Cognitive Bias for Pictorial and Linguistic Threat Cues in Children

The present study was designed to test the conditions under which threat-related cognitive bias can be observed in anxious children. Measures of cognitive bias for threatening words and pictures were obtained from spider fearful children (N = 55) and non-fearful children (N = 58) aged 8–11 in the first experiment, and from spider fearful children (N = 44), and two control groups (N = 41; N = 36) aged 8 in the second experiment. Cognitive bias was assessed by the emotional Stroop task. In line with our previous findings, all children aged 8 showed a bias for spider words, but not for spider pictures. However, a relation between spider fear and bias was observed when age was taken into account: bias for spider words decreased with age in the non-fearful children whereas this bias maintained in the fearful group. This differential age effect too replicated earlier findings (Kindt, Bierman, & Brosschot, 1997). It is suggested that a bias for threat words is a normal characteristic in children aged 8. During development, normal children learn to inhibit this processing bias, whilst fearful children fail to learn this ability.     

Fear generalization in humans: Impact of prior non-fearful experiences

Fear generalization lies at the heart of many anxiety problems, and is therefore an important target for prevention and/or treatment. Here, we investigated whether fear generalization towards a specific stimulus can be weakened by prior non-fearful experiences with that stimulus. Using the standard human fear conditioning procedure, all participants received paired presentations of a geometric figure and an electric shock. This was followed by a test phase in which a similar but different figure was presented. Electrodermal responding and ratings of shock-expectancy measured the level of fear generalization towards this test stimulus. Crucially, half of the participants had been preexposed to that stimulus (without shock). The results show significantly less generalization in this group, suggesting that prior non-fearful experiences can protect against fear generalization. These results may inspire novel ways to prevent the development of clinical anxiety.     

Recall and recognition of threatening,pleasant, and neutral words in repressors

Low accessibility of threatening information is a crucial element in the theory of repression. Despite many attempts, no empirical evidence has been found for such an inverse memory bias in normal subjects. An alternative approach is to study repressive processes as an individual difference. Adopting such a trait approach, several studies have shown impaired memory for threatening memories of real‐life episodes in so‐called repressors. Several other studies have yielded evidence of avoidant processing of mildly threatening information in the early stages of information processing in repressors. Thus far, little evidence for a similar avoidant bias in memory has been offered for repressors. To demonstrate the presence of memory deficits for mildly threatening information, we tested recall and cued recognition after a 30 min delay, for (i) threatening, (ii) pleasant, and (iii) neutral words in repressors and non‐repressors. No proof was found for poorer recall and recognition of threatening words in repressors, or for lower numbers of threatening semantic intrusions in these individuals, while the power of the study was adequate. While repression‐related avoidant processing may be present for even mildly threatening stimuli at earlier stages of information processing, the results of the present study indicate that repressed memory may only show up for relatively intense emotional events. Copyright © 1999 John Wiley & Sons, Ltd.     

Cognitive Avoidance in Phobia

It is suggested that anxious individuals would have a processing bias for threat only in the initial processing stage, whereas in the consecutive stages the more elaborate analysis of the stimulus would be inhibited. The purpose of this study was to investigate the stage in which the bias changed into avoidance and whether cognitive avoidance of threat is restricted to information that refers to the anxiety response as opposed to the threatening stimulus. Therefore, 37 spider phobics and 34 controls were administered a negative priming task and a free recall task, using threat words and neutral words, both divided into stimulus-related and response-related words. There was no indication of cognitive avoidance of the response-related threat words as assessed by the negative priming task. Recall findings indicated an incomplete memory bias in phobics, with a better recall of stimulus-related threat words instead of a worse recall of response-related threat words. This suggests a passive cognitive avoidance mechanism, which may still impede the processing of response-related information, crucial for the success of exposure therapy.     

Helping families improve: an evaluation of two primary care approaches to parenting support in the Netherlands

The present study evaluated two primary care parenting interventions. First, we evaluated the most widely used Dutch practices for primary care parenting support. Second, we assessed the applicability of the Primary Care Triple P approach, which is now being utilized in a wide variety of primary care settings. Both interventions target parents of children with mild to moderate behavioural and/or emotional problems, with the aim of improving parenting skills and thereby decreasing child problems. We examined the interventions in pre‐, post‐ and follow‐up assessment, and compared the results. Both interventions produced significant reductions in reported child emotional and behaviour problems, that also remained after 3 months. For both groups, parenting styles were also found to have improved at both post‐test and follow‐up measurement. When compared with the regular Dutch parenting consultation practices, however, the Primary Care Triple P approach produced greater reductions in parental laxness and total parenting dysfunction, and greater improvement in total parenting competence at both post‐test and follow‐up. Primary Care Triple P may even—in light of the greater improvements in parenting skills and total parental competences in the Triple P group than in the regular Dutch parenting consultation group—produce better results in the long run concerning child behaviour and emotional problems. Copyright © 2009 John Wiley & Sons, Ltd.     

Contextual control of human fear associations in a renewal paradigm

The original model of behavior change suggests that extinction is context dependent whereas fear acquisition is context independent [Bouton, M. E. & Ricker, S. T. (1994). Renewal of extinguished responding in a second context. Animal Learning and Behavior, 22, 317-324]. Supportive evidence stems mainly from animal studies, showing that after acquisition (conditioned stimulus-unconditioned stimulus (CS-US)) in Context A and extinction in Context B, fear is renewed by presenting the CS in acquisition Context A (ABA renewal) or in a novel Context C (ABC renewal). By implication, the model predicts equal ABA and ABC renewal. However, there is also evidence to suggest that the context dependency of extinction and the context independency of acquisition may be less stringent than originally proposed. The present study investigated renewal in humans using a differential fear conditioning paradigm with a shock US and online shock expectancy ratings and electrodermal responses as dependent variables. Experiment 1 compared an ABA condition with an AAA condition. Experiment 2 compared three conditions: ABA, ABC, and AAA. Both experiments demonstrated ABA renewal. Most importantly, Experiment 2 showed larger ABA than ABC renewal. Overall, results for expectancy ratings were more convincing than for electrodermal responses. In line with the extinction model, the present findings support the context dependency of extinction in humans. In contrast to the model, the findings suggest that in humans not only extinction learning, but also fear acquisition is controlled by its current context.     

Preattentive processing of heart cues and the perception of heart symptoms in congenital heart disease

The present study was aimed at clarifying whether preattentive processing of heart cues results in biased perception of heart sensations in patients with congenital heart disease (ConHD) who are also highly trait anxious. Twenty-six patients with ConHD and 22 healthy participants categorized heart-related (heart rate) or neutral sensations (constant vibration) as either heart or neutral. Both sensations were evoked using a bass speaker that was attached on the chest of the participant. Before each physical sensation, a subliminal heart-related or neutral prime was presented. Biased perception of heart-sensations would become evident by a delayed categorization of the heart-related sensations. In line with the prediction, a combination of high trait anxiety and ConHD resulted in slower responses after a heart-related sensation that was preceded by a subliminal heart cue. Preattentive processing of harmless heart cues may easily elicit overperception of heart symptoms in highly trait anxious patients with ConHD.     

Smells like clean spirit. Nonconscious effects of scent on cognition and behavior

Three studies explored whether odor can influence people's cognition and behavior without their being consciously aware of the influence. In two studies, we tested and confirmed that when participants were unobtrusively exposed to citrus-scented all-purpose cleaner, the mental accessibility of the behavior concept of cleaning was enhanced, as was indicated by faster identification of cleaning-related words in a lexical decision task and higher frequency of listing cleaning-related activities when describing expected behavior during the day. Finally, a third study established that the mere exposure to the scent of all-purpose cleaner caused participants to keep their direct environment more clean during an eating task. Awareness checks showed that participants were unaware of this influence. The present studies reveal the nonconscious influence that olfactory cues can have on thinking and doing.     

Retrieval per se is not sufficient to trigger reconsolidation of human fear memory

Ample evidence suggests that consolidated memories, upon their retrieval, enter a labile state, in which they might be susceptible to change. It has been proposed that memory labilization allows for the integration of relevant information in the established memory trace (memory updating). Memory labilization and reconsolidation do not necessarily occur when a memory is being reactivated, but only when there is something to be learned during memory retrieval (prediction error). Thus, updating of a fear memory trace should not occur under retrieval conditions in which the outcome is fully predictable (no prediction error). Here, we addressed this issue, using a human differential fear conditioning procedure, by eliminating the very possibility of reinforcement of the reminder cue. A previously established fear memory (picture-shock pairings) was reactivated with shock-electrodes attached (Propranolol group, n=18) or unattached (Propranolol No-Shock Expectation group, n=19). We additionally tested a placebo-control group with the shock-electrodes attached (Placebo group, n=18). Reconsolidation was not triggered when nothing could be learned during the reminder trial, as noradrenergic blockade did not affect expression of the fear memory 24h later in the Propranolol No-Shock Expectation group. Only when the outcome of the retrieval cue was not fully predictable, propranolol, contrary to placebo, reduced the startle fear response and prevented the return of fear (reinstatement) the following day. In line with previous studies, skin conductance response and shock expectancies were not affected by propranolol. Remarkably, a double dissociation emerged between the emotional (startle response) and more cognitive expression (expectancies, SCR) of the fear memory. Our findings have important implications for reconsolidation blockade as treatment strategy for emotional disorders. First, fear reducing procedures that target the emotional component of fear memory do not necessarily affect the cognitive component and vice versa. Second, mere retrieval of the fear memory is not sufficient to induce its labilization and reconsolidation.     

A Bayesian hierarchical diffusion model decomposition of performance in Approach–Avoidance Tasks

Common methods for analysing response time (RT) tasks, frequently used across different disciplines of psychology, suffer from a number of limitations such as the failure to directly measure the underlying latent processes of interest and the inability to take into account the uncertainty associated with each individual's point estimate of performance. Here, we discuss a Bayesian hierarchical diffusion model and apply it to RT data. This model allows researchers to decompose performance into meaningful psychological processes and to account optimally for individual differences and commonalities, even with relatively sparse data. We highlight the advantages of the Bayesian hierarchical diffusion model decomposition by applying it to performance on Approach–Avoidance Tasks, widely used in the emotion and psychopathology literature. Model fits for two experimental data-sets demonstrate that the model performs well. The Bayesian hierarchical diffusion model overcomes important limitations of current analysis procedures and provides deeper insight in latent psychological processes of interest.