Attentional bias to respiratory- and anxiety-related threat in children with asthma

This study investigated attentional biases in children with asthma. The study aimed at testing whether children with asthma are vigilant to asthma and/or anxiety cues. Thirty-six children (18 with asthma and 18 healthy controls) aged 9–12 completed a computerised dot probe task designed to measure attentional bias to three different categories of words: asthma, anxiety symptom and general negative emotion. Main caregiver anxiety was also assessed, as was frequency of inhaler use for those with asthma. Children with asthma showed an attentional bias towards asthma words but not anxiety or general negative emotion words. Children without asthma showed no significant attentional biases to any word categories. Caregiver anxiety was correlated with asthma word attentional bias in the asthma group. The findings indicate that attentional bias is present in children with asthma. Further research is required to ascertain if this exacerbates or maintains health-related problems.     

An anxiety-related bias in semantic activation when processing threat/neutral homographs

Three experiments are reported comparing high and low-trait anxious subjects in terms of their patterns of semantic activation in response to ambiguous primes, with one threat-related and one neutral meaning. Such primes were followed by targets related to either their threat or neutral meaning, or by unrelated targets, in a lexical decision task. Experiments 1 to 3 employed stimulus onset asynchronies (SOAs) of 750 msec, 500 msec, and 1250 msec, respectively. At 500-msec SOA all subjects showed facilitation for both meanings. At 750-msec SOA the only significant priming effect was that for the threat-related meaning in the high-anxiety group, and a similar trend was found at 1250-msec SOA. Consideration of the patterns of priming for targets following ambiguous threat/neutral primes suggest that at the longer SOAs, high-anxiety subjects consciously “lock on” to a threatening interpretation if one has been made available by earlier automatic spreading activation.     

Cortisol,stress, and attentional bias toward threat

Abstract

Attentional bias toward threatening stimuli is a central characteristic of anxiety and acute stress. Recent small-scale studies have provided divergent perspectives on the association between the stress hormone cortisol and attentional bias toward threat cues. In a larger sample size than previous studies, we examined this association by investigating the impact of cortisol on attentional bias in two studies using a psychological stressor (N=35) and a physical stressor (N=65), respectively. Attentional bias and salivary cortisol were measured prior to and following the administration of a stressful task designed to increase cortisol levels. Results across these studies were equivocal relative to the association between baseline cortisol and baseline attentional bias. In addition, the association between acute change in cortisol and change in attentional bias appeared to differ as a function of the presence or absence of psychological stress. There was a trend toward a stronger negative association between acute cortisol change and attentional bias change among women relative to men. These results imply that the association between cortisol and attentional bias may be moderated by additional factors, such as gender or presence of stress.     

Attention bias for social threat in youth with tic disorders: Links with tic severity and social anxiety

Many individuals with Tourette syndrome and chronic tic disorders (TS/CTDs) report poor social functioning and comorbid social anxiety. Yet limited research has investigated the role of cognitive factors that highlight social threats in youth with TS/CTD, and whether these biases underlie tic severity and co-occurring social anxiety. This study examined whether selective attention to social threat is enhanced young people with TS/CTDs compared to healthy controls, and whether attention biases are associated with tic severity and social anxiety. Twenty seven young people with TS/CTDs and 25 matched control participants completed an experimental measure of attention bias toward/away from threat stimuli. A clinician-rated interview measuring tic severity/impairment (YGTSS Total Score) and questionnaire measures of social anxiety were completed by participants and their parents. Young people with TS/CTD showed an attention bias to social threat words (relative to benign words) compared to controls but no such bias for social threat faces. Attention bias for social threat words was associated with increasing YGTSS Total Score and parent-reported social anxiety in the TS/CTDs group. Mediation analysis revealed a significant indirect path between YGTSS Total Score and social anxiety, via attention to social threat. Tentatively, these associations appeared to be driven by impairment rather than tic severity scores. Preliminary data suggests that youth with TS/CTD have enhanced attention to threat, compared to controls, and this is associated with impairment and social anxiety. Attention to threat could offer a cognitive mechanism connecting impairment and social anxiety, and so be a valuable trans-diagnostic treatment target.     

When bad stress goes good: increased threat reactivity predicts improved category learning performance

The way in which we respond to everyday stressors can have a profound impact on cognitive functioning. Maladaptive stress responses in particular are generally associated with impaired cognitive performance. We argue, however, that the cognitive system mediating task performance is also a critical determinant of the stress-cognition relationship. Consistent with this prediction, we observed that stress reactivity consistent with a maladaptive, threat response differentially predicted performance on two categorization tasks. Increased threat reactivity predicted enhanced performance on an information-integration task (i.e., learning is thought to depend upon a procedural-based memory system), and a (nonsignificant) trend for impaired performance on a rule-based task (i.e., learning is thought to depend upon a hypothesis-testing system). These data suggest that it is critical to consider both variability in the stress response and variability in the cognitive system mediating task performance in order to fully understand the stress-cognition relationship.     

Attentional bias to threat in clinical anxiety states

Abstract

Attentional responses to threat stimuli were assessed in anxious patients, normal controls, and subjects who had recovered from a clinical anxiety state. The main aims of the study were: (1) to replicate MacLeod, Mathews, and Tata's (1986) finding of an attentional bias to threat in currently anxious patients compared with normal control subjects; (2) to assess whether the bias is related to the predominant worries of anxious patients; and (3) to investigate whether the bias is present in recovered anxious patients. The original finding of an anxiety-related attentional bias was replicated. The results indicated that the extent to which anxious patients selectively attended to social threat words was associated with the seventy of their social worries. The attentional responses of the recovered anxious group were not significantly differentiated from those of the currently anxious or normal control groups.     

Anticipatory versus reactive spatial attentional bias to threat

Dot‐probe or visual probe tasks (VPTs) are used extensively to measure attentional biases. A novel variant termed the cued VPT (cVPT) was developed to focus on the anticipatory component of attentional bias. This study aimed to establish an anticipatory attentional bias to threat using the cVPT and compare its split‐half reliability with a typical dot‐probe task. A total of 120 students performed the cVPT task and dot‐probe tasks. Essentially, the cVPT uses cues that predict the location of pictorial threatening stimuli, but on trials on which probe stimuli are presented the pictures do not appear. Hence, actual presentation of emotional stimuli did not affect responses. The reliability of the cVPT was higher at most cue–stimulus intervals and was .56 overall. A clear anticipatory attentional bias was found. In conclusion, the cVPT may be of methodological and theoretical interest. Using visually neutral predictive cues may remove sources of noise that negatively impact reliability. Predictive cues are able to bias response selection, suggesting a role of predicted outcomes in automatic processes.     

Implicit and explicit memory bias for threat in post-traumatic stress disorder.

We investigated explicit (cued recall) and implicit (word completion) memory in Vietnam combat veterans with (n = 24) and without (n = 24) post-traumatic stress disorder (PTSD). Half of the subjects in each group encoded combat, social threat, positive, and neutral words elaboratively, whereas the others encoded these words nonelaboratively. On the cued recall test, under both encoding conditions, both groups recalled more combat words than other words. However, difference scores obtained by subtracting the mean recall for neutral words from the mean recall scores for the other words revealed that PTSD patients exhibited a relative explicit memory bias for combat words. That is, PTSD patients tended to exhibit poor memory for everything but combat words. On the word completion test, only PTSD subjects exhibited an implicit memory bias for combat words. This bias was greater for primed than for unprimed words, thereby ruling out a response bias. Such memory bias may underlie the 'reexperiencing' symptoms characteristic of PTSD (e.g. intrusive thoughts, nightmares).     

创伤后应激障碍个体对威胁刺激的注意偏向：眼动研究的证据

对威胁刺激的注意偏向是创伤后应激障碍(PTSD)个体的一种表现。近年来, 研究者利用眼动技术探讨了注意偏向的加工特点及其内在机制。尽管针对是否存在注意定向加速、注意解除困难或注意回避的研究结果并不一致, 但都试图为验证如警戒-回避模型、注意保持模型等提供眼动证据。未来研究在记录PTSD个体注视模式时, 不仅需要从多个维度构建、整合PTSD个体的眼动模型, 也要结合多种技术从多模态角度共同考察PTSD个体的威胁信息注意偏向机制。     

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.     

Loneliness,HPA stress reactivity and social threat sensitivity: Analyzing naturalistic social challenges

Loneliness has been linked to poor health through an increased activation of threat surveillance mechanisms, such as the hypothalamic‐pituitary‐adrenal axis (HPA ). The socio‐cognitive model (Cacioppo & Hawley) proposes that lonely people have an increased social threat sensitivity which activates the HPA axis. The current study examined the impact of loneliness on HPA stress reactivity and social threat sensitivity in response to naturally occurring social challenges. Participants (N = 45) were prospective undergraduates attending a 3‐day university preparation programme over the summer, prior to commencing their university studies. Cortisol levels and perceived stress were measured before and after an ice breaker session on Day 1 and a lecture session on Day 3. Social threat sensitivity was also measured on the first and third day. When meeting unfamiliar peers in the ice breaker session, HPA stress reactivity was evident, but it was not markedly different in those who reported high levels of loneliness than those with low levels. The high loneliness group had higher levels of perceived stress and increased social threat sensitivity than the low loneliness group on both testing days. The findings show partial support for the socio‐cognitive model of loneliness because increased threat sensitivity was demonstrated in the high loneliness group. The findings indicate that lonely people do not respond in a physiologically different way to specific social challenges, but they typically report higher social threat sensitivity and higher perceived stress than their non‐lonely peers.     

Aging and cardiovascular reactivity to stress: longitudinal evidence for changes in stress reactivity

Although age differences in cardiovascular function are well documented, little research has provided longitudinal evidence for age-related changes in cardiovascular reactivity to stress. In this study, the authors report such data from a follow-up of their prior work (B. N. Uchino, D. Uno, J. Holt-Lunstad, & J. B. Flinders, 1999) with participants between the ages of 30 to 70 (n=108, mean follow-up=10 months, range=7 to 16 months). Results revealed longitudinal evidence for an age-related increase in systolic blood-pressure reactivity and parasympathetic withdrawal to acute stress. The implications of these findings are discussed in light of the increased cardiovascular disease risk with age, as well as the links between aging, emotions, and physiology.     

When time stands still: fear-specific modulation of temporal bias due to threat

The current study was designed to test the fear-specific nature of temporal bias due to threat. A temporal bisection procedure was used in which participants (N = 46) were initially trained to recognize short (400 ms) and long (1,600 ms) standard durations. In the test phase, participants were asked to judge whether the duration of computer-generated faces drawn to appear threatening, fearful, and neutral, was closer to either the short or long duration they had learnt earlier. Past research was replicated-the durations of the arousing facial expressions were overestimated relative to a low arousal (neutral) expression. Overestimation for threat was positively correlated with individual differences in fearfulness, trait anxiety, and distress. Multiple regression analyses were carried out to test the hypothesis was that individual differences in anxiety and fearfulness but not other traits would uniquely predict temporal overestimation due to threat. The results showed that fearfulness but not other traits (trait anxiety, anger, distress, activity, and sociability) was a unique and strong (partial r = .47) predictor of increased overestimation for both threatening and fearful expressions. The findings support the hypothesis that threat-related expressions activate a fear-specific system (?hman & Mineka, 2001) or fear representations (Beck & Clark, 1997) in fearful individuals.     

Aging and visual search: automatic and controlled attentional bias to threat faces

Using a visual search paradigm, we investigated how age affected attentional bias to emotional facial expressions. In Experiments 1 and 2, participants searched for a discrepant facial expression in a matrix of otherwise homogeneous faces. Both younger and older adults showed a more effective search when the discrepant face was angry rather than happy or neutral. However, when the angry faces served as non-target distractors, younger adults' search was less effective than happy or neutral distractor conditions. In contrast, older adults showed a more efficient search with angry distractors than happy or neutral distractors, indicating that older adults were better able to inhibit angry facial expressions. In Experiment 3, we found that even a top-down search goal could not override the angry face superiority effect in guiding attention. In addition, RT distribution analyses supported that both younger and older adults performed the top-down angry face search qualitatively differently from the top-down happy face search. The current research indicates that threat face processing involves automatic attentional shift and a controlled attentional process. The current results suggest that age only influenced the controlled attentional process.     

Traits, states, and attentional gates: temperament and threat relevance as predictors of attentional bias to social threat

This study investigated the influence of situational and dispositional factors on attentional biases toward social threat, and the impact of these attentional biases on distress in a sample of adolescents. The results suggest greater biases for personally relevant threat cues, as individuals reporting high social stress were vigilant to subliminal social threat cues, but not physical threat cues, and those reporting low social stress showed no attentional biases. Individual differences in fearful temperament and attentional control interacted to influence attentional biases, with fearful temperament predicting biases to supraliminal social threat only for individuals with poor attentional control. Multivariate analyses exploring relations between attentional biases for social threat and symptoms of anxiety and depression revealed that attentional biases alone were rarely related to symptoms. However, biases did interact with social stress, fearful temperament, and attentional control to predict distress. The results are discussed in terms of automatic and effortful cognitive mechanisms underlying threat cue processing.     

Anxiety sensitivity and attentional bias to threat interact to prospectively predict anxiety

The purpose of the present study was to examine anxiety sensitivity, attentional bias to threat (ABT), and the aggregate influence of these constructs as prospective predictors of anxiety. Participants (N = 176) completed a baseline assessment session which included the completion of self-report measures of anxiety and anxiety sensitivity, as well as an eye-tracking task in which eye movements were recorded during the viewing of neutral and threat images. Measures of anxiety and anxiety sensitivity were completed again as part of an online questionnaire battery at a 1-year follow-up session. As predicted, baseline anxiety sensitivity and ABT predicted anxiety at 1-year follow-up even after accounting for baseline anxiety. However, these main effects were qualified by a significant interaction effect such that those high in anxiety sensitivity at baseline reported relatively higher anxiety at the 1-year follow-up, but only if they also exhibited higher levels of ABT at baseline. Results suggest that individuals with this combination of vulnerability factors (high levels of both anxiety sensitivity and ABT) may be at particularly high risk for developing anxiety and may benefit from preemptive efforts to reduce ABT.     

Frontal and parietal EEG asymmetries interact to predict attentional bias to threat

Frontal and parietal electroencephalographic (EEG) asymmetries mark vulnerability to depression and anxiety. Drawing on cognitive theories of vulnerability, we hypothesise that cortical asymmetries predict attention to threat. Participants completed a dot-probe task in which bilateral face displays were followed by lateralised targets at either short (300 ms) or long (1050 ms) SOA. We also measured N2pc to face onset as an index of early attentional capture. At long SOA only, frontal and parietal asymmetry interacted to predict attentional bias to angry faces. Those with leftward frontal asymmetry showed no attentional bias. Among those with rightward frontal asymmetry those with low right parietal activity showed vigilance for threat, and those with high right parietal activity showed avoidance. Asymmetry was not related to the N2pc or to attentional bias at the short SOA. Findings suggest that trait asymmetries reflect function in a fronto-parietal network that controls attention to threat.     

Attention training and the threat bias: an ERP study

Anxiety is characterized by exaggerated attention to threat. Several studies suggest that this threat bias plays a causal role in the development and maintenance of anxiety disorders. Furthermore, although the threat bias can be reduced in anxious individuals and induced in non-anxious individual, the attentional mechanisms underlying these changes remain unclear. To address this issue, 49 non-anxious adults were randomly assigned to either attentional training toward or training away from threat using a modified version of the dot probe task. Behavioral measures of attentional biases were also generated pre- and post-training using the dot probe task. Event-related potentials (ERPs) were generated to threat and non-threat face pairs and probes during pre- and post-training assessments. Effects of training on behavioral measures of the threat bias were significant, but only for those participants showing pre-training biases. Attention training also influenced early spatial attention, as measured by post-training P1 amplitudes to cues. Results illustrate the importance of taking pre-training attention biases in non-anxious individuals into account when evaluating the effects of attention training and tracking physiological changes in attention following training.     

The time course of attentional bias to cues of threat and safety

It is well known that relative to neutral stimuli, attention is biased towards processing stimuli that convey threat. In a previous study in which a particular stimulus (e.g. a blue diamond) was associated with the delivery of an electrical shock, the presence of the fear-conditioned stimulus interfered with the execution of voluntary eye movements to other locations. Here, we show that this effect not only occurs early in time, but remains present long after the fear-conditioned stimulus was removed from the screen. In a subsequent experiment, we associated the presence of a particular stimulus with safety, that is, when this stimulus was present it was certain that no electrical shock would be delivered. The presence of the safety signalling stimulus also interfered with the execution of voluntary saccades, but only when the time between stimulus and cue presentation was relatively long. The results indicate that both signals of threat and signals of safety interfere with execution of a saccade long after the source of threat or safety has been removed. However, only threatening stimuli affect saccade execution early in time, suggesting that threatening stimuli drive selection exogenously.