Gaze-fixation and pupil dilation in the processing of emotional faces: The role of rumination

Sustained attentional processing of negative information plays a significant role in the development and maintenance of depression. The present study examines the relationships between rumination, a relevant factor in information processing in depression, and the attentional mechanisms activated in individuals with different levels of depression severity when attending to emotional information (i.e., sad, angry and happy faces). Behavioural and physiological indicators of sustained processing were assessed in 126 participants (39 dysphoric and 87 non-dysphoric) using eye-tracking technology. Pupil dilation and total time attending to negative faces were correlated with a global ruminative style in the total sample once depression severity was controlled. Furthermore, in dysphoric participants the brooding component of rumination was specifically associated with the total time attending to sad faces. Finally, bootstrapping analyses showed that the relationships between global rumination and pupil diameter to emotional faces were accounted by total time attending to emotional faces, specifically for participants reporting lower levels of depression severity. The results support the idea that sustained processing of negative information is associated with a higher ruminative style and indicate differential associations between these factors at different levels of depressive symptomatology.     

Attentional Biases for Emotional Faces in Young Children of Mothers with Chronic or Recurrent Depression

Attentional biases for negative stimuli have been observed in school-age and adolescent children of depressed mothers and may reflect a vulnerability to depression. The direction of these biases and whether they can be identified in early childhood remains unclear. The current study examined attentional biases in 5–7-year-old children of depressed and non-depressed mothers. Following a mood induction, children participated in a dot-probe task assessing biases for sad and happy faces. There was a significant interaction of group and sex: daughters of depressed mothers attended selectively to sad faces, while children of controls and sons of depressed mothers did not exhibit biases. No effects were found for happy stimuli. These findings suggest that attentional biases are discernible in early childhood and may be vulnerability markers for depression. The results also raise the possibility that sex differences in cognitive biases are evident before the emergence of sex differences in the prevalence of depression.     

Attentional biases for negative interpersonal stimuli in clinical depression

An information-processing paradigm was used to examine attentional biases in clinically depressed participants, participants with generalized anxiety disorder (GAD), and nonpsychiatric control participants for faces expressing sadness, anger, and happiness. Faces were presented for 1000 ms, at which point depressed participants had directed their attention selectively to depression-relevant (i.e., sad) faces. This attentional bias was specific to the emotion of sadness; the depressed participants did not exhibit attentional biases to the angry or happy faces. This bias was also specific to depression; at 1000 ms, participants with GAD were not attending selectively to sad, happy, or anxiety-relevant (i.e., angry) faces. Implications of these findings for both the cognitive and the interpersonal functioning of depressed individuals are discussed and directions for future research are advanced.     

Adaptive and maladaptive components of rumination? Diagnostic specificity and relation to depressive biases

The present study investigated the validity of the two-factor solution of items selected from the Rumination Scale of the Response Style Questionnaire proposed by Treynor, Gonzalez, and Nolen-Hoeksema (2003). In the first part of this study we used samples of currently depressed (MDD), formerly depressed (FD), socially anxious (SP), and healthy control participants to examine whether the brooding and reflective pondering components differentiate participants with an anxiety disorder from participants with depression. In the second part of this study we examined whether these components of rumination were differentially related to cognitive biases in depression. Overall, the MDD group exhibited higher brooding scores than did all other groups; SP and FD groups did not differ from each other but obtained higher brooding scores than did the control participants. Only the MDD and the control groups differed on the reflective pondering factor. Importantly, brooding and reflective pondering were differentially related to cognitive biases. Specifically, the correlation between brooding/reflective pondering and memory bias was not significant when depressive symptoms were partialed out. The correlation between brooding and attentional bias for sad faces, however, remained significant even when current depressive symptoms were taken into account. In sum, our results support the formulation that rumination is composed of an adaptive reflective pondering factor and a maladaptive brooding factor.     

Trait mindfulness and attention to emotional information: An eye tracking study

Biased attention for emotional information is associated with the emotional disorders. Trait mindfulness is associated with lower depression and anxiety and with improved attentional control. Mindfulness is also related to lower levels of brooding rumination. The current study examined the association between trait mindfulness, brooding rumination, depressed and anxious state moods, and attention to emotional visual stimuli utilizing eye tracking methodology. Participants were 158 undergraduates. Trait mindfulness was negatively associated with attention to sad and threatening stimuli, but was not associated with attention to positive or neutral stimuli. There was an indirect effect of mindfulness on attention to sad stimuli through brooding rumination. Data are cross sectional but provide initial evidence that mindfulness may partially exert its effects on depression and anxiety by lessening attention to negatively-valenced 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.     

Children's 5-HTTLPR genotype moderates the link between maternal criticism and attentional biases specifically for facial displays of anger

Theorists have proposed that negative experiences in childhood may contribute to the development of experience-specific information-processing biases, including attentional biases. There are also clear genetic influences on cognitive processes, with evidence that polymorphisms in specific candidate genes may moderate the impact of environmental stress on attentional biases (e.g., a functional polymorphism in the serotonin transporter gene; 5-HTTLPR). In the current study, we tested a gene×environment (G×E) model of risk for attentional biases. We hypothesised that children whose mothers exhibit high levels of expressed emotion criticism (EE-Crit) would display attentional biases specifically for angry, but not happy or sad, faces, and that this link would be stronger among children carrying one or two copies of the 5-HTTLPR short allele than among those homozygous for the long allele. Results generally supported these hypotheses, though we found that carriers of the 5-HTTLPR short allele who also had a critical mother exhibited attentional avoidance of angry faces rather than preferential attention.     

Attention bias in youth: Associations with youth and mother's depressive symptoms moderated by emotion regulation and affective dynamics during family interactions

Recent research has highlighted the potential role of attention bias for emotional stimuli as a possible cognitive risk factor for depression in youth. However, differences in youth emotion regulation or maternal affect may moderate the association between maternal and youth depression and youth attention biases. The current study investigated the relationship between maternal and youth depressive symptoms and youth (aged 11–17 years) attention bias for sad and happy faces in 59 mother–youth dyads, examining whether positive and negative maternal affect observed during structured interaction tasks or youth emotion regulation tendencies moderated associations between maternal and youth depression and attention biases. Youth suppression interacted with maternal and youth depression to predict sad attentional biases in youth, while maternal positive affect interacted with maternal depression to predict happy attention biases in youth.     

No difference in flanker effects for sad and happy schematic faces: A parametric study of temporal parameters

Flanker effects with schematic faces have been reported to be larger for happy than for sad faces, allegedly because sad faces restrict the focus of spatial attention. We report a parametric study that fails to replicate this effect. Participants performed speeded identifications of happy or sad faces accompanied by compatible or incompatible flanker faces. We varied the temporal interval between presentation of central target and flanker faces because differential attentional effects of happy and sad faces should critically depend on this variable. In contradiction to the literature, we found large compatibility effects that were modulated by temporal parameters, but not by the emotional valence of the faces, and not in the way consistent with differential attentional modulation. We conclude that previously reported asymmetries in flanker tasks with schematic faces are not due to changes in attentional scope (mediated by emotion or otherwise), but rather to perceptual low-level differences.     

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.     

The threat of appearing prejudiced and race-based attentional biases

The current work tested whether external motivation to respond without prejudice toward Blacks is associated with biased patterns of selective attention that reflect a threat response to Black individuals. In a dot-probe attentional bias paradigm, White participants with low and high external motivation to respond without prejudice toward Blacks (i.e., low-EM and high-EM individuals, respectively) were presented with pairs of White and Black male faces that bore either neutral or happy facial expressions; on each trial, the faces were displayed for either 30 ms or 450 ms. The findings were consistent with those of previous research on threat and attention: High-EM participants revealed an attentional bias toward neutral Black faces presented for 30 ms, but an attentional bias away from neutral Black faces presented for 450 ms. These attentional biases were eliminated, however, when the faces displayed happy expressions. These findings suggest that high levels of external motivation to avoid prejudice result in anxious arousal in response to Black individuals, and that this response affects even basic attentional processes.     

Healthy brooders employ more attentional resources when disengaging from the negative: an event-related fMRI study

Depressive brooding is considered a maladaptive ruminative-thinking style that has been shown to be highly correlated with major depression. The present study in healthy participants employed event-related fMRI to uncover the neural underpinnings of emotional disengagement as it relates to depressive brooding. Thirty-four healthy, never depressed individuals performed an emotional go/no-go task with a rapid presentation of emotional faces. We focused on the contrast of inhibiting sad (happy/no-go) versus inhibiting happy (sad/no-go) information. This contrast allowed us to assess possible difficulties in disengaging from emotionally negative, as compared with emotionally positive, faces. At the behavioral level, only in high brooders were higher self-reported brooding scores correlated with more errors when sad information was inhibited, relative to happy information. At the neural level, across all participants, brooding scores were positively correlated with activity in the right dorsolateral prefrontal cortex (DLPFC; BA 46), implying that high brooders show higher DLPFC involvement when successfully disengaging from a series of negative stimuli. These results may suggest that healthy individuals who report a high brooding thinking style need to recruit more attentional control in order to disengage successfully from negative information, in a way that may be related to emotion regulation strategies. These mechanisms might protect them from developing depressive symptoms.     

Heightened ruminative disposition is associated with impaired attentional disengagement from negative relative to positive information: support for the “impaired disengagement” hypothesis

Information processing accounts of rumination propose that impaired attentional disengagement from negative information may underpin heightened disposition to experience ruminative brooding in response to negative mood. The present study examined the relationship between individual differences in ruminative disposition and selective attention, using a paradigm capable of distinguishing between biases in the engagement and disengagement of attention. Results showed that higher dispositional ruminative brooding, as measured by both the brooding subscale of the RRS and an in-vivo assessment of ruminative disposition, was associated with greater relative impairment disengaging attention from negative compared to positive stimuli. These findings thus provide support for the “impaired disengagement” account of ruminative brooding.     

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.

     

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.     

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.     

Biased processing of sad faces: An ERP marker candidate for depression susceptibility

Depression has been associated with task-relevant increased attention toward negative information, reduced attention toward positive information, or reduced inhibition of task-irrelevant negative information. This study employed behavioural and psychophysiological measures (event-related potentials; ERP) to examine whether groups with risk factors for depression (past depression, current dysphoria) would show attentional biases or inhibitory deficits related to viewing facial expressions. In oddball task blocks, young adult participants responded to an infrequently presented target emotion (e.g., sad) and inhibited responses to an infrequently presented distracter emotion (e.g., happy) in the context of frequently presented neutral stimuli. Previous depression was uniquely associated with greater P3 ERP amplitude following sad targets, reflecting a selective attention bias. Also, dysphoric individuals less effectively inhibited responses to sad distracters than non-dysphoric individuals according to behavioural data, but not psychophysiological data. Results suggest that depression risk may be most reliably characterised by increased attention toward others' depressive facial emotion.     

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.     

Early development of visual attention in infants in rural Malawi

Eye tracking research has shown that infants develop a repertoire of attentional capacities during the first year. The majority of studies examining the early development of attention comes from Western, high‐resource countries. We examined visual attention in a heterogeneous sample of infants in rural Malawi (N = 312–376, depending on analysis). Infants were assessed with eye‐tracking‐based tests that targeted visual orienting, anticipatory looking, and attention to faces at 7 and 9 months. Consistent with prior research, infants exhibited active visual search for salient visual targets, anticipatory saccades to predictable events, and a robust attentional bias for happy and fearful faces. Individual variations in these processes had low to moderate odd‐even split‐half and test‐retest reliability. There were no consistent associations between attention measures and gestational age, nutritional status, or characteristics of the rearing environment (i.e., maternal cognition, psychosocial well‐being, socioeconomic status, and care practices). The results replicate infants’ early attentional biases in a large, unique sample, and suggest that some of these biases (e.g., bias for faces) are pronounced in low‐resource settings. The results provided no evidence that the initial manifestation of infants’ attentional capacities is associated with risk factors that are common in low‐resource environments.     

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.