Social support coping style predicts women’s cortisol in the laboratory and daily life: the moderating role of social attentional biases

Background and Objectives: Social stress and associated coping responses can profoundly influence women’s stress physiology and health. Implicit social attentional biases can also influence psychological and physiological stress responses. The purpose of this study was to explore whether a coping style characterized by greater use of social support predicts indices of cortisol activity in laboratory and daily life contexts among female university students. We hypothesized that the relation of this coping style to cortisol activity would be moderated by women’s attentional biases.

Methods: Seventy-four women (M_age?=?19.44, range: 17.8–27.8, 64% White) completed an interpersonal stress task and an attentional bias task in the lab, along with a self-report coping inventory. Participants provided five saliva samples during the lab protocol, followed by three saliva samples per day for three consecutive weekdays. Outcome measures included cortisol response to lab tasks (AUCg), diurnal cortisol slope, diurnal AUCg, and cortisol awakening response (CARi).

Results: A coping style characterized by greater use of social support predicted lower lab AUCg and lower, flatter average diurnal cortisol slope for women with attentional avoidance compared to women with attentional vigilance (ps?<?.05).

Conclusions: Responding to stress by using social support is linked to lower cortisol responses to social stress and diurnal cortisol activity for women with implicit avoidance of social threat cues.     

低自尊个体对拒绝性信息的注意偏向

自尊是个体对自我的情感性评价, 影响着个体对周围环境的应对方式。低自尊个体由于容易知觉到外部的拒绝性信息, 也更倾向于将别人的行为知觉为拒绝, 因而存在对拒绝性信息的注意偏向。本文首先综述了低自尊个体的认知与行为特点, 其次简单介绍了低自尊个体注意偏向的常用研究范式(Stroop范式、点探测任务、空间线索任务、惊吓探测范式、注意监测任务、注意转移任务), 随后列举了解释低自尊个体注意偏向的理论(社会计量理论、关系图式理论、注意成分说、注意控制说), 最后总结了低自尊个体注意偏向的脑机制研究。未来的研究应更多关注自尊结构的复杂性, 注意偏向的信息加工阶段性及其脑机制, 注意训练的作用机制及低自尊个体注意偏向的本土研究等问题。     

The effects of attention retraining on depressive mood and cortisol responses to depression‐related stimuli1

Although it has been reported that attentional bias at an early stage is found in depression, no study has investigated the effects of modification of attentional bias at an early stage on depressive mood and cortisol response to a stressor. Therefore, this study tested the hypotheses that the modification of attentional bias at an early stage would reduce depressive mood and cortisol response. Fifty‐three participants were allocated alternately either to the training or the control group. They were administered attention retraining for modification of attentional bias or a sham attention task, and then underwent a stress task. With respect to depressive mood response, depressive mood increased in response to a stress task in the control group, while for high‐dysphoric participants in the training group, depressive mood response remained constant. These results indicate that attention retraining is efficacious for reducing depressive mood response. With respect to cortisol response, the percentage change in cortisol is associated with the amount of change in the attentional bias index scores. The results suggest the possibility that attention retraining could reduce cortisol response.     

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.     

Low self-esteem and the neural basis of attentional bias for social rejection cues: Evidence from the N2pc ERP component

Previous studies have indicated that individuals with low self-esteem show an attentional bias toward information concerning social rejection. The present study used event-related potentials (ERPs) to investigate whether task-irrelevant rejection cues could capture the visuo-spatial attention of low self-esteem individuals during a demanding visual detection task. The N2pc ERP component was measured as an index of the allocation of spatial attention. Results revealed that rejection cues induced greater N2pc component responses among individuals with low levels of self-esteem than for those with high levels of self-esteem. These results suggest that task-irrelevant rejection cues are likely to capture the attention of individuals with low self-esteem but not those with high self-esteem. These findings provide direct electrophysiological support for the idea that individuals with low levels of self-esteem show an attentional bias for cues related to social rejection.     

Salivary Cortisol as a Biomarker in Social Science Research

Cortisol, a neuroendocrine hormone measurable in saliva, responds to internal and external triggers. In providing a peripheral ‘window on the brain’, it has been increasingly incorporated into social psychological studies. Cortisol secretion can be studied in two main ways, examination of acute stress reactivity and examination of the basal circadian patterns. These can inform aspects of acute and chronic stress exposure and relationships with health. Within non‐clinical populations, cortisol effects are largely driven by differences in the perception of threat. For social psychologists, this provides an interesting avenue for the investigation of social factors that mediate perceptions of threat, such as social support, relationship processes, and group dynamics in acute and chronic stress. This paper provides a background to understanding the regulation and function of cortisol, and issues arising in relation to its measurement in saliva. It discusses and makes recommendations on the use of appropriate cortisol measures in the study of both acute and chronic stress. Used and interpreted appropriately, stress reactivity and basal ambulatory measures of salivary cortisol can provide a valuable adjunct to self‐report and observation in social psychological research. © 2013 John Wiley & Sons Ltd     

Gender differences in salivary alpha-amylase and attentional bias towards negative facial expressions following acute stress induction

This study investigated gender differences in two key processes involved in anxiety, arousal and attentional bias towards threat. Arousal was assessed using salivary alpha-amylase (sAA), a biomarker of noradrenergic arousal and attention bias using a dot-probe task. Twenty-nine women and 27 men completed the dot-probe task and provided saliva samples before and after a stress induction [cold pressor stress (CPS) test]. Women displayed a significant increase in arousal (sAA) following the stressor compared to men, who displayed a significant reduction in arousal. Reaction time data revealed a significant avoidance of threat in women at baseline, but a significant change to an attention bias towards threat following the stressor. Men did not significantly respond to the stressor in terms of attentional bias. These findings suggest that women are more reactive to a stressor than men, and display an initial avoidance response to threat, but an attentional bias towards threat following stress.     

Selective attention and avoidance on a pictorial cueing task during stress in clinically anxious and depressed participants

Although it is well established that attentional biases exist in anxious populations, the specific components of visual orienting towards and away from emotional stimuli are not well delineated. The present study was designed to examine these processes. We used a modified spatial cueing task to assess the speed of engagement and disengagement from supraliminal and masked pictorial cues depicting threat, dysphoria, or neutral content in 36 clinically anxious, 41 depressed and 41 control participants. Participants were randomly assigned to a stress or neutral condition. During stress, anxious participants were slow to disengage from masked left hemifield pictures depicting threat or dysphoria, but were quick to disengage from supraliminal threat pictures. Information processing in anxious participants during stress was characterized by early selective attention of emotional stimuli, occurring prior to full conscious awareness, followed by effortful avoidance of threat. Depressed participants were distinct from the anxious group, displaying selective attention for stimuli depicting dysphoria, but not threat, during the neutral condition. In sum, attentional biases in clinical populations are associated with difficulties in the disengagement component of visual orienting. Further, a vigilant-avoidant pattern of attentional bias may represent a strategic attempt to compensate for the early activation of a fear response.     

Selective attention and emotional vulnerability: assessing the causal basis of their association through the experimental manipulation of attentional bias

Although it is well-established that vulnerability to negative emotion is associated with attentional bias toward aversive information, the causal basis of this association remains undetermined. Two studies addressed this issue by experimentally inducing differential attentional responses to emotional stimuli using a modified dot probe task, and then examining the impact of such attentional manipulation on subsequent emotional vulnerability. The results supported the hypothesis that the induction of attentional bias should serve to modify emotional vulnerability, as revealed by participants' emotional reactions to a final standardized stress task. These findings provide a sound empirical basis for the previously speculative proposal that attentional bias can causally mediate emotional vulnerability, and they suggest the possibility that cognitive-experimental procedures designed to modify selective information processing may have potential therapeutic value.     

Reaction time to threat stimuli in panic disorder and social phobia

Two studies assessed response time among clinically anxious subjects and normal controls when presented with threat, positive and neutral stimuli under perceptual (lexical decision) and semantic (category decision) task conditions. In Study 1, panic disorder subjects' (n = 14) performance was compared to that of matched normal controls (n = 14) while in Study 2 social phobic subjects (n = 24) were compared to matched normal controls (n = 24). Relative to matched normal controls, panic disorder subjects but not social phobics tended to show greater slowing in performance on the more cognitively complex (category) task. A second finding, consistent across both studies was that, compared to the normal control groups, both panic and social phobic groups showed significantly slowed responses to threat words in both the perceptual and semantic tasks. Such findings are directly counter to the predictions of a mood congruence hypothesis. This apparent contradiction is resolved by a review of the literature which indicates that mood-related facilitation effects are obtained only in tasks which tap awareness of threat information rather than speed of response. It is suggested that while anxiety may produce enhanced awareness of threat, it may inhibit responsiveness to it. The results of these studies are seen as consistent with ethological theories of inhibited motoric responses under certain threat conditions. Furthermore, the findings suggest that caution is indicated in interpreting slowed reaction time to threat stimuli in tasks such as the Stroop color naming task as purely the result of attentional processes.     

Self-esteem modulates attentional responses to rejection: Evidence from event-related brain potentials

Individuals with low self-esteem have been shown to exhibit an attentional bias for social rejection cues. The present study investigated whether individuals with low self-esteem would demonstrate greater reactivity to rejection-related stimuli during an attention shifting task than was exhibited by those with high self-esteem. Individuals with low self-esteem showed higher amplitude event-related potentials (ERPs) in response to rejection cues than was observed for those with high self-esteem. These results suggest that individuals with low self-esteem allocate more attentional resources to rejection cues than those with high self-esteem. Discussion will focus on the implications of these findings for understanding the connection between low self-esteem and social rejection.     

Attentional biases and memory for emotional stimuli in men and male rhesus monkeys

We examined attentional biases for social and non-social emotional stimuli in young adult men and compared the results to those of male rhesus monkeys (Macaca mulatta) previously tested in a similar dot-probe task (King et al. in Psychoneuroendocrinology 37(3):396–409, 2012). Recognition memory for these stimuli was also analyzed in each species, using a recognition memory task in humans and a delayed non-matching-to-sample task in monkeys. We found that both humans and monkeys displayed a similar pattern of attentional biases toward threatening facial expressions of conspecifics. The bias was significant in monkeys and of marginal significance in humans. In addition, humans, but not monkeys, exhibited an attentional bias away from negative non-social images. Attentional biases for social and non-social threat differed significantly, with both species showing a pattern of vigilance toward negative social images and avoidance of negative non-social images. Positive stimuli did not elicit significant attentional biases for either species. In humans, emotional content facilitated the recognition of non-social images, but no effect of emotion was found for the recognition of social images. Recognition accuracy was not affected by emotion in monkeys, but response times were faster for negative relative to positive images. Altogether, these results suggest shared mechanisms of social attention in humans and monkeys, with both species showing a pattern of selective attention toward threatening faces of conspecifics. These data are consistent with the view that selective vigilance to social threat is the result of evolutionary constraints. Yet, selective attention to threat was weaker in humans than in monkeys, suggesting that regulatory mechanisms enable non-anxious humans to reduce sensitivity to social threat in this paradigm, likely through enhanced prefrontal control and reduced amygdala activation. In addition, the findings emphasize important differences in attentional biases to social versus non-social threat in both species. Differences in the impact of emotional stimuli on recognition memory between monkeys and humans will require further study, as methodological differences in the recognition tasks may have affected the results.     

Selective attention in social phobia and the moderating effect of a concurrent depressive disorder

Studies using the modified Stroop colour naming task have provided results consistent with the hypothesis that social phobia is associated with an attentional bias towards negative social-evaluative words. However, these results could also have arisen as a consequence of non-attentional processes. For this reason, the present study uses a modified version of MacLeod et al.'s (J. Abnorm. Psychol. 95 (1986) 15) dot-probe task, which provides a more direct measure of attention. Patients with social phobia (n=28), patients with social phobia and a concurrent depressive disorder (n=33), and non-patients (n=40) were presented with word pairs each consisting of a neutral word and a threat word. The results indicated that patients with social phobia show an attentional bias towards social-threat words while non-patients tend to avoid social-threat words. Patients with social phobia and a concurrent depressive disorder behaved like non-patients, indicating that concurrent depression abolishes the attentional bias. Physical threat words were also included in the study. The main analysis indicated that social phobia is also associated with an attentional bias to physical threat. However, a post hoc analysis (which requires replication) suggested that the physical threat bias might have arisen because some social phobia patients also had another anxiety disorder in which physical concerns are likely to have been prominent. Overall, the results emphasise the importance of assessing comorbidity when investigating attentional biases.     

Fear of negative evaluation and attentional bias for facial expressions: An event-related study

Numerous studies have shown an exacerbation of attentional bias towards threat in anxiety states. However, the cognitive mechanisms responsible for these attentional biases remain largely unknown. Further, the authors outline the need to consider the nature of the attentional processes in operation (hypervigilance, avoidance, or disengagement). We adapted a dot-probe paradigm to record behavioral and electrophysiological responses in 26 participants reporting high or low fear of evaluation, a major component of social anxiety. Pairs of faces including a neutral and an emotional face (displaying anger, fear, disgust, or happiness) were presented during 200 ms and then replaced by a neutral target to discriminate. Results show that anxious participants were characterized by an increased P1 in response to pairs of faces, irrespective of the emotional expression included in the pair. They also showed an increased P2 in response to angry–neutral pairs selectively. Finally, in anxious participants, the P1 response to targets was enhanced when replacing emotional faces, whereas non-anxious subjects showed no difference between the two conditions. These results indicate an early hypervigilance to face stimuli in social anxiety, coupled with difficulty in disengaging from threat and sustained attention to emotional stimuli. They are discussed within the framework of current models of anxiety and psychopathology.     

自尊与心理性应激反应的关系：社会认可需求的中介作用

国外研究者认为高自尊个体的内控性高,因此其在心理性应激情境中的反应不那么强烈,而国内研究者从集体文化(中国)考虑,则认为高自尊个体的社会认可需求较高,因此在心理性应激情境中的反应更强烈.本研究采用特里尔社会应激测试作为应激情境,采集41名中国大学生被试在这一情境下的客观参数(心率)作为心理性应激反应的指标,通过问卷测量被试的自尊水平、内控性水平和社会认可需求水平,考察自尊影响心理性应激反应的机制.结果发现被试的自尊水平与应激情境下的心率呈正相关,并且社会认可需求在自尊与心理性应激的关系中起着显著的中介作用.本文从文化差异角度提出自尊预测心理性应激反应的模型可能需要在不同文化背景下来分别探讨.     

Internet-delivered assessment and manipulation of anxiety-linked attentional bias: Validation of a free-access attentional probe software package

It recently has been established within the laboratory that the attentional probe methodology not only can sensitively assess the threat attentional bias associated with anxiety vulnerability, but also can be configured to yield training tasks capable of modifying emotional vulnerability by manipulating such attentional selectivity. In order to appraise and exploit the potential practical applications of such procedures, it is desirable that clinical investigators without specialist equipment should become able to deliver such tasks within field settings. The present research program involved development of a fully customizable attentional probe software package, that delivers assessment and training versions of the probe task across the Internet. Two experimental studies served to validate the assessment and training efficacy of resulting probe task variants, completed remotely by GAD sufferers and nonclinical populations using their own computers. We advise fellow researchers how to freely download this software package for use within their own investigations.     

Individual differences in the impact of attentional bias training on cardiovascular responses to stress in women

Experimental studies show that training people to attend to negative stimuli makes them more likely to respond with greater anxiety to stress. The present study investigated this effect in students using measures of cardiovascular responses to stress and examined whether individual differences influence the impact of attention training on stress responses. Using a standard dot probe task, 30 participants underwent negative attentional bias training and 34 participants underwent anti-negative training before completing a stressful speech task. Results indicated that, overall, participants exhibited acclimatization to the procedures (indicated by a dip in blood pressure post-training) and normal stress responding (indicated by elevated blood pressure in response to stress; p<.001). However, consideration of participants' scores for neuroticism/emotional-stability revealed important differences in how the intervention impacted on cardiovascular profiles (p=.008). For participants with high neuroticism scores, the negative attentional bias intervention elicited more exaggerated stress responding than the anti-negative intervention. For those with low neuroticism scores (i.e., emotionally stable participants), the anti-negative intervention was associated with elevated post-intervention blood pressure and higher blood pressure reactivity to stress. These findings provide evidence of the impact of attentional bias manipulation on physiological stress reactivity and suggest the effect is highly contingent on individual temperaments.     

Attention training and the threat bias: an ERP study

Anxiety is characterized by exaggerated attention to threat. Several studies suggest that this threat bias plays a causal role in the development and maintenance of anxiety disorders. Furthermore, although the threat bias can be reduced in anxious individuals and induced in non-anxious individual, the attentional mechanisms underlying these changes remain unclear. To address this issue, 49 non-anxious adults were randomly assigned to either attentional training toward or training away from threat using a modified version of the dot probe task. Behavioral measures of attentional biases were also generated pre- and post-training using the dot probe task. Event-related potentials (ERPs) were generated to threat and non-threat face pairs and probes during pre- and post-training assessments. Effects of training on behavioral measures of the threat bias were significant, but only for those participants showing pre-training biases. Attention training also influenced early spatial attention, as measured by post-training P1 amplitudes to cues. Results illustrate the importance of taking pre-training attention biases in non-anxious individuals into account when evaluating the effects of attention training and tracking physiological changes in attention following training.     

Looking happy: the experimental manipulation of a positive visual attention bias

Individuals with a positive visual attention bias may use their gaze to regulate their emotions while under stress. The current study experimentally trained differential biases in participants' (N = 55) attention toward positive or neutral information. In each training trial, one positive and one neutral word were presented and then a visual target appeared consistently in the location of the positive or neutral words. Participants were instructed to make a simple perceptual discrimination response to the target. Immediately before and after attentional training, participants were exposed to a stress task consisting of viewing a series of extremely negative images while having their eyes tracked. Visual fixation time to negative images, assessed with an eye tracker, served as an indicator of using gaze to successfully regulate emotion. Those participants experimentally trained to selectively attend to affectively positive information looked significantly less at the negative images in the visual stress task following the attentional training, thus demonstrating a learned aversion to negative stimuli. Participants trained toward neutral information did not show this biased gaze pattern.     

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.