Processing of task-irrelevant natural scenes in social anxiety

In this study, by manipulating perceptual load, we investigated whether socially anxious people process task-irrelevant, non-emotional, natural scenes. When attention was directed to letters and perceptual load was low, task-irrelevant natural scenes were processed, as evidenced by repetition priming effects, in both high and low socially anxious people. In the high perceptual load condition, repetition-priming effects decreased in participants with low social anxiety, but not in those with high social anxiety. The results were the same when attention was directed to pictures of animals: even in the high perceptual load condition, high socially anxious participants processed task-irrelevant natural scenes, as evidenced by flanker effects. However, when attention was directed to pictures of people, task-irrelevant natural scenes were not processed by participants in either anxiety group, regardless of perceptual load. These results suggest that high socially anxious individuals could not inhibit task-irrelevant natural scenes under conditions of high perceptual load, except when attention was focused on people.     

The role of consciousness in attentional control differences in trait anxiety

Trait anxiety has long been associated with impaired selective attention to task-irrelevant threat stimuli, both when threat is presented consciously and outside of awareness. However recent research has suggested broader deficits in selective attention, with poorer ability to ignore supraliminal non-emotional information in anxiety. Here, we investigated whether anxiety could equally be associated with poorer selective attention for non-emotional stimuli in a subliminal context. Participants performed a simple arrow discrimination task, where prior incompatible or compatible response primes were presented before targets either unmasked (supraliminal) or masked (subliminal). While distractor interference was evident in both conditions, trait anxiety was associated with increased task-irrelevant processing only in the supraliminal condition; group effects were eliminated when primes were masked. Our findings are in line with traditional accounts suggesting that differences in selective attention and cognitive control solely modulate conscious distractor processing.     

Working memory capacity and spontaneous emotion regulation in generalised anxiety disorder

Researchers have postulated that deficits in cognitive control are associated with, and thus may underlie, the perseverative thinking that characterises generalised anxiety disorder (GAD). We examined associations between cognitive control and levels of spontaneous state rumination following a stressor in a sample of healthy control participants (CTL; n?=?27) and participants with GAD (n?=?21). We assessed cognitive control by measuring working memory capacity (WMC), defined as the ability to maintain task-relevant information by ignoring task-irrelevant information. To this end, we used an affective version of the reading span task with valenced (negative or neutral) distractors. Lower WMC in the presence of negative distractors was associated with greater state rumination in the GAD group, but not in the CTL group. These findings suggest that difficulty maintaining task-relevant information due to interference from negative distractors contributes to perseverative thinking in GAD.     

Mindfulness,anxiety, and high-stakes mathematics performance in the laboratory and classroom

Mindfulness enhances emotion regulation and cognitive performance. A mindful approach may be especially beneficial in high-stakes academic testing environments, in which anxious thoughts disrupt cognitive control. The current studies examined whether mindfulness improves the emotional response to anxiety-producing testing situations, freeing working memory resources, and improving performance. In Study 1, we examined performance in a high-pressure laboratory setting. Mindfulness indirectly benefited math performance by reducing the experience of state anxiety. This benefit occurred selectively for problems that required greater working memory resources. Study 2 extended these findings to a calculus course taken by undergraduate engineering majors. Mindfulness indirectly benefited students’ performance on high-stakes quizzes and exams by reducing their cognitive test anxiety. Mindfulness did not impact performance on lower-stakes homework assignments. These findings reveal an important mechanism by which mindfulness benefits academic performance, and suggest that mindfulness may help attenuate the negative effects of test anxiety.     

Effects of anxiety on attentional allocation and task performance: An information processing analysis

An information processing signal detection methodology was employed to examine attentional allocation and its correlates in both normal comparison (NC) and generalized anxiety disorder (GAD) participants. In particular, the impact of neutral distractor and negative feedback cues on performance of an attention vigilance task was investigated. Individuals with GAD (N = 15) evidenced impaired performance on an attention vigilance task relative to NC participants (N = 15) when neutral distractor cues were presented. Contrary to prediction, no group differences in performance were detected under conditions in which participants were presented negative feedback cues they were told were relevant to their performance. Instead, GAD participants exhibited improvement during the experimental task such that their performance was equivalent to NC participants. Across trials, the clinically anxious group endorsed significantly higher levels of worry and negative affectivity; however, they failed to respond with concomitant physical arousal (e.g. increased muscle tension). These data are discussed within the context of Eysenck and Calvo's (1992, Cognition and Emotion, 6, 409–434) processing efficiency theory. Additionally, the results of this investigation provide support for Barlow's (1988, Anxiety and its disorders: The nature and treatment of anxiety and panic) conceptualization of anxiety as requiring the interaction of cognitive schema and physiological arousal.     

Effects of stress and anxiety on the processing of threat stimuli

Two experiments extended the work of MacLeod and Mathews (1988) and examined whether a cognitive bias for threat information is a function of state or trait anxiety. Color-naming and attention deployment tasks were used to assess the effects of a stress manipulation procedure on attentional responses in high and low trait anxious subjects. Subjects under high stress selectively allocated processing resources toward threat stimuli, irrespective of their trait anxiety level. There was no consistent evidence of a cognitive bias associated with trait anxiety, and the effect of the stress manipulation did not appear to be mediated by state anxiety. It was suggested that trait factors do not modify attentional biases associated with acute stress, but may influence such biases when stress is prolonged.     

Response inhibition and attentional control in anxiety

Traditionally, anxiety has been associated with a selective attentional bias for threat and a decreased capacity in attentional control. In two different experiments, we investigated whether individuals with different levels of self-reported state anxiety (Experiment 1) and induced anxiety (Experiment 2) had impaired response inhibition processes (attentional control deficit) as characterized by a different response style in the presence of negative stimuli under low and high perceptual load conditions. A go/no-go paradigm with emotional distractors (angry, happy, and neutral faces) was used to provide measures of perceptual sensitivity, inhibition, and response style. Our findings showed that perceptual sensitivity, as assessed by the d' parameter of signal detection theory, was reduced in all participants for angry faces under low perceptual load, where enough perceptual resources were available to be attracted by distractors. Importantly, despite similar perceptual sensitivity, the beta parameter indicated that high state anxiety individuals in both experiments were less flexible at adjusting to task demands in the presence of angry face distractors by adopting a stricter criterion. Implications of findings are discussed within current models of attentional control in anxiety.     

Failure to loose fear: The impact of cognitive load and trait anxiety on extinction

Exposure therapy is an effective technique for fear reduction. However, whether effective exposure requires attentional allocation to the feared situation remains a debated clinical issue. In the present study, the impact of attention allocation in extinction was investigated in an experimental conditioning study. Through a between-subjects manipulation of cognitive load, we created a condition in which participants could allocate their attention to the feared stimulus during extinction (low load condition), and a condition in which attentional allocation was impaired (high load condition). The influence of cognitive load on extinction was examined by comparing electrodermal responses and verbal ratings for the conditioned stimuli in the two extinction load conditions. The results show less successful extinction in the high load condition than in the low load condition. However, this effect was found only in low anxious participants, and it was prominent only on the skin conductance responses. The present results suggest that extinction is not automatic but requires cognitive resources.     

Processing efficiency in anxiety: Evidence from eye-movements during visual search

It is generally held that anxiety is characterized by an attentional bias for threatening information. In recent years there has been an important debate whether these biases reside at the level of attentional selection (threat detection) or attentional processing after threat detection (attentional disengagement). In a visual search task containing emotional facial expressions, eye-movements were examined before and after threat detection in high and low trait anxious individuals to further elucidate the temporal unfolding of attentional bias. Results indicated that high-anxious individuals neither showed facilitated orienting to threat nor impaired disengagement of visual attention from threat. Interestingly, the presence of threat in the visual search display was associated with increased decision times in high-anxious individuals. These results challenge some of the current views on attentional bias to threat but indicate that emotional information reduces processing efficiency in anxiety.     

The effects of acute stress and perceptual load on distractor interference

Selective attention can be improved under conditions in which a high perceptual load is assumed to exhaust cognitive resources, leaving scarce resources for distractor processing. The present study examined whether perceptual load and acute stress share common attentional resources by manipulating perceptual and stress loads. Participants identified a target within an array of nontargets that were flanked by compatible or incompatible distractors. Attentional selectivity was measured by longer reaction times in response to the incompatible than to the compatible distractors. Participants in the stress group participated in a speech test that increased anxiety and threatened self-esteem. The effect of perceptual load interacted with the stress manipulation in that participants in the control group demonstrated an interference effect under the low perceptual load condition, whereas such interference disappeared under the high perceptual load condition. Importantly, the stress group showed virtually no interference under the low perceptual load condition, whereas substantial interference occurred under the high perceptual load condition. These results suggest that perceptual and stress related demands consume the same attentional resources.     

The effects of acute stress and perceptual load on distractor interference

Selective attention can be improved under conditions in which a high perceptual load is assumed to exhaust cognitive resources, leaving scarce resources for distractor processing. The present study examined whether perceptual load and acute stress share common attentional resources by manipulating perceptual and stress loads. Participants identified a target within an array of nontargets that were flanked by compatible or incompatible distractors. Attentional selectivity was measured by longer reaction times in response to the incompatible than to the compatible distractors. Participants in the stress group participated in a speech test that increased anxiety and threatened self-esteem. The effect of perceptual load interacted with the stress manipulation in that participants in the control group demonstrated an interference effect under the low perceptual load condition, whereas such interference disappeared under the high perceptual load condition. Importantly, the stress group showed virtually no interference under the low perceptual load condition, whereas substantial interference occurred under the high perceptual load condition. These results suggest that perceptual and stress related demands consume the same attentional resources.     

Trait anxiety and perceptual load as determinants of emotion processing in a fear conditioning paradigm

The impact of trait anxiety and perceptual load on selective attention was examined in a fear conditioning paradigm. A fear-conditioned angry face (CS+), an unconditioned angry face (CS-), or an unconditioned face with a neutral or happy expression were used in distractor interference and attentional probe tasks. In Experiments 1 and 2, participants classified centrally presented letters under two conditions of perceptual load. When perceptual load was high, distractors had no effect on selective attention, even with aversive conditioning. However, when perceptual load was low, strong response interference effects for CS+ face distractors were found for low trait-anxious participants. Across both experiments, this enhanced distractor interference reversed to strong facilitation effects for those reporting high trait anxiety. Thus, high trait-anxious participants were faster, rather than slower, when ignoring CS+ distractors. Using an attentional probe task in Experiment 3, it was found that fear conditioning resulted in strong attentional avoidance in a high trait-anxious group, which contrasted with enhanced vigilance in a low trait-anxious group. These results demonstrate that the impact of fear conditioning on attention is modulated by individual variation in trait anxiety when perceptual load is low. Fear conditioning elicits an avoidance of threat-relevant stimuli in high trait-anxious participants.     

Combining computerized home-based treatments for generalized anxiety disorder: an attention modification program and cognitive behavioral therapy

Generalized anxiety disorder (GAD) is a common and disabling condition associated with significant personal and societal costs. Although efficacious treatments exist for GAD, the majority of these individuals fail to access our most effective treatments. In the current paper, we report the results of an open trial that examined the efficacy of a computer-delivered home-based treatment program for GAD. Twenty-one individuals seeking treatment for GAD received a self-administered program over 6 weeks that comprised two components: (1) an Attention Modification Program (AMP) designed to facilitate attentional disengagement from threat-relevant stimuli and (2) brief computer-delivered cognitive and behavioral treatment modules (CCBT). Fourteen of the 21 enrolled participants (67%) completed the treatment program. Intent-to-treat and completer analyses revealed that AMP+CCBT resulted in significant reductions in clinician- and self-rated symptoms of anxiety, worry, depression, and functional impairment. Moreover, treatment completers displayed significant reductions in attentional bias for threat from pre- to postassessment. Change in attentional bias for threat from pre- to postassessment was associated with change in worry symptoms. Finally, 79% of participants no longer met DSM-IV criteria for GAD at postassessment and 36% were classified as remitted (Hamilton Rating Scale for Anxiety ≤7; Rickels et al., 2006). These results suggest that computer-delivered AMP+CCBT may serve as an effective and easily accessible treatment option for individuals with GAD.     

Individual differences at high perceptual load: the relation between trait anxiety and selective attention

Attentional control theory (Eysenck et al., 2007) posits that taxing attentional resources impairs performance efficiency in anxious individuals. This theory, however, does not explicitly address if or how the relation between anxiety and attentional control depends upon the perceptual demands of the task at hand. Consequently, the present study examined the relation between trait anxiety and task performance using a perceptual load task (Maylor & Lavie, 1998). Sixty-eight male college students completed a visual search task that indexed processing of irrelevant distractors systematically across four levels of perceptual load. Results indicated that anxiety was related to difficulty suppressing the behavioural effects of irrelevant distractors (i.e., decreased reaction time efficiency) under high, but not low, perceptual loads. In contrast, anxiety was not associated with error rates on the task. These findings are consistent with the prediction that anxiety is associated with impairments in performance efficiency under conditions that tax attentional resources.     

Dissociating effects of subclinical anxiety and depression on cognitive control

Even at subclinical levels, anxiety and depression are associated with impaired cognitive control. It is unclear, though, to what extent these deficits reflect a common underlying dysfunction. Using a non-affective hybrid masked prime-Simon task, we obtained several measures of within- and between- trial inhibitory behavioral control in 80 young, healthy volunteers, together with measures of their anxiety and depression levels. Neither depression nor anxiety affected low-level within-trial control, or any of the between-trial control measures. However, increased levels of depression, but not of anxiety, were associated with impaired high-level within-trial control (increased Simon effect). Results indicate that depression, but not anxiety, impairs voluntary online response-control mechanisms independent of affective content.     

Differential relationships of somatic and cognitive anxiety with measures of processing speed in older adults

Research suggests a reciprocal relationship between late-life anxiety and cognition, particularly attention and executive functions. Whereas evidence supports a conceptual distinction between cognitive and somatic dimensions of anxiety, their differential relationship with cognitive outcomes has not been examined, particularly on tests of attention/executive functions that rely on processing speed. Study goals were threefold: (a) to describe levels of overall, cognitive, and somatic anxiety in a sample of older adults without dementia, (b) to determine if overall anxiety is associated with performance on select measures of attention/executive functions that rely on processing speed, and (c) to determine if a differential relationship exists between cognitive and somatic anxiety and cognitive performance. Participants were 368 community-dwelling older adults. Results showed that elevated levels of somatic, but not cognitive anxiety were associated with poorer performance across measures. Findings suggest that the nature of anxiety symptoms may have important implications for cognitive performance in older adults.     

Self‐Control of Smoking: When Does Narrowed Attention Help?1

Two studies examined the capacity of cognitive load to enhance or disrupt the self‐control of smoking in the presence of situational pressures that either promote or discourage the behavior. In Study 1, participants who were exposed to cues encouraging smoking smoked more under high cognitive load than under low cognitive load. In Study 2, participants who were exposed to cues discouraging smoking smoked less under high load than under low load. Cognitive load appears to narrow attention, resulting in a state of attentional myopia, which leads to disinhibited smoking behavior when pressures to smoke are disproportionately salient and enhanced control of smoking when pressures not to smoke are disproportionately salient. Implications for smoking cessation are discussed.     

The heart of control: Proactive cognitive control training limits anxious cardiac arousal under stress

Research and theory suggest that anxious people employ cognitive control on a relatively late and transient basis. This tendency may impair emotion regulation that depends on early, persistent implementation of cognitive control. We examined whether anxious people could be trained to apply cognitive control proactively (i.e., in advance of goal-related action) and whether such training limited anxiety’s rise during stress. In Study 1, 96 high trait-anxious participants completed proactive or reactive training followed by the Trier Social Stress Test (TSST) with measurement of subjective anxiety, heart rate, and skin conductance level (SCL). In Study 2, 59 high trait-anxious participants completed a proactive or no-instruction training for 4 days and then completed the TSST. For Study 2 but not Study 1, the proactive versus control training was associated with lower stress-related increases in subjective anxiety and heart rate, but not sympathetically mediated SCL. Exercising proactive control may leverage the parasympathetic nervous system to inhibit the escalation of anxious arousal during stress.     

Cognitive Behavior Therapy for Women With Generalized Anxiety Disorder in the Perinatal Period: Impact on Problematic Behaviors

Generalized anxiety disorder (GAD) is the most frequently diagnosed anxiety disorder among women in the perinatal period (pregnancy to one year postpartum). Recent studies have examined the relationship between problematic behaviors and GAD symptoms. Studies in nonperinatal samples indicate that adults with GAD engage in avoidance and safety behaviors and these behaviors are associated with greater symptom severity. Little research has examined the use of problematic behaviors among pregnant or postpartum women. However, preliminary research suggests that these behaviors may have a negative impact on both anxious women and their children. Our aim was to examine the extent to which women with GAD in pregnancy or the postpartum engage in problematic behaviors and whether cognitive behavioral therapy is effective in reducing these behaviors. Fifty-eight women with GAD in pregnancy or postpartum were recruited from a larger clinical trial (Clinicaltrials.gov ID NCT02850523) evaluating the effectiveness of group-based cognitive behavioral therapy (CBGT) for perinatal anxiety disorders. The results indicated that women with perinatal GAD reported high levels of avoidance and safety behaviors and greater engagement in these behaviors was associated with higher levels of worry and related symptoms. CBGT was effective in reducing GAD symptoms and problematic behaviors and a bidirectional relationship was found between changes in worry and problematic behaviors during treatment. Limitations and future directions are discussed.     

A preliminary investigation of impulsivity in generalized anxiety disorder

Few studies have examined the association between impulsivity and generalized anxiety disorder (GAD). This study examined whether individuals with probable GAD display impulsivity in a particular way, and the extent to which impulsivity uniquely predicts GAD severity and GAD status, over and above intolerance of uncertainty (IU), a key cognitive factor in GAD. Individuals with (n = 63) and without (n = 77) probable GAD completed self-report measures of impulsivity and IU. Results revealed that elevations in the severity of GAD symptoms and in IU were associated with impulsive actions in the face of negative affect (i.e., negative urgency), but also greater premeditation and lower “functional” impulsivity (i.e., the ability to take quick action when it is advantageous to do so). Impulsivity led to an increment in the prediction of GAD symptoms and GAD status, over and above IU. Negative urgency and lower functional impulsivity were significant unique predictors of GAD severity or GAD status. The findings highlight a need to consider impulsivity in theories that implicate intolerance of negative affect and uncertainty in excessive and uncontrollable worry.