Inferred threat and safety: Symbolic generalization of human avoidance learning

Symbolic generalization of avoidance may underlie the aetiology and maintenance of anxiety disorders. The aim of the present study was to demonstrate inferred threat-avoidance and safety (non-avoidance) behaviours that occur in the presence of stimuli indirectly related to learned threat and safety cues. A laboratory experiment was conducted involving two symbolic stimulus equivalence relations consisting of three physically dissimilar stimuli (avoidance cues: AV1–AV2–AV3 and neutral cues: N1–N2–N3). During avoidance learning involving aversive images and sounds, a key-press avoidance response was trained for one member of one of the relations (AV2) and non-avoidance for another (N2). Inferred threat and safety behaviour and ratings of the likelihood of aversive events were tested with presentations of all remaining stimuli. Findings showed a significantly high percentage of avoidance to both the learned and inferred threat cues and less avoidance to both the learned and inferred safety cues. Ratings in the absence of avoidance were high during training and testing to threat cues and low to safety cues and were generally lower in the presence of avoidance. Implications for associative and behavioural accounts of avoidance, and modern therapies for anxiety disorders are discussed.     

The Role of Separation Anxiety in Mothers’ Use of Autonomy Support: An Observational Study

Parental separation anxiety has been identified as a detrimental factor for parent-adolescent relationship quality and, ultimately, for adolescents’ psychosocial adjustment. However, few studies have examined how separation anxiety is related to parents’ style of interaction with their adolescent, which is unfortunate as this interaction style could explain why separation anxiety is related to negative outcomes. The present study (a) examined the association between maternal separation anxiety and mothers’ autonomy-supportive, relative to controlling, conversation style as observed in mother-adolescent interactions about the adolescents’ friendships, and (b) investigated the link between maternal separation anxiety and mothers’ personal experiences during the conversation. A total of 62 mother–adolescent dyads (M age mothers?=?44 years, M age adolescents?=?14 years) were willing to participate in this study. After mothers filled out a measure of separation anxiety, mothers’ autonomy-supportive and controlling practices were observed and coded during a 10-min conversation. Further, mothers reported on their emotional and motivational experiences during the conversation. Mothers high on separation anxiety were observed to be less autonomy-supportive and to experience the conversation as more stressful (e.g., more pressure, more tension, and more relief at the end). Clinically, our results suggest that maternal separation anxiety is an important target for intervention and prevention efforts aimed at promoting autonomy-supportive parenting.     

Human anterior and posterior hippocampus respond distinctly to state and trait anxiety

We examined whether anterior and posterior hippocampal subregions in humans show distinct relationships to state and trait anxiety. In rodents, the ventral (but not dorsal) hippocampus is critically involved in contextual anxiety, whereas dorsal hippocampus is affected by chronic stress and genetically bred trait anxiety. These studies suggest that state forms of anxiety may be more associated with anterior (ventral in rodents) hippocampus, whereas trait forms of anxiety maybe more associated with posterior (dorsal in rodents) hippocampus. Participants were placed under alternating blocks of threat of shock and safety conditions while performing a secondary task, and state and trait anxiety measures were obtained. Using subject-specific anatomically defined masks, we found that state anxiety was related to activity in anterior but not posterior hippocampus, whereas trait anxiety showed the opposite pattern. Additionally, a psychophysiological connectivity analysis showed that activity in anterior hippocampus was more strongly related to activity in ventromedial prefrontal cortex under threat than under safety conditions, significantly more so than activity in posterior hippocampus was. Hence, anterior hippocampus shows a distinct moment-to-moment connectivity profile with other neural regions during threat relative to posterior hippocampus. The findings provide several lines of evidence for functional differentiation of anterior and posterior hippocampal involvement across state and trait components of anxiety in humans.     

Investigating the effectiveness of brief cognitive reappraisal training to reduce fear in adolescents

As adolescent anxiety is common and costly, identifying effective strategies to reduce symptoms is a priority. This study tested whether adolescents could learn to use cognitive reappraisal strategies to attenuate fear during extinction learning. Fifty-seven participants (12–15 years) viewed images of two neutral faces, one which was paired with a fearful expression and shrieking scream (conditioned threat stimulus) and the other that was never paired with the aversive outcome (conditioned safety stimulus) during fear acquisition. Before extinction, participants either received cognitive appraisal training, which explored alternative, benign meanings associated with the scream or a control activity. Self-reported fear ratings in the cognitive reappraisal group were significantly lower to both the conditioned threat and safety stimuli after extinction than the control group. These findings did not characterise fear-potentiated startle data. Potential reasons for the lack of consistency between measures are considered.     

The role of attention in automatization: Does attention operate at encoding, or retrieval, or both?

In this research, we investigated whether attention operates in the encoding of automatized information, the retrieval of automatized information, or in both cases. Subjects searched two-word displays for members of a target category in focused-attention or divided-attention conditions that were crossed with block (training vs. transfer). To see whether subjects encoded all available items or only attended items, we compared performance for subjects in different training conditions but in the same transfer condition. Subjects encoded attended items. To see whether subjects retrieved all the items they had in memory, or only items associated with that to which they were attending at retrieval, we compared performance for subjects in the same training conditions but in different transfer conditions. Subjects retrieved attended items. Attention was found to operate at both encoding and retrieval. These findings support the instance theory of automaticity, which predicts the role of attention at encoding and retrieval     

Anxiety and Threat Perception Abnormalities in Normal Children

The current study examined the relationship between childhood anxiety and threat perception abnormalities. Children (N = 105) were exposed to stories reflecting three types of anxiety: social anxiety, separation anxiety, and generalized anxiety. From children's reactions to the stories, a number of threat perception indices were derived. Children's level of anxiety was assessed by means of questionnaires and a structured diagnostic interview. Results indicated that high levels of anxiety, as measured by questionnaires and interview, were accompanied by a high frequency of threat perception, high ratings of threat, a high frequency of threatening interpretations, high levels of negative feelings and cognitions, and an early detection of threat. Furthermore, results seemed to suggest that threat perception abnormalities were mediated by children's general level of anxiety rather than by levels of specific anxiety symptoms.     

Threat facilitates subsequent executive control during anxious mood

Dual competition framework (DCF) posits that low-level threat may facilitate behavioral performance by influencing executive control functions. Anxiety is thought to strengthen this effect by enhancing threat's affective significance. To test these ideas directly, we examined the effects of low-level threat and experimentally induced anxiety on one executive control function, the efficiency of response inhibition. In Study 1, briefly presented stimuli that were mildly threatening (i.e., fearful faces) relative to nonthreatening (i.e., neutral faces) led to facilitated executive control efficiency during experimentally induced anxiety. No such effect was observed during an equally arousing, experimentally induced happy mood state. In Study 2, we assessed the effects of low-level threat, experimentally induced anxiety, and individual differences in trait anxiety on executive control efficiency. Consistent with Study 1, fearful relative to neutral faces led to facilitated executive control efficiency during experimentally induced anxiety. No such effect was observed during an experimentally induced neutral mood state. Moreover, individual differences in trait anxiety did not moderate the effects of threat and anxiety on executive control efficiency. The findings are partially consistent with the predictions of DCF in that low-level threat improved executive control, at least during a state of anxiety.     

Are the costs of directed forgetting due to failures of sampling or recovery? Exploring the dynamics of recall in list-method directed forgetting

This study investigated the costs of directed forgetting within the framework of a search model. In such models, retrieval failure can occur at either the sampling or the recovery stage of recall. Multiple measures of performance were employed to answer two primary questions of interest: (1) Where does the locus of forgetting occur in the directed forgetting paradigm? and (2) What current theory of directed forgetting can best account for the pattern of data observed? Converging evidence from these measures suggested that the costs of directed forgetting are the result of sampling issues during retrieval. Further, these results were best explained by a contextual-change account that argues an instruction to forget creates a break in context causing individuals to sample more items at retrieval. It is argued that the retrieval deficits observed in list-method directed forgetting paradigms are due, in part, to the fact that individuals sample a greater number of items (that include both targets and intrusions) during retrieval in the forget-condition, thereby creating greater response competition compared with retrieval in the remember-condition.     

Modality-specific attention under imminent but not remote threat of shock: evidence from differential prepulse inhibition of startle

Theories of animal defensive behavior postulate that imminent, predictable threat elicits highly focused attention toward the threat source, whereas remote, unpredictable threat elicits distributed attention to the overall environment. We used threat of shock combined with measurement of prepulse inhibition of the startle reflex to test these claims in humans. Twenty-seven participants experienced periods of threat and safety. Threat and safe periods were short or long, with the short threat periods conveying relatively predictable, imminent shocks and the long threat periods conveying unpredictable shocks. Startle reflexes were elicited with equal numbers of acoustic probes presented alone, preceded by a tactile prepulse, or preceded by an auditory prepulse. We observed enhanced tactile relative to auditory prepulse inhibition during short threat periods only. This finding supports the notion that imminent threat, but not remote threat, elicits attention focused toward the relevant modality, potentially reflecting preparatory activity to minimize the impact of the noxious stimulus.     

The Biopsychosocial Model of Challenge and Threat: Using the Heart to Measure the Mind

The biopsychosocial model of challenge and threat (BPS) holds that during active goal pursuit, psychological processes reliably lead to specific patterns of cardiovascular responses. Because psychological experience during goal pursuit is not otherwise easily accessible, using cardiovascular responses to infer psychological states can provide valuable insight. In this context, challenge results from evaluating high resources and low demands, whereas threat results from evaluating low resources and high demands. Both challenge and threat lead the heart to beat faster and harder than during rest, but challenge results in dilation in arteries and more blood pumped, whereas threat results in constriction and less blood pumped. This article summarizes the BPS, presents recent research applications, and discusses remaining questions and future directions, including how research from other theoretical perspectives may clarify the nature of task engagement and how the BPS can inform the study of resilience to stressors.     

The spread of fear: Symbolic generalization mediates graded threat-avoidance in specific phobia

Overgeneralization of fear and threat-avoidance represents a formidable barrier to successful clinical treatment of anxiety disorders. While stimulus generalization along quantifiable physical dimensions has been studied extensively, less consideration has been given to symbolic generalization, in which stimuli are indirectly and arbitrarily related. The present study examined whether the magnitude and extent of symbolic generalization of threat-avoidance and threat-beliefs differed between spider-phobic and nonphobic individuals. Initially, participants learned two sets of stimulus equivalence relations (A1?=?B1?=?C1; A2?=?B2?=?C2). Next, one cue (B1) was established as a conditioned stimulus (CS?+?; threat) that signalled onset of spider images and prompted avoidance, and another cue (B2) was established as a CS– (safety cue) that signalled the absence of such images. Subsequent testing showed that phobics compared to nonphobics exhibited greater symbolic generalization of threat-avoidance to threat cues A1 and C1 (indirect CS+ threat cues related via symmetry and equivalence, respectively), while all individuals showed nonavoidance to indirect safety cues A2 and C2. The enhanced symbolic generalization of threat-beliefs and avoidance behaviour observed in spider phobics warrants further investigation.     

Eye movements reduce vividness and emotionality of “flashforwards”

Earlier studies have shown that eye movements during retrieval of disturbing images about past events reduce their vividness and emotionality, which may be due to both tasks competing for working memory resources. This study examined whether eye movements reduce vividness and emotionality of visual distressing images about feared future events: “flashforwards”. A non-clinical sample was asked to select two images of feared future events, which were self-rated for vividness and emotionality. These images were retrieved while making eye movements or without a concurrent secondary task, and then vividness and emotionality were rated again. Relative to the no-dual task condition, eye movements while thinking of future-oriented images resulted in decreased ratings of image vividness and emotional intensity. Apparently, eye movements reduce vividness and emotionality of visual images about past and future feared events. This is in line with a working memory account of the beneficial effects of eye movements, which predicts that any task that taxes working memory during retrieval of disturbing mental images will be beneficial.     

Anxiety and Attention: Is There an Attentional Bias for Positive Emotional Stimuli?

Empirical research has shown that anxiety is associated with a systematic bias in the cognitive system. Anxious individuals (clinically anxious patients and normal individuals with high-trait anxiety) are characterized by a pattern of selective processing that favors the encoding of threatening information. Is this attentional bias specific to threat-related information, or does it operate for positive emotional stimuli? The research directly connected with the existence of an attentional bias for threat in anxiety was examined.     

Does the Vigilance-Avoidance Gazing Behavior of Children with Separation Anxiety Disorder Change after Cognitive-Behavioral Therapy?

Cognitive biases are of interest in understanding the development of anxiety disorders. They also play a significant role during psychotherapy, where cognitive biases are modified in order to break the vicious cycle responsible for maintaining anxiety disorders. In a previous study, the vigilance-avoidance pattern was shown in children with separation anxiety disorder (In-Albon et al. Journal of Abnormal Child Psychology 38:225-235, 2010). The exhibited avoidance pattern may be essential for the maintenance of the anxiety disorder. Therefore, in the present study we used eye tracking methodology presenting disorder specific pictures to examine possible changes in the vigilance-avoidance pattern in 18 children with separation anxiety disorder after cognitive-behavioral treatment (CBT) and 13 healthy controls. Results indicated that following treatment, the vigilance pattern of children with separation anxiety disorder reduced significantly. Thus, the vigilance-avoidance pattern can be modified by CBT.     

Trait Anxiety and Fear Responses to Safety Cues: Stimulus Generalization or Sensitization?

Abnormal fear responding to threat cues may contribute to the aetiology and maintenance of persistent fears and pathological anxiety. Chronic anxiety may also involve abnormal fear responding to ??safety?? cues, which do not signal danger. Yet investigations of fear responding to acquired safety cues are scarce and the basis of such responding remains unclear. Moreover, previous studies do not distinguish between stimulus generalization (an associative mechanism based on perceptual similarity between threat and safety cues) and sensitization (a non-associative mechanism whereby fear responses to any novel, intense, or fear-related stimulus are temporarily elevated). This study investigated responses to acquired safety cues in volunteers with varying trait anxiety, using a novel fear conditioning paradigm designed to distinguish between effects of trait anxiety on generalization and sensitization. The paradigm used three conditioned stimuli: a threat cue (CS+) and two safety cues (CS?), one perceptually similar to the CS+ and one perceptually dissimilar. Conditioned fear to these cues was indexed by fear potentiation of the startle blink reflex, skin conductance responses, and self-report. To examine how trait anxiety moderated responses to safety cues, participants were divided into high and low trait anxiety subgroups. Startle, skin conductance, and self-reported fear measures indicated that generalization of fear occurred for the safety cue which resembled the threat cue, but not for the perceptually dissimilar safety cue, consistent with the stimulus generalization hypothesis. There was some evidence that stimulus generalization was exaggerated in anxious individuals. The current study sheds light on the mechanism by which fear responses to safety cues arise in healthy individuals, and offers some insight into the influence of this mechanism in chronic anxiety.     

Retrieval practice enhances the accessibility but not the quality of memory

Numerous studies have demonstrated that retrieval from long-term memory (LTM) can enhance subsequent memory performance, a phenomenon labeled the retrieval practice effect. However, the almost exclusive reliance on categorical stimuli in this literature leaves open a basic question about the nature of this improvement in memory performance. It has not yet been determined whether retrieval practice improves the probability of successful memory retrieval or the quality of the retrieved representation. To answer this question, we conducted three experiments using a mixture modeling approach (Zhang & Luck, 2008) that provides a measure of both the probability of recall and the quality of the recalled memories. Subjects attempted to memorize the color of 400 unique shapes. After every 10 images were presented, subjects either recalled the last 10 colors (the retrieval practice condition) by clicking on a color wheel with each shape as a retrieval cue or they participated in a control condition that involved no further presentations (Experiment 1) or restudy of the 10 shape/color associations (Experiments 2 and 3). Performance in a subsequent delayed recall test revealed a robust retrieval practice effect. Subjects recalled a significantly higher proportion of items that they had previously retrieved relative to items that were untested or that they had restudied. Interestingly, retrieval practice did not elicit any improvement in the precision of the retrieved memories. The same empirical pattern also was observed following delays of greater than 24 hours. Thus, retrieval practice increases the probability of successful memory retrieval but does not improve memory quality.     

A longitudinal study of the etiology of separation anxiety

A longitudinal examination of the relation between separation experiences and the development of separation anxiety at age 3, 11 and 18 years was conducted. Three associative pathways (Rachman, S.J. (1978). Fear and courage. San Francisco: W.H. Freeman) were assessed. Conditioning events were not related to separation anxiety at age 3. Vicarious learning (modelling) in middle childhood (age 9 years) was the conditioning variable most strongly related to separation anxiety at age 11, accounting for 1.8% of the variance in symptoms. Separation experiences (hospitalisations) before the age of 9 were inversely correlated with separation anxiety at age 18. That is, more overnight hospital stays in childhood were related to less separation anxiety in late adolescence. However, none of these conditioning correlates remained significant predictors of separation anxiety in adjusted regression models. In contrast, certain “planned” separations in early–mid childhood were associated with lower levels of separation anxiety at later ages. Generally, the findings were consistent with predictions from the non-associative theory of fear acquisition. That vicarious learning processes appeared to modulate, albeit to a minor degree, the expression of separation anxiety during mid–late childhood suggests that there may be critical periods during which some individuals are susceptible to the interactive effects of both associative and non-associative processes. These findings serve to illustrate the complexity of fear acquisition, the relevance of developmental factors and the likely interplay between associative and non-associative processes in the etiology of fear and anxiety.     

Panic-relevant predictability preferences: a laboratory test

In the present investigation the authors evaluated the role of verbally instructed safety periods as they relate to predictability preference within a single-session challenge paradigm involving recurrent administrations of 20% carbon dioxide (CO-sub-2) enriched air. Participants included 160 nonclinical young adults (91 women, 69 men) between the ages of 18 and 59 (M=21.6 years; SD=7.23). Results indicated that equivalent levels of anxiety were experienced during predictable and unpredictable administrations of 20% CO-sub-2, yet participants preferred predictable compared with unpredictable trials, with women showing a stronger predictability preference than men. Lower anxiety was reported during known safety periods (predictable room air trials) but not during predictable compared with unpredictable administrations of 20% CO-sub-2. Findings are discussed in relation to theoretical and applied implications for the role of predictability in the nature of anxiety and its disorders.