Andreas Mühlberger

Early cortical processing of natural and artificial emotional faces differs between lower and higher socially anxious persons

Emotional facial expressions provide critical information for social interactions. Above all, angry faces are assumed to reflect potential social threat. We investigated event-related potentials (ERPs) triggered by natural and artificial faces expressing fear, anger, happiness or no emotion in participants with low and high levels of social anxiety. Overall, artificial faces elicited stronger P100 and N170 responses than natural faces. Additionally, the N170 component was larger for emotional compared to neutral facial expressions. Social anxiety was associated with an enhanced emotional modulation of the early posterior negativity (EPN) in response to fearful and angry facial expressions. Additionally, while the late positive potential (LPP) was larger for emotional than for neutral faces in low socially anxious participants, LPPs of higher socially anxious participants did not differ. LPPs might therefore be enhanced in higher socially anxious participants for both emotional and neutral faces. Furthermore, the modulations of the EPN and LPP were comparable between natural and artificial faces. These results indicate that social anxiety influences early perceptual processing of faces and that artificial faces are suitable for psychophysiological emotion research.

Repeated exposure of flight phobics to flights in virtual reality.

The present study examined the effects of repeated exposure of flight phobics to flights in virtual reality (VR). Flight phobics were randomly assigned either to complete one VR test flight followed by four VR exposure flights (VR group; N=15) in one lengthy session or to complete one VR test flight followed by a lengthy relaxation training session (relaxation group; N=15). All participants completed a second VR test flight at the end of the session. Fear reports and physiological fear reactions (heart rate, skin conductance level) during VR exposures were registered, and fear of flying was assessed psychometrically from 3 weeks before to 3 months after exposure. Exposure to VR flights elicited subjective and physiological fear responses in flight phobics, and these responses attenuated within and across VR flights. Fear reduction associated with repeated VR exposure was greater than fear reduction caused by relaxation training. Fear of flying improved in both treatment groups, but several outcome measures indicated greater effects in the VR treated group than in the relaxation group. These findings indicate that exposure in virtual reality may offer a new and promising approach for the treatment of fear of flying.

Is eye to eye contact really threatening and avoided in social anxiety? : An eye-tracking and psychophysiology study

The effects of direct and averted gaze on autonomic arousal and gaze behavior in social anxiety were investigated using a new paradigm including animated movie stimuli and eye-tracking methodology. While high, medium, and low socially anxious (HSA vs. MSA vs. LSA) women watched animated movie clips, in which faces responded to the gaze of the participants with either direct or averted gaze, their eye movements, heart rate (HR) and skin conductance responses (SCR) were continuously recorded. Groups did not differ in their gaze behavior concerning direct vs. averted gaze, but high socially anxious women tended to fixate the eye region of the presented face longer than MSA and LSA, respectively. Furthermore, they responded to direct gaze with more pronounced cardiac acceleration. This physiological finding indicates that direct gaze may be a fear-relevant feature for socially anxious individuals in social interaction. However, this seems not to result in gaze avoidance. Future studies should examine the role of gaze direction and its interaction with facial expressions in social anxiety and its consequences for avoidance behavior and fear responses. Additionally, further research is needed to clarify the role of gaze perception in social anxiety.

Don't look at me in anger! Enhanced processing of angry faces in anticipation of public speaking

Anxiety is supposed to enhance the processing of threatening information. Here, we investigated the cortical processing of angry faces during anticipated public speaking. To elicit anxiety, a group of participants was told that they would have to perform a public speech. As a control condition, another group was told that they would have to write a short essay. During anticipation of these tasks, participants saw facial expressions (angry, happy, and neutral) while electroencephalogram was recorded. Event-related potential analysis revealed larger N170 amplitudes for angry compared to happy and neutral faces in the anxiety group. The early posterior negativity as an index of motivated attention was also enhanced for angry compared to happy and neutral faces in participants anticipating public speaking. These results indicate that fear of public speaking influences early perceptual processing of faces such that especially the processing of angry faces is facilitated.

Enhancement of activity of the primary visual cortex during processing of emotional stimuli as measured with event‐related functional near‐infrared spectroscopy and event‐related potentials

In this study we investigated whether event‐related near‐infrared spectroscopy (NIRS) is suitable to measure changes in brain activation of the occipital cortex modulated by the emotional content of the visual stimuli. As we found in a previous pilot study that only positive but not negative stimuli differ from neutral stimuli (with respect to oxygenated haemoglobin), we now measured the event‐related EEG potentials and NIRS simultaneously during the same session. Thereby, we could evaluate whether the subjects (n = 16) processed the positive as well as the negative emotional stimuli in a similar way. During the task, the subjects passively viewed positive, negative, and neutral emotional pictures (40 presentations were shown in each category, and pictures were taken from the International Affective Picture System, IAPS). The stimuli were presented for 3 s in a randomized order (with a mean of 3 s interstimulus interval). During the task, we measured the event‐related EEG potentials over the electrode positions O1, Oz, O2, and Pz and the changes of oxygenated and deoxygenated haemoglobin by multichannel NIRS over the occipital cortex. The EEG results clearly show an increased early posterior negativity over the occipital cortex for both positive as well as negative stimuli compared to neutral. The results for the NIRS measurement were less clear. Although positive as well as negative stimuli lead to significantly higher decrease in deoxygenated haemoglobin than neutral stimuli, this was not found for the oxygenated haemoglobin. Hum Brain Mapp 29:28–35, 2008.

The impact of perception and presence on emotional reactions: a review of research in virtual reality

Virtual reality (VR) has made its way into mainstream psychological research in the last two decades. This technology, with its unique ability to simulate complex, real situations and contexts, offers researchers unprecedented opportunities to investigate human behavior in well controlled designs in the laboratory. One important application of VR is the investigation of pathological processes in mental disorders, especially anxiety disorders. Research on the processes underlying threat perception, fear, and exposure therapy has shed light on more general aspects of the relation between perception and emotion. Being by its nature virtual, i.e., simulation of reality, VR strongly relies on the adequate selection of specific perceptual cues to activate emotions. Emotional experiences in turn are related to presence, another important concept in VR, which describes the user’s sense of being in a VR environment. This paper summarizes current research into perception of fear cues, emotion, and presence, aiming at the identification of the most relevant aspects of emotional experience in VR and their mutual relations. A special focus lies on a series of recent experiments designed to test the relative contribution of perception and conceptual information on fear in VR. This strand of research capitalizes on the dissociation between perception (bottom–up input) and conceptual information (top-down input) that is possible in VR. Further, we review the factors that have so far been recognized to influence presence, with emotions (e.g., fear) being the most relevant in the context of clinical psychology. Recent research has highlighted the mutual influence of presence and fear in VR, but has also traced the limits of our current understanding of this relationship. In this paper, the crucial role of perception on eliciting emotional reactions is highlighted, and the role of arousal as a basic dimension of emotional experience is discussed. An interoceptive attribution model of presence is suggested as a first step toward an integrative framework for emotion research in VR. Gaps in the current literature and future directions are outlined.

Efficacy of a One-Session Virtual Reality Exposure Treatment for Fear of Flying

The authors examined the efficacy of a 1-session virtual reality (VR) exposure treatment and sought to determine whether VR exposure is the active treatment component. Forty-five patients with fear of flying were randomly assigned to (a) cognitive treatment plus VR exposure with motion simulation, (b) cognitive treatment plus VR exposure without motion simulation, or (c) cognitive treatment alone. Fear of flying was assessed before, immediately after, and 6 months after treatment. Posttreatment and 6-month follow-up assessments revealed reduced fear of flying only in the VR exposure groups. VR exposure with or without motion simulation yielded comparable treatment outcomes. Dismantling of treatment components indicated that exposure to visual and acoustic stimuli is the main active component of VR exposure therapy. Motion simulation as part of VR exposure does not seem to further enhance treatment effects.

Virtual reality for the psychophysiological assessment of phobic fear: responses during virtual tunnel driving

An overall assessment of phobic fear requires not only a verbal self-report of fear but also an assessment of behavioral and physiological responses. Virtual reality can be used to simulate realistic (phobic) situations and therefore should be useful for inducing emotions in a controlled, standardized way. Verbal and physiological fear reactions were examined in 15 highly tunnel-fearful and 15 matched control participants in 3 virtual driving scenarios: an open environment, a partially open tunnel (gallery), and a closed tunnel. Highly tunnel-fearful participants were characterized by elevated fear responses specifically during tunnel drives as reflected in verbal fear ratings, heart rate reactions, and startle responses. Heart rate and fear ratings differentiated highly tunnel-fearful from control participants with an accuracy of 88% and 93%, respectively. Results indicate that virtual environments are valuable tools for the assessment of fear reactions and should be used in future experimental research.

Distinct effects of attention and affect on pain perception and somatosensory evoked potentials

The influence of affect and attention on sensory and affective pain as well as on somatosensory evoked potentials in response to painful and nonpainful electrical stimuli was investigated in a single experimental design. Affect was induced by pictures from the International Affective Picture System; attention was manipulated by asking participants to focus attention either on the pictures or on the electrical stimuli. Sensory and affective pain ratings were generally lower during exposure to positive compared to negative and neutral pictures. Attention modulated only sensory pain ratings with lower ratings with an attention focus on pictures than with an attention focus on sensory pain. The N150 was modulated by picture valence, the P260 by picture arousal. Furthermore, the P260 was modulated by attention with highest amplitudes with an attention focus on the stimulus intensity. This study provides neurophysiological evidence that attention and affect have distinct effects on pain processing.

Emotion processing in Parkinson's disease: dissociation between early neuronal processing and explicit ratings.

OBJECTIVE Patients suffering from Parkinsons disease (PD) have a diminished ability to discriminate facial expressions of emotion. We investigated early emotion discrimination deficits in PD by means of event-related potentials (ERPs). METHODS Emotional pictures were presented to 14 PD patients and 14 healthy controls in a rapid serial visual presentation paradigm (three frames per second) while EEG was recorded. In addition, valence and arousal ratings were obtained for a representative subsample of 54 pictures. RESULTS PD patients rated pictures of highly arousing content as less exciting than did healthy controls. Pictures of high compared to low emotional arousal were associated with a pronounced relative negative shift in the ERP waveform over parietal and occipital sites developing about 220 ms after picture onset. This early posterior negativity (EPN) did not differ between PD and control group. CONCLUSIONS This dissociation of affective ratings and early ERP components supports the view that PD is associated with blunted emotional responses, but there is no evidence for a deteriorated early visual processing of emotional stimuli. SIGNIFICANCE Frequently reported deficits in emotion discrimination are likely not due to deficits in early emotion processing.