Ottmar V. Lipp

The feasibility and outcome of clinic plus internet delivery of cognitive-behavior therapy for childhood anxiety

Seventy-two clinically anxious children, aged 7 to 14 years, were randomly allocated to clinic-based, cognitive-behavior therapy, the same treatment partially delivered via the Internet, or a wait-list control (WL). Children in the clinic and clinic-plus-Internet conditions showed significantly greater reductions in anxiety from pre- to posttreatment and were more likely to be free of their anxiety diagnoses, compared with the WL group. Improvements were maintained at 12-month follow-up for both therapy conditions, with minimal difference in outcomes between interventions. The Internet treatment content was highly acceptable to families, with minimal dropout and a high level of therapy compliance.

Snakes and cats in the flower bed: Fast detection is not specific to pictures of fear-relevant animals

The observation that snakes and spiders are found faster among flowers and mushrooms than vice versa and that this search advantage is independent of set size supports the notion that fear-relevant stimuli are processed preferentially in a dedicated fear module. Experiment 1 replicated the faster identification of snakes and spiders but also found a set size effect in a blocked, but not in a mixed-trial, sequence. Experiment 2 failed to find faster identification of snake and spider deviants relative to other animals among flowers and mushrooms and provided evidence for a search advantage for pictures of animals, irrespective of their fear relevance. These findings suggest that results from the present visual search task cannot support the notion of preferential processing of fear relevance.

Attentional bias to pictures of fear-relevant animals in a dot probe task.

Attentional bias to fear-relevant animals was assessed in 69 participants not preselected on self-reported anxiety with the use of a dot probe task showing pictures of snakes, spiders, mushrooms, and flowers. Probes that replaced the fear-relevant stimuli (snakes and spiders) were found faster than probes that replaced the non-fear-relevant stimuli, indicating an attentional bias in the entire sample. The bias was not correlated with self-reported state or trait anxiety or with general fearfulness. Participants reporting higher levels of spider fear showed an enhanced bias to spiders, but the bias remained significant in low scorers. The bias to snake pictures was not related to snake fear and was significant in high and low scorers. These results indicate preferential processing of fear-relevant stimuli in an unselected sample.

Latent inhibition in human Pavlovian differential conditioning: Effect of additional stimulation after preexposure and relation to schizotypal traits☆

Abstract Latent inhibition has been defined as the retardation of Pavlovian conditioning due to conditioned stimulus (CS) preexposure. The present study investigated (1) the effect of additional stimulation signalling the shift from preexposure to acquisition, and (2) the relationship between “schizotypal traits” and latent inhibition in human electrodermal conditioning. Three groups (48 subjects) were presented with 20 preexposure, 8 acquisition, and 8 extinction trials in a differential conditioning paradigm. One group received different stimuli during preexposure and acquisition, whereas the remaining groups (SAME, SAME + S) received the same stimuli throughout the experiment. In group SAME + S, an additional signal was presented at the end of the preexposure phase. Latent inhibition was evident in electrodermal first interval response conditioning during acquisition and second interval response conditioning during acquisition and extinction. Contrary to results from animal research, latent inhibition was not disrupted by the additional signal in group SAME + S. A covariation of schizotypal traits and latent inhibition was detected in both groups preexposed to the CSs. During acquisition, latent inhibition of electrodermal first interval response conditioning was evident in subjects scoring low in “schizotypy”, but not in high scorers. The latter results replicate previous findings obtained from a different latent inhibition paradigm.

When danger lurks in the background: Attentional capture by animal fear-relevant distractors is specific and selectively enhanced by animal fear

Across 2 experiments, a new experimental procedure was used to investigate attentional capture by animal fear-relevant stimuli. In Experiment 1 (N=34), unselected participants were slower to detect a neutral target animal in the presence of a spider than a cockroach distractor and in the presence of a snake than a large lizard distractor. This result confirms that phylogenetically fear-relevant animals capture attention specifically and to a larger extent than do non-fear-relevant animals. In Experiment 2 (N=86), detection of a neutral target animal was slowed more in the presence of a feared fear-relevant distractor (e.g., a snake for snake-fearful participants) than in presence of a not-feared fear-relevant distractor (e.g., a spider for snake-fearful participants). These results indicate preferential attentional capture that is specific to phylogenetically fear-relevant stimuli and is selectively enhanced in individuals who fear these animals.

No Effect of Inversion on Attentional and Affective Processing of Facial Expressions

The decrease in recognition performance after face inversion has been taken to suggest that faces are processed holistically. Three experiments, 1 with schematic and 2 with photographic faces, were conducted to assess whether face inversion also affected visual search for and implicit evaluation of facial expressions of emotion. The 3 visual search experiments yielded the same differences in detection speed between different facial expressions of emotion for upright and inverted faces. Threat superiority effects, faster detection of angry than of happy faces among neutral background faces, were evident in 2 experiments. Face inversion did not affect explicit or implicit evaluation of face stimuli as assessed with verbal ratings and affective priming. Happy faces were evaluated as more positive than angry, sad, or fearful/scheming ones regardless of orientation. Taken together these results seem to suggest that the processing of facial expressions of emotion is not impaired if holistic processing is disrupted.

Is aversive learning a marker of risk for anxiety disorders in children

Aversive conditioning and extinction were evaluated in children with anxiety disorders (n=23), at-risk for anxiety disorders (n=15), and controls (n=11). Participants underwent 16 trials of discriminative conditioning of two geometric figures, with (CS+) or without (CS-) an aversive tone (US), followed by 8 extinction trials (4 CS+, 4 CS-), and 8 extinction re-test trials averaging 2 weeks later. Skin conductance responses and verbal ratings of valence and arousal to the CS+/CS- stimuli were measured. Anxiety disordered children showed larger anticipatory and unconditional skin conductance responses across conditioning, and larger orienting and anticipatory skin conductance responses across extinction and extinction re-test, all to the CS+ and CS-, relative to controls. At-risk children showed larger unconditional responses during conditioning, larger orienting responses during the first block of extinction, and larger anticipatory responses during extinction re-test, all to the CS+ and CS-, relative to controls. Also, anxiety disordered children rated the CS+ as more unpleasant than the other groups. Elevated skin conductance responses to signals of threat (CS+) and signals of safety (CS-; CS+ during extinction) are discussed as features of manifestation of and risk for anxiety in children, compared to the specificity of valence judgments to the manifestation of anxiety.

Latent inhibition and schizophrenia: Pavlovian conditioning of autonomic responses

Latent inhibition (LI) is an important model for understanding cognitive deficits in schizophrenia. Disruption of LI is thought to result from an inability to ignore irrelevant stimuli. The study investigated LI in schizophrenic patients by using Pavlovian conditioning of electrodermal responses in a complete within-subject design. Thirty-two schizophrenic patients (16 acute, unmedicated and 16 medicated patients) and 16 healthy control subjects (matched with respect to age and gender) participated in the study. The experiment consisted of two stages: preexposure and conditioning. During preexposure two visual stimuli were presented. one of which served as the to-be-conditioned stimulus (CSp + ) and the other one was the not-to-be-conditioned stimulus (CSp - ) during the following conditioning ( = acquisition). During acquisition, two novel visual stimuli(CSn + and CSn - ) were introduced. A reaction time task was used as the unconditioned stimulus (US). LI was defined as the difference in response differentiation observed between preexposed and non-preexposed sets of CS + and CS - . During preexposure, the schizophrenic patients did not differ in electrodermal responding from the control subjects, neither concerning the extent of orienting nor the course of habituation. The exposure to novel stimuli at the beginning of the acquisition elicited reduced orienting responses in unmedicated patients compared to medicated patients and control subjects. LI was observed in medicated schizophrenic patients and healthy controls, but not in acute unmedicated patients. Furthermore LI was found to be correlated with the duration of illness: it was attenuated in patients who had suffered their first psychotic episode.

Human Blink Startle During Aversive and Nonaversive Pavlovian Conditioning

Potentiation of blink startle during aversive and nonaversive Pavlovian single-cue conditioning was assessed in human Ss. In Experiment 1 (N = 89), the conditioning group received paired presentations of a visual conditioned stimulus (CS) and an unconditioned stimulus (US), whereas the control group was presented with a random sequence. The US was an electric shock for half the Ss and a nonaversive reaction time task for the other half. Electrodermal conditioning was evident regardless of the nature of the US, but blink potentiation was found only in the conditioning group that had been trained with the aversive US. These results were replicated in Experiment 2 (N = 65), in which a nonaversive US of increased motivational significance was used. Thus, only aversive conditioning seems to affect the affective valence of the CS, at least as reflected by changes in a skeletal reflex.

Latent inhibition and autonomic respones: a psychophysiological approach

Latent inhibition, retarded learning after preexposure to the to-be-conditioned stimulus, has been implied as a tool for the investigation of attentional deficits in schizophrenia and related disorders. The present paper reviews research that used Pavlovian conditioning as indexed by autonomic responses (electrodermal, vasomotor, cardiac) to investigate latent inhibition in adult humans. Latent inhibition has been demonstrated repeatedly in healthy subjects in absence of a masking task that is required in other latent inhibition paradigms. Moreover, latent inhibition of Pavlovian conditioning is stimulus-specific and increases with an increased number of preexposure trials which mirrors results from research in animals. A reduction of latent inhibition has been shown in healthy subjects who score high on questionnaire measures of psychosis proneness and in unmedicated schizophrenic patients. The latter result was obtained in a within-subject paradigm that holds promise for research with patient samples.