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Individuals with social anxiety disorder (SAD) experience significant interpersonal impairment. However, little is known about the physiological processes that are associated with interpersonal dysfunction in the disorder. In the present study we examined heart-rate (HR) synchrony in SAD during "getting-acquainted" interactions between opposite-sex partners. Participants included 118 individuals who formed 59 dyads 30 dyads that included one individual with SAD and one non-socially anxious (NSA) individual (SAD dyads) and 29 dyads that