Depression and emotional reactivity: variation among Asian Americans of East Asian descent and European Americans

Studies of Western samples (e.g., European Americans [EAs]) suggest that depressed individuals tend to show diminished emotional reactivity (J. G. Gehricke & A. J. Fridlund, 2002; G. E. Schwartz, P. L. Fair, P. Salt, M. R. Mandel, & G. L. Klerman, 1976a, 1976b). Do these findings generalize to individuals oriented to other cultures (e.g., East Asian cultures)? The authors compared the emotional reactions (i.e., reports of emotional experience, facial behavior, and physiological reactivity) of depressed and nondepressed EAs and Asian Americans of East Asian descent (AAs) to sad and amusing films. Their results were consistent with previous findings: Depressed EAs showed a pattern of diminished reactivity to the sad film (less crying, less intense reports of sadness) compared with nondepressed participants. In contrast, depressed AAs showed a pattern of heightened emotional reactivity (greater crying) compared with nondepressed participants. Across cultural groups, depressed and nondepressed participants did not differ in their reports of amusement or facial behavior during the amusing film. Physiological reactivity to the film clips did not differ between depressed and control participants for either cultural group. Thus, although depression may influence particular aspects of emotional reactivity across cultures (e.g., crying), the specific direction of this influence may depend on prevailing cultural norms regarding emotional expression.     

Motor activity and spatial proximity: Relationships to infant emotions and maternal postpartum depression

The ability to express emotions is a protective factor for infant development. Despite the multimodal nature of emotion expression, research has mainly focused on facial expressions of emotions. The present study examined motor activity and spatial proximity in relation to positive and negative infant facial expressions and maternal postpartum depression during face-to-face interactions at four months. Video cameras and a motion capture system recorded mother-infant interactions. Repeated measures ANOVAs were conducted to analyze the effect of micro-coded infant positive and negative facial affect and maternal depression diagnosis on automatically extracted measures of motor activity and spatial proximity, including speed of mothers’ arm movements (nondepressed = 32; PPD = 16), and infants’ arm movements (nondepressed = 29; PPD = 17), and head distance (nondepressed = 45; PPD = 27). Results showed that the speed of infants’ arm movements and head distance were greater during negative compared to positive infant affect. Further, the results demonstrated that the speed of PPD mothers’ arm movements was slower than the speed of nondepressed mothers’ arm movements. In the discussion, it is suggested that increased speed of infant arm movements during negative affect functions to elicit faster caregiving responses, and that increased head distance during negative infant affect functions to decrease the intensity of the interaction. Finally, the slower speed of arm movements in PPD mothers suggests psychomotor retardation, which is proposed to limit these mothers’ abilities to engage their infants during the interaction.     

Diminished response to pleasant stimuli by depressed women

This study examined the self-report and facial expressions of emotional response to pictorial stimuli and the incidental learning of pleasant and unpleasant words by depressed (n = 20) and nondepressed (n = 20) women. Depression was associated with reports of diminished emotional response and reduced frequency and intensity of facial expressions only to pleasant stimuli. The 2 groups did not differ in response to hedonically unpleasant stimuli, even those specifically relevant to the emotion of sadness. In a similar vein, depressed and nondepressed participants showed differences in incidental recall for only pleasant self-referential terms. There was no difference in recall of unpleasant words. These findings suggest the importance of hedonic deficits on psychological processes in clinical depression.     

Smiling, frowning, and autonomic activity in mildly depressed and nondepressed men in response to emotional imagery of social contexts

The study examined self-reported emotion and facial muscle and autonomic activity of depressed and nondepressed men in response to the social context of emotional situations. 20 university men, assessed on the Beck Depression Inventory, were asked to imagine happy and sad situations with and without visualizing other people. No differences were found between men classified as depressed and nondepressed on self-reported emotion and facial muscle activity. Smiling did not show differences between social contexts although self-reported happiness was increased during happy-social compared to happy-solitary imagery. Adjusting smiling for social context differences in happiness showed less smiling during happy-social than during happy-solitary imagery. In contrast, self-reported sadness and frowning were greater during sad-social compared to sad-solitary imagery. No differences between social contexts were found when frowning was adjusted for social context differences in sadness. Depressed-scoring men showed higher mean heart rate during sad-social than sad-solitary imagery whereas nondepressed-scoring men showed higher mean heart rate during happy social compared to happy-solitary imagery. The results indicate that men may frown more when sad but generally do not smile more during happy-social imagery, independent of depression. Depressed mood may affect heart rate during sad imagery but may not alter facial muscle activity and self:reported emotion in men.     

Sadness and amusement reactivity differentially predict concurrent and prospective functioning in major depressive disorder

Depressed individuals often fail to react to emotionally significant stimuli. The significance of this pattern of emotional dysregulation in depression is poorly understood. In the present study, depressed and nondepressed participants viewed standardized neutral, sad, fear, and amusing films; and experiential, behavioral, and physiological responses to each film were assessed. Compared with nondepressed controls, depressed participants reported sadness and amusement in a flattened, context-insensitive manner. Those depressed participants who reported the least reactivity to the sad film exhibited the greatest concurrent impairment. Prospectively, the depressed participant who exhibited the least behavioral and heart rate reactivity to the amusing film were the least likely to recover from depression. Loss of the context-appropriate modulation of emotion in depression may reflect a core feature of emotion dysregulation in this disorder.     

Facial expressions and vagal tone of infants of depressed and non-depressed mothers

Mothers classified as ‘depressed’, ‘non-depressed’ or ‘low scoring’ on the Beck Depression Inventory and their 3-month-old infants were videotaped during 3-minute face-to-face play interactions. Infants' facial expressions were coded using the AFFEX facial expression coding system and their EKG was recorded during the interactions to assess the relationship between cardiac measures and facial expressivity. Infants of both ‘depressed’ and ‘low scoring’ mothers showed significantly more sad and anger expressions and fewer interest expressions than infants of nondepressed mothers. Cardiac vagal tone, (quantified from the amplitude of respiratory sinus arrhythmia) was correlated with infants' joy and interest expressions and with self-comfort behaviours in the non-depressed and low scoring groups, but not in the depressed group. The results suggest that matermal depression affects infants' affective state and appearance as well as their biobehavioural emotional regulation systems.     

Emotional reactivity following surgery to the prefrontal cortex

We aimed to elicit emotion in patients with surgically circumscribed lesions of the prefrontal cortex (PFC) in order to elucidate the precise functional roles in emotion processing of the discrete subregions comprising the ventromedial PFC, including the medial PFC and orbitofrontal cortex (OFC). Three components of emotional reactivity were measured: subjective experience, behaviour, and physiological response. These included measures of self‐reported emotion, observer‐rated facial expression of emotion and measurements of heart rate and heart rate variability (HRV) during film viewing, and a measure of subjective emotional change since surgery. Patients with lesions to the ventromedial PFC demonstrated significant differences compared with controls in HRV during the film clips, suggesting a shift to greater dominance of sympathetic input. In contrast, patients with lesions restricted to the OFC showed significant differences in HRV suggesting reduced sympathetic input. They also showed less facial expression of emotion during positive film clips, and reported more subjective emotional change since surgery compared with controls. This human lesion study is important for refining theoretical models of emotion processing by the ventromedial PFC, which until now have primarily been based on anatomical connectivity, animal lesion, and human functional neuroimaging research. Such theories have implications for the treatment of a wide variety of emotional disorders.     

Turn down the volume or change the channel? Emotional effects of detached versus positive reappraisal

Cognitive reappraisal, or changing one's interpretation of an event in order to alter the emotional response to it, is thought to be a healthy and an effective emotion regulation strategy. Although researchers recognize several distinct varieties of reappraisal, few studies have explicitly compared the effects of multiple reappraisal strategies on emotional responding. The present study compares the effects of detached and positive reappraisal on thought content, subjective emotional experience, physiological reactivity, and facial expressions of emotion while viewing film clips evoking sadness and disgust. Although both forms of reappraisal reduced overall emotional responding to unpleasant stimuli, the effects of detached reappraisal were stronger in this regard, and positive reappraisal was more likely to maintain subjective experience and facial expression of stimulus-appropriate positive emotions. The two reappraisal strategies also produced somewhat different profiles of physiological responding. Differences between detached and positive reappraisal with respect to subjective experience and facial expression were more pronounced among men than women; the reverse was true for differences with respect to physiological responding. Beyond these effects on individual emotion response systems, detached and positive reappraisal also had somewhat different effects on coherence in change across response systems. Implications for our understanding of emotion regulation processes, and for emotion theory more broadly, are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Defining reactivity: how several methodological decisions can affect conclusions about emotional reactivity in psychopathology

There are many important methodological decisions that need to be made when examining emotional reactivity in psychopathology. In the present study, we examined the effects of two such decisions in an investigation of emotional reactivity in depression: (1) which (if any) comparison condition to employ; and (2) how to define change. Depressed (N = 69) and control (N = 37) participants viewed emotion-inducing film clips while subjective and facial responses were measured. Emotional reactivity was defined using no comparison condition (i.e., raw scores), baseline comparison condition (i.e., no stimulus presented), and neutral comparison condition (i.e., neutral stimulus presented). Change in emotional reactivity was assessed using four analytic approaches: difference scores, percentage change, residualised change, and ANCOVA. Results differed among the three comparison conditions and among several of the analytic approaches. Overall, our investigation suggests that choosing a comparison condition and the definition of change can significantly influence the presence of group differences in emotional reactivity. Recommendations for studies of emotional reactivity in psychopathology are discussed.     

Gender differences in emotional response among European Americans and Hmong Americans

The present study examined the effects of gender on the emotional responses (physiology, self-reports of emotion, and emotional facial behaviour) of European Americans (EA) and Hmong Americans (HA) while they relived past emotional events. Women were more emotionally reactive than men: They demonstrated greater changes in electrodermal reactivity overall, reported experiencing more intense emotion while reliving anger and love, and smiled more while reliving happiness and love. The pattern and magnitude of these differences were similar for EA and HA, suggesting that to some degree, the effects of gender on emotional response may hold across ethnic groups.     

Sex differences in the perception of affective facial expressions: Do men really lack emotional sensitivity?

There is evidence that men and women display differences in both cognitive and affective functions. Recent studies have examined the processing of emotions in males and females. However, the findings are inconclusive, possibly the result of methodological differences. The aim of this study was to investigate the perception of emotional facial expressions in men and women. Video clips of neutral faces, gradually morphing into full-blown expressions were used. By doing this, we were able to examine both the accuracy and the sensitivity in labelling emotional facial expressions. Furthermore, all participants completed an anxiety and a depression rating scale. Research participants were 40 female students and 28 male students. Results revealed that men were less accurate, as well as less sensitive in labelling facial expressions. Thus, men show an overall worse performance compared to women on a task measuring the processing of emotional faces. This result is discussed in relation to recent findings.     

Depressed mothers' and their infants' interactions with nondepressed partners

Twenty depressed adolescent mothers were videotaped interacting with their own infant and with the infant of a nondepressed mother. In addition, nondepressed mothers were videotaped with their own infant as well as with the infant of a depressed mother. Depressed mothers showed less facial expressivity than nondepressed mothers and received less optimal interaction rating scale scores (a summary score for state, physical activity, head orientation, gaze, silence during gaze aversion, facial expressions, vocalizations, infantized behavior, contingent responsivity, and gameplaying). This occurred independent of whether they were interacting with their own infant versus an infant of a nondepressed mother, suggesting that depressed mothers display less optimal behaviors to infants in general. The infants of both depressed and nondepressed mothers received better head orientation and summary ratings when they were interacting with another mother, perhaps because the other mother was more novel. Infants of nondepressed mothers, in particular, had better summary ratings (state, physical activity, head orientation, gaze, facial expressions, fussiness, and vocalizations) than the infants of depressed mothers when interacting with depressed mothers. Thus, it may be that infants of nondepressed mothers are generally better interaction partners than infants of depressed mothers. Another related possibility is that they persist longer in trying to elicit a response from mothers less responsive than their own, given that they have learned to expect a response to their behavior.     

Individual differences in the effects of spontaneous mimicry on emotional contagion

Two experiments explored the role of mimicry and self-perception processes in emotional contagion. In Study 1, 46 subjects watched two brief film clips depicting an episode of startled fear. In a separate procedure, subjects adopted facial expressions of emotion, and reported whether the expressions had caused them to feel corresponding emotions. Those who reported feeling the emotions were identified as more responsive to self-produced cues for feeling. Subjects who visibly moved to mimic the behavior of the actor were significantly more likely to be those who were more responsive to self-produced cues. In Study 2, 57 subjects watched three film clips depicting happy people. During clips when they inhibited the movements of their faces, subjects reported less happiness than during clips when they moved naturally and were able to mimic, or when they exaggerated their movements. This effect occurred only among subjects who, in a separate procedure, had been identified as more responsive to self-produced cues.The authors would like to thank Paul Ekman, Jerry Ginzburg, and an anonymous reviewer for very helpful suggestions for ways to improve the paper.     

Reward sensitivity in depression: a biobehavioral study

The approach-withdrawal model posits 2 neural systems of motivation and emotion and hypothesizes that these systems are responsible for individual differences in emotional reactivity, or affective styles. The model also proposes that depression is characterized by a deficit in reward-seeking behavior (i.e., approach motivation) and is associated with a relative decrease in left frontal brain activity. The authors tested aspects of this model by comparing the electroencephalogram alpha power of depressed and nondepressed individuals during a task that manipulated approach motivation. The study found that control participants and individuals with late-onset depression exhibited the hypothesized increase in left frontal activity during the approach task but individuals with early-onset depression did not. This suggests that early-onset depression may be associated with a deficit in the hypothesized approach motivation system.     

Toddlers’ affective responses to sociomoral scenes: Insights from physiological measures

A growing literature suggests that preverbal infants are sensitive to sociomoral scenes and prefer prosocial agents over antisocial agents. It remains unclear, however, whether and how emotional processes are implicated in infants’ responses to prosocial/antisocial actions. Although a recent study found that infants and toddlers showed more positive facial expressions after viewing helping (vs. hindering) events, these findings were based on naïve coder ratings of facial activity; furthermore, effect sizes were small. The current studies examined 18- and 24-month-old toddlers’ real-time reactivity to helping and hindering interactions using three physiological measures of emotion-related processes. At 18 months, activity in facial musculature involved in smiling/frowning was explored via facial electromyography (EMG). At 24 months, stress (sweat) was explored via electrodermal activity (EDA). At both ages, arousal was explored via pupillometry. Behaviorally, infants showed no preferences for the helper over the hinderer across age groups. EMG analyses revealed that 18-month-olds showed higher corrugator activity (more frowning) during hindering (vs. helping) actions, followed by lower corrugator activity (less frowning) after hindering (vs. helping) actions finished. These findings suggest that antisocial actions elicited negativity, perhaps followed by brief disengagement. EDA analyses revealed no significant event-related differences. Pupillometry analyses revealed that both 18- and 24-month-olds’ pupils were smaller after viewing hindering (vs. helping), replicating recent evidence with 5-month-olds and suggesting that toddlers also show less arousal following hindering than following helping. Together, these results provide new evidence with respect to whether and how arousal/affective processes are involved when infants process sociomoral scenarios.     

Stress reactivity and coping in seasonal and nonseasonal depression

Stress, stress reactivity, and coping skill use were examined in individuals with seasonal depression, nonseasonal depression, and nondepressed controls. Although participants in the two depressed groups reported using more avoidance coping strategies than controls, only participants in the seasonal depressed group reported using more season-specific coping (i.e., light-related strategies) than participants in the nonseasonal depressed and control groups. Individuals in the seasonal depressed group also reporting using acceptance coping strategies less frequently than individuals in the control group. Only participants in the nonseasonal depressed group, however, exhibited greater psychophysiological arousal in reaction to a laboratory stressor (i.e., unsolvable anagram task) when compared to participants in the seasonal and nondepressed control groups. Participants in both depressed groups reported greater impact of negative life events during the past 6 months than did controls. Similarities and differences in the two types of depression may have implications for the conceptualization and treatment of seasonal depression.     

Emotional responsiveness and obsessive-compulsive behaviour

Abstract

Several clinicians have proposed that patients with obsessive-compulsive disorder (OCD) are unusually sensitive to unpleasant events. We tested a non-clinical sample of obsessive-compulsive (O-C) subjects who reported in diagnostic interviews that they experienced significant problems with obsessions and/or compulsions. Excerpts from three emotion-eliciting films were shown to 10 O-C males, 12 O-C females, 12 normal males, and 12 normal females. Emotional response was measured by using a self-report instrument and by recording facial expressions, which were coded for both appropriate emotional reactions as well as reactions that may represent efforts to mask or control the display of negative emotion. The groups did not differ with regard to subjective response to the film clips, but facial responses indicated that O-C subjects made more efforts to suppress the expression of fear (inappropriate smiles/laughs) during the frightening film clip. In spite of these responses, male O-C subjects also tended to reveal more frightened facial expressions than male control subjects. This finding is believed to illustrate one component of a model in which exaggerated emotional response is a precursor to the development of OCD.     

Updating positive and negative stimuli in working memory in depression

Difficulties in the ability to update stimuli in working memory (WM) may underlie the problems with regulating emotions that lead to the development and perpetuation of mood disorders such as depression. To examine the ability to update affective material in WM, the authors had diagnosed depressed and never-disordered control participants perform an emotion 2-back task in which participants were presented with a series of happy, sad, and neutral faces and were asked to indicate whether the current face had the same (match-set) or different (break-set or no-set) emotional expression as that presented 2 faces earlier. Participants also performed a 0-back task with the same emotional stimuli to serve as a control for perceptual processing. After transforming reaction times to control for baseline group differences, depressed and nondepressed participants exhibited biases in updating emotional content that reflects the tendency to keep negative information and positive information, respectively, active in WM. Compared with controls, depressed participants were both slower to disengage from sad stimuli and faster to disengage from happy facial expressions. In contrast, nondepressed controls took longer to disengage from happy stimuli than from neutral or sad stimuli. These group differences in reaction times may reflect both protective and maladaptive biases in WM that underlie the ability to effectively regulate negative affect.     

Depressive and elative mood inductions as a function of exaggerated versus contradictory facial expressions

Two studies concerned the relation between facial expression cognitive induction of mood and perception of mood in women undergraduates. In Exp. 1, 20 subjects were randomly assigned to a group who were instructed in exaggerated facial expressions (Demand Group) and 20 subjects were randomly assigned to a group who were not instructed (Nondemand Group). All subjects completed a modified Velten (1968) elation- and depression-induction sequence. Ratings of depression on the Multiple Affect Adjective Checklist increased during the depression condition and decreased during the elation condition. Subjects made more facial expressions in the Demand Group than the Nondemand Group from electromyogram measures of the zygomatic and corrugator muscles and from corresponding action unit measures from visual scoring using the Facial Action Scoring System. Subjects who were instructed in the Demand Group rated their depression as more severe during the depression slides than the other group. No such effect was noted during the elation condition. In Exp. 2, 16 women were randomly assigned to a group who were instructed in facial expressions contradictory to those expected on the depression and elation tasks (Contradictory Expression Group). Another 16 women were randomly assigned to a group who were given no instructions about facial expressions (Nondemand Group). All subjects completed the depression- and elation-induction sequence mentioned in Exp. 1. No differences were reported between groups on the ratings of depression (MAACL) for the depression-induction or for the elation-induction but both groups rated depression higher after the depression condition and lower after the elation condition. Electromyographic and facial action scores verified that subjects in the Contradictory Expression Group were making the requested contradictory facial expressions during the mood-induction sequences. It was concluded that the primary influence on emotion came from the cognitive mood-induction sequences. Facial expressions only seem to modify the emotion in the case of depression being exacerbated by frowning. A contradictory facial expression did not affect the rating of an emotion.     

A Methodological Examination of Emotion Inductions in Borderline Personality Disorder: A Comparison of Standardized Versus Idiographic Stimuli

Emotional reactivity is conceptualized as a core feature of borderline personality disorder (BPD) and has been subject to substantial empirical research. The laboratory methods used to elicit emotional reactivity in BPD have varied and findings across studies have been mixed. At present, there is little research evaluating the relative efficacy of different methods in eliciting emotional reactivity in BPD. Thus, the current study examined differences in emotional reactivity among individuals with BPD in response to standardized and idiographic stimuli, and across three specific emotions (sadness, fear, and anger). Individuals with BPD, social anxiety disorder, and healthy controls viewed film clips (i.e., standardized stimuli) or engaged in a personally-relevant imagery task (i.e., idiographic stimuli) while self-reported and physiological indices (skin conductance response and respiratory sinus arrhythmia) of emotion were collected. Results indicated that BPD participants displayed greater reactivity of sadness and anger (but not fear) in response to the idiographic versus standardized stimuli, a pattern that was not exhibited by the other two groups. These findings might explain some of the mixed evidence to date and suggest that idiographic sadness and fear inductions may be more effective for individuals with BPD.