Effects of stress and anxiety on the processing of threat stimuli

Two experiments extended the work of MacLeod and Mathews (1988) and examined whether a cognitive bias for threat information is a function of state or trait anxiety. Color-naming and attention deployment tasks were used to assess the effects of a stress manipulation procedure on attentional responses in high and low trait anxious subjects. Subjects under high stress selectively allocated processing resources toward threat stimuli, irrespective of their trait anxiety level. There was no consistent evidence of a cognitive bias associated with trait anxiety, and the effect of the stress manipulation did not appear to be mediated by state anxiety. It was suggested that trait factors do not modify attentional biases associated with acute stress, but may influence such biases when stress is prolonged.     

焦虑和抑郁对正负性注意偏向的影响：注意控制的中介作用

采用状态-特质焦虑量表、流调抑郁量表、注意控制量表和正负性信息注意量表,对481名在校大学生进行调查研究,考察了焦虑、抑郁对注意偏向的影响,并探讨了注意控制在其中的中介作用。研究发现：（1）正性注意偏向与注意控制呈正相关,与状态焦虑、特质焦虑和流调抑郁呈负相关;负性注意偏向与注意控制呈负相关,与状态焦虑、特质焦虑和流调抑郁呈正相关。（2）特质焦虑、注意集中、注意转移可显著预测正性注意偏向,状态焦虑、流调抑郁和注意集中则显著预测负性注意偏向。（3）注意转移和注意集中中介了状态焦虑、特质焦虑、流调抑郁和正、负性注意偏向间的关系。研究提示注意控制是一个重要的保护性因素,可缓解或消除焦虑和抑郁对注意偏向的负面影响。     

Cognitive Bias to Internal Sources of Information in Anxiety

Discrepancies between (a) self-reported psychosomatic symptoms and (b) actual fitness under non-stress (Study 1), as a function of trait anxiety, were examined, as well as discrepancies between (a) self-reported cognitive and somatic state anxiety and (b) objective measures of behavioural reactivity, physiological arousal, and performance under social-evaluative stress (Study 2). Results indicated that persons high in trait anxiety exaggerated distress in both conditions: They showed disproportionately greater self-reported concerns than actual problems. In contrast, those low in anxiety minimized distress (lower self-reported than actual problems). These discrepancy phenomena are explained in terms of biases in the processing of internal sources of information.     

Attentional bias to threat: Roles of trait anxiety, stressful events, and awareness

Attentional biases for threat stimuli were assessed in high and low trait anxious subjects (n = 66) using a probe detection task. To examine the effects of trait anxiety and situational stressors, each subject was tested three times: Under no stress, laboratory-induced stress, and examination-induced stress. To evaluate the role of awareness, half the word stimuli were presented very briefly (14 msec) and masked, and the other half were presented for 500 msec without a mask. Results showed that high trait anxious subjects under exam stress showed an attentional bias towards unmasked threat stimuli compared with low trait subjects. This effect was not found under lab-induced stress, suggesting that the attentional bias for unmasked threat in high trait subjects may be a function of a prolonged stressor, rather than a transient increase in state anxiety. The results from the masked exposure condition were not predicted; high trait anxious subjects shifted attention towards the spatial location of threat words despite lack of awareness of their lexical content, but this bias was only apparent in the no-stress condition. The results are discussed in relation to recent cognitive theories of anxiety.     

TEST ANXIETY AND MOTOR PERFORMANCE: THE ROLE OF MUSCULAR AND ATTENTIONAL DEMANDS*

In experiment 1, the attentional demands of two fine (finger movements) and two gross (arm movements) motor tasks were empirically determined. In experiment 2, the effects of test condition (stress) and anxiety trait on motor performance were analyzed. A significant interactive effect appeared: the performance of high-trait-anxious subjects was impaired under evaluative conditions in fine and/or attentionally demanding tasks, but not in gross and attentionally simple tasks. As test conditions and anxiety trait have proved to arouse physiological alterations and aversive cognitive representations, the selective performance impairment found can be attributed to interferences on finger effectors or proprioceptors and to attentional overload, respectively.     

Differential relationship of recent self-reported stress and acute anxiety with divided attention performance

There have been relatively few studies on the relationship between recent perceived environmental stress and cognitive performance, and the existing studies do not control for state anxiety during the cognitive testing. The current study addressed this need by examining recent self-reported environmental stress and divided attention performance, while controlling for state anxiety. Fifty-four university undergraduates who self-reported a wide range of perceived recent stress (10-item perceived stress scale) completed both single and dual (simultaneous auditory and visual stimuli) continuous performance tests. Partial correlation analysis showed a statistically significant positive correlation between perceived stress and the auditory omission errors from the dual condition, after controlling for state anxiety and auditory omission errors from the single condition (r = 0.41). This suggests that increased environmental stress relates to decreased divided attention performance in auditory vigilance. In contrast, an increase in state anxiety (controlling for perceived stress) was related to a decrease in auditory omission errors from the dual condition (r = - 0.37), which suggests that state anxiety may improve divided attention performance. Results suggest that further examination of the neurobiological consequences of environmental stress on divided attention and other executive functioning tasks is needed.     

Negative self-focused cognitions mediate the effect of trait social anxiety on state anxiety

The cognitive model of social anxiety predicts that negative self-focused cognitions increase anxiety when anticipating social threat. To test this prediction, 36 individuals were asked to anticipate and perform a public-speaking task. During anticipation, negative self-focused cognitions or relaxation were experimentally induced while self-reported anxiety, autonomic arousal (heart rate, heart rate variability, skin conductance level), and acoustic eye-blink startle response were assessed. As predicted, negative self-focused cognitions mediated the effects of trait social anxiety on self-reported anxiety and heart rate variability during negative anticipation. Furthermore, trait social anxiety predicted increased startle amplitudes. These findings support a central assumption of the cognitive model of social anxiety.     

Subliminal food images compromise superior working memory performance in women with restricting anorexia nervosa

Prefrontal cortex (PFC) is dysregulated in women with restricting anorexia nervosa (RAN). It is not known whether appetitive non-conscious stimuli bias cognitive responses in those with RAN. Thirteen women with RAN and 20 healthy controls (HC) completed a dorsolateral PFC (DLPFC) working memory task and an anterior cingulate cortex (ACC) conflict task, while masked subliminal food, aversive and neutral images were presented. During the DLPFC task, accuracy was higher in the RAN compared to the HC group, but superior performance was compromised when subliminal food stimuli were presented: errors positively correlated with self-reported trait anxiety in the RAN group. These effects were not observed in the ACC task. Appetitive activation is intact and anxiogenic in women with RAN, and non-consciously interacts with working memory processes associated with the DLPFC. This interaction mechanism may underlie cognitive inhibition of appetitive processes that are anxiety inducing, in people with AN.     

The effects of active worrying on working memory capacity

According to the attentional control theory, worry, a crucial component of anxiety, impairs task performance through its direct effect on working memory capacity (WMC) by using up the limited resources available for performance thus reducing attentional control. We tested this hypothesis in the current study by examining the causal influence of active worrying on WMC in a sample of undergraduate university students (n?=?64) assigned either to a worry condition or to a non-worry control condition. Participants performed a change detection task before and after the worry/control manipulation. Mediation analyses showed that the level of self-reported worry mediated the effects of condition on change in WMC as demonstrated by the significant indirect effect of worry and the resulting non-significant direct effect of condition on change in WMC. Similar results were obtained when using state anxiety measures as mediating factors. Results of the current study are amongst the first to demonstrate that worry impairs WMC and as such have important implications for understanding the impact of worry.     

A theory of alpha/theta neurofeedback,creative performance enhancement,long distance functional connectivity and psychological integration

Professionally significant enhancement of music and dance performance and mood has followed training with an EEG-neurofeedback protocol which increases the ratio of theta to alpha waves using auditory feedback with eyes closed. While originally the protocol was designed to induce hypnogogia, a state historically associated with creativity, the outcome was psychological integration, while subsequent applications focusing on raising the theta–alpha ratio, reduced depression and anxiety in alcoholism and resolved post traumatic stress syndrome (PTSD). In optimal performance studies we confirmed associations with creativity in musical performance, but effects also included technique and communication. We extended efficacy to dance and social anxiety. Diversity of outcome has a counterpart in wide ranging associations between theta oscillations and behaviour in cognitive and affective neuroscience: in animals with sensory-motor activity in exploration, effort, working memory, learning, retention and REM sleep; in man with meditative concentration, reduced anxiety and sympathetic autonomic activation, as well as task demands in virtual spatial navigation, focussed and sustained attention, working and recognition memory, and having implications for synaptic plasticity and long term potentiation. Neuroanatomical circuitry involves the ascending mescencephalic-cortical arousal system, and limbic circuits subserving cognitive as well as affective/motivational functions. Working memory and meditative bliss, representing cognitive and affective domains, respectively, involve coupling between frontal and posterior cortices, exemplify a role for theta and alpha waves in mediating the interaction between distal and widely distributed connections. It is posited that this mediation in part underpins the integrational attributes of alpha–theta training in optimal performance and psychotherapy, creative associations in hypnogogia, and enhancement of technical, communication and artistic domains of performance in the arts.     

Attentional control in OCD and GAD: specificity and associations with core cognitive symptoms

Obsessive–compulsive disorder (OCD) and generalized anxiety disorder (GAD) are both defined by excessive negatively-valenced cognitions. Although obsessional thoughts are considered essential to OCD and perseverative worry is considered essential to GAD, these excessive cognitions have been found to co-occur in both disorders. Accordingly, a common diathesis may influence the emergence of excessive thoughts in both disorders. The present study examined deficits in attentional control as a cognitive vulnerability that may contribute to both obsessional thought and perseverative worry. Patients with OCD (n = 30), GAD (n = 29), and non-clinical controls (NCC; n = 29) completed measures of obsessional thoughts, perseverative worry, and attentional control. Deficits in self-reported attentional control were found in both OCD and GAD relative to the NCC. However, attentional control was only related to excessive cognition in the GAD patient group, where deficits were associated with increased perseverative worry. Mediational modeling suggested that trait anxiety mediated the relationship between attentional control and perseverative worry in GAD. Implications of these findings for conceptualizing the role of attentional control in the genesis of excessive cognitions in OCD and GAD are discussed.     

Anxiety modulates the degree of attentive resources required to process emotional faces

The present study contributes to the ongoing debate over the extent to which attentive resources are required for emotion perception. Although fearful facial expressions are strong competitors for attention, we predict that the magnitude of this effect may be modulated by anxiety. To test this hypothesis, healthy volunteers who varied in their self-reported levels of trait and state anxiety underwent an attentional blink task. Both fearful and happy facial expressions were subject to a strong attentional blink effect for low-anxious individuals. For those reporting high anxiety, a blink occurred for both fearful and happy facial expressions, but the magnitude of the attentional blink was significantly reduced for the fearful expressions. This supports the proposals that emotion perception is not fully automatic and that anxiety is related to a reduced ability to inhibit the processing of threat-related stimuli. Thus, individual differences in self-reported anxiety are an important determinant of the attentional control of emotional processing.     

A theory of alpha/theta neurofeedback, creative performance enhancement, long distance functional connectivity and psychological integration

Professionally significant enhancement of music and dance performance and mood has followed training with an EEG-neurofeedback protocol which increases the ratio of theta to alpha waves using auditory feedback with eyes closed. While originally the protocol was designed to induce hypnogogia, a state historically associated with creativity, the outcome was psychological integration, while subsequent applications focusing on raising the theta–alpha ratio, reduced depression and anxiety in alcoholism and resolved post traumatic stress syndrome (PTSD). In optimal performance studies we confirmed associations with creativity in musical performance, but effects also included technique and communication. We extended efficacy to dance and social anxiety. Diversity of outcome has a counterpart in wide ranging associations between theta oscillations and behaviour in cognitive and affective neuroscience: in animals with sensory-motor activity in exploration, effort, working memory, learning, retention and REM sleep; in man with meditative concentration, reduced anxiety and sympathetic autonomic activation, as well as task demands in virtual spatial navigation, focussed and sustained attention, working and recognition memory, and having implications for synaptic plasticity and long term potentiation. Neuroanatomical circuitry involves the ascending mescencephalic-cortical arousal system, and limbic circuits subserving cognitive as well as affective/motivational functions. Working memory and meditative bliss, representing cognitive and affective domains, respectively, involve coupling between frontal and posterior cortices, exemplify a role for theta and alpha waves in mediating the interaction between distal and widely distributed connections. It is posited that this mediation in part underpins the integrational attributes of alpha–theta training in optimal performance and psychotherapy, creative associations in hypnogogia, and enhancement of technical, communication and artistic domains of performance in the arts.     

“Cold” Cognitive Control and Attentional Symptoms in Anxiety: Perceptions Versus Performance

Clinically significant anxiety is associated with an array of attentional symptoms (e.g., difficulty concentrating; unwanted thought) that are subjectively experienced as severe. However, neuropsychological findings are mixed with respect to the presence of cognitive deficits that can account for these symptoms. Contextualizing predictions from established clinical theories (e.g., Attentional Control Theory) within contemporary, neurobiologically derived models of cognitive control (Dual Mechanisms of Control Theory), the present study investigated the relationship between “cold” proactive and reactive cognitive control, task effort, and subjective attentional symptoms (difficulty concentrating; unwanted thought) in a mixed clinical sample of individuals with generalized anxiety disorder (GAD) and/or obsessive-compulsive disorder (OCD) and a comparison sample of healthy controls. Clinical status moderated the relationship between attentional symptoms (attentional focusing and trait worry) and proactive cognitive control response time. Clinical status also moderated the relationship between trait worry and task effort. Higher trait worry was associated with slower proactive control and lower effort in healthy participants, but faster proactive control in clinical participants. Self-reported attentional focusing showed differential validity vis-à-vis proactive control response time in clinical versus healthy participants. Post-hoc conditional effects analysis suggested more accurate self-appraisals in healthy controls, but was not significant after correction for multiple comparisons. Preliminary evidence suggested that differences in task effort in anxious versus healthy adults may relate to subjective attentional symptoms in GAD and OCD.     

Response inhibition and attentional control in anxiety

Traditionally, anxiety has been associated with a selective attentional bias for threat and a decreased capacity in attentional control. In two different experiments, we investigated whether individuals with different levels of self-reported state anxiety (Experiment 1) and induced anxiety (Experiment 2) had impaired response inhibition processes (attentional control deficit) as characterized by a different response style in the presence of negative stimuli under low and high perceptual load conditions. A go/no-go paradigm with emotional distractors (angry, happy, and neutral faces) was used to provide measures of perceptual sensitivity, inhibition, and response style. Our findings showed that perceptual sensitivity, as assessed by the d' parameter of signal detection theory, was reduced in all participants for angry faces under low perceptual load, where enough perceptual resources were available to be attracted by distractors. Importantly, despite similar perceptual sensitivity, the beta parameter indicated that high state anxiety individuals in both experiments were less flexible at adjusting to task demands in the presence of angry face distractors by adopting a stricter criterion. Implications of findings are discussed within current models of attentional control in anxiety.     

The Anxiety Response: Concordance Among Components

Under social-evaluative stress, self-reported distress (cognitive and somatic symptoms), behavioral anxiety (motor, facial, verbal, and social), physiological arousal (heart rate and skin resistance), and task performance (cognitive and motor) were recorded. Concordance was selective and consistent across response systems. There were significant relationships among measures of cognitive aspects, and among those concerned with somatic aspects, but not between these two areas. Furthermore, concordance was much higher in high-than in low-trait/test-anxiety participants, who even exhibited reversed concordance. These differences are explained in terms of stronger physiological signals in high trait/test anxiety. Alternative interpretations involving perceiving and/or reporting internal threat-related information in low trait/test anxiety are discussed.     

Prepared for the worst: readiness to acquire threat bias and susceptibility to elevate trait anxiety

Although people differ in their susceptibility to elevate trait anxiety in response to extended stress, little is known about the cognitive substrate of this particular individual difference. We report three studies designed to evaluate the hypothesis that individual differences in readiness to acquire an attentional bias toward threat cues, in response to a contingency that makes the acquisition of such a bias adaptive, underlie individual differences in susceptibility to elevate trait anxiety in response to extended stress. Our findings confirm that the ease with which such a threat bias can be transiently evoked by experimental conditions that encourage its acquisition predicts the degree to which trait anxiety later becomes elevated by extended exposure to a mild stressor. Furthermore, this reflects the fact that such early measures of attentional bias plasticity predict the later naturalistic acquisition of attentional bias in response to subsequent stress, which in turn is associated with a consequent increase in trait anxiety level. These findings are consistent with our proposed account of individual differences in susceptibility to elevate trait anxiety in response to stress.     

Distinguishing between cognitive and somatic trait and state anxiety in children

The study was conducted to develop self-report measures of cognitive and somatic trait and state anxiety for children and to evaluate the utility of distinguishing between cognitive and somatic anxiety. Sixty-seven fourth grade children anticipated and then performed a mathematics task either in a high- or low-stress condition. While the children anticipated performing the task, measures of seven cognitive behaviors were obtained by means of both a think aloud procedure and a questionnaire. The results of the study indicated that reliable trait and state measures of cognitive and somatic anxiety were successfully developed. Further, the trait measures of cognitive and somatic anxiety were found to be relatively impervious to induced anxiety states. As expected, cognitive trait anxiety but not somatic trait or state anxiety was found to be related to task performance. High cognitive state and/or trait anxiety was found to be associated with more preoccupation and performance denigration as well as taking less of an analytic attitude toward the situation. Somatic trait and state anxiety were found to be associated with preoccupation. In general, the results support the construct validity of the measures developed and the utility of distinguishing between cognitive and somatic anxiety in children.     

Individual differences in anxiety and executive functioning: A multidimensional view

The relationship between individual differences in anxiety and executive functioning was investigated in a sample of young adults. Verbal and spatial working memory, resistance to interference, negative priming, and task‐switching measures were used to assess three executive functioning dimensions: updating, inhibition, and shifting. An additional index of basic psychomotor speed was added to this cognitive battery. According to the multidimensional interaction model of anxiety proposed by Endler (1997), state (cognitive–worry and autonomic–emotional) and trait (related to social evaluation, physical danger, ambiguous situations, and daily routines) anxiety were assessed in this evaluation context. Results indicated that shifting and inhibition (negative priming) efficiency were negatively related to state (cognitive–worry) and trait (related to social evaluation) anxiety. However, there was a relative advantage of subjects higher in social evaluation apprehensions in their memory updating performance. The results are consistent with several predictions of the attentional control theory (Eysenck, Derakshan, Santos, & Calvo, 2007), and are relevant for research regarding the interaction of situational, personality, and cognitive functioning dimensions.     

Resting-state theta/beta EEG ratio is associated with reward- and punishment-related reversal learning

Prior research has shown that the ratio between resting-state theta (4–7 Hz)-beta (13–30 Hz) oscillations in the electroencephalogram (EEG) is associated with reward- and punishment-related feedback learning and risky decision making. However, it remains unclear whether the theta/beta EEG ratio is also an electrophysiological index for poorer behavioral adaptation when reward and punishment contingencies change over time. The aim of the present study was to investigate whether resting-state theta (4–7 Hz)-beta (13–30 Hz) EEG ratio correlated with reversal learning. A 4-min resting-state EEG was recorded and a gambling task with changing reward-punishment contingencies was administered in 128 healthy volunteers. Results showed an inverse relationship between theta/beta EEG ratio and reversal learning. Our findings replicate and extend previous findings by showing that higher midfrontal theta/beta EEG ratios are associated with poorer reversal learning and behavioral adaptive responses under changing environmental demands.