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

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

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

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

The role of extinction and reinstatement in attentional bias to threat: a conditioning approach

We investigated the effects of extinction and reinstatement on attentional bias to fear-conditioned signals in healthy individuals using an emotional modification of a spatial cueing paradigm. Spatial cues were emotionally modulated using differential conditioning. The CS+ was sometimes followed by an aversive electrocutaneous stimulus (UCS), whereas the CS- was never followed by the UCS. During a subsequent extinction phase no UCS was presented anymore. The reinstatement phase started with one or four unpredicted UCS-only trials for half of the participants (reinstatement group). For the other half there were no additional UCS presentations (control group). We found that attention was biased to threat signals during acquisition. This biased attention largely disappeared during extinction. During the reinstatement phase attentional bias to threat signals re-emerged in the reinstatement group, but not in the control group.     

Eye movements reveal mechanisms underlying attentional biases towards threat

Mechanisms underlying attentional biases towards threat (ABTs), such as attentional avoidance and difficulty of disengagement, are still unclear. To address this issue, we recorded participants' eye movements during a dot detection task in which threatening or neutral stimuli served as peripheral cues. We evaluated response times (RTs) in trials where participants looked at the central fixation cross (not at the cues), as they were required, and number and duration of (unwanted) fixations towards threatening or neutral cues; in all analyses trait anxiety was treated as a covariate. Difficulty in attentional disengagement (longer RTs) was found when peripheral threatening stimuli were presented for 100?ms. Moreover, we observed significantly shorter (unwanted) fixations on threatening than on neutral peripheral stimuli, compatible with an avoidance bias, for longer presentation times. These findings demonstrate that, independent of trait anxiety levels, disengagement bias occurs without eye movements, whereas eye movements are implied in threat avoidance.     

The presence of threat affects saccade trajectories

In everyday life, fast identification and processing of threat-related stimuli is of critical importance for survival. Previous studies suggested that spatial attention is automatically allocated to threatening stimuli, such as angry faces. However, in the previous studies the threatening stimuli were not completely irrelevant for the task. In the present study we used saccadic curvature to investigate whether attention is automatically allocated to threatening emotional information. Participants had to make an endogenous saccade up or down while an irrelevant face paired with an object was present in the periphery. The eyes curved away more from the angry faces than from either neutral or happy faces. This effect was not observed when the faces were inverted, excluding the possible role of low-level differences. Since the angry faces were completely irrelevant to the task, the results suggest that attention is automatically allocated to the threatening stimuli, which generates activity in the oculomotor system, and biases behaviour.     

Generalisation of threat expectancy increases with time

Excessive fear generalisation is a feature characteristic of clinical anxiety and has been linked to its aetiology. Previous animal studies have shown that the mere passage of time increases fear generalisation and that brief exposure to training cues prior to long-term testing reverses this effect. The current study examined these phenomena in humans. Healthy participants learned the relationship between the presentation of a picture of a neutral male face and the delivery of a mild shock. One group was immediately tested with a novel picture of a somewhat different male face (generalisation test). Another group was tested one week later. A third group was also tested one week later and was additionally exposed to the training picture prior to testing. During picture presentations, shock-expectancy ratings were obtained as a measure of fear. Fear generalisation increased from the immediate test to the 1-week follow-up test. This result could not be attributed to level of neuroticism or a general increase in fear (incubation). Furthermore, the time-dependent increase in fear generalisation vanished following brief exposure to the training picture. Results indicate that human fear generalisation is a temporally dynamic process and that memory for stimulus details can be re-established following a reminder treatment.     

The time course of gaze bias in visual decision tasks

In three experiments, we used eyetracking to investigate the time course of biases in looking behaviour during visual decision making. Our study replicated and extended prior research by Shimojo, Simion, Shimojo, and Scheier (2003), and Simion and Shimojo (2006). Three groups of participants performed forced-choice decisions in a two-alternative free-viewing condition (Experiment 1a), a two-alternative gaze-contingent window condition (Experiment 1b), and an eight-alternative free-viewing condition (Experiment 1c). Participants viewed photographic art images and were instructed to select the one that they preferred (preference task), or the one that they judged to be photographed most recently (recency task). Across experiments and tasks, we demonstrated robust bias towards the chosen item in either gaze duration, gaze frequency or both. The present gaze bias effect was less task specific than those reported previously. Importantly, in the eight-alternative condition we demonstrated a very early gaze bias effect, which rules out a postdecision response-related explanation.     

Time course of attentional bias for fear-relevant pictures in spider-fearful individuals

The time course of attentional biases for spider stimuli was assessed in two groups of individuals with high or low levels of spider fear. Pairs of photographs of spiders and cats were presented in a visual probe task with three exposure durations: 200, 500 and 2000 ms. Results indicated greater attentional bias for spider stimuli in high fear, than in low fear, individuals in the 200 ms condition. The attentional bias in the high fear group significantly reduced as stimulus exposure duration increased, with no significant biases found in the longer exposure conditions. Results support the view that high fear is associated with an enhanced initial attentional bias for fear-relevant stimuli, but that this attentional bias is not maintained over time.     

Anticipatory versus reactive spatial attentional bias to threat

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

食物线索注意偏向及其神经机制

与其他类型的刺激相比, 个体会优先注意食物相关刺激, 即对食物刺激的注意偏向。对影响食物线索注意偏向个体因素研究的分析发现：(1)在状态因素中, 饥饿以及与自我威胁有关的、唤起强度大的负性情绪对食物线索注意偏向有增强作用, 这在注意加工的早期和晚期都有体现; (2)在特质因素中, 行为研究发现, 相比于体重正常个体和非限制性饮食者, 超重/肥胖个体以及唤起节食目标的成功限制性饮食者没有更强的注意偏向, 但是, ERP研究发现, 在注意加工的早期阶段, 就出现了特质因素对食物线索注意偏向的影响; (3) fMRI研究发现, 对食物线索的注意过程伴随着脑岛、眶额叶皮层等与奖励相关的脑区及视觉注意网络的激活。未来研究需要：(1)从动态角度研究注意偏向, 进一步提高测量的信度; (2)使用专门的范式探究个体因素影响注意偏向的神经机制; (3)严格分离不同状态因素; (4)对被试进行严谨筛选和划分, 做好被试间的对比研究。     

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

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

Cortisol,stress, and attentional bias toward threat

Abstract

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

Use of eye movement to measure smokers' attentional bias to smoking-related cues.

Smokers have attentional biases towards smoking-related cues, and such cues elicit cravings. Smokers also feel anxious during nicotine deprivation, and anxiety may exacerbate attentional biases toward aversive cues. We examined the attentional bias of smokers (n = 14) and a control group of nonsmokers (n = 16) towards smoking-related and aversive cues. Using an eye-tracking device, we measured eye movement when smoking-related, aversive, and control cues were presented simultaneously. We analyzed the number of initial fixations, and gaze duration, to identify the attentional bias. Smokers initially fixed their gaze on aversive cues, and maintained their gaze longer on smoking-related cues, in comparison to the control group. These results suggest that smokers show biased attentional orientation to smoking-related and aversive cues.     

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

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

Anticipation-specific reliability and trial-to-trial carryover of anticipatory attentional bias for threat

ABSTRACT

Concerns have been raised about the reliability of dot-probe tasks. The cued Visual Probe Task (cVPT) uses cues predicting locations of emotional stimuli, which appears to improve reliability. However, cVPT reliability could be affected by individual differences involving cue features. Here, we assessed specifically anticipatory reliability. Further, trial-to-trial carryover effects, previously found for stimulus-evoked biases, were tested. 82 participants were analysed, who performed an online procedure including a reversal of the cue mapping. Predicted stimulus categories were neutral and angry faces. Cue-Stimulus Intervals of 400 and 1000?ms were used. An overall anticipatory attentional bias, in terms of RT difference scores, towards threat was found. Reliability was around .4, similar to previous results despite the mapping reversal procedure. Carryover effects were found with a similar pattern as for non-cued threat-evoked bias. The results confirm a reasonably reliable outcome-focused bias towards threat, showing similar carryover effects as found for stimulus-evoked bias.     

Lack of habituation to shocking words: The attentional bias to their spatial origin is context free

Following a suggestion made by Aquino and Arnell (2007), we assumed that the processing of emotional words is influenced by their context of presentation. Supporting this idea, previous studies using the emotional Stroop task in its visual or auditory variant revealed different results depending on the mixed versus blocked presentation of the stimuli (Bertels, Kolinsky, Pietrons, & Morais, 2011; Richards, French, Johnson, Naparstek, & Williams, 1992). In the present study, we investigated the impact of these presentation designs on the occurrence of spatial attentional biases in a modified version of the beep-probe task (Bertels, Kolinsky, & Morais, 2010). Attentional vigilance to taboo words as well as non-spatial slowing effects of these words were observed whatever the mixed or blocked design, whereas attentional vigilance to positive words was only observed in the mixed design. Together with the results from our previous study (Bertels et al., 2010), the present data support the reliability of the effects of shocking stimuli, while vigilance to positive words would only be observed in a threatening context.     

The development of an attentional bias for angry faces following Pavlovian fear conditioning

Although it is well documented that fear responses develop following aversive Pavlovian conditioning, it is unclear whether fear learning also manifests in the form of attentional biases for fear-related stimuli. Boschen, Parker, and Neumann (Boschen, M. J., Parker, I., & Neumann, D. L. (2007). Changes in implicit associations do not occur simultaneously to Pavlovian conditioning of physiological anxiety responses. Journal of Anxiety Disorders, 21, 788-803.) showed that despite the acquisition of differential skin conductance conditioned responses to angry faces paired (CS+) and unpaired (CS−) with an aversive shock, development of implicit associations was not subsequently observed on the Implicit Association Test. In the present study, participants (N = 76) were assigned either to a Shock or NoShock group and completed a similar aversive Pavlovian conditioning procedure with angry face CS+ and CS− stimuli. Participants next completed a visual probe task in which the angry face CS+ and CS− stimuli were paired with angry face control stimuli and neutral faces. Results confirmed that differential fear conditioning was observed in the Shock group but not in the NoShock group, and that the Shock group subsequently showed a selective attentional bias for the angry face CS+ compared with the CS− and control stimuli during the visual probe task. The findings confirm the interplay between learning-based mechanisms and cognitive processes, such as attentional biases, in models of fear acquisition and have implications for treatment of the anxiety disorders.     

The attentional processes underlying impaired inhibition of threat in anxiety: The remote distractor effect

The current study explored the proposition that anxiety is associated with impaired inhibition of threat. Using a modified version of the remote distractor paradigm, we considered whether this impairment is related to attentional capture by threat, difficulties disengaging from threat presented within foveal vision, or difficulties orienting to task-relevant stimuli when threat is present in central, parafoveal and peripheral locations in the visual field. Participants were asked to direct their eyes towards and identify a target in the presence and absence of a distractor (an angry, happy or neutral face). Trait anxiety was associated with a delay in initiating eye movements to the target in the presence of central, parafoveal and peripheral threatening distractors. These findings suggest that elevated anxiety is linked to difficulties inhibiting task-irrelevant threat presented across a broad region of the visual field.     

Anxiety sensitivity: the role of conscious awareness and selective attentional bias to physical threat

Selective attentional biases were examined amongst individuals varying in levels of physical anxiety sensitivity. The dot-probe paradigm was used to examine attention towards anxiety symptomatology, social threat and positive words. Stimuli were presented above (unmasked) and below (masked) the level of conscious awareness. High physical anxiety sensitivity was associated with attentional vigilance for anxiety symptomatology words in both unmasked and masked conditions. For positive words, however, those high in anxiety sensitivity were found to avoid such stimuli when they were masked, whereas they exhibited a relative vigilance when unmasked. If the differences between awareness conditions are reliable, then the impact of the automatic vigilance for threat might be modified by conscious attempts to direct attention towards other types of stimuli.