Azoulay · Journal of anxiety disorders 2022 · cross-sectional retrospective survey study · n=1123

The scarring impact of status loss in social anxiety: An evolutionary perspective.

Level 4 - case-series / case-control

Cross-sectional retrospective self-report observational study across four online cohorts

PubMed 35841783 · doi:10.1016/j.janxdis.2022.102600 · record verified 2026-08-26

What was done

Four online cross-sectional cohorts (total N = 1123; 59% female, 27% scoring above the cutoff for clinically elevated social anxiety) completed retrospective self-report surveys. Participants recalled past social status-loss events and rated the resulting post-event distress (PED). In two of the cohorts, participants also recalled and rated PED following physically threatening events. Analyses evaluated associations between social anxiety (SA) scores and PED across gender and threat contexts.

What was found

SA was positively associated with PED following social status-loss events (β = 0.27). This association was stronger in men (β = 0.40) than in women (β = 0.16), and was strongest following intra-male status losses (β = 0.47) compared to intra-female (β = 0.26) or inter-gender (β = 0.17) losses. SA was also uniquely associated with PED following physically threatening events after accounting for status-loss PED (β = 0.21).

Why it matters

These findings provide empirical support for evolutionary accounts of social anxiety, indicating that post-event distress is linked to rank and status threats and is particularly pronounced among men facing male-to-male competition.

Limits

The study relied on cross-sectional online convenience sampling and retrospective self-reports, which are susceptible to recall bias and subjective reporting artifacts. No longitudinal or experimental methods were used to establish causality, and physical threat data were collected in only two of the four samples.

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