ARTICLE UPDATE - Effects of anxiety and attention control on processing pictorial and linguistic emotional information.

Reinholdt-Dunne ML, Mogg K, Bradley BP.

Behavioral Research & Therapy, in press

This study investigated the role of executive attention control in modulating selective processing of emotional information in anxiety. It was hypothesized that the combination of high anxiety and poor attention control would be associated with greater difficulty in ignoring task-irrelevant threat-related information. The study included both faces and words as stimuli. Cognitive interference effects were assessed using two emotional Stroop tasks: one with angry, fearful, happy and neutral faces, and one with threat-related, positive, and neutral words. An objective measure of attention control was obtained from the Attention network task. There were four participant groups with high/low trait anxiety and high/low attention control. Results indicated that the combination of high anxiety and poor attention control was associated with greater cognitive interference by emotional faces (including angry faces), compared to neutral faces. This interference effect was not evident in participants with high anxiety and high attentional control, or in low-anxious individuals. There was no evidence of associations between anxiety, attention control, and the interference effect of emotional words. Results indicate that high anxiety and poor attention control together predict enhanced processing of emotionally salient information, such as angry facial expressions. Implications for models of emotion processing are discussed.

ARTICLE UPDATE - Trouble crossing the bridge: Altered interhemispheric communication of emotional images in anxiety.

Compton RJ, Carp J, Chaddock L, Fineman SL, Quandt LC, Ratliff JB.

Emotion, 8, 684-692.

Worry is thought to involve a strategy of cognitive avoidance, in which internal verbalization acts to suppress threatening emotional imagery. This study tested the hypothesis that worry-prone individuals would exhibit patterns of between-hemisphere communication that reflect cognitive avoidance. Specifically, the hypothesis predicted slower transfer of threatening images from the left to the right hemisphere among worriers. Event-related potential (ERP) measures of interhemispheric transfer time supported this prediction. Left-to-right hemisphere transfer times for angry faces were relatively slower for individuals scoring high in self-reported worry compared with those scoring low, whereas transfer of happy and neutral faces did not differ between groups. These results suggest that altered interhemispheric communication may constitute one mechanism of cognitive avoidance in worry.

ARTICLE UPDATE - Interpretation bias in social anxiety as detected by event-related brain potentials.

Moser JS, Hajcak G, Huppert JD, Foa EB, Simons RF.

Emotion, 8, 693-700

Little is known about psychophysiological correlates of interpretation bias in social anxiety. To address this issue, the authors measured event-related brain potentials (ERPs) in high and low socially anxious individuals during a task wherein ambiguous scenarios were resolved with either a positive or negative ending. Specifically, the authors examined modulations of the P600, an ERP that peaks approximately 600 ms following stimulus onset and indexes violations of expectancy. Low-anxious individuals were characterized by an increased P600 to negative in comparison with positive sentence endings, suggesting a positive interpretation bias. In contrast, the high-anxious group evidenced equivalent P600 magnitude for negative and positive sentence endings, suggesting a lack of positive interpretation bias. Similar, but less reliable results emerged in earlier time windows, that is, 200-500 ms poststimulus. Reaction time, occurring around 900 ms poststimulus, failed to show a reliable interpretation bias. Results suggest that ERPs can detect interpretation biases in social anxiety before the emission of behavioral responses.

ARTICLE UPDATE - Affective primes suppress attention bias to threat in socially anxious individuals.

Helfinstein SM, White LK, Bar-Haim Y, Fox NA.

Behavioral Research Therapy, in press

Anxious individuals show an attention bias towards threatening information. However, under conditions of sustained environmental threat this otherwise-present attention bias disappears. It remains unclear whether this suppression of attention bias can be caused by a transient activation of the fear system. In the present experiment, high socially anxious and low socially anxious individuals (HSA group, n=12; LSA group, n=12) performed a modified dot-probe task in which they were shown either a neutral or socially threatening prime word prior to each trial. EEG was collected and ERP components to the prime and faces displays were computed. HSA individuals showed an attention bias to threat after a neutral prime, but no attention bias after a threatening prime, demonstrating that suppression of attention bias can occur after a transient activation of the fear system. LSA individuals showed an opposite pattern: no evidence of a bias to threat with neutral primes but induction of an attention bias to threat following threatening primes. ERP results suggested differential processing of the prime and faces displays by HSA and LSA individuals. However, no group by prime interaction was found for any of ERP components.

ARTICLE UPDATE - Influence of attention manipulation on emotion and autonomic responses.

Murakami H, Ohira H.

Perceptual Motor Skills, 105, 299-308

Psychopathologies such as depression and anxiety have been associated with self-consciousness, a trait focusing on the self in terms of emotions and social images. A technique designed to shift attention away from the self tends to reduce anxiety, so the present purpose was to assess the effect of self body-state information on an individual's emotional and autonomic activity. 24 undergraduate and graduate students (10 men and 14 women), ages 19 to 27 years (M = 22.1, SD = 2.5), were recruited as subjects. Focusing on body-state during an anxiety-inducing situation led to an increase of low to high frequency ratio of heart-rate variability which reflected cardiac sympathovagal balance. That is, attending to one's own bodily states enhanced relative sympathetic activity compared to parasympathetic activity, which can be interpreted as one of the physiological emotional responses elicited by anxiety.

ARTICLE UPDATE - Social anxiety and interpretation biases for facial displays of emotion: Emotion detection and ratings of social cost.

Schofield CA, Coles ME, Gibb BE.

Behavioral Research and Therapy, in press

The current study assessed the processing of facial displays of emotion (Happy, Disgust, and Neutral) of varying emotional intensities in participants with high vs. low social anxiety. Use of facial expressions of varying intensities allowed for strong external validity and a fine-grained analysis of interpretation biases. Sensitivity to perceiving negative evaluation in faces (i.e., emotion detection) was assessed at both long (unlimited) and brief (60ms) stimulus durations. In addition, ratings of perceived social cost were made indicating what participants judged it would be like to have a social interaction with a person exhibiting the stimulus emotion. Results suggest that high social anxiety participants did not demonstrate biases in their sensitivity to perceiving negative evaluation (i.e. disgust) in facial expressions. However, high social anxiety participants did estimate the perceived cost of interacting with someone showing disgust to be significantly greater than low social anxiety participants, regardless of the intensity of the disgust expression. These results are consistent with a specific type of interpretation bias in which participants with social anxiety have elevated ratings of the social cost of interacting with individuals displaying negative evaluation.

ARTICLE UPDATE - Anxiety and orienting of gaze to angry and fearful faces.

Mogg K, Garner M, Bradley BP.

Biological Psychology, in press

Neuroscience research indicates that individual differences in anxiety may be attributable to a neural system for threat-processing, involving the amygdala, which modulates attentional vigilance, and which is more sensitive to fearful than angry faces. Complementary cognitive studies indicate that high-anxious individuals show enhanced visuospatial orienting towards angry faces, but it is unclear whether fearful faces elicit a similar attentional bias. This study compared biases in initial orienting of gaze to fearful and angry faces, which varied in emotional intensity, in high- and low-anxious individuals. Gaze was monitored whilst participants viewed a series of face-pairs. Results showed that fearful and angry faces elicited similar attentional biases. High-anxious individuals were more likely to direct gaze at intense negative facial expressions, than low-anxious individuals, whereas the groups did not differ in orienting to mild negative expressions. Implications of the findings for research into the neural and cognitive bases of emotion processing are discussed.

ARTICLE UPDATE - Neural Biases to Covert and Overt Signals of Fear: Dissociation by Trait Anxiety and Depression

Leanne M. Williams, Andrew H. Kemp, Kim Felmingham, Belinda J. Liddell, Donna M. Palmer and Richard A. Bryant

Journal of Cognitive Neuroscience, 19, 1595-1608

Although biases toward signals of fear may be an evolutionary adaptation necessary for survival, heightened biases may be maladaptive and associated with anxiety or depression. In this study, event-related potentials (ERPs) were used to examine the time course of neural responses to facial fear stimuli (versus neutral) presented overtly (for 500 msec with conscious attention) and covertly (for 10 msec with immediate masking to preclude conscious awareness) in 257 nonclinical subjects. We also examined the impact of trait anxiety and depression, assessed using psychometric ratings, on the time course of ERPs. In the total subject group, controlled biases to overtly processed fear were reflected in an enhancement of ERPs associated with structural encoding (120–220 msec) and sustained evaluation persisting from 250 msec and beyond, following a temporo-occipital to frontal topography. By contrast, covert fear processing elicited automatic biases, reflected in an enhancement of ERPs prior to structural encoding (80–180 msec) and again in the period associated with automatic orienting and emotion encoding (230–330 msec), which followed the reverse frontal to temporo-occipital topography. Higher levels of trait anxiety (in the clinical range) were distinguished by a heightened bias to covert fear (speeding of early ERPs), compared to higher depression which was associated with an opposing bias to overt fear (slowing of later ERPs). Anxiety also heightened early responses to covert fear, and depression to overt fear, with subsequent deficits in emotion encoding in each case. These findings are consistent with neural biases to signals of fear which operate automatically and during controlled processing, feasibly supported by parallel networks. Heightened automatic biases in anxiety may contribute to a cycle of hypervigilance and anxious thoughts, whereas depression may represent a "burnt out" emotional state in which evaluation of fear stimuli is prolonged only when conscious attention is allocated.

ARTICLE UPDATE - Targeting abnormal neural circuits in mood and anxiety disorders: from the laboratory to the clinic.

Ressler KJ, Mayberg HS.

Nature Neuorscience, 10, 1116-1124

Recent decades have witnessed tremendous advances in the neuroscience of emotion, learning and memory, and in animal models for understanding depression and anxiety. This review focuses on new rationally designed psychiatric treatments derived from preclinical human and animal studies. Nonpharmacological treatments that affect disrupted emotion circuits include vagal nerve stimulation, rapid transcranial magnetic stimulation and deep brain stimulation, all borrowed from neurological interventions that attempt to target known pathological foci. Other approaches include drugs that are given in relation to specific learning events to enhance or disrupt endogenous emotional learning processes. Imaging data suggest that common regions of brain activation are targeted with pharmacological and somatic treatments as well as with the emotional learning in psychotherapy. Although many of these approaches are experimental, the rapidly developing understanding of emotional circuit regulation is likely to provide exciting and powerful future treatments for debilitating mood and anxiety disorders.

ARTICLE UPDATE - Anxiety Moderates the Interplay Between Cognitive and Affective Processing

Jeremy D. Dvorak-Bertsch, John J. Curtin, Tal J. Rubinstein, Joseph P. Newman

Psychological Science, 18, 699-705

Evidence suggests that focus of attention and cognitive load may each affect emotional processing and that individual differences in anxiety moderate such effects. We examined (a) fear-potentiated startle (FPS) under threat-focused (TF), low-load/alternative-set (LL/AS), and high-load/alternative-set (HL/AS) conditions and (b) the moderating effect of trait anxiety on FPS across these conditions. As predicted, redirecting attentional focus away from threat cues and increasing cognitive load reduced FPS. However, the moderating effects of anxiety were specific to the LL/AS condition. Whereas FPS was comparable for high-anxiety and low-anxiety subjects in the TF and HL/AS conditions, FPS was significantly greater for high-anxiety than for low-anxiety subjects in the LL/AS condition. These results suggest that affective processing requires attentional resources and that exaggerated threat processing in anxious individuals relates to direction of attention rather than emotional reactivity per se.

ARTICLE UPDATE - Anxiety and the interpretation of ambiguous facial expressions: The influence of contextual cues.

Blanchette I, Richards A, Cross A.

The Quarterly Journal of Experimental Psychology, 60, 1101 - 1115

In 3 experiments, we investigate how anxiety influences interpretation of ambiguous facial expressions of emotion. Specifically, we examine whether anxiety modulates the effect of contextual cues on interpretation. Participants saw ambiguous facial expressions. Simultaneously, positive or negative contextual information appeared on the screen. Participants judged whether each expression was positive or negative. We examined the impact of verbal and visual contextual cues on participants' judgements. We used 3 different anxiety induction procedures and measured levels of trait anxiety (Experiment 2). Results showed that high state anxiety resulted in greater use of contextual information in the interpretation of the facial expressions. Trait anxiety was associated with mood-congruent effects on interpretation, but not greater use of contextual information.

ARTICLE UPDATE - Trait anxiety modulates supraliminal and subliminal threat: Brain potential evidence for early and late processing influences

Li, Wen; Zinbarg, Richard E.; Paller, Ken A.

Cognitive, Affective, & Behavioral Neuroscience, 7, 25-36

Analysis of threat is thought to involve a "quick and dirty" stage in conjunction with slower processing that is more complete. We investigated both types of threat analysis by recording brain potentials in response to threat and neutral words. Personality testing was used to identify participants who were either high or low in trait anxiety (TA). An observed enhancement of occipital P1 potentials to threat words during an emotional Stroop task was interpreted as a signal of unconscious processing, since it was early, independent of whether word exposure was subliminal or supraliminal, and more prominent the higher the level of TA. Later positive potentials were also enhanced for threat versus neutral words, but the amplitude enhancement increased with higher TA only in the subliminal condition. These results suggest that unconscious analysis of threat is intensified in those prone to anxiety, as is a later stage of threat processing subject to dynamic interactions between automatic and strategic influences.

ARTICLE UPDATE - Neurocognitive mechanisms of anxiety: an integrative account

Sonia J. Bishop

Trends in Cognitive Science, in press

Anxiety can be hugely disruptive to everyday life. Anxious individuals show increased attentional capture by potential signs of danger, and interpret expressions, comments and events in a negative manner. These cognitive biases have been widely explored in human anxiety research. By contrast, animal models have focused upon the mechanisms underlying acquisition and extinction of conditioned fear, guiding exposure-based therapies for anxiety disorders. Recent neuroimaging studies of conditioned fear, attention to threat and interpretation of emotionally ambiguous stimuli indicate common amygdala–prefrontal circuitry underlying these processes, and suggest that the balance of activity within this circuitry is altered in anxiety, creating a bias towards threat-related responses. This provides a focus for future translational research, and targeted pharmacological and cognitive interventions.

ARTICLE UPDATE - Fear and anxiety as separable emotions: An investigation of the revised reinforcement sensitivity theory of personality.

Perkins AM, Kemp SE, Corr PJ

Emotion, 7, 252-261

The Gray and McNaughton (2000) theory draws on a wide range of animal data to hypothesize that the emotions of fear and anxiety are separable. The authors tested their hypothesis in two studies. The first study examined associations between scores on questionnaire measures of fear, anxiety, and neuroticism; correlational analysis revealed that fear and anxiety are not interchangeable constructs. The second study examined associations between scores on questionnaire measures of fear/anxiety and performance in a military training setting; regression analysis revealed that fear captured significant variance in performance that was not shared with anxiety. These results imply that hypotheses derived from nonhuman animal data may hold important implications for understanding human emotion and motivation, especially in relation to fear and anxiety.

ARTICLE UPDATE - Specificity of regional brain activity in anxiety types during emotion processing.

Engels AS, Heller W, Mohanty A, Herrington JD, Banich MT, Webb AG, Miller GA.

Psychophysiology, 44, 352-363.

The present study tested the hypothesis that anxious apprehension involves more left- than right-hemisphere activity and that anxious arousal is associated with the opposite pattern. Behavioral and fMRI responses to threat stimuli in an emotional Stroop task were examined in nonpatient groups reporting anxious apprehension, anxious arousal, or neither. Reaction times were longer for negative than for neutral words. As predicted, brain activation distinguished anxious groups in a left inferior frontal region associated with speech production and in a right-hemisphere inferior temporal area. Addressing a second hypothesis about left-frontal involvement in emotion, distinct left frontal regions were associated with anxious apprehension versus processing of positive information. Results support the proposed distinction between the two types of anxiety and resolve an inconsistency about the role of left-frontal activation in emotion and psychopathology.

ARTICLE UPDATE - Categorical perception of anger and disgust facial expression is affected by non-clinical social anxiety: An ERP study.

Rossignol M, Anselme C, Vermeulen N, Philippot P, Campanella S.

Brain Research, in press

Anxiety has been associated with a bias for interpreting threatening information. Faces expressing anger seem to be more easily detected by socially anxious individuals than by non-anxious individuals. Similarly, disgust on a face may also reflect a negative social judgment. We tested the hypothesis that individuals displaying non-clinical social anxiety would be as sensitive to disgust as to anger interpretation by comparing individuals scoring high or low on the fear of social evaluation scale (FNE, Watson and Friend, 1969). Event-related potentials (ERP) were recorded in response to repetitions of a particular facial expression (e.g. anger) and in response to two deviating (rare) stimuli obtained by a morphing procedure, where one depicted the same emotion as the frequent stimulus, while the other depicted a different facial expression (e.g. disgust). The classic effect of categorical perception was reproduced: at a behavioral level, people detected more easily rare faces depicting a different emotion than faces depicting the same emotion. ERP results suggest that deviant faces depicting a different emotion evoked an earlier attentional N2b/P3a wave complex, together with an earlier and enhanced P3b. More interestingly, participants with non-clinical social anxiety manifested a reduced N2b wave when they had to detect a change in intensity of anger presentation. However, these individuals did not show facilitation to disengage from disgust when they have to detect angry faces, which was displayed by control participants. Implications and suggestions for further research about the role played by anger and disgust in psychopathology are outlined.