Matthew Garner

Orienting and maintenance of gaze to facial expressions in social anxiety.

In 2 experiments, the authors tested predictions from cognitive models of social anxiety regarding attentional biases for social and nonsocial cues by monitoring eye movements to pictures of faces and objects in high social anxiety (HSA) and low social anxiety (LSA) individuals. Under no-stress conditions (Experiment 1), HSA individuals initially directed their gaze toward neutral faces, relative to objects, more often than did LSA participants. However, under social-evaluative stress (Experiment 2), HSA individuals showed reduced biases in initial orienting and maintenance of gaze on faces (cf. objects) compared with the LSA group. HSA individuals were also relatively quicker to look at emotional faces than neutral faces but looked at emotional faces for less time, compared with LSA individuals, consistent with a vigilant-avoidant pattern of bias.

Effects of threat cues on attentional shifting, disengagement and response slowing in anxious individuals

According to cognitive models of anxiety, attentional biases for threat may cause or maintain anxiety states. Previous research using spatial cueing tasks has been interpreted in terms of difficulty in disengaging attention from threat in anxious individuals, as indicated by contrasts of response times (RTs) from threat cue versus neutral cue trials. However, on spatial cueing tasks, differences in RT between threat cue and neutral cue trials may stem from a slowing effect of threat on RT, as well as effects on allocation of visuospatial attention. The present study examined the effects of threat cues on both attentional cueing and response slowing. High and low anxious individuals completed a central cue task, which assessed threat-related response slowing, and a spatial cueing task, which assessed attentional biases for angry, happy and neutral faces. Results indicated that interpretation of the anxiety-related bias for threat depended on whether the effect of response slowing was taken into account. The study illustrates an important problem in using the modified spatial cueing task to assess components of threat-related attentional bias. As this experimental method may reflect both threat-related attentional cueing and response slowing effects, it cannot be assumed to provide pure measures of shift or disengagement components of attention bias.

Biases in visual orienting to negative and positive scenes in dysphoria: An eye movement study.

The study investigated biases for negative information in component processes of visual attention (initial shift vs. maintenance of gaze) in dysphoric and nondysphoric individuals. Eye movements were recorded while participants viewed a series of picture pairs depicting negative, positive, and neutral scenes (each pair presented for 3 s). Biases in initial orienting were assessed from the direction and latency of the initial shift in gaze, whereas biases in the maintenance of attention were assessed from the duration of gaze on the picture that was initially fixated. Results indicated that the dysphoric group showed a significantly greater bias to maintain gaze longer on negative pictures, relative to control pictures, compared with the nondysphoric group. There was no evidence of a dysphoria-related bias in initial shift of orienting to negative cues. Results are consistent with a depression-related bias that operates in the maintenance of attention on negative material.

Anxiety and orienting of gaze to angry and fearful faces

Neuroscience research indicates that individual differences in anxiety may be attributable to a neural system for threat-processing, involving the amygdala, which modulates attentional vigilance, and which is more sensitive to fearful than angry faces. Complementary cognitive studies indicate that high-anxious individuals show enhanced visuospatial orienting towards angry faces, but it is unclear whether fearful faces elicit a similar attentional bias. This study compared biases in initial orienting of gaze to fearful and angry faces, which varied in emotional intensity, in high- and low-anxious individuals. Gaze was monitored whilst participants viewed a series of face-pairs. Results showed that fearful and angry faces elicited similar attentional biases. High-anxious individuals were more likely to direct gaze at intense negative facial expressions, than low-anxious individuals, whereas the groups did not differ in orienting to mild negative expressions. Implications of the findings for research into the neural and cognitive bases of emotion processing are discussed.

High-Level Face Adaptation Without Awareness

When a visual stimulus is suppressed from awareness, processing of the suppressed image is necessarily reduced. Although adaptation to simple image properties such as orientation still occurs, adaptation to high-level properties such as face identity is eliminated. Here we show that emotional facial expression continues to be processed even under complete suppression, as indexed by substantial facial expression aftereffects.

Research in anxiety disorders: From the bench to the bedside

The development of ethologically based behavioural animal models has clarified the anxiolytic properties of a range of neurotransmitter and neuropeptide receptor agonists and antagonists, with several models predicting efficacy in human clinical samples. Neuro-cognitive models of human anxiety and findings from fMRI suggest dysfunction in amygdala-prefrontal circuitry underlies biases in emotion activation and regulation. Cognitive and neural mechanisms involved in emotion processing can be manipulated pharmacologically, and research continues to identify genetic polymorphisms and interactions with environmental risk factors that co-vary with anxiety-related behaviour and neuro-cognitive endophenotypes. This paper describes findings from a range of research strategies in anxiety, discussed at the recent ECNP Targeted Expert Meeting on anxiety disorders and anxiolytic drugs. The efficacy of existing pharmacological treatments for anxiety disorders is discussed, with particular reference to drugs modulating serotonergic, noradrenergic and gabaergic mechanisms, and novel targets including glutamate, CCK, NPY, adenosine and AVP. Clinical and neurobiological predictors of active treatment and placebo response are considered.

The effect of focused attention and open monitoring meditation on attention network function in healthy volunteers

Mindfulness meditation techniques are increasingly popular both as a life-style choice and therapeutic adjunct for a range of mental and physical health conditions. However, little is known about the mechanisms through which mindfulness meditation and its constituent practices might produce positive change in cognition and emotion. Our study directly compared the effects of Focused Attention (FA) and Open-Monitoring (OM) meditation on alerting, orienting and executive attention network function in healthy individuals. Participants were randomized to three intervention groups: open-focused meditation, focused attention, and relaxation control. Participants completed an emotional variant of the Attention Network Test (ANT) at baseline and post-intervention. OM and FA practice improved executive attention, with no change observed in the relaxation control group. Improvements in executive attention occurred in the absence of change in subjective/self-report mood and cognitive function. Baseline levels of dispositional/trait mindfulness were positively correlated with executive control in the ANT at baseline. Our results suggest that mindfulness meditation might usefully target deficits in executive attention that characterise mood and anxiety disorders.

Influence of negative affect on selective attention to smoking-related cues and urge to smoke in cigarette smokers.

According to recent models of addiction, negative affect plays an important role in maintaining drug dependence. The study investigated the effect of negative mood on attentional biases for smoking-related cues and smoking urge in cigarette smokers. Eye movements to smoking-related and control pictures, and manual response times to probes, were recorded during a visual probe task. Smoking urges and mood were assessed by self-report measures. Negative affect was manipulated experimentally as a within-participants independent variable; that is, each participant received negative and neutral mood induction procedures, in counterbalanced order in separate sessions, before the attentional task. There were two groups of participants: smokers and nonsmokers. Smokers showed (i) a greater tendency to shift gaze initially towards smoking-related cues, and (ii) greater urge to smoke when they were in negative mood compared with neutral mood. Manual response time data suggested that smokers showed a greater tendency than nonsmokers to maintain attention on smoking-related cues, irrespective of mood. The results offer partial support for the view that negative mood increases selective attention to drug cues, and urge to smoke, in smokers. The findings are discussed in relation to an affective processing model of negative reinforcement in drug dependence.

Inhalation of 7.5% Carbon Dioxide Increases Threat Processing in Humans

Inhalation of 7.5% CO2 increases anxiety and autonomic arousal in humans, and elicits fear behavior in animals. However, it is not known whether CO2 challenge in humans induces dysfunction in neurocognitive processes that characterize generalized anxiety, notably selective attention to environmental threat. Healthy volunteers completed an emotional antisaccade task in which they looked toward or away from (inhibited) negative and neutral stimuli during inhalation of 7.5% CO2 and air. CO2 inhalation increased anxiety, autonomic arousal, and erroneous eye movements toward threat on antisaccade trials. Autonomic response to CO2 correlated with hypervigilance to threat (speed to initiate prosaccades) and reduced threat inhibition (increased orienting toward and slower orienting away from threat on antisaccade trials) independent of change in mood. Findings extend evidence that CO2 triggers fear behavior in animals via direct innervation of a distributed fear network that mobilizes the detection of and allocation of processing resources toward environmental threat in humans.

Impaired identification of fearful faces in Generalised Social Phobia

BACKGROUND Cognitive models and interventions for anxiety assume that socially anxious individuals interpret ambiguous social information in a threatening manner. However, experimental evidence for this hypothesised cognitive bias is mixed. The present study is novel in using a signal detection approach to clarify whether Generalised Social Phobia (GSP) is associated with biased identification of emotionally ambiguous facial expressions. METHODS 16 patients with GSP and 17 non-anxious volunteers classified ambiguous emotional facial expressions, with each face reflecting a blend of two emotions: angry-happy, fearful-happy and fearful-angry. Discrimination accuracy and response criterion were assessed. RESULTS Patients with GSP showed significantly poorer discrimination of ambiguous emotional facial expressions that contained an element of fear (i.e., fearful-happy and fearful-angry expressions), compared to non-anxious controls. The groups did not significantly differ in discrimination of faces which lacked fear content (i.e., angry-happy blend), or on measures of response criterion. LIMITATIONS Small sample size, coexisting depressive symptoms. CONCLUSIONS Findings indicate a selective impairment in fear identification in GSP. Results are discussed with reference to neurocognitive models of anxiety, and research on serotonergic modulation of emotional face processing.