Affective information processing and the assessment of anxiety

A conceptualization of anxiety as comprising three loosely coupled response systems of overt behavior, verbal report, and physiological activation has proven useful in clinical and theoretical work. With this framework as a starting point, an information-processing approach to the study of emotion is described. Emotions are conceived as affective programs within the brain, with information coded as propositions organized into associative networks. Affective expression results when such a network is accessed and processed, which can occur when a sufficient number of propositions are activated by environmental stimuli and/or internal associations. It is hypothesized that information about the expressive physiology is an integral component of the associative structure, and that processing of the network accordingly results in measurable psychophysiological response. Data from studies of emotional imagery, as well as other areas of research, are reviewed in support of these theories. The utility of this approach for the assessment of anxiety disorders is discussed, and results of clinical studies are presented to suggest that individual differences in accessing and processing emotional information may bear significant implications for prognosis and treatment selection. It is speculated that differences among the anxiety disorders could be interpreted in terms of the degree of cognitive organization of the network, leading to potential refinement of current diagnostic categories. In conclusion, cognitive psychology paradigms are discussed in terms of their application to the assessment and treatment of anxiety disorders.The authors' research is supported in part by NIMH Grant MH 37757. Portions of this paper were presented at the NIMH Conference on Anxiety, Tuxedo, NY, September 1983. Several of its themes were developed there at more length, and this material may be found in the publication of the conference proceedings (Tuma & Maser, 1985).     

STRESS, SOCIAL SUPPORT, AND HEALTH IN MARRIED PROFESSIONAL WOMEN WITH SMALL CHILDREN

Two hundred married professional women with small children were surveyed to investigate what types of occupational and role-conflict stresses are associated with physical and depressive symptoms, and whether social support could protect individuals from the negative health effects of stress. Six stress indices predicted physical and depressive symptoms, both Concurrently and 1 year later. These stresses reflected perceptions of lack of authority and influence on the job, sex discrimination, a heavy work load, work imposing on relaxation, family imposing on relaxation, and overall suffering from role conflict. Social support yielded no stress-buffering effects.     

ANTICIPATED EFFECTS OF ALCOHOL CONSUMPTION AS A FUNCTION OF BEVERAGE TYPE: A CROSS-CULTURAL REPLICATION

The relation between type or form of alcoholic beverage consumed and expectations about emotional or behavioral concomitants of drinking was investigated. One hundred and thirty-four Finnish undergraduates (45 men and 89 women) with a mean age of 20.9 years were administered a survey inquiring about the association between each of 86 feelings or actions and four categories of alcoholic beverage (beer, wine, mixed drinks, and straight drinks), assuming comparable levels of intoxication. Multiple discriminant analyses indicated that distinctive and stable expectancies were associated with beer (tension reduction), wine (social pleasure), and straight drinks (mainly negative consequences often related to heavy drinking), while expectancies for mixed drinks were shared by other beverage types. These findings replicated and extended those obtained with a U.S. sample.     

Learning and reminiscence as a function of target predictability in a two-dimensional tracking task

Twenty subjects performed one of two types of a two-dimensional tracking task for two 5-min sessions, separated by a 10-min rest. In task I, both the horizontal and the vertical components of target movement were unpredictable. In task II, the horizontal component of target movement was predictable (sinusoidal), while the vertical movement was unpredictable. There was no change in level of performance throughout the 10 min of practice on task I. For task II's predictable component, there were marked within- and between-session improvements in performance; whereas for the unpredictable component there was only a between-session improvement. It is proposed that, in these tracking tasks, improvement with practice depends on the development of programmed sequences of movement which can only occur for predictable target movements. Only after a rest do these programmed sequences become automatic, releasing spare attentional capacity for improving the performance of any unpredictable components of the task.     

Virtual reality exposure therapy and standard (in vivo) exposure therapy in the treatment of fear of flying

This controlled clinical trial tested virtual reality exposure (VRE) therapy for the fear of flying (FOF), a relatively new and innovative way to do exposure therapy, and compared it to standard (in vivo) exposure therapy (SE) and a wait list (WL) control with a 6- and 12-month follow-up. Eighty-three participants with FOF were randomly assigned to VRE, SE, or WL. Seventy-five participants, 25 per group, completed the study. Twenty-three WL participants completed randomly assigned treatment following the waiting period. Treatment consisted of 4 sessions of anxiety management training followed either by exposure to a virtual airplane (VRE) or an actual airplane at the airport (SE) conducted over 6 weeks. Results indicate that VRE was superior to WL on all measures, including willingness to fly on the posttreatment flight (76% for VRE and SE; 20% for WL). VRE and SE were essentially equivalent on standardized questionnaires, willingness to fly, anxiety ratings during the flight, self-ratings of improvement, and patient satisfaction with treatment. Follow-up assessments at 6 and 12 months indicated that treatment gains were maintained, with more than 70% of respondents from both groups reporting continued flying at follow-up. Based on these findings, the use of VRE in the treatment of FOF was supported in this controlled study, suggesting that experiences in the virtual world can change experiences in the real world.     

Relations between psychopathy facets and externalizing in a criminal offender sample

The construct of psychopathy is viewed as comprising distinctive but correlated affective-interpersonal and social deviance facets. Here, we examined these facets of Hare's Psychopathy Checklist-Revised (PCL-R) in terms of their associations with the externalizing dimension of adult psychopathology, defined as the common factor underlying symptoms of conduct disorder, adult antisocial behavior, alcohol use/abuse, and drug abuse, along with disinhibitory personality traits. Correlational analyses revealed a strong relationship between this externalizing dimension and the social deviance facet of psychopathy (r = .84), and a lesser relationship with the emotional-interpersonal component (r = .44). Structural models controlling for the moderate overlap between the PCL-R factors revealed that externalizing was substantially related to the unique variance in the social deviance features of psychopathy, but unrelated to the unique variance of the emotional and interpersonal features whether modeled together or as separate factors. These results indicate that the social deviance factor of the PCL-R reflects the externalizing dimension of psychopathology, whereas the emotional-interpersonal component taps something distinct aside from externalizing. In addition, based on our finding of an association between PCL-R social deviance and externalizing, we were able to predict new relations between this facet of psychopathy and criterion variables, including nicotine use and gambling, that have previously been linked to externalizing. Implications for future research on the causes and correlates of psychopathy are discussed.