Inhibitory control and symptom severity in late life generalized anxiety disorder

Contemporary models of generalized anxiety disorder (GAD) posit that worry functions as an avoidance strategy. During worry, individuals inhibit threat-related imagery in order to minimize autonomic reactivity to phobic topics. This conceptualization of worry suggests a role for the executive system in exerting top-down inhibitory control (IC) over threat processing. We tested the hypothesis that better performance on an IC task would be associated with greater severity of worry and concomitant anxious mood. Forty-three older adults (age 60-77) with GAD completed the Stroop color word task and a battery of self-report symptom measures. Fifteen of the GAD patients were paired with age- and sex-matched non-anxious controls. In the full GAD sample, age-normed t-scores of Stroop performance were positively correlated with measures of worry and trait anxiety, but not anxious arousal or depression. Positive relationships between IC and symptom severity were upheld in the smaller subsample of GAD patients, while in the matched control group, no relationships between Stroop scores and clinical measures were observed. Patients and controls did not differ in Stroop performance. In the context of a disorder-specific tendency to make maladaptive use of executive functions, better IC may be associated with more severe symptomatology.     

Effects of anxiety and attention control on processing pictorial and linguistic emotional information

This study investigated the role of executive attention control in modulating selective processing of emotional information in anxiety. It was hypothesized that the combination of high anxiety and poor attention control would be associated with greater difficulty in ignoring task-irrelevant threat-related information. The study included both faces and words as stimuli. Cognitive interference effects were assessed using two emotional Stroop tasks: one with angry, fearful, happy and neutral faces, and one with threat-related, positive, and neutral words. An objective measure of attention control was obtained from the Attention network task. There were four participant groups with high/low trait anxiety and high/low attention control. Results indicated that the combination of high anxiety and poor attention control was associated with greater cognitive interference by emotional faces (including angry faces), compared to neutral faces. This interference effect was not evident in participants with high anxiety and high attentional control, or in low-anxious individuals. There was no evidence of associations between anxiety, attention control, and the interference effect of emotional words. Results indicate that high anxiety and poor attention control together predict enhanced processing of emotionally salient information, such as angry facial expressions. Implications for models of emotion processing are discussed.     

Introversion,inhibition, and displayed anxiety: The role of error reactivity processes

Three studies involving 176 undergraduates examined the personality-related correlates of tendencies to slow down following errors in choice reaction time tasks. Such tendencies were hypothesized to tap individual differences in threat reactivity processes and therefore be relevant to the prediction of phobic-like fear (Study 1) and displayed anxiety as rated by informants (Studies 2 and 3). However, on the basis of the idea that high levels of extraversion may suppress threat reactivity processes, it was hypothesized that extraversion and post-error slowing tendencies would interact in predicting the dependent measures. The studies supported the latter interactive hypothesis in that post-error slowing tendencies were predictive of displayed anxiety at low, but not high, levels of extraversion. The discussion focuses on the respective roles of error-reactivity processes and extraversion in predicting behavioral inhibition and displayed anxiety.     

Locus of control,anxiety, and depression in infertile patients

This study aimed to examine the relationship of locus of control (LoC) with anxiety and depression disorders, applying multivariate statistical techniques to control for the effects of demographic/fertility variables. This cross-sectional study included 312 infertile patients in a referral fertility center in Tehran, Iran via convenience sampling. The Hospital Anxiety and Depression Scale and the Levenson’s Locus of Control Scale were administered to all participants. Hierarchical multiple linear regressions were used to identify factors associated with anxiety and depression. After controlling for demographic/fertility variables, hierarchical regression analyses showed that internal LoC was negatively associated with anxiety (β = –.213, p < .001) and depression (β = –.269, p < .001). Powerful others subscale was positively associated with anxiety (β = .176, p < .001), but there was no significant relationship between this subscale and depression (β = .047, p = .467). The findings of this study merit the understanding of the role of demographic/fertility characteristics and LoC orientations in anxiety and depression of infertile patients to identify beforehand those patients who might be at risk of experiencing high anxiety and depression and in need of support.     

Bridging attentional control and reinvestment: A test of the interactionist hypothesis in an E-sport context

Attentional control and reinvestment are two competing mechanisms explaining why anxiety-provoking situations may undermine performance. To date, both perspectives have received empirical support, but neither of them perfectly explain how anxiety affects performance. In the present study, we examined a novel, interactionist hypothesis, that worry during task performance (i.e., a product of low attentional control) undermines performance to a greater extent when reinvestment (i.e., attempts to consciously control actions) is high compared to low, in an E-sport context. In a test of 84 experienced players in the Brawlhalla E-sport game, neither worry during the games nor reinvestment propensity on their own predicted ranked match performance, but the interaction between the two did. Specifically, players who were more worried during the ranked games (i.e., lower attentional control) tended to lose more games, of which the effect was evident only when movement-specific reinvestment was high, not low. However, decision-specific reinvestment did not moderate the effect of low attentional control on performance, nor predict performance on its own. Unlike movement-specific reinvestment, decision-specific reinvestment does not appear detrimental to E-sport performance. Overall, the findings provide the first evidence for the interactionist hypothesis of attentional control and reinvestment (especially movement-specific propensity), of which the interaction effect may be underpinned by availability of additional cognitive resources that assure adaptive task processing.     

Sensory processing sensitivity and its relation to parental bonding, anxiety, and depression

Sensory processing sensitivity is a recently proposed construct referring to a tendency to process a variety of information more strongly and deeply than others. Although some research has found links between sensory processing sensitivity and psychological difficulties, highly sensitive people may not necessarily be predisposed to negative affect, but may be more sensitive to poor parenting. Two hundred thirteen college students were given a measure of sensory processing sensitivity (the HSPS), the parental bonding scale (measuring parental care and over-protection), the trait anxiety scale, and the Beck depression inventory. Sensory processing sensitivity predicted both anxiety and depression above and beyond parental factors, indicating that it may be an independent risk factor. An interaction was found between sensory processing sensitivity and parental care when measuring depression. Highly sensitive people may be particularly sensitive to uncaring parents. Results indicate that sensory processing sensitivity may be a temperamental disposition that interacts meaningfully with environmental factors.     

Eye movement assessment of emotional processing in anxiety

Eye fixations of participants high or low in trait anxiety were monitored during reading of context sentences predicting threatening or nonthreat events, followed by sentences in which a target word represented the predictable event or an inconsistent event. No effects were found on the target word but on the regions following it. When this word represented a threatening event suggested by the context, high anxiety facilitated reading of the posttarget region. When the target word was inconsistent with a threatening event, high anxiety was associated with interference in the final region. No such effects occurred with nonthreat sentences. This reveals selective prediction of threat in high anxiety. However, rather than being automatic, this bias involves elaboration that takes time to develop.     

Trait anxiety, defensiveness and selective processing of threat: an investigation using two measures of attentional bias

Attentional biases for threat were examined in a non-clinical sample (N=60), with each participant tested on both the modified Stroop colour-naming and dot probe tasks. Three groups were selected on the basis of trait anxiety and social desirability scale (SDS) scores: “low anxiety” (LA: low trait, low SDS), “repressor” (REP: low trait, high SDS) and “high anxiety” (HA: high trait, low SDS). Results from the colour-naming task suggested that high levels of defensiveness (in combination with low trait anxiety) were associated with greater avoidance of threat. The REP group showed less interference in colour-naming threat than neutral words; whereas the HA group showed increased interference due to threat words. On the dot probe task, there was a general tendency for this non-clinical sample as a whole to show avoidance of social threat relative to neutral words, but there was no bias for physical threat words. Avoidance of social threat was significant only within the REP group. No relationships were found between the measures of cognitive bias from the two tasks, suggesting different underlying mechanisms. Results are discussed in relation to previous findings and theoretical views of the effects of anxiety and defensiveness on the processing of threat.     

The effects of cognitive load on attention control in subclinical anxiety and generalised anxiety disorder

Poor regulation of emotions may involve impaired attention control. In the current paper, we report the results of two studies examining the interaction of anxiety, attention control and cognitive load. In Study I, using a performance-based task to assess attention control, we examined whether anxiety is associated with impaired attention control, and whether these effects are influenced by working memory load. In Study II, we examined these effects in patients with a diagnosis of generalised anxiety disorder (GAD) compared to non-anxious control (NAC) participants. Results of Study I showed that high anxiety was associated with increased attention control, that is decreased interference from distractors, but only under high cognitive load. These results were replicated in Study II such that individuals with GAD showed increased attention control relative to NACs, but only under high cognitive load. These results help clarify previous predictions regarding the effect of anxiety on attention control.     

Attention control: Relationships between self-report and behavioural measures,and symptoms of anxiety and depression

Previous research has demonstrated differences in processing between fear-relevant stimuli, such as snakes and spiders, and non-fear-relevant stimuli. The current research examined whether non-fear-relevant animal stimuli, such as dogs, birds and fish, were processed like fear-relevant stimuli following aversive learning. Pictures of a priori fear-relevant animals, snakes and spiders, were evaluated as negative in affective priming and ratings and were preferentially attended to in a visual search task. Pictures of dogs, birds and fish that had been trained as CS+ in an aversive conditioning design were evaluated more negatively and facilitated dot probe detection relative to CS? pictures. The current studies demonstrated that stimuli viewed as positive prior to aversive learning were negative and were preferentially attended to after a brief learning episode. We propose that aversive learning may provide a mechanism for the acquisition of stimulus fear relevance.     

The attentional processes underlying impaired inhibition of threat in anxiety: The remote distractor effect

The current study explored the proposition that anxiety is associated with impaired inhibition of threat. Using a modified version of the remote distractor paradigm, we considered whether this impairment is related to attentional capture by threat, difficulties disengaging from threat presented within foveal vision, or difficulties orienting to task-relevant stimuli when threat is present in central, parafoveal and peripheral locations in the visual field. Participants were asked to direct their eyes towards and identify a target in the presence and absence of a distractor (an angry, happy or neutral face). Trait anxiety was associated with a delay in initiating eye movements to the target in the presence of central, parafoveal and peripheral threatening distractors. These findings suggest that elevated anxiety is linked to difficulties inhibiting task-irrelevant threat presented across a broad region of the visual field.     

Arousability,trait anxiety and the worry and emotionality components of test anxiety

Abstract

Eleventh- and twelfth-grade high-school students (or equivalent subjects in Saudi Arabia, Egypt and Brazil) participated in this study. All subjects were administered the Test Anxiety Inventory and the Anxiety/Arousability Inventory in their native language. A confirmatory factor analysis yielded the following conclusions: (1) the measures of trait anxiety arousability, test anxiety (worry), and test anxiety (emotionality) demonstrated high reliability, factorial validity and discriminant validity in each of the four samples; (2) as hypothesized, significant positive correlations were found between all four measures in each of the four samples; (3) analyses of invariance supported the invariance of factor loadings and factor true variances across three cultural groups: Egypt, Brazil and the USA. (Saudi Arabia was eliminated from the invariance analysis because the sample was all male.) Analyses of invariance did not support the invariance of error/uniquenesses and factor correlations.     

Cognitive trait anxiety,stress and effort interact to predict inhibitory control

Few studies have focussed on the link between anxiety and inhibitory control in the absence of stimulus-driven external threat. This two-part experiment examined the interactions between (1) somatic trait anxiety, somatic situational stress (i.e. threat of electric shock), and effort, and (2) cognitive trait anxiety, cognitive situational stress (i.e. ego-threat instructions), and effort, on inhibitory processes using a Go-No-Go paradigm. Trait anxiety was operationalised using questionnaire scores and effort was operationalised using a visual analogue scale. Performance effectiveness was measured using the d′ parameter from signal detection theory and processing efficiency was indexed by the ratio of d′ to response time on correct trials. Results indicated that somatic trait anxiety and stress did not predict effectiveness or efficiency. Cognitive trait anxiety and stress were associated with both inhibitory effectiveness and efficiency deficits; however, contrary to expectations these deficits were evident at higher rather than lower mental effort. Results suggest a distinction between how somatic and cognitive anxiety manifest on tasks involving inhibitory control.     

State anxiety impairs attentional control when other sources of control are minimal

Research suggests anxiety impairs attentional control; however, this effect has been unreliable. We argue that anxiety’s impairment of attentional control is subtle, and can be obscured by other non-emotional sources of control. We demonstrate this by examining conflict adaptation, an enhancement in attentional control following a trial with high conflict between distracter and target stimuli. Participants completed a Stroop task featuring incongruent (e.g. RED in green font; high-conflict) and control (e.g. +++ in green font; low-conflict) trials. More state-anxious participants showed greater Stroop interference following control trials, but interference was uniformly low following incongruent trials. This suggests state anxiety can impair attention, but other sources of top-down control – such as conflict adaptation – can easily overcome this impairment. This is consistent with recent theories of anxious cognition and shows that anxiety researchers must attend to the dynamics and sources of attentional control.     

Differential relationships of somatic and cognitive anxiety with measures of processing speed in older adults

Research suggests a reciprocal relationship between late-life anxiety and cognition, particularly attention and executive functions. Whereas evidence supports a conceptual distinction between cognitive and somatic dimensions of anxiety, their differential relationship with cognitive outcomes has not been examined, particularly on tests of attention/executive functions that rely on processing speed. Study goals were threefold: (a) to describe levels of overall, cognitive, and somatic anxiety in a sample of older adults without dementia, (b) to determine if overall anxiety is associated with performance on select measures of attention/executive functions that rely on processing speed, and (c) to determine if a differential relationship exists between cognitive and somatic anxiety and cognitive performance. Participants were 368 community-dwelling older adults. Results showed that elevated levels of somatic, but not cognitive anxiety were associated with poorer performance across measures. Findings suggest that the nature of anxiety symptoms may have important implications for cognitive performance in older adults.     

Unconscious vision and executive control: How unconscious processing and conscious action control interact

Research on unconscious or unaware vision has demonstrated that unconscious processing can be flexibly adapted to the current goals of human agents. The present review focuses on one area of research, masked visual priming. This method uses visual stimuli presented in a temporal sequence to lower the visibility of one of these stimuli. In this way, a stimulus can be masked and even rendered invisible. Despite its invisibility, a masked stimulus if used as a prime can influence a variety of executive functions, such as response activation, semantic processing, or attention shifting. There are also limitations on the processing of masked primes. While masked priming research demonstrates the top-down dependent usage of unconscious vision during task-set execution it also highlights that the set-up of a new task-set depends on conscious vision as its input. This basic distinction captures a major qualitative difference between conscious and unconscious vision.     

Proxemics,locus of control,anxiety, and type of movement in emotionally disturbed and normal boys

In order to determine the interpersonal distancing requirements for emotionally disturbed and normal children and in order to investigate the relationship of locus of control and anxiety to interpersonal space, 20 emotionally disturbed and 20 normal boys were randomly required to approach an object person and to let the object person approach them until they felt uncomfortable. Results indicated that emotionally disturbed boys required more space than normals; that subjects would approach closer than they would allow the object person to approach them; and that externals required more space than internals. There were no significant differences between high and low anxious subjects, nor between emotionally disturbed children diagnostically classified as overanxious reaction and those with other diagnosis. Finally, neither anxiety nor locus of control explained the significant normal—emotionally disturbed differences in space requirements. Theoretical and practical implications were discussed as well as the relationship between the present and previous research.     

Inhibitory control in number-conservation and class-inclusion tasks: A neo-Piagetian inter-task priming study

We investigated whether success in number-conservation and class-inclusion tasks relies on a general ability to inhibit misleading strategies. Two groups of 10-year-olds performed inter-task priming between computerized versions of class-inclusion and number-conservation tasks (Experiment 1). In one group, the class-inclusion task served as a prime and the number-conservation task as an assessment probe and vice versa in the other group. Response times were shorter in the number-conservation task when performed after the class-inclusion task (and vice versa in the other group) than in control prime-probe sequences in which the primes did not require the inhibition of a misleading strategy. Experiment 2 showed that these inter-task priming effects did not simply reflect that class inclusion and number conservation rely on the reversibility of concrete operations as Piaget would have hypothesized. Taken together the results are consistent with the neo-Piagetian assumption that cognitive development is rooted in both the acquisition of knowledge of incremental complexity and the ability to resist (inhibit) previous knowledge. Critically, the present finding suggests that the inhibitory ability is not domain- or strategy-specific.     

Effects of test anxiety on motor learning: The processing efficiency hypothesis

Abstract

The hypothesis that, under test (stress) conditions, high trait-anxious individuals invest extra processing resources to reach motor learning levels similar to those of low-anxious individuals was investigated. A transfer procedure (practice trial, rest interval, and transfer trial) was employed to analyse motor learning effects. In Experiment 1, a secondary task (click detection) was used to measure the extra processing resources expenditure on motor learning during the practice trial. Neither motor performance in the transfer trial nor secondary task performance differed as a function of test condition or anxiety trait. A critical analysis of the secondary task paradigm suggested that it was not sensitive enough to reflect the amount of processing capacity expended on the primary motor tasks. In Experiment 2, subjects performed a loading task (verbal shadowing of sentences) concurrently with the motor tasks during the practice trial to prevent extra resources from being allocated to motor learning. Results showed that anxiety trait was associated to performance time increments on the high-demanding motor tasks in the transfer trial. A plausible explanation is that anxiety impairs learning because it reduces the efficiency of processing. An alternative interpretation, concerning an ability deficit of high trait-anxious individuals, is discussed.     

Bimanual movement control: Information processing and interaction effects

Three experiments were designed to investigate the underlying processes in bimanual control. With one hand alone, or with both simultaneously, subjects moved styli from the midline of the body to lateral targets as quickly and accurately as possible. The distance moved and the weight of the styli were varied. Results of reaction time, movement time, and kinematic trajectory analyses question the conclusions of Kelso, Southard and Goodman (1979) regarding the synchronicity of movement of the two limbs. Temporal parameters for the two limbs indicated marked departures from synchronicity, and there was evidence for a left-right asymmetry. The dependent variables of movement time and constant error indicated that there was interaction between the two limbs. The results are discussed in terms of three postulated processes underlying bimanual movement: limb selection (one or two), specification of movement locations and the specification of movement intensities.