Attentional bias to threat: Roles of trait anxiety, stressful events, and awareness

Attentional biases for threat stimuli were assessed in high and low trait anxious subjects (n = 66) using a probe detection task. To examine the effects of trait anxiety and situational stressors, each subject was tested three times: Under no stress, laboratory-induced stress, and examination-induced stress. To evaluate the role of awareness, half the word stimuli were presented very briefly (14 msec) and masked, and the other half were presented for 500 msec without a mask. Results showed that high trait anxious subjects under exam stress showed an attentional bias towards unmasked threat stimuli compared with low trait subjects. This effect was not found under lab-induced stress, suggesting that the attentional bias for unmasked threat in high trait subjects may be a function of a prolonged stressor, rather than a transient increase in state anxiety. The results from the masked exposure condition were not predicted; high trait anxious subjects shifted attention towards the spatial location of threat words despite lack of awareness of their lexical content, but this bias was only apparent in the no-stress condition. The results are discussed in relation to recent cognitive theories of anxiety.     

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.     

The effects of trait and state anxiety on attention to emotional images: An eye-tracking study

Attentional biases for threatening stimuli have been implicated in the development of anxiety disorders. However, little is known about the relative influences of trait and state anxiety on attentional biases. This study examined the effects of trait and state anxiety on attention to emotional images. Low, mid, and high trait anxious participants completed two trial blocks of an eye-tracking task. Participants viewed image pairs consisting of one emotional (threatening or positive) and one neutral image while their eye movements were recorded. Between trial blocks, participants underwent an anxiety induction. Primary analyses examined the effects of trait and state anxiety on the proportion of viewing time on emotional versus neutral images. State anxiety was associated with increased attention to threatening images for participants, regardless of trait anxiety. Furthermore, when in a state of anxiety, relative to a baseline condition, durations of initial gaze and average fixation were longer on threat versus neutral images. These findings were specific to the threatening images; no anxiety-related differences in attention were found with the positive images. The implications of these results for future research, models of anxiety-related information processing, and clinical interventions for anxiety are discussed.     

Emotional context influences access of visual stimuli to anxious individuals' awareness

Anxiety has been associated with enhanced unconscious processing of threat and attentional biases towards threat. Here, we focused on the phenomenology of perception in anxiety and examined whether threat-related material more readily enters anxious than non-anxious individuals' awareness. In six experiments, we compared the stimulus exposures required for each anxiety group to become objectively or subjectively aware of masked facial stimuli varying in emotional expression. Crucially, target emotion was task irrelevant. We found that high trait-anxiety individuals required less sensory evidence (shorter stimulus exposure times) to become aware of the face targets. This anxiety-based difference was observed for fearful faces in all experiments, but with non-threat faces, it emerged only when these were presented among threatening faces. Our findings suggest a prominent role for affective context in high-anxiety individuals' conscious perception of visual stimuli. Possible mechanisms underlying the influence of context in lowering awareness thresholds in anxious individuals are discussed.     

Selective attention to threat: A test of two cognitive models of anxiety

Two experiments evaluated differential predictions from two cognitive formulations of anxiety. According to one view, attentional biases for threat reflect vulnerability to anxiety; and as threat inputs increase, high trait anxious individuals should become more vigilant, and low trait individuals more avoidant, of threat (Williams, Watts, MacLeod, & Mathews, 1988, 1997). However, according to a “cognitive-motivational” view, trait anxiety influences the appraisal of stimulus threat value, rather than the direction of attentional bias, and both high and low trait anxious individuals should exhibit greater vigilance for high rather than mild threat stimuli (Mogg & Bradley, 1998). To test these predictions, two experiments examined the effect of manipulating stimulus threat value on the direction of attentional bias. The stimuli included high threat and mild threat pictorial scenes presented in a probe detection task. Results from both studies indicated a significant main effect of stimulus threat value on attentional bias, as there was increased vigilance or reduced avoidance of threat, as threat value increased. This effect was found even within low trait anxious individuals, consistent with the “cognitive-motivational” view. Theoretical and clinical implications are discussed.     

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.     

Anxiety and the allocation of attention to threat

Using a probe detection technique we have recently demonstrated that anxious subjects consistently deploy attention towards threat-related stimuli, whereas non-anxious controls tend to move attention away from such material (MacLeod, Mathews, & Tata, 1986).

The current study employed the same paradigm but attempted to distinguish the role of trait and state anxiety by testing high- and low-trait students when state anxiety was relatively low (12 weeks before a major examination) and again when it was relatively high (one week before this examination). High-trait subjects alone tended to shift attention towards generally threatening material on both test occasions. Results for examination-related stimuli were more complex. Increased proximity to the examination was associated with an increase in attentional bias towards such threat stimuli in high-trait subjects, but with increased attentional avoidance of such stimuli in low-trait subjects. It is suggested that the attentional response to currently relevant stress-related stimuli may be associated with neither trait nor state anxiety alone, but with an interactive function involving both these variables. These results are discussed in relation to existing models of emotion and cognition, and alternative interpretations of the findings are considered.     

刷微博，让焦虑的人更焦虑——特质焦虑对青少年注意情绪刺激的影响

采用自由观看眼动追踪范式,考察特质焦虑青少年在观看情绪面孔图片过程中的眼动轨迹。结果发现,高特质焦虑组对愤怒和恐惧面孔的首次注视到达时间（TFF）较快,首次注视持续时间（TFD）较短;低特质焦虑组对愤怒和恐惧面孔的TFF虽然稍早于平静面孔,但差异不显著。在刺激呈现1000ms之后,高特质焦虑组对愤怒和恐惧面孔的注视次数（FC）较多,平均注视持续时间（AFD）较短。低特质焦虑组对愤怒和恐惧面孔的FC较少,AFD较长;这就表明,高特质焦虑青少年在认知加工早期对威胁性刺激注意定向加速,没有注意解除困难,呈现“浅尝辄止”现象。而在认知加工晚期,他们则对威胁性刺激存在“反刍”现象。     

The time course of mood-induced decrements in colour-naming of threat-related words

The current study investigated the relationship between processing biases towards affectively negative words and a film-based mood manipulation procedure. Subjects either watched a film about nuclear war or sat alone for ten minutes and then colournamed sets of negative, positive and neutral words. Testing occurred after one of three possible time intervals. Impaired colour-naming of negative words was found both immediately and five minutes after watching the film. There was no consistent pattern of colour-naming impairments for the positive words. It was found that, when baseline Stroop performance was taken into account, and the semantic priming effect caused by stimulus homogeneity was controlled for, the resulting impairment in the colournaming of negative words was accounted for by state anxiety levels alone, and not the previously found interaction of state and trait anxiety.     

Cognitive functioning and anxiety

Summary Various possible differences in cognitive functioning between those high and low in trait anxiety are considered. Particular emphasis is paid to the hypothesis that individuals high in trait anxiety tend to approach threatening stimuli, whereas those low in trait anxiety tend to avoid such stimuli. The evidence indicates that there are such differences in the processing of threatening stimuli as a function of trait anxiety. However, these differences are found only under certain conditions, for example, when threatening and nonthreatening stimuli are presented concurrently, and when minor rather than major threat is involved.The differences between those high and low in trait anxiety encompass pre-attentive, attentional, and interpretative mechanisms. As a consequence, any adequate theory of trait anxiety must take proper account of cognitive mechanisms and functioning.     

Biased cognitive operations in anxiety: artefact, processing priorities or attentional search?

It has been shown that, under certain circumstances, anxiety is associated with a processing bias favouring threatening information. To explain why this bias is apparent only on certain cognitive tasks, it has recently been proposed that the bias operates only when there is competition for processing resources. The present study sought to replicate previous evidence for the 'competition' hypothesis, while taking into account a potential confounding factor of word categorization in the stimulus materials. Anxious patients and normal controls were compared on their lexical decision times for threatening, categorized neutral and uncategorized neutral words that were presented either alone or accompanied by irrelevant nonword stimuli (i.e. absence vs presence of competition). The results were only partially consistent with previous findings and highlighted the importance of considering separately the effects of word valence and word categorization. When the latter was taken into account, the results indicated that an anxiety-related bias was only evident when there was competition for processing resources and when the information was presented outside the focus of Ss' attention. A modified version of the competition hypothesis was proposed in the light of these results and previous research into attentional biases in anxiety.     

Attention allocation in social anxiety during a speech

Cognitive models assume that social anxiety is associated with and maintained by biased information processing, leading to change in attention allocation, which can be measured by examining eye movement. However, little is known about the distribution of attention among positive, neutral and negative stimuli during a social task and the relative importance of positive versus negative biases in social anxiety. In this study, eye movement, subjective state anxiety and psychophysiology of individuals with high trait social anxiety (HSA) and low trait social anxiety (LSA) were measured during a speech task with a pre-recorded audience. The HSA group showed longer total fixation on negative stimuli and shorter total fixation on positive stimuli compared to the LSA group. We observed that the LSA group shifted attention away from negative stimuli, whereas the HSA group showed no differential attention allocation. The total duration of fixation on negative stimuli predicted subjective anxiety ratings. These results point to a negative bias as well as a lack of a positive bias in HSA individuals during social threat.     

Interpretive biases for ambiguous stimuli in social anxiety.

A growing body of literature suggests that individuals with high levels of general anxiety form threatening interpretations of ambiguous events. Although theoretical formulations of pathological social anxiety emphasize the importance of a negative interpretive-style in the etiology and maintenance of the disorder, we are unaware of any study that documents this presumed phenomenon. To address this issue, we assessed for possible interpretive biases in a group of high and low socially-anxious students. The results indicated that socially-anxious subjects showed more threatening interpretations of ambiguous, interpersonal events when compared to the low-anxious participants. However, this bias was marked not so much by an outright negative interpretation style, but rather by a failure of the socially-anxious subjects to show a positive interpretation as was evinced by the low-anxious individuals. These group differences in interpretive style appeared to be influenced by trait aspects of social anxiety rather than differences in current mood state. No group differences emerged in interpretations of events that involved non-personal stimuli suggesting there is content specificity in the interpretive biases associated with social-anxiety.     

Attentional biases to threat in social anxiety disorder: time to focus our attention elsewhere?

Background: Cognitive models propose that attentional biases to threat contribute to the maintenance of social anxiety disorder (SAD). However, the specific characteristics of such biases are still object to debate.

Objectives: The current study aimed to disentangle effects of trait and state social anxiety on attention allocation towards social stimuli.

Methods: Participants with SAD (n?=?67) and healthy controls (n?=?62) completed three visual search tasks while their eye movements were recorded. Half of the participants in each group were randomly assigned to a state anxiety induction.

Results: Contrary to our predictions, neither trait nor state social anxiety was associated with a facilitated attention to or a delayed disengagement from threat. However, participants with SAD did show reduced fixation durations for threatening stimuli, indicating an avoidance of threat. Induction of state anxiety led to an increased distractibility by threat.

Conclusions: We suggest that attention allocation in SAD is characterized by an avoidant rather than a vigilant attentional bias. Accordingly, our results contradict previous results that associate SAD with facilitated attention to threat and existing approaches to modify attentional biases, that aim to decrease attention towards threatening stimuli.     

The Effects of Social Anxiety and State Anxiety on Visual Attention: Testing the Vigilance–Avoidance Hypothesis

A growing theoretical and research literature suggests that trait and state social anxiety can predict attentional patterns in the presence of emotional stimuli. The current study adds to this literature by examining the effects of state anxiety on visual attention and testing the vigilance–avoidance hypothesis, using a method of continuous visual attentional assessment. Participants were 91 undergraduate college students with high or low trait fear of negative evaluation (FNE), a core aspect of social anxiety, who were randomly assigned to either a high or low state anxiety condition. Participants engaged in a free view task in which pairs of emotional facial stimuli were presented and eye movements were continuously monitored. Overall, participants with high FNE avoided angry stimuli and participants with high state anxiety attended to positive stimuli. Participants with high state anxiety and high FNE were avoidant of angry faces, whereas participants with low state and low FNE exhibited a bias toward angry faces. The study provided partial support for the vigilance–avoidance hypothesis. The findings add to the mixed results in the literature that suggest that both positive and negative emotional stimuli may be important in understanding the complex attention patterns associated with social anxiety. Clinical implications and suggestions for future research are discussed.     

视觉情绪知觉需要注意和意识吗？困惑及其原因

一些研究者通过操纵刺激知觉条件或者被试注意资源的分配方式来改变意识水平,他们报告视觉情绪刺激可以在没有进入意识的条件下知觉。但最近采用更为客观的方法揭示先前研究中所用的测量意识觉知的标准并不客观有效,这些以信号检测论为基础的研究显示,视觉情绪知觉离不开注意,注意通过自上而下和自下而上两种方式调控情绪知觉,除此之外还发现,个性变量,比如焦虑特质的差异也会影响到情绪知觉     

Emotional Stroop task: effect of word arousal and subject anxiety on emotional interference

Inconsistent findings regarding the emotional Stroop effect in healthy subjects may be explained by confounding effects of stimulus valence and arousal, as well as individual differences in anxiety. We examined reaction time data in a healthy sample using the emotional Stroop task while carefully matching arousal level of positive and negative words. Independent of valence, emotional relative to neutral words elicited emotional interference, indicating that arousal determines emotional interference. Independent of valence, emotional words were better re-called and recognized than neutral words. Individual differences in state anxiety were associated with emotional interference, that is, emotional interference was enhanced in subjects with high state anxiety. There was no influence of trait anxiety. These findings indicate that word arousal produces emotional interference independent of valence. State anxiety exacerbates interference of emotional words by further biasing attention towards emotionally salient stimuli. Thomas Dresler and Katja Mériau have contributed equally.     

Selective attention for masked and unmasked threatening words in anxiety: Effects of trait anxiety, state anxiety and awareness

We investigated the effects of awareness on selective attention for masked and unmasked verbal threat material using a computerised version of the emotional Stroop. Participants were assigned to the high trait anxious (HTA) and low trait anxious (LTA) groups on the basis of questionnaire scores, and state anxiety was manipulated within participants through the threat of electric shock. To investigate the effects of awareness on responses to threat, the mode of exposure was blocked such that half the participants received masked trials before the unmasked trials, whereas the other half received the reverse order. The results revealed that there was no difference between the HTA and LTA groups in responses to threat for those who received the masked trials before the unmasked trials. However, when unmasked trials were presented before the masked trials HTA individuals were significantly slower to respond to both masked and unmasked threat words compared to the LTA group, and these effects were not further modified by participants' state anxiety status. The results are discussed in terms of the automatic nature of threat processing in anxiety.     

Perceptual consequences of an illness-concern induction and its relation to hypochondriacal tendencies.

This article examines the perceptual consequences of activating illness concern as a function of hypochondriacal tendencies. In 2 independent samples, hypochondriacal tendencies were associated with slower reaction times on a modified emotional Stroop task when the stimulus words were illness related, but only when illness concern was activated. Moreover, these findings emerged when hypochondriacal tendencies were defined as a sensitivity to bodily sensations. When defined as illness preoccupation and fear, hypochondriacal tendencies were associated with a generalized pattern of perseveration to all stimuli when health concern was activated. Finally, the results persisted even after statistically controlling for state anxiety. Findings are discussed within the context of an activation hypothesis and highlight the importance of the operational definition and assessment of hypochondriacal tendencies when examining perceptual biases.