerici M, Buoli M
Int J Mol Sci 2023 Jan 3;24(1) doi: 10.3390/ijms24010835. PMID: 36614278Free PMC Article
Hypothalamic-pituitary-adrenal axis function in Fragile X Syndrome and its relationship to behaviour: A systematic review.
Hardiman RL, Bratt A
Physiol Behav 2016 Dec 1;167:341-353. Epub 2016 Oct 5 doi: 10.1016/j.physbeh.2016.09.030. PMID: 27720735

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