Fear of negative evaluation augments negative affect and somatic symptoms in social-evaluative situations

The aim of this study was to determine whether fear of negative evaluation (FNE) moderates effects of eye contact on mood, bodily symptoms and physiological activity during social-evaluative situations. Facial blood flow, skin conductance, heart rate and respiration rate were recorded in 42 participants while they sang a children's song, while they were observed or made direct eye contact with the experimenter, and while they listened to an audiotape of themselves singing. Physiological responses were similar in high and low FNE groups. However, differences lay in the perception of bodily symptoms and ratings of negative affect, with the high FNE group reporting greater ratings. In addition, prior eye contact enhanced the perception of bodily symptoms in the high FNE group when they listened to the audiotape. Concern about the social consequences of displaying bodily disturbances such as trembling, blushing and sweating may explain these findings.     

Evaluating the Etiology of Anxiety Sensitivity: Relation to Cardiovascular Perception and Reactivity

A large body of research has suggested that anxiety sensitivity (AS) acts as a specific vulnerability factor in the development of anxiety pathology. More recently, attention has turned to the etiology of AS per se. The present study tested several related etiological hypotheses derived from Expectancy theory. S. Reiss and R. J. McNally (1985) originally proposed that greater physiological reactivity would increase risk for developing heightened AS. Reactive individuals are believed to have greater opportunity to perceive unpleasant bodily perturbations, thereby increasing the likelihood that concerns and fears could be attached to the sensations. Nonclinical participants (N = 86) completed physical (e.g., orthostatic) and biological (e.g., 35% CO₂) challenges and a heart beat perception task. AS was not related to heart beat perception but was related to greater tonic heart rate and greater diastolic blood pressure (DBP) reactivity to both the challenges. Higher DBP and higher heart beat accuracy interacted to predict higher AS.     

Anxiety sensitivity and perceived control over anxiety-related events: evaluating the singular and interactive effects in the prediction of anxious and fearful responding to bodily sensations

The present investigation examined the singular and interactive effects of anxiety sensitivity and perceived control over anxiety-related events in the prediction of panic symptoms using a CO(2)-enriched air biological challenge. Two hundred and twenty-nine adult participants (M(age)=21.02, SD=7.55, 124 females) were recruited from the greater Burlington, Vermont community. Results indicated that pre-challenge anxiety sensitivity, but not perceived control over anxiety-related events, significantly predicted post-challenge panic attack symptoms, anxiety focused on bodily sensations, and, interest in returning for another challenge (behavioral avoidance). In regard to physiological findings, anxiety sensitivity was significantly related to skin conductance level whereas perceived control over anxiety-related events was related to respiration rate. Neither anxiety sensitivity nor perceived control over anxiety-related events was related to heart rate. There also were no interactive effects between anxiety sensitivity and perceived control over anxiety-related events for any of the studied dependent variables. Results are discussed in relation to multi-risk factor models of cognitive vulnerability for panic psychopathology.     

Habituation of cognitive and physiological arousal and social anxiety

This study examined differences in habituation between high and low socially anxious Ss. Participants gave three impromptu speeches, each separated by a brief rest interval. Skin conductance and heart rate were monitored during the speeches. Following each speech participants completed self-ratings of nervousness, heart rate, and palmar sweat activity as well as a modified Social Interaction Self Statement Test. Low anxious controls showed significant reduction of negative expectations and self-reported nervousness, heart rate, and sweat activity across the three trials. Actual heart rate of low-anxious subjects also decreased significantly across trials. In contrast, high anxious subjects did not evidence significant decreases in any of the above measures of anxiety and stress across the three trials. Skin conductance measures increased across trials for both groups, but increased more for the high anxious group than low-anxious controls. Results indicate that high anxiety participants are slow to decrease cognitive and autonomic responsiveness to stressful social situations.     

Influences of habitual and situational bodily symptom focusing on stress responses

Evidence suggests that focusing on bodily symptoms increases perception of internal states. The interaction between situational (experimentally induced) symptom focusing and a disposition to focus on one's bodily symptoms is unclear. We assumed that situational symptom focusing increases perception of stress symptoms only in persons that usually do not focus on their bodily symptoms. Forty participants were divided into two groups (N=20) according to their disposition towards bodily symptom focusing (habitual symptom focusing, HSF+ and HSF?). Ten participants per group were instructed to focus on their neck muscle tension (situational symptom focusing, SSF+), while the others received a control instruction (SSF?). All participants underwent anticipation of a public speech, representing an emotional and mental stressor. There was a significant HSF×SSF interaction in reports on muscle tension and palpitation under stress. While HSF? participants reported more stress symptoms in the SSF+ condition, HSF+ participants reported less symptoms. However, no interaction was found in physiological measures including neck electromyogram, skin conductance reactions, heart rate and blood pressure. Our results indicate either that symptom perception is adjusted by symptom focusing, or that the instruction to use a habitual coping strategy reduces stress symptoms.     

Development of physiological response patterns concomitant with the learning of voluntary heart rate control.

Thirty-six male undergraduate students were instructed to raise or lower heart rate in a multiple-session biofeedback experiment. Systolic and diastolic blood pressure, frontalis electromyographic activity, and skin conductance level were simultaneously recorded throughout biofeedback training. Principal axes factor analyses showed that physiological response patterning concomitant with the development of heart rate control was different early in training (Training Session 1) than it was late in training (Training Session 4) for both speeding and slowing conditions. These results indicate that different heart rate control strategies were used by the subjects early and late in training. The factor patterns also indicated a tendency for greater heart rate response specificity as training progressed for both speeding and slowing. Heart rate speeding sessions were also found to be associated with a significant increase in perceived state anxiety as measured by the State-Trait Anxiety Inventory. No significant change in perceived anxiety state, however, was associated with heart rate slowing.     

Offset control during recurrent 20% carbon dioxide-enriched air induction: relation to individual difference variables

Although control over aversive events maintains a central role in contemporary models of anxiety pathology, particularly panic disorder, there is little understanding about the emotional consequences of specific types of control processes. In the present study, offset control over 8 20% carbon dioxide-enriched air administrations was experimentally manipulated in a large nonclinical population (n = 96) varying in anxiety sensitivity (high or low) and gender. Dependent measures included self-reported anxiety, affective reports of valence, arousal, emotional control, and physiological indices of heart rate and skin conductance. High anxiety-sensitive participants who lacked offset control reported significantly greater elevations in self-reported anxiety, emotional displeasure, arousal, and dyscontrol relative to their yoked counterparts with offset control. In contrast, low anxiety-sensitive individuals responded with similar levels of cognitive and affective distress regardless of the offset control manipulation. Although the provocation procedure reliably produced bodily arousal relative to baseline, at a physiological level of analysis, no significant differences emerged across conditions. These findings are discussed in relation to offset control during recurrent interoceptive arousal, with implications for better understanding anxiety about abrupt bodily sensations.     

Evaluating the validity of short witness reports using behavioral and psychophysiologic parameters]

Within the context of credibility assessment, the impact of behavioral and physiological adaptation and response patterns of truly and falsely testifying eyewitnesses was examined in a laboratory study. It was further examined statements concerning characteristics of the delict and the experimental situation itself. 20 subjects were instructed to truly or falsely testify after having witnessed a willful destruction. Eye movements, respiration, heart rate and skin conductance were recorded and analyzed by computer. Witnesses instructed to falsely testify showed elevated skin conductance responses and an increased variability of horizontal eye movements at the beginning of the session. Additionally, they also showed stronger responses in eye-blink rate, respiration rate and variability of skin conductance and heart rate to questions related to the behavior in the experimental situation. Reactivity to questions concerning the culprit was less pronounced. Results are discussed in terms of their application within the German law system.     

Respiratory function, cognitions, and panic in chronic obstructive pulmonary patients.

The present study investigated the relationship between respiratory function, catastrophic thoughts about anxiety, and panic in 48 Chronic Obstructive Pulmonary Disease (COPD) patients. During a routine office visit which included respiratory function tests (Forced Vital Capacity, FVC; Forced Expiratory Volume--first second, FEV1) patients completed a battery of questionnaires which assessed history of panic, days with shortness of breath, general activity level, agoraphobic cognitions, perception of bodily sensations, anxiety and depression. Thirty-seven percent of the sample reported experiencing a panic attack. Subjects showed a significant impairment in respiratory functioning. Patients with a history of panic did not differ from those who had not experienced panic on demographic, physiologic, or activity variables. Patients who experienced panic reported significantly more agoraphobic cognitions and greater concern with bodily sensations than did patients who did not experience panic.     

Causal modeling of relations among learning history, anxiety sensitivity, and panic attacks

We used structural equation modeling (SEM) to test the hypothesis that childhood instrumental and vicarious learning experiences influence frequency of panic attacks in young adulthood both directly, and indirectly through their effects on anxiety sensitivity (AS). A total of 478 university students participated in a retrospective assessment of their childhood learning experiences for arousal-reactive sensations (e.g., nausea, racing heart, shortness of breath, dizziness) and arousal-non-reactive sensations (i.e., colds, aches and pains, and rashes). SEM revealed that learning history for arousal-reactive somatic symptoms directly influenced both AS levels and panic frequency; AS directly influenced panic frequency; and learning history for arousal-non-reactive symptoms directly influenced AS but did not directly influence panic frequency. These results are consistent with the findings of previous retrospective studies on the learning history origins of AS and panic attacks, and provide the first empirical evidence of a partial mediation effect of AS in explaining the relation between childhood learning experiences and panic attacks in young adulthood. Implications for understanding the etiology of panic disorder are discussed.     

Public and private heart rate feedback in social phobia: a manipulation of anxiety visibility

According to cognitive behavioural models of social phobia, bodily symptoms are the main source of information concerning social evaluation for social phobics. Experience and perception of bodily symptoms therefore play an important role in social anxiety. In this study we evaluated the effects of anxiety visibility on patients and controls using feedback of veridical heart sounds. A total of 32 social phobics and 32 controls were asked twice to sit in a chair and appear relaxed while being evaluated. Half of the participants heard their heart sounds first via headphones and then via loudspeakers which were also audible to observers. The presentation order of the heart sound was reversed for the other half of the subjects. Social phobics reported substantially more anxiety than controls. Both groups showed habituation in heart rate from the first to the second presentation, and both groups reported perception of a higher heart rate, but only social phobics reported significantly more anxiety and were more worried about their heart rates in the public than in the private condition. These effects were in excess of actual heart rate differences. In conclusion, social phobics worried about the broadcast of a bodily anxiety symptom, whereas controls did not. Information about arousal made public has a strong potential to increase anxiety levels in social phobics.     

Public and private heart rate feedback in social phobia: a manipulation of anxiety visibility

According to cognitive behavioural models of social phobia, bodily symptoms are the main source of information concerning social evaluation for social phobics. Experience and perception of bodily symptoms therefore play an important role in social anxiety. In this study we evaluated the effects of anxiety visibility on patients and controls using feedback of veridical heart sounds. A total of 32 social phobics and 32 controls were asked twice to sit in a chair and appear relaxed while being evaluated. Half of the participants heard their heart sounds first via headphones and then via loudspeakers which were also audible to observers. The presentation order of the heart sound was reversed for the other half of the subjects. Social phobics reported substantially more anxiety than controls. Both groups showed habituation in heart rate from the first to the second presentation, and both groups reported perception of a higher heart rate, but only social phobics reported significantly more anxiety and were more worried about their heart rates in the public than in the private condition. These effects were in excess of actual heart rate differences. In conclusion, social phobics worried about the broadcast of a bodily anxiety symptom, whereas controls did not. Information about arousal made public has a strong potential to increase anxiety levels in social phobics.     

The catastrophic misinterpretation of physiological distress.

Cognitive theories of panic disorder suggest that the catastrophic misinterpretation of bodily sensations is the trigger for a panic attack. A challenge to cognitive theories is the suggestion that dyspnea (shortness of breath) is central to the development of panic and that negative cognitions are by-products of panic. To examine these seemingly contradictory theoretical perspectives, the present study investigated panic symptomatology in a sample of patients with chronic shortness of breath (i.e. pulmonary patients). Past studies have shown an increased prevalence of panic in pulmonary patients, a finding that may be useful in elucidating panic etiology. The current sample of pulmonary patients (N = 28) confirmed previous reports of high prevalence rates of panic in this population. Based on self-report of panic symptomatology, a total of nine patients (32%) met DSM-IV criteria that were consistent with panic disorder. Multivariate comparison of participants with and without panic symptomatology revealed that panickers had significantly higher levels of anxiety, depression and agoraphobic cognitions. However, these groups showed no significant differences on physiological measures of pulmonary functioning. The authors conclude that dyspnea alone is inadequate in predicting panic development. High levels of panic symptomatology in pulmonary samples may reflect increased opportunities for these patients to misinterpret bodily sensations and, in particular, their pulmonary symptoms.     

Risky behavior in young adult pedestrians: Personality determinants,correlates with risk perception,and gender differences

Based on the risk homeostasis theory, the aim of this study was to assess acceptable risk, measured by personality factors, and risk perception, measured by physiological arousal, as predictors of risky behavior in young adult pedestrians, as well as to assess for gender differences. Eighty-two young adults, aged 18–30, completed self-report measures about risky pedestrian behaviors and these personality traits: impulsiveness, conscientiousness and openness to experience. Sixty-four of these participants then took part in an experimental task designed to assess their perception of the level of risk in situations involving different interactions between cars and pedestrians. Risk perception was assessed by these physiological responses: heart rate, skin conductance level, and skin conductance response. Results showed that risky behavior had significant correlations with impulsiveness, conscientiousness, and skin conductance level. Gender differences also emerged in risky behavior, impulsiveness, conscientiousness, and skin conductance level. Finally, a structural equation model showed that impulsiveness, conscientiousness and the difference in skin conductance level between risky and neutral situations predicted risky pedestrian behaviors, and explained 23.6% of the its variance, after controlling the effect of gender. Implications for evaluation, prevention, and intervention for risky pedestrian behaviors are discussed.     

Benefits and Interindividual Differences in Children's Responses to Extended and Intensified Relaxation Training

The present study investigates whether extended and intensified systematic relaxation training techniques lead to increased short-term and prolonged effects in settings of stress prevention. One hundred and twenty-eight fourth- and sixth-graders (aged 9.6 and 11.6 years, respectively) participated in Imagination or Progressive Muscle Relaxation (PMR). Extension consisted of a varying number of training sessions (five versus ten), while intensified training contained additional training elements to enhance the transfer to the children's daily life (yes versus no). Age, gender, anxiety, activity level and suggestibility were included as additional variables that were assumed to moderate the effects of the training. Dependent variables indicating short-term training effects included physiological parameters (heart rate, skin conductance level, skin temperature) as well as subjective ratings (mood, physical well-being, training evaluations). Medium-term training effects, measured 1 week and 2 months after the training, were related to stress experiences, somatic stress symptoms, and coping strategies reported by the children. The results do not show considerable short- or medium-term effects of extended or intensified training. In addition, no clear moderator effects were found in the present sample.     

Relationships between musical structure and psychophysiological measures of emotion

Psychophysiological studies with music have not examined what exactly in the music might be responsible for the observed physiological phenomena. The authors explored the relationships between 11 structural features of 16 musical excerpts and both self-reports of felt pleasantness and arousal and different physiological measures (respiration, skin conductance, heart rate). Overall, the relationships between musical features and experienced emotions corresponded well with those known between musical structure and perceived emotions. This suggests that the internal structure of the music played a primary role in the induction of the emotions in comparison to extramusical factors. Mode, harmonic complexity, and rhythmic articulation best differentiated between negative and positive valence, whereas tempo, accentuation, and rhythmic articulation best discriminated high arousal from low arousal. Tempo, accentuation, and rhythmic articulation were the features that most strongly correlated with physiological measures. Music that induced faster breathing and higher minute ventilation, skin conductance, and heart rate was fast, accentuated, and staccato. This finding corroborates the contention that rhythmic aspects are the major determinants of physiological responses to music.     

Anticipatory threat and physical danger trait anxiety: A signal-detection analysis of effects on autonomic responding

The method of Signal-Detection Theory (SDT) was applied to the analysis of autonomic data in two experiments. In the first, apprehension surrounding the administration of loud tones was induced through preliminary information; in the second, it was increased by selecting subjects scoring high on a physical-danger trait anxiety scale. Despite enhanced autonomic reactivity, those in the first study who were led to believe that the tones would be extremely disturbing subsequently rated them as less disturbing than did their counterparts who were given comparatively benign expectations. The signal-detection analysis of heart rate and skin conductance suggested enhanced “preparedness of response” among the high-threat subjects; given the diminished subjective ratings, increased response readiness at the autonomic level may have reflected physiological activity assuaging subjective aversiveness of the tones. Contrary to the first study, the psychometrically designated threatened group in the second experiment produced both greater autonomic reactivity along with elevated subjective ratings of disturbance. The SDT analysis provided evidence of greater autonomic sensitivity to noxious stimulus properties. Results were discussed in terms of their implications for theories of anxiety; the comparative utilites of signal-detection theory and conventional methods of autonomic-response scoring were elaborated.     

Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders

The present investigation compared the subjective and physiological effects of emotional suppression and acceptance in a sample of individuals with anxiety and mood disorders. Sixty participants diagnosed with anxiety and mood disorders were randomly assigned to one of two groups. One group listened to a rationale for suppressing emotions, and the other group listened to a rationale for accepting emotions. Participants then watched an emotion-provoking film and applied the instructions. Subjective distress, heart rate, skin conductance level, and respiratory sinus arrhythmia were measured before, during, and after the film. Although both groups reported similar levels of subjective distress during the film, the acceptance group displayed less negative affect during the post-film recovery period. Furthermore, the suppression group showed increased heart rate and the acceptance group decreased heart rate in response to the film. There were no differences between the two groups in skin conductance or respiratory sinus arrhythmia. These findings are discussed in the context of the existing body of research on emotion regulation and current treatment approaches for anxiety and mood disorders.     

Mothers' responses to the cries of normal and premature infants as a function of the birth status of their own child

Mothers of premature and full-term infants viewed and heard videotapes of premature and full-term infants. The onset of crying by both infants elicited physiological arousal (evident in blood pressure, skin conductance, and heart rate increases) in the adults. The mothers of premature infants responded with especially marked arousal to the infants' cries. These mothers also reported that they were more attentive and alert while the infant was crying. The subjects responded similarly to the cries of full-term and premature infants. Mothers who described their own baby as easy exhibited a lower increase in diastolic blood pressure and heart rate, and reported being more alert, attentive, and willing to interact with the stimulus babies than those whose own baby appeared “difficult.”     

Psychophysiological reactivity to mental arithmetic stress in black and white normotensive men

Racial differences in physiological responses to a behavioral stressor were examined. Thirty-four Black and 42 White male normotensives 34 to 55 years old (mean age = 43.01 years) performed a mental arithmetic task while blood pressure, heart rate, and skin conductance were recorded. Compared to Whites, Blacks had significantly higher baseline diastolic blood pressure (77.93 mm Hg vs. 73.11 mm Hg) and lower skin conductance levels (11.08 microS vs. 12.25 microS). These effects persisted during performance of the mental arithmetic task. However, when baseline differences were covaried, there were no significant physiological effects associated with the task. Analysis of changes in response levels from baseline revealed a nonsignificant trend for Whites to show greater increases in systolic blood pressure than Blacks. There were no significant race or family history effects. Further, task performance did not influence the outcome. Failure to demonstrate greater cardiovascular reactivity in Blacks and all men with a positive family history of hypertension is discussed with regard to possible "survivor effects" and methodologic limitations.