The impact of anxiety on sexual arousal in women

This study examined the impact of state anxiety, trait anxiety, and anxiety sensitivity on physiological and self-report measures of sexual arousal and sexual function in a non-clinical sample of women. Physiological sexual responses to an erotic stimulus were assessed using vaginal photoplethysmography, and subjective reactions were measured using questionnaires. Results suggested a curvilinear relationship between state anxiety and physiological sexual arousal (vaginal pulse amplitude; VPA). Trait anxiety and anxiety sensitivity were correlated with self-reported sexual arousal outside the laboratory. The findings may be interpreted in light of sympathetic nervous system (SNS) influences on sexual arousal and potential cognitive interference mechanisms associated with anxiety.     

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.     

The Role of Anxiety Sensitivity and Mindful Attention in Anxiety and Worry About Bodily Sensations Among Adults Living With HIV/AIDS

The current study examined cognitive factors that may be relevant to understanding anxiety and worry about bodily sensations among an HIV/AIDS population. Specifically, this investigation tested the main and interactive effects of anxiety sensitivity and mindful attention on anxious arousal, bodily vigilance, interoceptive fear, and HIV symptom distress among 164 adults with HIV/AIDS. Results indicated that anxiety sensitivity was positively related to anxious arousal, bodily vigilance, and interoceptive fear, but not HIV symptom distress. Mindful attention was negatively related to anxious arousal, interoceptive fear, and HIV symptom distress, but not bodily vigilance. These main effects for anxiety sensitivity and mindful attention were evident after controlling for disease stage, years with HIV, and demographic variables. There were no interactive effects between anxiety sensitivity and mindful attention. Results are discussed in terms of the clinical implications for identifying and treating anxiety and worry about bodily sensations among adults with HIV/AIDS. Limitations of this study include the use of cross-sectional data and self-report assessments.     

Latent structure of anxiety: taxometric exploration

Taxometrics is a statistical tool that can be used to discern categories from continua. Taxometric analyses (MAXCOV and MAXEIG) were conducted in a large nonclinical sample (N=1,215) to determine whether extreme anxiety forms a distinct psychopathological category, an anxiety taxon. Anxiety was operationalized with self-report measures of subjective anxiety, anxious cognitive style, physiological arousal, and anxiety-related impairment. Procedures consistently identified a taxon with a prevalence of approximately 11%. Examination of the taxon's convergent and discriminant validity revealed that it reflects general distress rather than physiological arousal. Taxon membership showed some evidence of incremental validity.     

Test anxiety and ego-threatening stress: Over- (and under-) estimation of emotional reactivity

Abstract

This study examined discrepancies between subjective and objective measures of state anxiety as a function of test anxiety in undergraduates. Under evaluative stress conditions, state anxiety was assessed in terms of (a) self-reported cognitive and somatic anxiety, (b) behavioral reactivity (motor and facial tension, avoidance comments and avoidance of eye contact), (c) physiological arousal (heart rate and skin resistance), and (d) cognitive and motor task performance. Participants high in test anxiety showed disproportionately greater self-reported than objective state anxiety. In contrast, those low in test anxiety showed lower self-reported than objective anxiety. The high- and the low-test-anxiety groups differed only in self-reported emotional reactivity. In line with current cognitive theories of anxiety, overestimation of reactivity in high-test anxiety, as well as underestimation in low-test anxiety, are conceptualized as a hypervigilance bias and an avoidance bias, respectively, in processing internal cues, i.e., prioritization and inhibition of attention to one's own behavioral and physiological signs of distress.     

Anxiety‐induced performance catastrophes: Investigating effort required as an asymmetry factor

Two studies are reported that test the hypothesis that previous support for the cusp catastrophe model of anxiety and performance, and the hysteresis effect in particular, could have been due to a complex interaction between cognitive anxiety and effort required rather than between cognitive anxiety and physiological arousal. We used task difficulty to manipulate effort required in a letter transformation task. Experiment 1 (N=32) used high levels of trait anxiety together with a competitive environment to induce state anxiety. Experiment 2 (N=20) used a competitive environment with social pressure and ego threat instructions to induce high levels of worry. Both studies revealed significant three‐way interactions as hypothesized with follow‐up tests showing some support for the hysteresis hypothesis in Study 1, and strong support for the hysteresis hypothesis in Study 2. The findings support a processing efficiency theory explanation of anxiety‐induced performance catastrophes and indicate that two cusp catastrophe models of performance may exist; one that incorporates the interactive effects of cognitive anxiety and physiological arousal upon performance and the other that incorporates the interactive effects of cognitive anxiety and effort required upon performance.     

Associations between emotional avoidance,anxiety sensitivity,and reactions to an observational fear challenge procedure

Research has shown that emotional avoidance and anxiety sensitivity are associated with more self-reported fear and distress in response to laboratory fear challenge procedures. The present study aimed to expand upon this work and examined how emotional avoidance and anxiety sensitivity are related to emotional and physiological responses to an observational fear challenge procedure. To accomplish this aim, a carefully screened, non-clinical sample (N = 43) was administered the Acceptance and Action Questionnaire (AAQ), a measure of emotional avoidance, and the Anxiety Sensitivity Index (ASI). Participants then engaged in an observational fear challenge paradigm. During the fear challenge, participants watched mock panic attacks while emotional (e.g., fear and panic) and skin conductance levels were assessed. Consistent with expectation, emotional avoidance and anxiety sensitivity were positively associated with more self-reported fear and more severe panic symptoms to the challenge procedure. However, anxiety sensitivity was more highly associated with self-reported fear and panic symptoms in response to the challenge procedure than emotional avoidance. Emotional avoidance and anxiety sensitivity were not associated with levels of physiological arousal to the observational fear challenge procedure. Discussion focuses on the interplay between emotional avoidance, anxiety sensitivity, and the development of vicarious fear responses and how these constructs may contribute to the pathogenesis of anxiety disorders.     

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.     

Objective and perceived physiological arousal in trait social anxiety and post-event processing of a prepared speaking task

This study investigated the influence of trait social anxiety on subjective and physiological responses to an anticipated stressor. Seventy normotensive female students characterized as either high or low in social anxiety engaged in a demanding speech task after an anticipation period of one week that provided opportunity to prepare for the task. Trait social anxiety substantially influenced objective and perceived physiological arousal. High socially anxious individuals displayed greater heart rate reactivity and greater increases in perceived arousal that were in excess of objective HR reactivity. Perceived, but not objective arousal, partially mediated the relationship between social anxiety and negative post-task reappraisals of perceived coping resources. Furthermore, self-evaluations were found to be an essential determinant of post-task rumination. The results provide support for central predictions of cognitive models on social phobia.     

Concordance Between Measures of Anxiety and Physiological Arousal Following Treatment of Panic Disorder in Adolescence

This study examined the concordance (or synchrony/desynchrony) between adolescents' self-reports of anxiety and physiological measures of arousal (heart rate) both prior to and after treatment for panic disorder. Results indicated a decline in reported subjective units of distress (SUDS) for the treatment group only at the post-treatment measurement for two of three tasks. Within the treatment group, heart rate changes during the Behavioral Approach Test (BAT) were observed following treatment for one task only. Implications of this apparent desynchrony between self-report and physiological measures in adolescent panic disorder are discussed, with cognitive changes in participants' perception of anxiety after treatment suggested as an important factor in recovery.     

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.     

The tell-tale heart: physiological reactivity during resolution of ambiguity in youth anxiety

In the past decade, cognitive biases and physiological arousal have each been proposed as mechanisms through which paediatric anxiety develops and is maintained over time. Preliminary studies have found associations between anxious interpretations of ambiguity, physiological arousal, and avoidance, supporting theories that link cognition, psychophysiology, and behaviour. However, little is known about the relationship between youths’ resolutions of ambiguity and physiological arousal during acute stress. Such information may have important clinical implications for use of verbal self-regulation strategies and cognitive restructuring during treatments for paediatric anxiety. In this brief report, we present findings suggesting that anxious, but not typically developing, youth select avoidant goals via non-threatening resolution of ambiguity during a stressor, and that this resolution of ambiguity is accompanied by physiological reactivity (heart rate, heart rate variability, and respiratory sinus arrhythmia). We propose future empirical research on the interplay between interpretation bias, psychophysiology, and child anxiety, as well as clinical implications.     

Behavioral validation of the Childhood Anxiety Sensitivity Index in children

Examined the construct validity of the Childhood Anxiety Sensitivity Index (CASI) in young children through the use of a behavioral challenge task. Elementary-school children completed the CASI as well as self-report measures of state and trait anxiety and subjective fear prior to and immediately following a stair-stepping task designed to increase physiological arousal. Results indicate that the CASI was a significant predictor of the degree of state anxiety and subjective fear reported in response to the challenge task, even after controlling for pretask levels of state anxiety and fear, respectively. Additionally, the CASI predicted changes in fear experienced in response to the challenge task. The findings lend support to the validity of the CASI in preadolescent children and suggest that the CASI possesses unique clinical utility relative to measures of trait anxiety. However, results of this study must be interpreted cautiously, because a large portion of the variance in response to arousal was left unaccounted for by the CASI and the overall model.     

The time of the crime: cognitively induced tonic arousal suppression when lying in a free recall context

Previous research has shown that suspects in real-life interviews do not display stereotypical signs of nervous behaviours, even though they may be experiencing high detection anxiety. We hypothesised that these suspects may have experienced cognitive load when lying and that this cognitive load reduced their tonic arousal, which suppressed signs of nervousness. We conducted two experiments to test this hypothesis. Tonic electrodermal arousal and blink rate were examined during task-induced (Experiment 1) and deception-induced cognitive load (Experiment 2). Both increased cognitive difficulty and deception resulted in decreased tonic arousal and blinking. This demonstrated for the first time that when lying results in heightened levels of cognitive load, signs of nervousness are decreased. We discuss implications for detecting deception and more wide-ranging phenomena related to emotional behaviour.     

The hardy personality: cognitive and physiological responses to evaluative threat

Hardy persons are hypothesized to be resistant to stress-induced illness, because of their adaptive cognitive style and a subsequently reduced level of physiological arousal. We assessed the cognitive and physiological responses of high and low hardy male undergraduates to a challenging task under high and low evaluative threat. As predicted, hardy subjects endorsed more positive self-statements than did low hardy subjects in the high threat condition. High hardy subjects also reported fewer negative self-statements overall, but this was attributable to the overlap of measures of hardiness and neuroticism. Hardy subjects displayed marginally lower arousal while waiting for the task to begin, but this finding did not approach significance when neuroticism was controlled. Hardy subjects also had higher levels of systolic blood pressure, perhaps because of their active coping efforts. Results support the hypothesized hardy cognitive style but raise questions about the type and timing of organismic strain linking hardiness and health.     

Interoceptive accuracy and panic

Psychophysiological models of panic hypothesize that panickers focus attention on and become anxious about the physical sensations associated with panic. Attention on internal somatic cues has been labeled interoception. The present study examined the role of physiological arousal and subjective anxiety on interoceptive accuracy. Infrequent panickers and nonanxious participants participated in an initial baseline to examine overall interoceptive accuracy. Next, participants ingested caffeine, about which they received either safety or no safety information. Using a mental heartbeat tracking paradigm, participants' count of their heartbeats during specific time intervals were coded based on polygraph measures. Infrequent panickers were more accurate in the perception of their heartbeats than nonanxious participants. Changes in physiological arousal were not associated with increased accuracy on the heartbeat perception task. However, higher levels of self-reported anxiety were associated with superior performance.     

Sensory Modulation for People with Anxiety in a Community Mental Health Setting

Anxiety is a common mental health issue involving cognitive and physiological hypersensitivity to threat. It negatively affects occupational participation. Sensory modulation intervention aims to use calming sensory input to manage the hypersensitivity and physiological arousal associated with anxiety. The empirical evidence for using sensory interventions for anxiety, however, is limited. This mixed methods single subject case design explored the effectiveness of a 6-week sensory modulation intervention for reducing anxiety and improving occupational participation. Results showed significant reduction in anxiety and improved participation, providing further evidence that sensory modulation is an effective approach for the self-management of anxiety.     

焦虑性神经症的认知和躯体感觉研究

从Ｓｃｈａｃｈｔｅｒ的二因素理论和Ｂｅｃｋ的认知模式观点出发,采用信念量表、广场恐怖认知问卷、躯体感觉问卷、Ｈａｍｉｌｔｏｎ焦虑及抑郁量表,以抑郁患者和正常人两组作对照,调查了焦虑患者的焦虑、认知及躯体感觉的相互关系。初步结论是,“躯体损害性”自动想法和对躯体感觉的过分担心是临床焦虑的特征;“社会、行为后果性”想法似乎是焦虑和抑郁患者共有的。焦虑的认知内容是以“危险”为主题的,躯体感觉和认知错解在焦虑发生发展中起重要作用。“危险”的负性自动想法和焦虑关系密切,而由非理性信念所反映的特定的认知图式可能促使患者过度夸大危险性。这一结果在一定程度上支持了两因素理论和Ｂｅｃｋ的认知模式     

Restlessness in Generalized Anxiety Disorder: Using Actigraphy to Measure Physiological Reactions to Threat

Generalized anxiety disorder (GAD) is characterized by excessive, uncontrollable worry accompanied by symptoms of physiological arousal. Although individuals with GAD report greater subjective arousal than healthy individuals, they show equivalent or even attenuated physiological reactions to threat. This may result from using physiological measures better suited to fear than anxiety. To test this possibility, 102 adults with and without GAD were assessed for restlessness, a core physiological symptom of GAD. They were exposed to an in vivo threat task designed to elicit anxiety in the laboratory. Throughout the task, restlessness was measured physiologically with actigraphy sensors on both ankles and both wrists, and subjectively with self-report ratings. The GAD group reported higher subjective restlessness than the no-GAD group, and in the subset of cases who had restlessness as a clinically significant symptom, actigraphy scores were reliably elevated as well. However, although actigraphy scores increased with proximity to the threat, the increases did not differ by group. These findings provide initial validation for actigraphy as a novel measure of motor restlessness in GAD. In addition, they underscore the value of measuring restlessness using multiple assessment methods. These methods suggest that, in GAD, restlessness reflects a chronic state of arousal rather than a heightened physiological reaction to threat.     

Changes in Decentering and Reappraisal Temporally Precede Symptom Reduction During Emotion Regulation Therapy for Generalized Anxiety Disorder With and Without Co-Occurring Depression

Emotion Regulation Therapy (ERT) has demonstrated efficacy in both open and randomized trials for generalized anxiety disorder (GAD) with and without co-occurring depression. An important goal in ERT is to teach clients adaptive emotion regulation, including healthier metacognitive abilities such as decentering and cognitive reappraisal. A few studies thus far have demonstrated a mediating role for these metacognitive abilities in other cognitive behavioral therapies (CBTs) for GAD. However, a drawback to most of these has been the ability to demonstrate a causal role for improved metacognitive abilities in outcome. In the present study, we utilized multilevel time-lagged segment analyses to explore the temporal dynamics between session-by-session changes in metacognition and anxiety outcomes from ERT. Thirty-one young adults diagnosed with GAD with and without co-occurring depression received 16 sessions of ERT. Prior to each session, participants completed questionnaires pertaining to metacognition (i.e., decentering and cognitive reappraisal) and anxiety symptoms (i.e., worry, trait anxiousness, and generalized anxiety). Changes in decentering temporally preceded changes in worry and trait anxiousness of a medium to large magnitude, and changes in cognitive reappraisal temporally preceded changes in all three outcomes of a medium to large magnitude. The reverse direction, where mediators were predicted by outcomes, was nonsignificant. These findings support the notion that adaptive metacognitive emotion regulation is involved in reducing worry and anxiety in GAD. Having a clearer understanding of the temporal dynamics between metacognitive abilities and symptoms of anxiety can inform and improve not only ERT but other CBTs for GAD, as well.