Biases in eye movements to threatening facial expressions in generalized anxiety disorder and depressive disorder

The study investigated biases in selective attention to emotional face stimuli in generalized anxiety disorder (GAD) and depressive disorder, using a modified probe detection task. There were 4 face types: threatening, sad, happy, and neutral. Measures of attentional bias included (a) the direction and latency of the initial eye movement in response to the faces and (b) manual reaction time (RT) to probes replacing the face stimuli 1,000 ms after their onset. Results showed that individuals with GAD (without depressive disorder) were more likely to look first toward threat faces rather than neutral faces compared with normal controls and those with depressive disorder. They also shifted their gaze more quickly toward threat faces, rather than away from them, relative to the other two groups. There were no significant findings from the manual RT data. Implications of the results for recent theories of clinical anxiety and depression are discussed.     

Attentional Processing of Threat in Bipolar Disorder: Going Beyond Mood-Congruency

Emotional processing in bipolar disorder (BD) entails a complex attentional pattern not merely restricted to happy or sad biases, but also directed towards threatening information. This study examined threat-related bias on attentional orienting when participants were not instructed about the presentation of emotional stimuli (i.e., implicit instructions). An emotional dot-probe task in which an emotional face (i.e., threat, sad, happy) is simultaneously displayed with a neutral face was applied to BD individuals in their different episodes: mania (n?=?26), depression (n?=?24), and euthymia (n?=?28) as well as to a group of healthy controls (n?=?28). Symptomatic BD patients (i.e., in a manic or depressive episode) showed an attentional orienting bias toward threatening faces but not for happy or sad faces, while euthymic BD patients did not exhibit any attentional bias for emotional stimuli. A bias toward happy faces was found in the control group. Threat-related bias was not related to the severity of affective and anxiety symptoms in BD. When attention is not explicitly directed to emotional information, threat-related bias may characterize attentional orienting during mania and depression, but may be attenuated during euthymia.

     

Understanding associations between negatively biased attention and depression and social anxiety: positively biased attention is key

ABSTRACT

Background and objectives: Although research supports the premise that depressed and socially anxious individuals direct attention preferentially toward negative emotional cues, little is known about how attention to positive emotional cues might modulate this negative attention bias risk process. The purpose of this study was to determine if associations between attention biases to sad and angry faces and depression and social anxiety symptoms, respectively, would be strongest in individuals who also show biased attention away from happy faces.

Methods: Young adults (N?=?151; 79% female; M?=?19.63 years) completed self-report measures of depression and social anxiety symptoms and a dot probe task to assess attention biases to happy, sad, and angry facial expressions.

Results: Attention bias to happy faces moderated associations between attention to negatively valenced faces and psychopathology symptoms. However, attention bias toward sad faces was positively and significantly related to depression symptoms only for individuals who also selectively attended toward happy faces. Similarly, attention bias toward angry faces was positively and significantly associated with social anxiety symptoms only for individuals who also selectively attended toward happy faces.

Conclusions: These findings suggest that individuals with high levels of depression or social anxiety symptoms attend preferentially to emotional stimuli across valences.     

Memory for emotional faces in major depression following judgement of physical facial characteristics at encoding

The aim of the present study was to establish if patients with major depression (MD) exhibit a memory bias for sad faces, relative to happy and neutral, when the affective element of the faces is not explicitly processed at encoding. To this end, 16 psychiatric out-patients with MD and 18 healthy, never-depressed controls (HC) were presented with a series of emotional faces and were required to identify the gender of the individuals featured in the photographs. Participants were subsequently given a recognition memory test for these faces. At encoding, patients with MD exhibited a non-significant tendency towards slower gender identification (GI) times, relative to HC, for happy faces. However, the GI times of the two groups did not differ for sad or neutral faces. At memory testing, patients with MD did not exhibit the expected memory bias for sad faces. Similarly, HC did not demonstrate enhanced memory for happy faces. Overall, patients with MD were impaired in their memory for the faces relative to the HC. The current findings are consistent with the proposal that mood-congruent memory biases are contingent upon explicit processing of the emotional element of the to-be-remembered material at encoding.     

特质焦虑在面部表情前注意加工阶段的影响：来自ERP的证据

为探讨高特质焦虑者在前注意阶段对情绪刺激的加工模式以明确其情绪偏向性特点, 本研究采用偏差-标准反转Oddball范式探讨了特质焦虑对面部表情前注意加工的影响。结果发现: 对于低特质焦虑组, 悲伤面孔所诱发的早期EMMN显著大于快乐面孔, 而对于高特质焦虑组, 快乐和悲伤面孔所诱发的早期EMMN差异不显著。并且, 高特质焦虑组的快乐面孔EMMN波幅显著大于低特质焦虑组。结果表明, 人格特质是影响面部表情前注意加工的重要因素。不同于普通被试, 高特质焦虑者在前注意阶段对快乐和悲伤面孔存在相类似的加工模式, 可能难以有效区分快乐和悲伤情绪面孔。     

Short-term memory for emotional faces in dysphoria

The study aimed to determine if the memory bias for negative faces previously demonstrated in depression and dysphoria generalises from long- to short-term memory. A total of 29 dysphoric (DP) and 22 non-dysphoric (ND) participants were presented with a series of faces and asked to identify the emotion portrayed (happiness, sadness, anger, or neutral affect). Following a delay, four faces were presented (the original plus three distractors) and participants were asked to identify the target face. Half of the trials assessed memory for facial emotion, and the remaining trials examined memory for facial identity. At encoding, no group differences were apparent. At memory testing, relative to ND participants, DP participants exhibited impaired memory for all types of facial emotion and for facial identity when the faces featured happiness, anger, or neutral affect, but not sadness. DP participants exhibited impaired identity memory for happy faces relative to angry, sad, and neutral, whereas ND participants exhibited enhanced facial identity memory when faces were angry. In general, memory for faces was not related to performance at encoding. However, in DP participants only, memory for sad faces was related to sadness recognition at encoding. The results suggest that the negative memory bias for faces in dysphoria does not generalise from long- to short-term memory.     

Attention for emotional facial expressions in dysphoria: an eye-movement registration study

Former research demonstrated that depression is associated with dysfunctional attentional processing of emotional information. Most studies examined this bias by registration of response latencies. The present study employed an ecologically valid measurement of attentive processing, using eye-movement registration. Dysphoric and non-dysphoric participants viewed slides presenting sad, angry, happy and neutral facial expressions. For each type of expression, three components of visual attention were analysed: the relative fixation frequency, fixation time and glance duration. Attentional biases were also investigated for inverted facial expressions to ensure that they were not related to eye-catching facial features. Results indicated that non-dysphoric individuals were characterised by longer fixating and dwelling on happy faces. Dysphoric individuals demonstrated a longer dwelling on sad and neutral faces. These results were not found for inverted facial expressions. The present findings are in line with the assumption that depression is associated with a prolonged attentional elaboration on negative information.     

Looking at the eyes of happiness: Positive emotions mediate the influence of life satisfaction on attention to happy faces

Despite significant advancements in the research of subjective well-being (SWB), little is known about its connection with basic cognitive processes. The present study explores the association between selective attention to emotional stimuli (i.e. emotional faces) and both the emotional and cognitive components of SWB (i.e. emotional well-being and satisfaction in life, respectively). Participants (N?=?83) were asked to freely watch a series of 84 pairs of emotional (happy, angry, or sad) and neutral faces from the Karolinska Directed Emotional Faces database. Eye-tracking methodology measured first fixations, number of fixations, and the time spent looking at emotional faces. Results showed that both the emotional and cognitive components of SWB were related to a general bias to attend to happy faces and avoid sad faces. Yet, bootstrapping analyses showed that positive emotions, rather than life satisfaction, were responsible for the positive information-processing bias. We discuss the potential functionality of these biases and their implications for research on positive emotions.     

Neural correlates of attention to emotional facial expressions in dysphoria

The present study investigated whether dysphoric individuals have a difficulty in disengaging attention from negative stimuli and/or reduced attention to positive information. Sad, neutral and happy facial stimuli were presented in an attention-shifting task to 18 dysphoric and 18 control participants. Reaction times to neutral shapes (squares and diamonds) and the event-related potentials to emotional faces were recorded. Dysphoric individuals did not show impaired attentional disengagement from sad faces or facilitated disengagement from happy faces. Right occipital lateralisation of P100 was absent in dysphoric individuals, possibly indicating reduced attention-related sensory facilitation for faces. Frontal P200 was largest for sad faces among dysphoric individuals, whereas controls showed larger amplitude to both sad and happy as compared with neutral expressions, suggesting that dysphoric individuals deployed early attention to sad, but not happy, expressions. Importantly, the results were obtained controlling for the participants' trait anxiety. We conclude that at least under some circumstances the presence of depressive symptoms can modulate early, automatic stages of emotional processing.     

Memory-based attentional biases: Anxiety is linked to threat avoidance

The purpose of the present research was to examine if anxiety is linked to a memory-based attentional bias, in which attention to threat is thought to depend on implicit learning. Memory-based attentional biases were defined and also demonstrated in two experiments. A total of 168 university students were shown a pair of faces that varied in their emotional $ content (angry, neutral, and happy), with each type of emotion being consistently preceded by a particular neutral cue face, appearing in the same position. Eye movements were measured during these cue faces and during the emotional faces. The results of two experiments indicated that anxiety was connected with a tendency to avert one's gaze from the positions of angry faces to the positions of happy faces, before these were shown on the screen. This, in turn, caused a reduced perception of angry relative to happy faces. In Experiment 2, participants were also not aware of having a memory-based attentional bias.     

Memory for emotional faces in naturally occurring dysphoria and induced sadness

The aim was to establish if the memory bias for sad faces, reported in clinically depressed patients (Gilboa-Schechtman, Erhard Weiss, & Jeczemien, 2002; Ridout, Astell, Reid, Glen, & O'Carroll, 2003) generalises to sub-clinical depression (dysphoria) and experimentally induced sadness. Study 1: dysphoric (n = 24) and non-dysphoric (n = 20) participants were presented with facial stimuli, asked to identify the emotion portrayed and then given a recognition memory test for these faces. At encoding, dysphoric participants (DP) exhibited impaired identification of sadness and neutral affect relative to the non-dysphoric group (ND). At memory testing, DP exhibited superior memory for sad faces relative to happy and neutral. They also exhibited enhanced memory for sad faces and impaired memory for happy relative to the ND. Study 2: non-depressed participants underwent a positive (n = 24) or negative (n = 24) mood induction (MI) and were assessed on the same tests as Study 1. At encoding, negative MI participants showed superior identification of sadness, relative to neutral affect and compared to the positive MI group. At memory testing, the negative MI group exhibited enhanced memory for the sad faces relative to happy or neutral and compared to the positive MI group. Conclusion: MCM bias for sad faces generalises from clinical depression to these sub-clinical affective states.     

The influence of emotional faces on the spatial allocation of attention

Background objectives: Studies suggest that the right hemisphere is dominant for emotional facial recognition. In addition, whereas some studies suggest the right hemisphere mediates the processing of all emotions (dominance hypothesis), other studies suggest that the left hemisphere mediates positive emotions the right mediates negative emotions (valence hypothesis). Since each hemisphere primarily attends to contralateral space, the goals of this study was to learn if emotional faces would induce a leftward deviation of attention and if the valence of facial emotional stimuli can influence the normal viewer’s spatial direction of attention. Methods: Seventeen normal right handed participants were asked to bisect horizontal lines that had all combinations of sad, happy or neutral faces at ends of these lines. During this task the subjects were never requested to look at these faces and there were no task demands that depended on viewing these faces. Results: Presentation of emotional faces induced a greater leftward deviation compared to neutral faces, independent of where (spatial position) these faces were presented. However, faces portraying negative emotions tended to induce a greater leftward bias than positive emotions. Conclusions: Independent of location, the presence of emotional faces influenced the spatial allocation of attention, such that normal subjects shift the direction of their attention toward left hemispace and this attentional shift appears to be greater for negative (sad) than positive faces (happy).     

Visual search for emotional faces in children

The ability to rapidly detect facial expressions of anger and threat over other salient expressions has adaptive value across the lifespan. Although studies have demonstrated this threat superiority effect in adults, surprisingly little research has examined the development of this process over the childhood period. In this study, we examined the efficiency of children's facial processing in visual search tasks. In Experiment 1, children (N=49) aged 8 to 11 years were faster and more accurate in detecting angry target faces embedded in neutral backgrounds than vice versa, and they were slower in detecting the absence of a discrepant face among angry than among neutral faces. This search pattern was unaffected by an increase in matrix size. Faster detection of angry than neutral deviants may reflect that angry faces stand out more among neutral faces than vice versa, or that detection of neutral faces is slowed by the presence of surrounding angry distracters. When keeping the background constant in Experiment 2, children (N=35) aged 8 to 11 years were faster and more accurate in detecting angry than sad or happy target faces among neutral background faces. Moreover, children with higher levels of anxiety were quicker to find both angry and sad faces whereas low anxious children showed an advantage for angry faces only. Results suggest a threat superiority effect in processing facial expressions in young children as in adults and that increased sensitivity for negative faces may be characteristic of children with anxiety problems.     

More than just another face in the crowd: superior detection of threatening facial expressions in children and adults

Threatening facial expressions can signal the approach of someone or something potentially dangerous. Past research has established that adults have an attentional bias for angry faces, visually detecting their presence more quickly than happy or neutral faces. Two new findings are reported here. First, evidence is presented that young children share this attentional bias. In five experiments, young children and adults were asked to find a picture of a target face among an array of eight distracter faces. Both age groups detected threat‐relevant faces – angry and frightened – more rapidly than non‐threat‐relevant faces (happy and sad). Second, evidence is presented that both adults and children have an attentional bias for negative stimuli overall. All negative faces were detected more quickly than positive ones in both age groups. As the first evidence that young children exhibit the same superior detection of threatening facial expressions as adults, this research provides important support for the existence of an evolved attentional bias for threatening stimuli.     

Selective attention to emotional faces following recovery from depression

This study was designed to examine attentional biases in the processing of emotional faces in currently and formerly depressed participants and healthy controls. Using a dot-probe task, the authors presented faces expressing happy or sad emotions paired with emotionally neutral faces. Whereas both currently and formerly depressed participants selectively attended to the sad faces, the control participants selectively avoided the sad faces and oriented toward the happy faces, a positive bias that was not observed for either of the depressed groups. These results indicate that attentional biases in the processing of emotional faces are evident even after individuals have recovered from a depressive episode. Implications of these findings for understanding the roles of cognitive and interpersonal functioning in depression are discussed.     

Selective attention to angry faces in clinical social phobia

This study investigated the time course of attentional responses to emotional facial expressions in a clinical sample with social phobia. With a visual probe task, photographs of angry, happy, and neutral faces were presented at 2 exposure durations: 500 and 1250 ms. At 500 ms, the social phobia group showed enhanced vigilance for angry faces, relative to happy and neutral faces, in comparison with normal controls. In the 1250-ms condition, there were no significant attentional biases in the social phobia group. Results are consistent with a bias in initial orienting to threat cues in social anxiety. Findings are discussed in relation to recent cognitive models of anxiety disorders.     

Psychological,endocrine, and neural correlates of attentional bias in subclinical depression

Background: Our knowledge with respect to psychological, endocrine, and neural correlates of attentional bias in individuals with high vulnerability to developing depression – the subclinically depressed, still remains limited. Design: The study used a 2?×?2 mixed design. Methods: Attentional bias toward happy and sad faces in healthy (N?=?26) and subclinically depressed individuals (N?=?22) was assessed via a neuroimaging dot-probe attention task. Participants also completed trait and state psychological measures and provided saliva samples for cortisol analysis. Results: The subclinical group showed attentional bias toward happy faces; past use of problem-focused coping strategies when dealing with a personally relevant stressor as well as state levels of anxiety, together, contributed to this bias. In the control group, the happy attentional bias was positively correlated with activity in the right caudate. In the subclinical group, the bias was negatively associated with the left fusiform gyrus and positively with the left inferior parietal lobule and bilateral putamen. We observed group differences in association between cortisol levels during the task and neural activity during happy attentional bias processing within the key regions involved in attention. Conclusions: The attentional bias toward happy faces may reflect an active coping attempt by the subclinical participants.     

Time-course of attention to negative stimuli: Negative affectivity, anxiety, or dysphoria?

Although biased attention to emotional stimuli is considered a vulnerability factor for anxiety and dysphoria, research has infrequently related such attentional biases to dimensional models of vulnerability for anxiety and mood disorders. In two studies (Study 1, n = 64; Study 2, n = 168), we evaluate the differential associations of general negative affectivity, anxiety, and dysphoria with biases in selective attention among nonclinical participants selected to vary in both anxiety and dysphoria. Across both studies, preferential processing of angry faces at a 300-ms exposure duration was associated with a general tendency to experience a range of negative affect, rather than being specific to symptoms of either anxiety or dysphoria. In the second study, we found evidence of a suppressor relationship between anxiety and dysphoria in the prediction of delayed attentional biases (1,000 ms) for sad faces. In particular, dysphoria was specifically associated with biased attention toward sad cues, but only after statistically accounting for anxiety; by contrast, anxiety was specifically associated with attentional avoidance of sad cues, but only after statistically accounting for dysphoria. These results suggest that the specificity of relationships between components of negative affectivity and attention to emotional stimuli varies as a function of the time course at which attentional biases are assessed, highlighting the importance of evaluating both anxiety and dysphoria in research on attentional processing of emotional stimuli. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Modulation of facial mimicry by attitudes

The current experiment explored the influence of attitudes on facial reactions to emotional faces. The participants’ attitudes (positive, neutral, and negative) towards three types of characters were manipulated by written reports. Afterwards participants saw happy, neutral, and sad facial expressions of the respective characters while their facial muscular reactions (M. Corrugator supercilii and M. Zygomaticus major) were recorded electromyografically. Results revealed facial mimicry reactions to happy and sad faces of positive characters, but less and even incongruent facial muscular reactions to happy and sad faces of negative characters. Overall, the results show that attitudes, formed in a few minutes, and only by reports and not by own experiences, can moderate automatic non-verbal social behavior, i.e. facial mimicry.     

Remember me? Psychopathic traits and emotional memory in an undergraduate sample

We investigated the effects of psychopathy on emotional memory among a predominantly female undergraduate sample. Undergraduates (N = 153, mean age = 20.1; 80.1% female; 57.1% Caucasian) completed a facial memory task. Participants were presented with a series of faces (sad, scared, angry, happy, neutral), completed a self-report measure of psychopathy, and were presented with another series of faces (with some from the first phase, and some new). Participants were asked whether they recognized each face from the first set, and reaction time (RT) was measured. Although memory for emotional faces did not differ from neutral faces, there were main effects of emotion, gender and psychopathy on RT. A significant 3-way interaction revealed that males who were higher in psychopathy had slower RTs; they were slow to remember sad, angry and neutral faces. In conclusion, psychopathy may affect emotional memory differently across gender. Specifically, undergraduate men, but not women, with higher psychopathy levels may show impaired memory for emotional faces. Implications for future studies of emotional memory and psychopathy are discussed.