Memory bias for threatening information related to anxiety: an updated meta-analytic review

The evidence for an anxiety-related memory bias is contradictory. We compiled 171 articles published until October 2016 including a group with clinical or subclinical anxiety and a control group in tasks involving implicit or explicit memory using threatening stimuli. There was an anxiety-related memory bias in free recall tasks, but it was not observed in another memory task. The between-groups differences showed that the anxious group recalled more threatening stimuli than the control group (d?=?0.321). When we compared the group differences (anxious vs. control participants) in the within-groups effect (threatening vs. neutral stimuli), a moderate effect size emerged (d_bw?=?0.714). This anxiety-related memory bias was observed with shallow processing, that is consistent with attentional biases related to anxiety. There was also evidence that high-anxious persons recall fewer positive stimuli. Future research is needed to investigate whether this result is a memory or encoding bias and explore other moderator variables.     

The own-age bias in face recognition: a meta-analytic and theoretical review

A large number of studies have examined the finding that recognition memory for faces of one's own age group is often superior to memory for faces of another age group. We examined this own-age bias (OAB) in the meta-analyses reported. These data showed that hits were reliably greater for same-age relative to other-age faces (g = 0.23) and that false alarms were reliably less likely for same-age compared with other-age faces (g = -0.23). Further meta-analyses of measures of signal detection demonstrated that, although no difference in response criterion was evident (g = -0.01), discriminability was reliably better for same-age compared with other-age faces (g = 0.37). As well, children, younger adults, and older adults exhibited superior discriminability for same-age compared with other-age age faces. Thus, the OAB appears to be a robust effect that influences the accuracy of face recognition. Theoretical accounts of the OAB have generally suggested that it reflects more extensive, recent experiences with one's own age group relative to other-age groups. Additional analyses were supportive of this account as the OAB was present even for groups (e.g., older adults) that had prior experiences as members of another age group. However, the most comprehensive account of the OAB will also likely invoke mechanisms suggested by social-cognitive theories.     

Personality and anxiety disorders: a review

In this article, we summarize research on how normal personality and personality disorder traits may relate to anxiety disorders as predisposing factors, complications, and results of common underlying etiologies. We outline important questions and how these may be addressed through future research using genetically informative longitudinal and other designs, including: Are high neuroticism/cluster C personality traits causally related to the development of anxiety disorders? To what extent does the state of having an anxiety disorder influence the assessment of personality traits? Do high neuroticism/personality disorder traits and anxiety disorders co-occur because of shared genetic and environmental determinants? And, do personality disorder traits add to the prediction of anxiety disorders when normal personality traits are taken into account?     

The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity: a meta-analytic review

The present study meta-analytically reviewed the efficacy of cognitive-behavioral therapy (CBT) vs. control conditions in the reduction of anxiety sensitivity. A computerized search was conducted to indentify CBT outcome studies that included the Anxiety Sensitivity Index as a dependent variable. Of the 989 studies that were identified, 24 randomized-controlled trials with a total of 1851 participants met inclusion criteria and were included in the analysis. Data were extracted separately for treatment-seeking (16 studies) and at-risk (eight studies) samples. Results indicated large effect sizes for treatment-seeking samples, Hedges' g=1.40, SE=0.21, 95% CI: 1.00-1.81, p<0.001, and moderate to large effect sizes for at risk samples Hedges' g=0.74, SE=0.18, 95% CI: 0.39-1.08, p<0.001. Additionally, both the amount of therapist contact and control modality (waitlist vs. psychological control) moderated the effect sizes for treatment-seeking samples. Our review indicates that CBT is efficacious in reducing anxiety sensitivity. However, more research is needed to determine the mechanisms by which CBT exert its effects on anxiety sensitivity.     

Memory for emotionally neutral information in posttraumatic stress disorder: A meta-analytic investigation

Studies have come to conflicting conclusions about whether posttraumatic stress disorder (PTSD) is associated with poorer memory for emotionally neutral information. The authors report a meta-analysis of 27 studies that investigated verbal and/or visual memory in samples with PTSD and healthy controls. The results indicated that the association between PTSD and memory impairment appears to be robust, small to moderate in size, and stronger for verbal than for visual memory. Effect sizes did not vary according to whether recall was immediate or delayed. The association is found in both civilian and military samples and cannot be readily explained as being due to the use of nontraumatized healthy control groups or concurrent head injury. The findings are placed in the context of recent neurobiological and experimental cognitive research.     

Depression, anxiety, and resting frontal EEG asymmetry: a meta-analytic review

Emotion-related disturbances, such as depression and anxiety, have been linked to relative right-sided resting frontal electroencephalograph (EEG) asymmetry among adults and infants of afflicted mothers. However, a somewhat inconsistent pattern of findings has emerged. A meta-analysis was undertaken to (a) evaluate the magnitude of effects across EEG studies of resting frontal asymmetry and depression, anxiety, and comorbid depression and anxiety and (b) determine whether certain moderator variables could help reconcile inconsistent findings. Moderate effects of similar magnitude were obtained for the depression and anxiety studies, whereas a smaller effect emerged for comorbid studies. Three moderating variables predicted effect sizes: (a) Shorter EEG recording periods were associated with larger effects among adults, (b) different operationalizations of depression yielded effects of marginally different magnitudes, and (c) younger infant samples showed larger effects than older ones. The current data support a link between resting frontal EEG asymmetry and depression and anxiety and provide a partial account of inconsistent findings across studies.     

Evidence for publication bias in video game violence effects literature: A meta-analytic review

Violence in video games has come under increasing research attention over the past decade. Researchers in this area have suggested that violent video games may cause aggressive behavior among players. However, the state of the extant literature has not yet been examined for publication bias. The current meta-analysis is designed to correct for this oversight. Results indicated that publication bias does exist for experimental studies of aggressive behavior, as well as for non-experimental studies of aggressive behavior and aggressive thoughts. Research in other areas, including prosocial behavior and experimental studies of aggressive thoughts were less susceptible to publication bias. Moderator effects results also suggested that studies employing less standardized and reliable measures of aggression tended to produce larger effect sizes. Suggestions for future violent video game studies are provided.     

Sex differences and the own-gender bias in face recognition: A meta-analytic review

We review the literature on sex differences and the own-gender bias in face recognition. By means of a meta-analysis, we found that girls and women remember more faces than boys and men do (g=0.36), and more female faces (g=0.55), but not more male faces (g=0.08); however, when only male faces are presented, girls and women outperform boys and men (g=0.22). In addition, there is female own-gender bias (g=0.57), but not a male own-gender bias (g= ? 0.03), showing that girls and women remember more female than male faces. It is argued that girls and women have an advantage in face processing and episodic memory, resulting in sex differences for faces, and that the female own-gender bias may stem from an early perceptual expertise for female faces, which may be strengthened by reciprocal interactions and psychological processes directing girls' and women's interest to other females.     

Worry and the anxiety disorders: A meta-analytic synthesis of specificity to GAD

Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (N = 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (d = 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (d = 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.     

Threat interpretation bias as a vulnerability factor in childhood anxiety disorders

The present study examined threat interpretation biases in children 7-12 years of age with separation, social and generalised anxiety disorders (N=15), non-anxious offspring at risk due to parental anxiety (N=16) and non-anxious controls of non-anxious parents (N=14). Children provided interpretations of ambiguous situations to assess cognitive, emotional and behavioural responses. In comparison with non-anxious control children and at-risk children who did not differ from each other, anxious children reported stronger negative emotion and less ability to influence ambiguous situations. These results suggest that threat interpretation bias may be a cognitive factor associated with ongoing childhood anxiety but not a vulnerability factor associated with parental anxiety.     

Selective interpretation in anxiety: Uncertainty for threatening events

The role of event uncertainty on inferences predictive of threat was investigated in high and low trait anxious individuals. Participants read context sentences predicting threat or nonthreat outcomes. They subsequently named target words that were consistent with or unrelated to prediction. In Experiment 1, with predictability relatively low, anxious participants showed clear threat bias in their inferences: Although nonthreat targets were unaffected by context, shorter naming latencies were found for threat target words that followed a threat predicting context. A low anxiety group showed an opposite effect, that is, facilitation only for nonthreat words, suggesting an avoidance (of threat) bias. In Experiment 2, under higher predictability, this bias disappeared, as both high and low anxious groups performed similarly. The relevance of these data for different models of selective processing in anxiety is discussed. Of particular pertinence is the finding that, with increasing stimulus threat, low anxious participants no longer show avoidance; instead, they infer threat in a way similar to the high anxious. This suggests that the difference between the high and the low anxious persons resides in the threshold at which stimulus threat input is processed.     

Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study

This meta-analysis of 172 studies (N = 2,263 anxious,N = 1,768 nonanxious) examined the boundary conditions of threat-related attentional biases in anxiety. Overall, the results show that the bias is reliably demonstrated with different experimental paradigms and under a variety of experimental conditions, but that it is only an effect size of d = 0.45. Although processes requiring conscious perception of threat contribute to the bias, a significant bias is also observed with stimuli outside awareness. The bias is of comparable magnitude across different types of anxious populations (individuals with different clinical disorders, high-anxious nonclinical individuals, anxious children and adults) and is not observed in nonanxious individuals. Empirical and clinical implications as well as future directions for research are discussed.     

Memory bias for threat in generalized anxiety disorder: the potential importance of stimulus relevance

Information processing models propose that anxious individuals are characterized by memory biases for mood-congruent threat information. However, evidence for memory biases in generalized anxiety disorder (GAD) has been mixed at best. Given the heterogeneity of concerns in GAD, previous use of nomothetic stimulus sets may have precluded detection of memory biases. Therefore, in order to guarantee the relevance of the stimuli used, in the current study individuals with GAD each individually selected words that were of personal relevance to them. Using these idiographically selected words with 23 individuals with DSM-IV GAD and 23 non-anxious controls (NACs), results showed an implicit memory bias for threat words in individuals with GAD compared with NACs. Furthermore, there was additional evidence that individuals with GAD may also be characterized by explicit memory bias for threat words. The magnitude of group differences for explicit recall of threat words was similar to those previously observed in panic disorder. Limitations and future directions are discussed.     

Malleability of attentional bias for positive emotional information and anxiety vulnerability

Recent research supports a causal link between attentional bias for negative emotional information and anxiety vulnerability. However, little is known about the role of positive emotional processing in modulating anxiety reactivity to stress. In the current study, we used an attentional training paradigm designed to experimentally manipulate the processing of positive emotional cues. Participants were randomly assigned to complete a computerized probe detection task designed to induce selective processing of positive stimuli or to a sham condition. Following training, participants were exposed to a laboratory stressor (i.e., videotaped speech), and state anxiety and positive affect in response to the stressor were assessed. Results revealed that individual variability in the capacity to develop an attentional bias for positive information following training predicted subsequent emotional responses to the stressor. Moreover, individual differences in social anxiety, but not depression, moderated the effects of the attentional manipulation, such that, higher levels of social anxiety were associated with diminished attentional allocation toward positive cues. The current findings point to the potential value of considering the role of positive emotional processing in anxiety vulnerability.     

Attributional style in depression: a meta-analytic review

In this article we report meta-analyses of the relation of attributional styles to depression. In 104 studies involving nearly 15,000 subjects, several attributional patterns had reliable associations with depression scores. For negative events, attributions to internal, stable, and global causes had a reliable and significant association with depression. Studies in which the attribution factors of ability and luck were measured also showed a reliable association with depression. For positive events, attributions to external, unstable, and specific causes were associated with depression. Ability and luck attribution factors for positive events were also associated with depression. The relations for positive events, however, were weaker than the corresponding ones for negative events. In general, these patterns of relations were independent of a number of potential mediators suggested by authors in this literature, including the type of subject studied (psychiatric vs. college student), the type of event about which the attribution is made (real vs. simulated), the depression measure used, or the publication status of the research report. These conclusions are compared with those of other reviews. Implications for attributional models of depression are discussed.     

Risk and maintenance factors for eating pathology: a meta-analytic review

This meta-analytic review of prospective and experimental studies reveals that several accepted risk factors for eating pathology have not received empirical support (e.g., sexual abuse) or have received contradictory support (e.g.. dieting). There was consistent support for less-accepted risk factors(e.g., thin-ideal internalization) as well as emerging evidence for variables that potentiate and mitigate the effects of risk factors(e.g., social support) and factors that predict eating pathology maintenance(e.g., negative affect). In addition, certain multivariate etiologic and maintenance models received preliminary support. However, the predictive power of individual risk and maintenance factors was limited, suggesting it will be important to search for additional risk and maintenance factors, develop more comprehensive multivariate models, and address methodological limitations that attenuate effects.     

Effect of a positive emotional state on interpretation bias for threat in children with anxiety disorders

The authors examined the effect of a positive emotional state on interpretation bias for threat in children with anxiety disorders. Participants were 34 children with anxiety disorders and 34 children without any psychological disorders who were randomly assigned to either a positive or neutral emotion induction condition. Consistent with the broaden-and-build theory, children with anxiety disorders exhibited an interpretation bias for threat, but not when they were in a positive emotional state. Furthermore, results indicated that positive emotional state made a unique prediction of interpretation bias score, whereas state anxiety did not. Findings are discussed with reference to theory, clinical implications, and suggestions for future research.     

Effectiveness of mentoring programs for youth: a meta-analytic review

We used meta-analysis to review 55 evaluations of the effects of mentoring programs on youth. Overall, findings provide evidence of only a modest or small benefit of program participation for the average youth. Program effects are enhanced significantly, however, when greater numbers of both theory-based and empirically based best practices are utilized and when strong relationships are formed between mentors and youth. Youth from backgrounds of environmental risk and disadvantage appear most likely to benefit from participation in mentoring programs. Outcomes for youth at-risk due to personal vulnerabilities have varied substantially in relation to program characteristics, with a noteworthy potential evident for poorly implemented programs to actually have an adverse effect on such youth. Recommendations include greater adherence to guidelines for the design and implementation of effective mentoring programs as well as more in-depth assessment of relationship and contextual factors in the evaluation of programs.     

Deconstructing dependency in a five-factor world: a meta-analytic review

Meta-analysis of studies assessing the relation between interpersonal dependency test scores and five-factor model (FFM) domain scores revealed that dependency scores are positively correlated with FFM Neuroticism and Agreeableness scores and negatively correlated with FFM Extraversion, Openness, and Conscientiousness scores. The magnitudes of these correlations were all in the small-to-moderate range, and comparable score intercorrelations were obtained when participants' dependency levels were assessed by means of a trait dependency questionnaire, dependent personality disorder questionnaire, or dependent personality disorder interview. These findings have implications for researchers' efforts to deconstruct dependency into its basic trait elements and for the dimensional approaches to personality disorders being considered for future versions of the Diagnostic and Statistical Manual of Mental Disorders.