Japanese monkeys' cardiac responses to visual depth

The present study examined the heart-rate changes which occurred in the visual-depth situation of Japanese monkeys (Macaca fuscata). Four animals were tested over the first four weeks of age in the visual pitfall designed as a modification of the visual cliff. The infant monkeys showed heart-rate reduction in the depth condition. This reduction was observed from the first week and became remarkable at the third week. There were no differences in heart-rate change between monocular and binocular vision. These findings suggest that the Japanese monkey can discriminate visual depth shortly after birth and that the heart-rate reduction depends upon the fear of visual depth, not upon the novelty of the situation.     

The facilitative effects of heart-rate feedback in the emotional processing of claustrophobic fear

This study examines predictions derived from Foa and Kozak's theory of emotional processing. We hypothesized that the provision of heart-rate feedback would facilitate emotional processing through a fuller activation of the participant's fear structure, and by focusing participants' attention on information that is incompatible with the fear structure, i.e., the interoceptive pattern of habituation. Nonclinical students (N = 54) showing marked claustrophobic fear received 30 min of self-directed exposure to a claustrophobic chamber. Three exposure conditions (heart-rate feedback, paced-tone control, and exposure only control) were examined across six 5-min exposure trials. Participants receiving heart-rate feedback displayed greater between-trial habituation across treatment trials and lower levels of fear at post-treatment. Treatment process findings failed to support the fear activation hypothesis. Implications of the findings for theories of fear reduction are discussed.     

Return of fear: The role of inhibition

In a previous study investigating the relationship between subjective, physiological and behavioural changes during treatment of specific phobias, a marked between-session increase was found in subjective fear after high, but not after low intensity phobic stimulation although the groups showed similar fear ratings and heart rates immediately after treatment (Grey et al, 1979). It was hypothesized that the high intensity stimulation led to ‘treatment fatigue’; a state of deactivation, the recovery from which led to a return of fear.In this study high intensity in vivo stimulation was used for the treatment of phobic subjects under conditions of distributed and massed practice. No differences emerged between treatment conditions. A small group of Ss with a conspicuously high heart rate (mean level 120 bpm) when rating zero fear, showed a significant increase in fear after one week's interval, although they had shown similar improvement to the Ss during treatment. Subjects in both treatment conditions showed lower heart rate at all post-treatment assessments than pre-treatment. The high initial heart rate Ss continued to have higher heart rate than other Ss throughout the experiment, although they showed a decrease after treatment. It was only these Ss with desynchronously high heart rate, i.e. high heart rate with zero fear ratings, who suffered a return of fear, whereas high heart rate during high fear did not predict either response to treatment or return of fear. A further finding was a lack of correlation between the behavioural and physiological indices of fear, namely, between distance and heart rate at high levels of fear.     

Fast, slow and sudden reductions in fear

An experiment was carried out on 30 spider-fearful and 30 snake-fearful subjects in an attempt to replicate the finding of a correlation between the rapid reduction of fear and the reduced likelihood of significant fear returning after an interval (low return of fear). It was also hoped to observe and closely examine the occurrence of sudden and enduring reductions in fear. The results from the two groups of fearful subjects were reassuringly similar. The fears of both groups were significantly reduced in a relatively briefsession, and small but significant returns of fear were observed after a 2 week interval, with the slow responders reporting a higher return of fear than fast responders. The time taken to reduce the fear correlated 0.36 with the return of fear. A minority of subjects did experience a subjectively important, abrupt change in their fears; these ‘glass-jar’ experiences were associated with faster (overall) reductions in fear, a lower return of fear, and subjective estimates of permanent and generalized reductions of the fear.     

An investigation of various performance-based treatments with acrophobics

Five different performance-based treatments (participant modeling, participant modeling without therapist physical contact, modeling plus exposure, therapist-controlled exposure in vivo and rationale only) were compared to evaluate their relative effectiveness in the treatment of acrophobia. Ten subjects were assigned to each of the five groups. Avoidance behavior was assessed using a behavior test, self-report fear measures, heart-rate and self-efficacy expectation measures. Subjects were first submitted to two behavioral approach tests. These two pre-tests were administered 1 week apart, and no significant differences occurred between the evaluations. Analyses of variance for repeated measures at pre-test. post-test and follow-up revealed a significant improvement on all main outcome measures for the five groups. No significant differences among groups were observed. The total treatment time, which was also used as a dependent measure, did not yield any significant differences among treatment conditions. These findings have many implications. For instance, the need for induction aids, such as physical contact with the therapist and modeling, is questioned. Also, exposure per se whether therapist or self-controlled is shown to be effective in reducing avoidance behavior. Finally, the theoretical and clinical implications of these results are discussed.     

Cardiac response as an index of the effect of aversion therapy

Recent research shows that aversion conditioning produces conditioned aversions to target stimuli. Conditioned aversions are manifest in the following posttreatment changes in Ss' responses to target stimuli: increased negative evaluations, decreased contact or consumption, and increased phasic heart-rate responses (HRRs). Research on aversion therapy for additive disorders reveals that HRR is a particularly important index of therapeutic change as it is predictive of latency to relapse to drug use. We speculate that aversion conditioning increases Ss' fear and repugnance of target stimuli, that HRRs accurately reflect such defensive responses and that magnitude of defensive response is positively related to latency to relapse. In addition to defensive responding, we believe that HRRs may reflect coping-response or active-avoidance information processing.     

Fear and disgust processing during repeated exposure to threat-relevant stimuli in spider phobia

Although disgust plays a significant role in the etiology of spider phobia, there remains a paucity of research examining the role of disgust in the treatment of spider phobia. Spider fearful participants (N = 46) were randomly assigned to a disgust (view vomit images) or neutral activation (view inanimate objects) condition. They were then repeatedly exposed to a videotaped tarantula, during which time their fear, disgust, and physiological levels were assessed repeatedly. Growth curve analyses indicated that repeated exposure led to significant declines in fear and disgust with no statistically significant differences between the two conditions. However, there was marginal evidence for decreased physiological arousal during repeated exposure among spider fearful participants in the disgust activation condition compared to those in the neutral condition. Reduction in disgust during exposure in the disgust activation condition remained significant after controlling for change in fear, whereas change in fear was no longer significant after controlling for change in disgust. However, the opposite pattern of relations between change in fear and disgust was observed in the neutral activation condition. Higher fear and disgust activation during exposure was also associated with higher fear and disgust responding on a subsequent behavioral task and higher spider fear and disgust at 3-month follow-up. Baseline trait disgust propensity also predicted fear and disgust parameters during repeated exposure. The implications of these findings for the role of disgust in the treatment of spider phobia are discussed.     

Effects of threatening and reassuring components of fear appeals on physiological and verbal measures of emotion and attitudes

Physiological processes are integral components of (a) many conceptualizations of emotion, (b) the emotion of fear, and (c) the fear-as-acquired-drive model of attitude change. Nevertheless, few studies of fear and persuasion have simultaneously measured self-reports of fear and autonomic activity. The present factorial experiment manipulated high versus low fear and high versus low reassurance and monitored self-reports and cardiovascular and electrodermal activity. The results disclosed that heart rate (HR) and skin conductance (SC) were highly correlated (r = .70). Although the multiple correlation among HR, SC, and a self-report measure of fear was a modest .44 (p < .05), additional evidence suggested that self-reports were the most sensitive measure of the construct of fear. The fear-film manipulation, which is typical of many fear-arousing communications, had identical effects upon the autonomic and self-report measures of fear. These data support the construct validity of the self-report measure of fear and increase our confidence that “fear” has been aroused in previous studies of fear and persuasion. Neither the fear-film manipulation nor the autonomic components of fear were associated with attitude change. The reassurance variable facilitated attitude change. Overall, the findings emphasized the importance of cognitive mediational processes rather than an emotional state of fear.     

Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change

The effects of fear appeals on persuasion were investigated in a factorial experiment that was designed to test a combined model of protection motivation theory and self-efficacy theory. As predicted, the probability of a threat's occurrence and the effectiveness of a coping response both had positive main effects on intentions to adopt a recommended preventive health behavior. More importantly, the findings provided support for self-efficacy expectancy as a fourth component of protection motivation theory: Self-efficacy had a direct influence on intentions and interacted with two other variables of protection motivation theory. The interaction effect was interpreted in terms of two new decision-making strategies that people use when confronted with a fear appeal: a precaution strategy and a hyperdefensiveness strategy. In addition, the results replicated previous findings on the relationship between self-efficacy expectancy and outcome expectancy. A model incorporating protection motivation theory and self-efficacy theory is presented as a possible general model of attitude change.     

Fear inhibition and species specific defense reaction termination may contribute independently to avoidance learning

A series of three experiments was conducted to test the proposal of Cicala and Owen (Learning and Motivation, 1976, 7, 356–367) that warning signal termination reinforces avoidance learning by permitting fear to dissipate and that a feedback signal reinforces avoidance learning through conditioned inhibition of fear. A CER procedure with a second-by-second analysis was used to measure fear elicitation and fear reduction following classical conditioning or avoidance training. The results show that a feedback signal produces rapid and marked fear reduction, suggesting an inhibitory process. Although warning signal termination produced fear reduction, the slowness of this process suggests fear dissipation and not an inhibitory process. The combination of both events reduced fear no more effectively than a feedback signal alone. It is suggested that warning signal termination is effective in some avoidance learning situations not because it reduces fear, but possibly because it helps terminate an avoidance response that closely resembles a species specific defense reaction.     

Effects of aerobic exercise on anxiety sensitivity

Anxiety sensitivity is a known precursor to panic attacks and panic disorder, and involves the misinterpretation of anxiety-related sensations. Aerobic exercise has been shown to reduce generalized anxiety, and may also reduce anxiety sensitivity through exposure to feared physiological sensations. Accordingly, 54 participants with elevated anxiety sensitivity scores completed six 20-min treadmill exercise sessions at either a high-intensity aerobic ( n = 29 ) or low-intensity ( n = 25 ) level. Self-ratings of anxiety sensitivity, fear of physiological sensations associated with anxiety, and generalized anxiety were obtained at pre-treatment, post-treatment, and one-week follow-up. Results indicated that both high- and low-intensity exercise reduced anxiety sensitivity. However, high-intensity exercise caused more rapid reductions in a global measure of anxiety sensitivity and produced more treatment responders than low-intensity exercise. Only high-intensity exercise reduced fear of anxiety-related bodily sensations. The implications of these findings are discussed.     

Exposure and communications training in the treatment of agoraphobia

Twenty-one agoraphobics participated in a 6-month study designed to (a) compare imaginal flooding under high- (no sedation) and low- (sedation used) anxiety conditions: (b) examine the long-term effects of imaginal flooding in the absence of further exposure treatment; and (c) explore the impact of communications training on chronic anxiety and panic attacks. A reevaluation of the effects of sedation is presented in this report.Imaginal flooding without sedation was, on the whole, superior to the attention control placebo and imaginal flooding with sedation on therapists' and clients' ratings of fear and avoidance. However, the superiority of the non-drug flooding group cannot be attributed (as was concluded in an earlier report) to higher levels of anxiety across flooding sessions. Rather the drug (methohexitone sodium) appears to have impeded across-session habituation, perhaps by interfering with long-term memorial processes.The effects of imaginal flooding without sedation were stable over 4 months without further exposure treatment. These clients did receive training in solving important interpersonal problems through self monitoring and increased expressiveness. Contrary to hypotheses, not only was no further improvement obtained on fear and avoidance with this treatment, but also anxious mood and panic attacks remained unaffected. It is surprising to note that in-vivo treatment was no more effective than imaginal flooding on fear and avoidance. These and other findings suggest imaginal flooding well warrants further study.     

The Danger in Sexism: The Links Among Fear of Crime, Benevolent Sexism, and Well-being

In two studies utilizing undergraduate students at a large public university in the Northeastern U.S., we examined how fear of crime negatively impacts psychological well-being and gender relations. In Study 1, students (N?=?216, 105 female) who indicated higher levels of fear of crime also indicated greater endorsement of benevolent sexism (but not hostile sexism) as well as higher levels of behavioral inhibition and lower self-esteem. In Study 2, fear of crime was manipulated and participants (N?=?115, 73 female) in the crime condition indicated greater endorsement of benevolent sexism, greater behavioral inhibition and lower self-esteem, as compared to participants in a control condition. The implications of the findings for gender relations and psychological well-being are discussed.     

Preextinction Stress Prevents Context-Related Renewal of Fear

Extinction learning, which creates new safety associations, is thought to be the mechanism underlying exposure therapy, commonly used for the treatment of anxiety disorders and posttraumatic stress disorder. The relative strength and availability for retrieval of both the fear and safety memories determine the response in a given situation. While the fear memory is often context-independent and may easily generalize, extinction memory is highly context-specific. “Renewal” of the extinguished fear memory might thus occur following a shift in context. The aim of the current work was to create an enhanced and generalized extinction memory to a discrete stimulus using stress exposure before extinction learning, thereby preventing renewal. In our contextual fear conditioning paradigm, 40 healthy men acquired (Day 1), retrieved and extinguished (Day 2) the fear memories, with no differences between the stress and the control group. A significant difference between the groups emerged in the renewal test (Day 3). A renewal effect was seen in the control group (N = 20), confirming the context-dependency of the extinction memory. In contrast, the stress group (N = 20) showed no renewal effect. Fear reduction was generalized to the acquisition context as well, suggesting that stress rendered the extinction memory more context-independent. These results are in line with previous studies that showed contextualization disruption as a result of pre-learning stress, mediated by the rapid effects of glucocorticoids on the hippocampus. Our findings support research investigating the use of glucocorticoids or stress induction in exposure therapy and suggest the right timing of administration in order to optimize their effects.     

Effects of single trial of heart-rate biofeedback on the arterial blood pressure, ventilation volume, and oxygen consumption during ramp bicycling exercise

We examined whether the heart rate attenuation resulting from a single trial of biofeedback during exercise occurs without any changes in oxygen consumption (VO2), ventilation volume (V(E)), and mean arterial blood pressure (M(AP)) although these variables are essential determinants for the heart-rate response during exercise. 35 subjects exercised on a cycle ergometer under two conditions while they exercised only (Control) or were trying to decrease the heart-rate response as low as possible by monitoring their own heart-rate responses as Single trial of biofeedback signals. 17 subjects could attenuate their heart rate (Can group), and their heart-rate reduction during Single trial of biofeedback was 5+/-1 bpm. The remaining subjects were unable to reduce heart rate (Cannot group). The heart-rate attenuation during Single trial of biofeedback in the Can group occurred independently of changes in VO2 and MAP but was accompanied by a significant decrease in V(E) and rating of perceived exertion (RPE). However, there was a similar decrease in V(E) in the Cannot group. These findings suggested that the heart-rate attenuation during Single trial of biofeedback was not induced by the metabolic demand of VO2 and the regulations of M(AP) and V(E) during exercise. Other mechanisms, which are probably related to the reduction of RPE, might play an important role in the heart-rate attenuation during a Single trial of biofeedback.     

Perceived infant temperament,locus of control,and maternal physiological response to infant gaze

Maternal physiologic response was used as an index of maternal attention to infant eye contact. Thirty-six women, each of whom had a 3-month-old infant, were shown 10-sec silent images of a 3-month-old infant on a videotape monitor. In one condition the en face position offered eye contact, in the other condition eye contact was not possible. Each woman viewed a sequence of six identical episodes of one condition followed by six episodes of the other condition. Heart rate and skin conductance were recorded continuously during the session. Skin conductance response did not differentiate between reciprocated and unreciprocated gaze. Cardiac response elicited by reciprocated gaze viewed first shifted from a predominately orienting response on early trials to an acceleratory response on Trial 6. The acceleratory response was most pronounced in those women identified as Externals by the Locus of Control Inventory (Rotter, J. B. Psychological Monographs, 1966, 80, [No. 609]). Initial viewing of the infant looking away elicited a predominantly deceleratory heart-rate response that did not habituate. Mothers who described their infants as being difficult as assessed by the questionnaire method (Carey, W. B. Journal of Pediatrics, 1970, 77, 188–194) were physiologically less sensitive to the change from the infant's averted gaze to its direct gaze. Results are discussed in terms of the role of direct and averted gaze during social transactions.     

Covert neuromuscular activity of the dominant forearm during visualization of a motor task

This study evaluated specific covert neuromuscular activity during a silent visualization exercise. 30 subjects participated in a dual-baseline single-subject procedure. The experimental test condition required the subjects to visualize themselves squeezing a hand-size rubber ball as tightly as possible for 1 min. In the comparison test condition, subjects were asked to imagine the 'sun setting on the horizon' for 1 min. Visualization of the motor task brought about significant (p <.05) increases in dominant forearm EMG (microV) and heart-rate activity (bpm) from rest to the experimental test condition. Nondominant forearm activity showed no significant changes from rest to either test condition, and heart-rate activity (bpm) showed no significant change from rest to the comparison visualization task.     

Measurement of fear of the conditioned stimulus and of situational cues at several stages of two-way avoidance learning

In Experiment 1, subjects were trained in a signaled two-way avoidance task to a criterion of either 2, 10, or 20 consecutive avoidance responses. Subsequently, they were allowed to escape, in the absence of shock, from one compartment of the avoidance apparatus to an adjacent safe box. For one group at each criterion level, the conditioned stimulus (CS) was presented during these trials; for another group, it was not (NCS). The rate and level of learning of the escape response were taken to reflect the amount of fear of the CS and situational cues present at the end of avoidance training for the CS groups and the amount of fear of the situational cues alone for the NCS groups. Under the CS condition, all groups learned equally well; under the NCS condition, learning occurred only in the two-criterion group. This pattern of results suggests that, as avoidance training continued, differential reinforcement led to the formation of a discrimination so that a substantial amount of fear was elicited by the CS plus situational cues but only a minimal amount by the situational cues alone. Such a loss of fear of situational cues would, according to effective reinforcement theory, serve to maintain or even increase reinforcement as avoidance training progressed. The results of Experiment 2, by ruling out some alternative explanations, supported the interpretation that the learning of the instrumental escape response in the first experiment was based on prior fear conditioning.     

Augmenting treatment efficiency in exposure therapy for PTSD: a randomized double-blind placebo-controlled trial of yohimbine HCl

The alpha-2 adrenergic receptor antagonist, yohimbine, can facilitate fear extinction in animals and humans. One potential mechanism is increased noradrenergic activity and associated arousal in the presence of conditioned stimuli. Accordingly, yohimbine might augment prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD), where heightened exposure-oriented arousal is a theorized driver and empirical predictor of treatment success. A double-blind placebo-controlled randomized trial (NCT 01031979) piloted yohimbine augmentation in 26 males with combat-related PTSD. Participants were given one-time dose of yohimbine or placebo prior to the first imaginal exposure. Subsequently, both arms completed standard PE. The primary outcome was trauma-cued heart-rate reactivity a week after the drug/exposure visit, a highly specified, objective measure sensitive to incremental change. Secondary outcomes included arousal during the drug/exposure visit and slope of distress, PTSD, and depression over the course of PE. Consistent with hypothesis, yohimbine led to higher objective and subjective arousal during the drug/exposure visit and to lower trauma-cued heart-rate reactivity one-week later. One dose of yohimbine also led to greater between-session habituation and more rapid improvement on depression, but not PTSD, over the course of care. Results of this controlled pilot indicate support for continued investigation of yohimbine-augmented exposure therapy for PTSD.     

The influence of task variation and maintenance tasks on the learning and affect of autistic children

Analyses of autistic children's learning and affect have begun to consider the role of antecedent variables, including the manner with which tasks are sequenced within instructional sessions. Within the context of a simultaneous-treatments design, this experiment evaluated autistic children's affect and rate of task acquisition under three experimental conditions. The conditions were (1) a constant task condition in which only one acquisition task was presented per session; (2) a varied-acquisition-task condition, in which 10 acquisition tasks were randomly interspersed throughout each session; and (3) a varied-with-maintenance-task condition, which randomly interspersed 5 acquisition tasks and 5 which had been previously acquired. The results showed significantly more efficient learning under the varied-maintenance condition, with no consistent differences separating the other two conditions. In addition, observers' ratings of the children's affect showed that the most positive judgments were produced by the varied-maintenance condition. The varied-acquisition condition was next while the constant task condition always produced the least favorable ratings. These findings are discussed in relation to the literature on massed versus distributed practice, stimulus variation, and success-induced motivation. The implications for upgrading the treatment and education of handicapped children are also reviewed.