Hypervigilance in patients with borderline personality disorder: specificity, automaticity, and predictors

According to cognitive theory, an important factor in borderline personality disorder (BPD) is hypervigilance. The aim of the present study was to test whether BPD patients show schema-related biases, and to explore relations with childhood trauma, schemas, and BPD symptoms. Sixteen BPD patients were compared with 18 patients with a cluster C personality disorder, 16 patients with an axis I disorder, and 16 normal controls. An emotional Stroop task was applied with schema-related and unrelated, negative and positive, supra- and subliminal person-related stimuli. BPD patients showed hypervigilance for both negative and positive cues, but were specifically biased towards schema-related negative cues. Predictors were BPD schemas, childhood sexual traumas, and BPD anxiety symptoms. Both BPD and axis I disorder patients showed a trend for a bias for negative schema-related subliminal stimuli. More attention to hypervigilance in BPD is recommended for clinical practice.     

Cognitive processing of emotional information in depression, panic, and somatoform disorder

Emotional Stroop tasks (subliminal/supraliminal exposures), implicit memory tasks (tachistoscopic word identification), and explicit memory tasks (free recall after incidental learning) with 4 word types (physical threat, positive, negative, and neutral words) were administered to patients with major depressive disorder (n=30), panic disorder (n=33), somatoform disorder (n=25), and healthy control participants (n=33). On the Stroop task, panic patients showed subliminal interferences for physical threat and negative words, depressive patients showed supraliminal interferences for negative words, and somatoform patients showed supraliminal interferences for physical threat words. No patient groups demonstrated implicit memory biases. On the explicit memory task, depressive and panic patients showed memory biases for negative words; somatoform patients showed biases for physical threat words.     

Preattentive bias for emotional information in panic disorder with agoraphobia.

A combined emotional Stroop and implicit memory (tachistoscopic identification) task with 3 types of words (panic-related, interpersonal threat, and neutral words) and 2 exposure conditions (subliminal, supraliminal) was administered to 35 patients with panic disorder and 35 age- and sex-matched controls. The patients showed Stroop interference for panic-related words both sub- and supraliminally and a similar but not equally robust effect on interpersonal threat words. On the tachistoscopic identification task, the patients identified more panic-related words than the controls did but showed no implicit memory bias effect. The patients' subliminal Stroop interference for panic-related words was found to correlate with trait anxiety and depression, although not with anxiety sensitivity.     

Selective processing of food,weight, and body-shape words in nonpatient women with bulimia nervosa: Interference on the Stroop task

The study investigated whether the Stroop interference effect could be found in nonpatients with a self-report consistent with a diagnosis of bulimia nervosa. The nonpatient bulimic group showed significantly more interference to disorder-specific words (food, weight, and body shape) than to control words. The two nonpatient comparison groups, a depressed-nonbulimic group and a nonbulimic-nondepressed group, showed no interference. These results indicate that nonpatients with bulimia nervosa can be used to test various models of the cognitive and emotional processes involved in bulimia nervosa with the modified Stroop task. Methodological issues in the use of the computerized Stroop task with clinical populations are also noted.     

Inhibitory control and affective valence processing in dementia of the alzheimer type

Emotional and traditional Stroop effects were contrasted in individuals with Alzheimer's disease (AD) and age‐equated, non‐demented individuals to examine (a) differences in the speed of processing emotional versus neutral words; and (b) the extent to which the emotional valence influences interference effects. Individuals with moderate AD experienced larger traditional Stroop interference effects than did healthy elderly or individuals with mild AD. Emotional Stroop effects were evident among individuals with moderate AD and significantly greater than elderly and individuals with mild AD who exhibited minimal effects. For negative words, significant differences were only observed between individuals with moderate AD and healthy elderly. Emotional Stroop effects among individuals with AD were not statistically different for positive and negative words. The impact of stimulus intensity level and AD‐associated changes to the prefrontal cortex and amygdala on emotional Stroop effects requires further investigation.     

Emotional Stroop via Internet among individuals with eating disorders

The present study investigated whether Stroop interference in eating disordered individuals for food - and body-related words, as repeatedly found previously using standard emotional Stroop tasks, would also be demonstrated when using an Internet based emotional Stroop task. Participants were anorexic women (n= 13), bulimic women (n= 20), non-clinically eating disordered women nevertheless over-concerned about eating and body appearance (n= 27) and normal control women (n= 31). Bulimic individuals showed Stroop interference for body-related words whereas anorexic individuals showed Stroop interference for food-related words. The present results thus suggest that administration of the emotional Stroop task is possible via the Internet. Furthermore, it is possible that the time consuming response delivery, relative to previous studies, could lead to Stroop interference only for the most emotionally significant information, in turn, differentiating between the core concerns of anorexic and bulimic individuals.     

Reactivity to sensations in borderline personality disorder: a preliminary study

Individuals with borderline personality disorder (BPD) are widely considered to have problems with emotional reactivity. However, the specific kinds of stimuli that are associated with heightened emotional reactivity in BPD have not been well characterized. Thus, it is unclear whether the emotional dysfunction in BPD occurs in response to any emotionally evocative stimuli, or to specific classes of stimuli. In this study, we used subjective measures (self-report and interview-based) to compare reactivity to sensations (auditory, gustatory, olfactory, tactile, visual) between participants with BPD (n = 30) and healthy controls (n = 50). Controlling for trait negative emotional reactivity, individuals with BPD reported being significantly more reactive across sensory stimuli. However, the difference between controls and BPD was significantly greater for reactivity to auditory stimuli compared to other sensory stimuli. Findings from this study provide preliminary data suggesting individuals with BPD may be characterized by heightened self-reported reactivity to aversive sounds.     

Cognitive bias via the Internet: a comparison of Web-based and standard emotional Stroop tasks in social phobia

There is accumulating evidence to suggest that social phobia is associated with attentional bias for words related to social threat. Information processing in individuals with social phobia (n = 87) was investigated in the present study using 2 versions of the emotional Stroop task. Results from a standard emotional Stroop task indicated delayed colour naming of socially threatening words relative to neutral words, in line with previous research, whereas results from a Web-based emotional Stroop task indicated a facilitation effect, with faster manual indication of colour choice for socially threatening words than for neutral words. Possible explanations for these contrasting findings and issues for further research are discussed.     

Attending to the distractor and old/new discriminations in negative priming

When participants ignore an irrelevant distractor they typically show impaired responding to that item if it becomes the relevant stimulus on a subsequent trial. In Experiment 1 (N = 64), a masked white colour name was presented briefly before a Stroop display. Negative priming in colour naming occurred when the colour of the lettering for the Stroop stimulus matched the colour name displayed in the first display, consistent with the proposal of temporal discrimination theory that negative priming arises because a recurrence of an unattended stimulus cannot readily be classified as old or new. Experiment 2 (N = 32) replicated negative priming in the interleaved-word display where participants had to name the red word from a pair of red and green words. In Experiment 3 (N = 32) and Experiment 4 (N = 28) the participants were required to attend to but not respond to the words in the prime display and name one of two interleaved words in the probe display. Negative priming was observed in this arrangement, consistent with the episodic retrieval theory of negative priming. The temporal discrimination model may need to be extended to situations in which the attended stimuli have different responses attached to them.     

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.     

Using the Personal Stroop to Detect Children's Awareness of Social Rejection by Peers

A personal (or emotional) Stroop methodology was used to assess children's internalisation of peer rejection. A computerised Stroop colour-naming task with a voice-activated timer was given to 59 socially popular and unpopular elementary schoolchildren. We presented negative social words and three sets of control words (positive social, negative nonsocial, and positive nonsocial) individually and in random order. Unpopular children (but not popular children) demonstrated significantly greater colour-naming interference on negative social words versus control words, suggesting that they had internalised personally relevant social status information. This sensitivity to negative social content words remained even after controlling for grade level, self-reported depressive symptoms, and self-reported social competence. Advantages and disadvantages of the personal Stroop methodology relative to self-report methodologies are discussed.     

Wheel chairs and arm chairs: A novel experimental design for the emotional Stroop effect

The emotional Stroop effect demonstrates that people are slower to name the ink colour of emotionally charged words than that of neutral words. Attributing this slowdown to emotionality or threat requires that the emotion and neutral words presented are equal on all extraneous variables. However, it is impossible in principle to match the two types of words on all conceivable variables. To address the problem, we presented the same set of words, polarised to be negative in one condition and neutral in another by using appropriate prime words that produced the desired valence through idiomatic two-word expressions. Across two studies, participants took longer to name the colour of the same words when they were rendered negative than when they were rendered neutral. This difference reflects a true emotional Stroop effect given the control provided for all potentially confounding variables tied to the target stimuli. The new procedure also enables researchers to calculate item-specific emotional Stroop effects for the first time.     

Contrasting effects of self-schema priming on lexical decisions and interpersonal stroop task performance: evidence for a cognitive/interactionist model of interpersonal dependency

Four experiments tested a key tenet of Bornstein's (1992, 1993) cognitive/interactionist (C/I) model of interpersonal dependency: that priming the helpless self-schema (HSS) alters processing of dependency-related information in dependent--but not nondependent--individuals. Experiments 1 and 2 assessed the effects of subliminal lexical priming and an emotional priming manipulation on lexical decision (LD) judgments for dependency-related words and control words. Experiments 3 and 4 assessed the effects of these same priming procedures on Interpersonal Stroop Task (IST) performance. As predicted, priming the HSS produced contrasting effects on different outcome measures, decreasing LD latencies, but increasing IST response times. Results are discussed in the context of the C/I model, and suggestions for future studies are offered.     

非自主闯入焦虑发生的机制：阈下启动效应的实验研究

本研究采用阈下情感启动范式, 研究威胁信息启动效应及其特质焦虑的调节作用,旨在揭示焦虑非自主闯入性特点形成的机制。实验在随机的三种条件下（阈上/阈下/基线）给38名被试呈现两种目标词（威胁词和中性词）,其中基线条件不呈现目标词;之后要求被试在回避目标词的条件下完成组词任务,结果：（1）无论是中性词还是威胁词,被试阈下条件下目标词的击中率显著高于基线条件;（2）特质焦虑对阈下启动效应起着调节作用：高焦虑组被试威胁词的启动效应显著高于中性词,低焦虑组被试中性词的启动效应显著高于威胁词。结论：阈下启动效应显著,高特质焦虑组个体对威胁信息的无意识加工会增强对威胁信息的意识加工,产生闯入性想法,导致焦虑非自主闯入性的特点。     

Impulsivity and emotion dysregulation in Borderline Personality Disorder

This study examined the association of borderline personality disorder (BPD) and negative emotional states with impulsivity in the laboratory. Undergraduate participants who were high in BPD features (high-BPD; n = 39) and controls who were low in BPD features (low-BPD; n = 56) completed measures of negative emotional state before a laboratory measure of impulsivity--a passive avoidance learning task. Controlling for psychopathology, high-BPD participants committed a greater number of impulsive responses than did low-BPD participants. Negative emotional state moderated the effect of BPD on impulsive responses. High-BPD participants who were in a negative emotional state committed fewer impulsive responses than high-BPD participants who were low in negative emotional state. Fear, nervousness, and shame negatively correlated with impulsivity among high-BPD participants but not among low-BPD participants. In addition, high-BPD participants reported greater emotion dysregulation in a variety of domains, compared with low-BPD participants.     

Subliminal priming of autobiographical memories

The current research examined subliminal priming of autobiographical memories. In Experiment 1 the subliminal primes consisted of affect-associated words (positive vs negative) and were presented just before the participants retrieved specific experiences to cue-words. The subliminal primes produced an inhibitory effect on autobiographical memory retrieval, with significantly lower positive ratings given to the emotional content of experiences retrieved after positive primes than given to experiences retrieved after negative primes. The subliminal primes for the second experiment consisted of words that related to specific lifetime periods (early childhood vs late childhood/early adulthood). A negative priming effect resulted again, with earlier life experiences retrieved after the presentation of late childhood/early adulthood primes. We believe the negative priming effects obtained in both experiments are consistent with predictions based on the self-memory system model of autobiographical memory. The results of this research may also explain mood-incongruent recall.     

Attention bias towards personally relevant stimuli: the individual emotional Stroop task

The emotional Stroop task is a widely used method for investigating attentional bias towards stimuli due to mood or affect. In general, standardized stimuli are used, which might not be appropriate when investigating individual contextual frameworks. It was investigated whether words chosen to be related to individuals' personal life events would produce more pronounced Stroop interference (as an indicator of attentional bias) than stimuli without any personal relevance. Twenty-six nonclinical subjects, 20 female and 6 male, participated in the study. Mean age was 36.1 yr. (SD = 18.1). All were recruited by means of local advertising. Stimulus material consisted of four word types: personal words related to negative life events with and without current personal relevance, and negative and neutral words without any personal relevance. Words were presented in three blocks. Analysis of variance showed main effects for word type and blocks, with slower reactions in the personally relevant conditions than in the negative, or neutral conditions, and in response to the first blocks as opposed to the last. These findings indicate that regardless of the word valence, personally relevant stimuli evoke more pronounced Stroop interference than do stimuli without personal relevance.     

Don't be afraid of irrelevant words: the emotional Stroop effect is confined to attended words

The emotional Stroop effect denotes slower responses to the colour of negative words (e.g., death) compared to neutral words (e.g., mug). Popular explanations assume a general power of negative words to capture visual attention. However, in the typical task, the irrelevant word stimulus and the relevant colour stimulus are perceptually integrated. We compared interference from negative words, which were part of the relevant visual object, to interference from negative words that were part of an irrelevant object, or occurred in the background, respectively. Results showed that only negative words in the relevant object delayed colour-naming responses, compared to neutral words. Negative words outside the relevant object failed to affect performance. This finding is at odds with the claim that negative words could capture spatial or object-based mechanisms of visual attention. However, the finding is consistent with the idea that negative words interfere with the allocation of dimensional attention to different features of an attended object.     

The effect of orthographic and emotional neighbourhood in a colour categorization task

This study investigated whether and how the strength of reading interference in a colour categorization task can be influenced by lexical competition and the emotional characteristics of words not directly presented. Previous findings showed inhibitory effects of high-frequency orthographic and emotional neighbourhood in the lexical decision task. Here, we examined the effect of orthographic neighbour frequency according to the emotional valence of the higher-frequency neighbour in an emotional orthographic Stroop paradigm. Stimuli were coloured neutral words that had either (1) no orthographic neighbour (e.g. PISTIL [pistil]), (2) one neutral higher-frequency neighbour (e.g. tirade [tirade]/TIRAGE [draw]) or (3) one negative higher-frequency neighbour (e.g. idiome [idiom]/IDIOTE [idiotic]). The results showed that colour categorization times were longer for words with no orthographic neighbour than for words with one neutral neighbour of higher frequency and even longer when the higher-frequency neighbour was neutral rather than negative. Thus, it appears not only that the orthographic neighbourhood of the coloured stimulus words intervenes in a colour categorization task, but also that the emotional content of the neighbour contributes to response times. These findings are discussed in terms of lexical competition between the stimulus word and non-presented orthographic neighbours, which in turn would modify the strength of reading interference on colour categorization times.     

Don't be afraid of irrelevant words: The emotional Stroop effect is confined to attended words

The emotional Stroop effect denotes slower responses to the colour of negative words (e.g., death) compared to neutral words (e.g., mug). Popular explanations assume a general power of negative words to capture visual attention. However, in the typical task, the irrelevant word stimulus and the relevant colour stimulus are perceptually integrated. We compared interference from negative words, which were part of the relevant visual object, to interference from negative words that were part of an irrelevant object, or occurred in the background, respectively. Results showed that only negative words in the relevant object delayed colour-naming responses, compared to neutral words. Negative words outside the relevant object failed to affect performance. This finding is at odds with the claim that negative words could capture spatial or object-based mechanisms of visual attention. However, the finding is consistent with the idea that negative words interfere with the allocation of dimensional attention to different features of an attended object.