Specific predictive power of automatic spider-related affective associations for controllable and uncontrollable fear responses toward spiders

This study examined the predictive power of automatically activated spider-related affective associations for automatic and controllable fear responses. The Extrinsic Affective Simon Task (EAST; De Houwer, 2003) was used to indirectly assess automatic spider fear-related associations. The EAST and the Fear of Spiders Questionnaire (FSQ) were used to predict fear responses in 48 female students from Maastricht University with varying levels of spider fear. Results showed that: (i) the EAST best predicted automatic fear responses, whereas (ii) the FSQ best predicted strategic avoidance behavior. These results suggest that indirect measures of automatic associations may have specific predictive power for automatic fear responses.     

A pictorial version of the Extrinsic Affective Simon Task: sensitivity to generally affective and phobia-relevant stimuli in high and low spider fearful individuals

This study assessed whether a pictorial, rather than a verbal, Extrinsic Affective Simon Task (EAST: De Houwer, 2003) is, 1) sensitive to the affective valence of normatively positive, neutral, and negative pictures, 2) sensitive to interindividual differences pertaining to fear-relevant affective associations, and 3) a valid predictor for strategic and/or reflexive fear responses. High (n = 35) and low (n = 35) spider fearful individuals completed an EAST comprising of universal positive, negative, neutral, and spider pictures. The pictorial EAST was sensitive to normatively valenced stimuli, tended to differentiate between high and low fearful individuals with respect to spider pictures, and showed independent predictive validity for avoidance behavior.     

Cognitive Bias in Spider-Phobic Children: Comparison of a Pictorial and a Linguistic Spider Stroop

The relation between spider fear in children and cognitive processing bias toward threatening information was examined. It was investigated whether spider fear in children is related to a cognitive bias for threatening pictures and words. Pictorial and linguistic Stroop stimuli were administered to 28 spider phobic and 30 control children aged 8–12. Spider-phobic children showed a moderate bias for threatening words. Surprisingly, no bias was found for spider pictures, while the spider-phobic children judged the pictures as more aversive. Moreover, in a recent similar study in adults (Kindt & Brosschot, 1997), a strong relation between spider phobia and bias toward threat words and pictures was found. Several explanations are given to account for this divergence.     

Spider fear and covariation bias in children and adolescents

Covariation bias can be defined as phobic people's tendency to overestimate the association between fear-relevant stimuli and negative outcomes. The current article presents two studies that examined this type of cognitive bias in children and adolescents aged 8-16 years. Study 1 was concerned with a thought experiment during which youths (N=150) were asked to imagine that they participated in an experiment during which they had to view a series of pictures showing spiders, guns, and flowers, that were occasionally followed by a negative outcome (i.e., a mild electric shock). Participants were asked to estimate the relation between each type of picture and the negative outcome. The results indicated that youths with higher levels of spider fear displayed a specific tendency to relate spider pictures to a negative outcome. In Study 2, youths (N=220) actually participated in a computer game during which they were confronted with pictures of spiders, guns, and flowers, each of which was equally often followed by a negative (i.e., losing candy), positive (i.e., winning candy), or neutral outcome. After the game, participants had to estimate the relation between each type of picture and various outcomes. It was found that youths with higher levels of spider fear estimated more negative and less positive outcomes in relation to spider pictures. Taken together, these findings provide support for a fear-related covariation bias in youths. Further developmental analyses indicated that this type of cognitive bias seems to be more consistently present among adolescents than among children.     

Comparing thought suppression and mindfulness as coping techniques for spider fear

The current study compared thought suppression, focused attention (mindfulness) and unfocused attention as strategies for managing spider fear. Spider fearful participants were exposed to a strategy induction before completing a Behavioural Approach Test (BAT). The BAT is a 10 step measurement of how close participants are willing to move towards a spider. Participants were instructed to use what they learned in the pre-BAT induction to help them advance through the steps of the BAT. The results of the study indicated that participants given the thought suppression or the unfocused attention induction moved through significantly less steps of the BAT than did those given the focused attention (mindful) induction. Additionally, the thought suppression group felt significantly more anxious than the focused and unfocused attention groups following completion of the BAT. These results are discussed in terms of the impact of thought suppression on avoidance behaviour in phobias.     

Graduated in Vivo Exposure with a Severe Spider Phobic

Abstract

A treatment procedure involving graduate in vivo exposure was employed with a severe spider phobic. A Behavioral Avoidance Test (BAT) was used to assess approach behavior and subjective fear level (SUDS) before, during, and after treatment. During the baseline BAT's, the subject could approach no closer than Iwo feet from a spider in a jar while experiencing a SUDS level of 100. After treatment, the subject could kill spiders (the teriiiinal BAT step) with a Suds level of only 35. Pre and posttreatriient interviews indicated that the subject had terniinated previously performed spider avoidance activities.     

What you cannot see can help you: the effect of exposure to unreportable stimuli on approach behavior

We examined effects of exposure to unreportable images of spiders on approach towards a tarantula. Pretests revealed awareness of the stimuli was at chance. Participants high or low (top and bottom 15%) on fear of spiders were randomly assigned to receive computer-generated exposure to unreportable pictures of spiders or outdoor scenes. They then engaged in a Behavioral Approach Task (BAT) with a live tarantula. Non-fearful participants completed more BAT items than spider-fearful individuals. Additionally, as predicted, a significant interaction (F(1,48)=5.12, p<.03) between fear of spiders and stimulus demonstrated that spider-fearful participants exposed to spiders completed more BAT items than spider-fearful participants exposed to control stimuli (but not as many as non-fearful participants). The findings support the hypothesis that exposure to unreportable feared stimuli promotes approach towards the feared object. Future research and clinical implications were discussed.     

Avoidance of emotional facial expressions in social anxiety: The Approach-Avoidance Task

The Approach–Avoidance Task (AAT) was employed to indirectly investigate avoidance reactions to stimuli of potential social threat. Forty-three highly socially anxious individuals (HSAs) and 43 non-anxious controls (NACs) reacted to pictures of emotional facial expressions (angry, neutral, or smiling) or to control pictures (puzzles) by pulling a joystick towards themselves (approach) versus pushing it away from themselves (avoidance). HSAs showed stronger avoidance tendencies than NACs for smiling as well as angry faces, whereas no group differences were found for neutral faces and puzzles. In contrast, valence ratings of the emotional facial expressions did not differ between groups. A critical discrepancy between direct and indirect measures was observed for smiling faces: HSAs evaluated them positively, but reacted to them with avoidance.     

Thinking high but feeling low: An exploratory cluster analysis investigating how implicit and explicit spider fear co-vary

Research has demonstrated large differences in the degree to which direct and indirect measures predict each other and variables including behavioural approach and attentional bias. We investigated whether individual differences in the co-variance of “implicit” and “explicit” spider fear exist, and whether this covariation exerts an effect on spider fear-related outcomes. One hundred and thirty-two undergraduate students completed direct and indirect measures of spider fear/avoidance, self-report questionnaires of psychopathology, an attentional bias task, and a proxy Behavioural Approach Task. TwoStep cluster analysis using implicit and explicit spider fear as criterion variables resulted in three clusters: (1) low explicit/low implicit; (2) average explicit/high implicit; and (3) high explicit/low implicit. Clusters with higher explicit fear demonstrated greater disgust propensity and sensitivity and less willingness to approach a spider. No differences between clusters emerged on anticipatory approach anxiety or attentional bias. We discuss results in terms of dual-systems and cognitive–behavioural models of fear.     

Imagery ability and exposure in vivo in spider phobia

The present study deals with the effect of imagery ability on treatment outcome in spider phobias. Thirty-eight spider phobics completed the Questionnaire on Mental Imagery (QMI) and the Spider Questionnaire (SPQ). Subjects also went through a behavioral approach task (BAT) during which heart rate and avoidance behavior were measured. Each subject was then given one-session treatment as described by Ost. Immediately after treatment, SPQ and BAT data were again obtained. On the basis of their QMI scores, subjects were assigned to a 'good', 'moderate', or 'poor' imagers group. Neither pre-treatment nor post-treatment measures were found to vary as a function of imagery ability. Thus it appears that, at least for specific phobias such as spider fear, imagery ability is not a relevant variable for predicting the effects of in vivo exposure.     

From fear to love: individual differences in implicit spider associations

The Implicit Association Test (IAT) was used to investigate automatic fear associations in fear of spiders. Fear associations toward spiders were measured among spider fearful and nonfearful participants (Experiment 1) as well as among nonfearfuls and spider enthusiasts (Experiment 2). It was shown that the IAT is sensitive to personal automatic fear associations and therefore distinguishes between high-fearful, nonfearful, and enthusiastic participants. Moreover, implicit spider associations measured by the IAT predicted avoidance behavior beyond self-reports. The results of Experiment 2 provide additional support for the argument that implicit spider associations are different from general stereotypes or knowledge about spiders.     

Automatic avoidance tendencies in individuals with contamination-related obsessive-compulsive symptoms

We used an approach-avoidance task (AAT) to examine response to threatening stimuli in 20 individuals high in contamination-related obsessive-compulsive symptoms (HCs) and 21 individuals low in contamination-related obsessive-compulsive symptoms (LCs). Participants were instructed to respond to contamination-related and neutral pictures by pulling a joystick towards themselves or by pushing it away from themselves. Moving the joystick changed the size of the image to simulate approaching or distancing oneself from the object. Consistent with our hypothesis, the HC group was significantly slower in pulling contamination-related pictures than in pulling neutral pictures, whereas in the LC group there was no difference between speed of pulling contamination-related pictures and neutral pictures. Contrary to our hypothesis, we did not find support for faster pushing away of contamination-related pictures than neutral pictures by the HC group. Moreover, the degree of avoidance of contamination-related stimuli when pulling - but not when pushing - was significantly correlated with self-reported contamination-related obsessive-compulsive symptoms. These results suggest a biased behavioral response for threatening objects in individuals high in contamination fears only when inhibiting the prepotent response to avoid threatening stimuli and not when performing a practiced avoidance response. Thus, our results validate the use of the AAT as a measure of inhibited and uninhibited automatic avoidance reactions to emotional information in individuals with contamination-related obsessive-compulsive symptoms.     

Approach-avoidance responses to infant facial expressions in nulliparous women: Associations with early experience and mood induction

Infant expressions are important signals for eliciting caregiving behaviors in parents. The present study sought to test if infant expressions affect adults’ behavioral response, taking into account the role of a mood induction and childhood caregiving experiences. A modified version of the Approach Avoidance Task (AAT) was employed to study nulliparous female university students’ implicit responses to infant faces with different expressions. Study 1 showed that sad, neutral and sleepy expressions elicit a tendency for avoidance, while no tendency for approach or avoidance was found for happy faces. Notably, differences between approach and avoidance response latencies for sad faces and participants’ negative caregiving experiences were positively correlated (r = 0.30, p = 0.04, Bonferroni corrected), indicating that individuals who experienced insensitive parental care show more bias toward sad infant faces. In Study 2, we manipulated participants' current mood (inducing sad and happy mood by asking to recall a happy or sad event of their recent life) before the AAT. Results showed that sad mood enhanced the bias toward sad faces that is buffered by positive mood induction. In conclusion, these findings indicate that implicit approach avoidance behaviors in females depend on the emotional expression of infant faces and are associated with childhood caregiving experiences and current mood.     

Vicarious learning and the development of fears in childhood

Vicarious learning has long been assumed to be an indirect pathway to fear; however, there is only retrospective evidence that children acquire fears in this way. In two experiments, children (aged 7-9 years) were exposed to pictures of novel animals paired with pictures of either scared, happy or no facial expressions to see the impact on their fear cognitions and avoidance behavior about the animals. In Experiment 1, directly (self-report) and indirectly measured (affective priming) fear attitudes towards the animals changed congruent with the facial expressions with which these were paired. The indirectly measured fear beliefs persisted up to 3 months. Experiment 2 showed that children took significantly longer to approach a box they believed to contain an animal they had previously seen paired with scared faces. These results support theories of fear acquisition that suppose that vicarious learning affects cognitive and behavioral fear emotion, and suggest possibilities for interventions to weaken fear acquired in this way.     

Cognitive Bias for Pictorial and Linguistic Threat Cues in Children

The present study was designed to test the conditions under which threat-related cognitive bias can be observed in anxious children. Measures of cognitive bias for threatening words and pictures were obtained from spider fearful children (N = 55) and non-fearful children (N = 58) aged 8–11 in the first experiment, and from spider fearful children (N = 44), and two control groups (N = 41; N = 36) aged 8 in the second experiment. Cognitive bias was assessed by the emotional Stroop task. In line with our previous findings, all children aged 8 showed a bias for spider words, but not for spider pictures. However, a relation between spider fear and bias was observed when age was taken into account: bias for spider words decreased with age in the non-fearful children whereas this bias maintained in the fearful group. This differential age effect too replicated earlier findings (Kindt, Bierman, & Brosschot, 1997). It is suggested that a bias for threat words is a normal characteristic in children aged 8. During development, normal children learn to inhibit this processing bias, whilst fearful children fail to learn this ability.     

Social anxiety and evaluation of social crowds: explicit and implicit measures

To investigate whether social anxiety disorder is indeed characterized by a biased negative evaluation of facial expressions, 25 highly socially anxious (SA) participants and 30 non-anxious controls (NACs) were asked to respond to different ratios of neutral-angry or happy-angry face combinations (crowds). In an indirect Approach-Avoidance Task (AAT), participants used a joystick to pull the crowds towards themselves (approach) or push them away (avoidance). SAs showed faster avoidance of neutral-angry crowds when the number of angry faces in the crowd increased. The happy-angry crowds were generally avoided, independent of the ratio of the two emotions. NACs did not show any specific response tendency. When directly rating the friendliness of the crowds, the two groups did not differ.     

Automatic attention does not equal automatic fear: preferential attention without implicit valence

Theories of nonassociative fear acquisition hold that humans have an innate predisposition for some fears, such as fear of snakes and spiders. This predisposition may be mediated by an evolved fear module (Ohman & Mineka, 2001) that responds to basic perceptual features of threat stimuli by directing attention preferentially and generating an automatic fear response. Visual search and affective priming tasks were used to examine attentional processing and implicit evaluation of snake and spider pictures in participants with different explicit attitudes; controls (n = 25) and snake and spider experts (n = 23). Attentional processing and explicit evaluation were found to diverge; snakes and spiders were preferentially attended to by all participants; however, they were negative only for controls. Implicit evaluations of dangerous and nondangerous snakes and spiders, which have similar perceptual features, differed for expert participants, but not for controls. The authors suggest that although snakes and spiders are preferentially attended to, negative evaluations are not automatically elicited during this processing.     

Out of mind,out of heart: Attention affects duration of emotional experience

We tested direct, indirect, and behavioural measures of fear of spiders under neutral instructions, and when participants were asked to fake high and low fear of spiders. Our findings indicate that the Approach Avoidance Task (AAT) was the only measure that could be faked in one of the faking conditions only. We also assessed how easily faked results could be detected on each measure for different diagnostic criteria. The direct and behavioural measures showed good performance for all criteria. The AAT performed comparably only for a conservative criterion, when detecting fakers is less important than correctly labelling non-fakers.     

The Behavioral Avoidance Task with Anxious Youth: A Review of Procedures,Properties, and Criticisms

The measurement of avoidance behavior in youth with anxiety and related disorders is essential. Historically, the behavioral avoidance task (BAT) has been used as a measure of avoidance that can be tailored to a youth’s particular fear. Although in use for over 90 years, there has yet to be a systematic review of its use, properties, etc. Here we examine the use of the BAT with youth as a measure of avoidance over the past 30 years. Studies have used the BAT as a measure of treatment outcome, to explore theories related to avoidance, and provide evidence for the psychometric properties of phobia questionnaires. Specifically, we compare the results of these studies, the purposes of the BAT, and the types of data collected. Results indicated that the BAT might be particularly sensitive to treatment effects. Furthermore, youth with specific phobias can be expected to complete an average of 30% of the BAT at pre-treatment and 60% at post-treatment. These affects have generally been maintained at 6-month follow-ups. Measures of subjective units of distress (SUDS) proved more consistent than steps completed, but more resistant to treatment effects; researchers can expect a SUDS rating of approximately 55% at pre-treatment and 40% at post-treatment. We review the properties and procedures that are used within these studies and provide a critical review. Overall, the BAT is in need of a standardized procedure to allow for psychometric studies to provide evidence of the task’s reliability and validity.     

Training children to approach or avoid novel animals: Effects on self-reported attitudes and fear beliefs and information-seeking behaviors

We examined the effects of training to approach or avoid novel animals on fear-related responses in children. Ninety-nine primary school children (9–12 years old) were instructed to repeatedly move a manikin toward or away from pictures of novel animals. The training produced more positive self-reported attitudes for the animal that was repeatedly approached and more negative attitudes for the animal that was repeatedly avoided. After the training, children reported more fear of the avoided animal than of the approached animal. Interestingly, children showed a training-congruent confirmation bias effect on an information-seeking task. That is, they displayed a tendency to seek more positive information about the approached animal, whereas they were inclined to search for more negative information about the avoided animal. No significant training effects were observed on implicit attitudes. The finding that a simple approach-avoidance training influences children’s fear-related responses and leads to biased information-seeking behaviors lends support to general theories of fear acquisition in children as well as to models that try to explain the intergenerational transmission of anxiety.