Anxiety and speaking in people who stutter: An investigation using the emotional Stroop task

People with anxiety disorders show an attentional bias towards threat or negative emotion words. This exploratory study examined whether people who stutter (PWS), who can be anxious when speaking, show similar bias and whether reactions to threat words also influence speech motor planning and execution. Comparisons were made between 31 PWS and 31 fluent controls in a modified emotional Stroop task where, depending on a visual cue, participants named the colour of threat and neutral words at either a normal or fast articulation rate. In a manual version of the same task participants pressed the corresponding colour button with either a long or short duration. PWS but not controls were slower to respond to threat words than neutral words, however, this emotionality effect was only evident for verbal responding. Emotionality did not interact with speech rate, but the size of the emotionality effect among PWS did correlate with frequency of stuttering. Results suggest PWS show an attentional bias to threat words similar to that found in people with anxiety disorder. In addition, this bias appears to be contingent on engaging the speech production system as a response modality. No evidence was found to indicate that emotional reactivity during the Stroop task constrains or destabilises, perhaps via arousal mechanisms, speech motor adjustment or execution for PWS.Educational objectives: The reader will be able to: (1) explain the importance of cognitive aspects of anxiety, such as attentional biases, in the possible cause and/or maintenance of anxiety in people who stutter, (2) explain how the emotional Stroop task can be used as a measure of attentional bias to threat information, and (3) evaluate the findings with respect to the relationship between attentional bias to threat information and speech production in people who stutter.     

Decomposing the emotional Stroop effect

The emotional Stroop effect refers to the phenomenon that participants are faster in responding to the ink colour of neutral than of negative word stimuli, possibly reflecting fast and automatic allocation of attention towards negative stimuli. However, this interpretation was challenged by McKenna and Sharma (2004) McKenna, F. P. and Sharma, D. 2004. Reversing the emotional Stroop effect reveals that it is not what it seems: The role of fast and slow components. Journal of Experimental Psychology: Learning, Memory, and Cognition, 30: 382–392. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar] who found that the emotional Stroop effect reflected a generic slowdown after negative stimuli. In fact, they even found reversed effects in a design in which neutral stimuli more often followed negative stimuli and vice versa. Yet, besides reversing the emotional Stroop effect this contingency might in fact have counteracted the fast effect, which was usually interpreted as the emotional Stroop effect. To decompose the emotional Stroop effect we used a design in which the foregoing and the current valence were uncorrelated and in which the fast and slow effects could be computed independently from each other. We found evidence for both fast and slow effects and discuss the practical implications for researchers using the emotional Stroop task as a measurement and the theoretical implications for researchers interested in the underlying cognitive mechanisms that contribute to the emotional Stroop effect.     

Words may not be enough! No increased emotional Stroop effect in obsessive-compulsive disorder

Conflicting evidence has been obtained whether or not patients diagnosed with obsessive-compulsive disorder (OCD) share an attentional bias towards disorder-related stimuli. Some of these inconsistencies can be accounted for by suboptimal stimuli selection. In consideration of the heterogeneity of OCD, we investigated Stroop interference effects for two classes of OCD items (i.e., washing and checking) in 23 OCD patients and 23 healthy controls. In order to cover prevalent OCD concerns, item compilation was based on experts' appraisals. Patients neither displayed greater immediate as well as delayed Stroop interference nor any bias for OCD and subtype-congruent stimuli. On the contrary, for washing-related items, OCD patients, and here especially washers, displayed facilitation relative to healthy controls. Although the present study at first sight refutes the notion of an attentional bias in OCD in contrast to other anxiety disorders, several potential moderators need to be considered before this account is ultimately dismissed. In particular, an attentional bias may only be elicited using visual material that is more attention-grabbing than verbal stimuli. Finally, blockwise instead of random item administration and greater consideration of individual relevance may be crucial prerequisites for the effect to emerge.     

Examination of emotional Stroop interference in obsessive-compulsive disorder

Previous research has produced conflicting findings on whether or not patients with subclinical or manifest obsessive-compulsive disorder (OCD) share an attentional bias for anxiety-related material. In the present study, 35 OCD patients were compared with 20 healthy controls on their performance in an emotional Stroop paradigm. Nine different stimulus conditions were compiled, including sets for depression-related and anxiety-related words as well as stimuli from two constructs with a potential relevance for the pathogenesis and maintenance of OCD symptomatology: responsibility and conscientiousness. Patients did not show enhanced interference for any of the conditions. Syndrome subtype and severity, avoidance and speed of information processing did not moderate results. The present study concurs with most prior research that OCD patients display no interference effect for general threat words. It deserves further consideration, that emotional interference effects in OCD as seen in other anxiety disorders occur when using idiosyncratic word material with a direct relation to the individual's primary concerns.     

The emotional Stroop task and emotionality rating of negative and neutral words in late Thai–English bilinguals

The current study investigated how emotions are represented in the lexicon of late Thai–English bilinguals and a comparison group of native English speakers. Two tasks were used. In the emotional Stroop task, which taps into an automatic early lexical level of processing, the bilingual participants did not display the same automatic level of activation in their second language (L2) as in their first language (L1). In the emotionality‐rating task, which involves a later, more in‐depth conscious level of processing than the preceding task, similar results were found in both languages spoken by the bilinguals. These findings are interpreted as indicating that late bilinguals do not automatically respond to the emotional arousal associated with the meanings of L2 words to the same extent as in the L1, and this is likely to be mediated by language proficiency and the context in which the language is learned.     

不同年龄阶段Stroop效应及反转Stroop效应的特点

本实验以中学生和大学生为被试对Stroop效应及反转Stroop效应的年龄特征进行了研究,结果发现:在错误率指标上存在显著的年龄主效应,初中生的错误率显著高于大学生和高中生,高中生和大学生的差异不显著;颜色判断和单字判断任务中,不一致条件的反应时和错误率都显著高于一致条件的反应时和错误率,即两种任务分别产生了Stroop效应和反转的Stroop效应.     

Wheel chairs and arm chairs: A novel experimental design for the emotional Stroop effect

The emotional Stroop effect demonstrates that people are slower to name the ink colour of emotionally charged words than that of neutral words. Attributing this slowdown to emotionality or threat requires that the emotion and neutral words presented are equal on all extraneous variables. However, it is impossible in principle to match the two types of words on all conceivable variables. To address the problem, we presented the same set of words, polarised to be negative in one condition and neutral in another by using appropriate prime words that produced the desired valence through idiomatic two-word expressions. Across two studies, participants took longer to name the colour of the same words when they were rendered negative than when they were rendered neutral. This difference reflects a true emotional Stroop effect given the control provided for all potentially confounding variables tied to the target stimuli. The new procedure also enables researchers to calculate item-specific emotional Stroop effects for the first time.     

情绪Stroop效应与Stroop效应的关系

摘 要 本研究通过位置判断任务、图-词干扰任务和色-词干扰任务来测量Stroop效应;通过表情面孔性别判断任务、情绪词汇判定任务和情绪图片颜色命名任务来测量情绪Stroop效应;运用结构方程建模的方法对情绪Stroop效应与Stroop效应的关系进行了探讨。结果发现：（1）Stroop效应和情绪Stroop效应是显著的。（2）情绪Stroop效应与Stroop效应是两种相互独立的现象。     

Attentional bias towards emotional facial expressions in survivors of dating violence

This study identified components of attentional bias (e.g. attentional vigilance, attentional avoidance and difficulty with disengagement) that are critical characteristics of survivors of dating violence (DV). Eye movements were recorded to obtain accurate and continuous information regarding attention. DV survivors with high post-traumatic stress symptoms (DV-High PTSS group; n = 20) and low post-traumatic stress symptoms (DV-Low PTSS group; n = 22) and participants who had never experienced DV (NDV group; n = 21) were shown screens displaying emotional (angry, fearful and happy) faces paired with neutral faces and negative (angry and fearful) faces paired with happy faces for 10 s. The results indicate that the DV-High PTSS group spent longer dwelling on angry faces over time compared with the DV-Low PTSS and NDV groups. This result implies that the DV-High PTSS group focused on specific trauma-related stimuli but does not provide evidence of an attentional bias towards threatening stimuli in general.     

Disentangling fast and slow attentional influences of negative and taboo spoken words in the emotional Stroop paradigm

Although the influence of the emotional content of stimuli on attention has been considered as occurring within trial, recent studies revealed that the presentation of such stimuli would also involve a slow component. The aim of the present study was to investigate fast and slow effects of negative (Exp. 1) and taboo (Exp. 2) spoken words. For this purpose, we used an auditory variant of the emotional Stroop paradigm in which each emotional word was followed by a sequence of neutral words. Replicating results from our previous study, we observed slow but no fast effects of negative and taboo words, which we interpreted as reflecting difficulties to disengage attention from their emotional dimension. Interestingly, while the presentation of a negative word only delayed the processing of the immediately subsequent neutral word, slow effects of taboo words were long-lasting. Nevertheless, such attentional effects were only observed when the emotional words were presented in the first block of trials, suggesting that once participants develop strategies to perform the task, attention-grabbing effects of emotional words disappear. Hence, far from being automatic, the occurrence of these effects would depend on participants' attentional set.     

面孔-词Stroop范式中的情绪冲突效应研究

为探究面孔-词Stroop范式中的情绪冲突效应,本实验给被试呈现两种时长（150ms或1500ms）的刺激,令其分别完成对面孔-词Stroop范式中的“面孔任务”和“词任务”。结果发现：只有“面孔任务”中出现Stroop效应,产生情绪冲突,而在“词任务”中未出现Stroop效应;当呈现时间为150ms时,情绪词影响情绪面孔加工从而引发个体的情绪冲突,出现Stroop效应;当呈现时间为1500ms时,“面孔任务”中的Stroop效应消失。这提示了呈现时间是影响面孔-词Stroop范式中情绪冲突效应的一个重要因素。     

Attention training normalises combat-related post-traumatic stress disorder effects on emotional Stroop performance using lexically matched word lists

We examined two groups of combat veterans, one with post-traumatic stress disorder (PTSD) (n?=?27) and another without PTSD (n?=?16), using an emotional Stroop task (EST) with word lists matched across a series of lexical variables (e.g. length, frequency, neighbourhood size, etc.). Participants with PTSD exhibited a strong EST effect (longer colour-naming latencies for combat-relevant words as compared to neutral words). Veterans without PTSD produced no such effect, t?p?>?.37. Participants with PTSD then completed eight sessions of attention training (Attention Control Training or Attention Bias Modification Training) with a dot-probe task utilising threatening and neutral faces. After training, participants—especially those undergoing Attention Control Training—no longer produced longer colour-naming latencies for combat-related words as compared to other words, indicating normalised attention allocation processes after treatment.     

Detection of emotional expressions in rapidly changing facial displays in high- and low-socially anxious women

Facial information and attention to facial displays are distributed over spatial as well as temporal domains. Thus far, research on selective attention to (dis)approving faces in the context of social anxiety has concentrated primarily on the spatial domain. Using a rapid serial visual presentation (RSVP) paradigm, the present study examined the temporal characteristics of visual attention for happy and angry faces in high- (n=16) and low-socially anxious individuals (n=17), to test whether also in the temporal domain socially anxious individuals are characterized by threat-confirming attentional biases. Results indicated that presenting angry faces as the first target (T1) did not aggravate the detection of the emotional expression of the second target (T2). Yet, participants generally showed superior detection of the emotional expression of T2, if T2 was an angry face. Casting doubt on the role of such attenuated attentional blink for angry faces in social anxiety, no evidence emerged to indicate that this effect was relatively strong in high-socially anxious individuals. Finally, the presentation of an angry face as T2 resulted in a relatively hampered identification of a happy-T1. Again, this "backward blink" was not especially pronounced in high-socially anxious individuals. The present anger superiority effects are consistent with evolutionary models stressing the importance of being especially vigilant for signals of dominance. Since the effects were not especially pronounced in high-anxious individuals, the present study adds to previous findings indicating that socially anxious individuals are not characterized by a bias in the (explicit) detection of emotional expressions [Philippot, P., & Douilliez, C. (2005). Social phobics do not misinterpret facial expression of emotion. Behaviour Research and Therapy, 43, 639-652].     

An emotional Stroop task with faces and words. A comparison of young and older adults

AntecedentsGiven the contradictions of previous studies on the changes in attentional responses produced in aging a Stroop emotional task was proposed to compare young and older adults to words or faces with an emotional valence.MethodThe words happy or sad were superimposed on faces that express the emotion of happiness or sadness. The emotion expressed by the word and the face could agree or not (cued and uncued trials, respectively). 85 young and 66 healthy older adults had to identify both faces and words separately, and the interference between the two types of stimuli was examined.ResultsAn interference effect was observed for both types of stimuli in both groups. There was more interference on positive faces and words than on negative stimuli.ConclusionsOlder adults had more difficulty than younger in focusing on positive uncued trials, whereas there was no difference across samples on negative uncued trials.     

The effect of emotional context on cognitive inhibition and attentional processing in dissociative identity disorder

In light of previous research, the current study tested the hypothesis that dissociative identity disorder (DID) would be characterised by effective cognitive inhibitory functioning when tested in a neutral context, but weakened inhibition when tested in an emotionally negative context. Using a negative priming task (i.e. the flanker task) to assess inhibitory ability 11 DID, 11 depressed, and 11 general population participants were tested in the two differing experimental contexts. The contexts were manipulated by instructions and word stimuli, and following the completion of this task participants completed the Dissociative Experiences Scale and the Schizotypal Personality Scale. DID participants displayed a greater degree of self-reported anxiety in the negative context and as expected displayed a reduction in inhibition in this context but not in the neutral context. The degree of negative priming for the depressed and general population samples remained stable across contexts as did their anxiety levels. The DID sample displayed slower response times to negative compared to neutral words but this attentional bias was not evident for the two comparison groups. The relationship between increased arousal, inhibitory functioning, dissociation and information processing in DID is discussed.     

情绪Stroop效应:来自汉字的证据

通过颜色命名和词汇阅读两种作业任务,采用情绪词、中性词两类刺激材料,探索情绪Stroop效应中Stroop加工的特点和机制。结果发现：（1）两种作业任务都发现明显的情绪Stroop效应;（2）两种作业任务中情绪Stroop效应不受情绪词的抽象性影响。它说明情绪stroop效应与经典的Stroop效应是两种独立的现象,前者的加工过程是由于情绪词所产生的情绪威胁而导致反应延迟,而不是经典Stroop效应的选择性注意机制。     

Vigilance for threat: effects of anxiety and defensiveness

Eysenck’s (1997) theory that attentional biases for threat vary as an interactive function of trait anxiety and defensiveness was tested using a visual probe task. Two stimulus exposure conditions were used to explore a secondary issue concerning attentional allocation over time. Results indicated that, among high trait anxious participants, only those with low levels of defensiveness showed vigilance for threatening faces presented for 500 ms. They also showed an attentional preference for neutral faces, relative to happy faces, irrespective of exposure condition. This pattern was reversed in high trait anxious participants with high levels of defensiveness, who showed an attentional bias towards happy faces (relative to neutral faces) under both exposure conditions. The findings are discussed in relation to their implications for (a) the significance of measures of defensiveness for the conceptualization of high trait anxious individuals, and (b) the status of anxiety-related biases at different stages of information processing.     

A slow component of classic Stroop interference

The interference in colour naming may extend beyond critical Stroop trials. This “slow” effect was first discovered in emotional Stroop tasks, but is extended here to classical Stroop. In two experiments, meaningless coloured letter strings followed a colour word or neutral word. Student participants (Experiment 1), and 18 stroke patients and 18 matched controls (Experiment 2) showed substantial interference by incongruent colour words, both in the word trial (fast component) and in the subsequent string trial (slow component). Different patient subgroups emerged from the comparison of Stroop performance with the controls. An association of fast and slow components was only found in one subgroup. Exploratory analyses revealed no clear differences in damage location between subgroups. Fast interference caused by colour-meaning conflict may be specific for classical Stroop, but the broader occurrence of slow effects suggests a more generalised process of disengagement from attention-demanding stimuli.     

Attentional bias for doping words and its relation with physical self-esteem in young adolescents

ObjectivesPrevious studies revealed that adolescence is a period of risk for doping and drug addiction and that young athletes who used doping agents reported low self-esteem. We conducted a preventive study with the aims to investigate whether young adolescents displayed an attentional bias to doping-related words and whether this attentional bias was related to physical self-esteem.MethodNinety seven adolescents (44 girls and 53 boys) from 11 to 15 years-old participated to a study designed to measure reaction times (RT) in a Stroop emotional task related to doping, cheating and control words. They also completed the Physical Self-Perception Profile subscales assessing perceived general self-esteem, physical self-worth, physical condition, sport competence, body attractiveness, and physical strength.ResultsParticipants exhibited longer RT after doping words than after control words. RT was also longer after doping than after cheating words. Participants belonging to the low physical self-esteem group exhibited larger carry-over effects than those who were in the high physical self-esteem group.ConclusionsThese findings suggest that attentional resources allocated to doping words are already present at the onset of adolescence, and that they may be linked to a psychological feature (physical self-esteem) considered as a risk factor of substance abuse in young adults involved in competitive sports.     

Impact of a brief auditory attention training on a modified colour-word Stroop task in a high anxiety and worry sample

Poor attentional control leads to attentional biases that are implicated in psychological distress. Attention Training Technique (ATT) is an auditory intervention designed to strengthen attentional control. Research indicates that ATT alleviates anxiety and depressive symptoms. This study is a randomised control trial with repeated measures that tested if a lab-based, single-exposure of ATT strengthened attentional control. Forty-six nonclinical, high anxiety/worry participants received either ATT or a sham control intervention. Attentional control was assessed using the standard and a modified version of the colour-word Stroop task. The modified version incorporated tactile interference to increase perceptual load. A series of mixed effects models, simple contrasts, and z-tests were used to evaluate if cross-modal interference worsened, and whether ATT was beneficial to, attentional control. Tactile interference increased reaction times but, when Stroop interference was controlled for, this was only true on incongruent trials. The impact of ATT was greatest under high perceptual load.