Pupillary reactivity to negative stimuli prospectively predicts recurrence of major depressive disorder in women

There is a large body of research supporting the association between disrupted physiological reactivity to negative stimuli and depression. The present study aimed to examine whether physiological reactivity to emotional stimuli, assessed via pupil dilation, served as a biological marker of risk for depression recurrence among individuals who are known to be at a higher risk due to having previous history of depression. Participants were 57 women with a history of major depressive disorder (MDD). Pupil dilation to angry, happy, sad, and neutral faces was recorded. Participants' diagnoses and symptoms were assessed 24 months after the initial assessment. We found that women's pupillary reactivity to negative (sad or angry faces) but not positive stimuli prospectively predicted MDD recurrence. Additionally, we found that both hyper‐ and hypopupillary reactivity to angry faces predicted risk for MDD recurrence. These findings suggest that disrupted physiological response to negative stimuli indexed via pupillary dilation could serve as a physiological marker of MDD risk, thus presenting clinicians with a convenient and inexpensive method to predict which of the at‐risk women are more likely to experience depression recurrence.     

Affective engagement for facial expressions and emotional scenes: the influence of social anxiety

Pictures of emotional facial expressions or natural scenes are often used as cues in emotion research. We examined the extent to which these different stimuli engage emotion and attention, and whether the presence of social anxiety symptoms influences responding to facial cues. Sixty participants reporting high or low social anxiety viewed pictures of angry, neutral, and happy faces, as well as violent, neutral, and erotic scenes, while skin conductance and event-related potentials were recorded. Acoustic startle probes were presented throughout picture viewing, and blink magnitude, probe P3 and reaction time to the startle probe also were measured. Results indicated that viewing emotional scenes prompted strong reactions in autonomic, central, and reflex measures, whereas pictures of faces were generally weak elicitors of measurable emotional response. However, higher social anxiety was associated with modest electrodermal changes when viewing angry faces and mild startle potentiation when viewing either angry or smiling faces, compared to neutral. Taken together, pictures of facial expressions do not strongly engage fundamental affective reactions, but these cues appeared to be effective in distinguishing between high and low social anxiety participants, supporting their use in anxiety research.     

Schizophrenia patients' perceptual biases in response to positively and negatively valenced emotion chimeras

BACKGROUND: In a prior study, we observed that schizophrenia patients display atypical perceptual biases in response to emotional (happy/neutral) facial chimeras. METHODS: The present study was an attempt to replicate and extend those findings, using emotional stimuli with negative affective valence (angry/neutral chimeras) as well as positive valence, and including more than one type of non-affective facial comparison task. We compared schizophrenia patients (N = 37) and controls (N = 48) on free-vision tasks that typically yield left spatial field biases indicative of right hemisphere activation. There were six chimera tasks, including two emotion (happy, angry) chimeras, two non-emotion (gender, age) chimeras and two non-face (dots, gradients) chimeras. RESULTS: We observed a Group x Task interaction, with schizophrenia patients displaying significantly less of the expected left spatial perceptual bias in response to the happy/neutral chimeras and the angry/neutral chimeras relative to the controls. In contrast, the patients and controls did not differ in terms of their response to the Gender, Age, Dots, or Gradients tasks. CONCLUSIONS: These findings are consistent with the assertion that, compared with healthy controls individuals with schizophrenia perceive emotion differently.     

Neural Processing of Threat Cues in Young Children With Attention-Deficit/Hyperactivity Symptoms

A growing literature indicates that attention deficit/hyperactivity disorder (ADHD) involves difficulty processing threat-related emotion faces. This deficit is especially important to understand in young children, as threat emotion processing is related to the development of social skills and related behavioral regulation. Therefore, the current study aimed to better understand the neural basis of this processing in young children with ADHD symptoms. Forty-seven children between 4 and 7 years of age were included in the analysis, 28 typical developing and 19 with clinically significant levels of ADHD hyperactive/impulsive symptoms. Participants completed a passive affective face-viewing task. Event-related potentials were assessed for each emotion, and parental report of child behavior and emotion regulation abilities was assessed. Children with ADHD symptoms showed altered N170 modulation in response to specific emotion faces, such that the N170 was less negative in response to fearful compared to neutral faces, whereas typically developing children showed the opposite pattern. Groups did not differ in reactivity to anger or non-threat-related emotion faces. The N170 difference in fearful compared to neutral faces correlated with reported behavior, such that less fear reactivity predicted fewer prosocial behaviors. Abnormalities in the underlying neural systems for fear processing in young children with ADHD symptoms may play an important role in social and behavioral deficits within this population.     

Early adolescents' temperament, emotion regulation during mother-child interactions, and depressive symptomatology

This study examined the relations among temperament, emotion regulation, and depressive symptoms in early adolescents. Early adolescents provided self-reports of temperament on two occasions, as well as reports on emotion regulation and depressive symptomatology. Furthermore, 163 of these adolescents participated in event-planning and problem-solving interactions with their mothers. Adolescents with temperaments that were high in negative emotionality or low in effortful control displayed more emotionally dysregulated behaviors during the interaction tasks, reported having maladaptive responses to negative affect more often and adaptive responses less often, and had more depressive symptoms. In particular, adolescents with the high negative emotionality and low effortful control temperament combination reported the highest levels of depressive symptomatology. Sequential analyses of family interactions indicated that adolescents with more depressive symptoms were more likely to reciprocate their mothers' negative affective behaviors. Adolescents' adaptive and maladaptive responses to negative affect mediated the associations between their temperament and concurrent depressive symptoms.     

The Role of Interference and Inhibition Processes in Dysphoric Early Adolescents

Cognitive theories emphasize the importance of attentional biases in the development and maintenance of depression. Noteworthy, recent studies indicate that depression-related biases only occur in later stages of attentional processing. This is consistent with the idea that attention is a multicomponent process, consisting of at least two mechanisms: selection and inhibition. Therefore, this study aims to investigate interference and inhibition toward angry and happy stimuli in dysphoric adolescents compared to nondysphoric adolescents. To examine interference and inhibition of emotional information in 21 dysphoric (17 girls) and 28 nondysphoric adolescents (17 girls), 10–16 years of age, a Negative Affective Priming task was used. In this task, a target has to be evaluated as positive or negative while ignoring a distractor. As expected, dysphoric adolescents showed both higher interference from and higher inhibition of angry stimuli relative to nondysphoric adolescents. In contrast, happy stimuli did not lead to interference and consequently did not have to be inhibited in either group. Finally, a positive relation was found between interference and the subsequent inhibition of emotional stimuli. These observations confirm the existence of a bias toward angry faces in dysphoric adolescents and indicate a higher inhibition of angry faces in dysphoric adolescents compared to nondysphoric adolescents. The obtained results are different from those of similar previous studies in depressed or dysphoric adults using sad faces or negatively valenced words and might reveal important emotion-specific or age-specific inhibitory biases.     

Startle modulation by affective faces

Startle reflex modulation by affective pictures is a well-established effect in human emotion research. However, much less is known about startle modulation by affective faces, despite the growing evidence that facial expressions robustly activate emotion-related brain circuits. In this study, acoustic startle probes were administered to 37 young adult participants (20 women) during the viewing of slides from the Pictures of Facial Affect set including neutral, happy, angry, and fearful faces. The effect of expression valence (happy, neutral, and negative) on startle magnitude was highly significant (p < .001). Startle reflex was strongly potentiated by negative expressions (fearful and angry), however, no attenuation by happy faces was observed. A significant valence by gender interaction suggests stronger startle potentiation effects in females. These results demonstrate that affective facial expressions can produce significant modulation of the startle reflex.     

Baseline and affective startle modulation by angry and neutral faces in 4-8-year-old anxious and non-anxious children

The present study examined the magnitudes of startle blink reflexes and electrodermal responses in 4-8-year-old high anxious children (N=14) and non-anxious controls (N=11). Responses were elicited by 16 auditory startle trials during a baseline phase prior to an affective modulation phase involving 12 startle trials presented during angry and neutral faces. Results showed significant response habituation across baseline trials and equivalent response magnitudes between groups during the baseline phase. The modulation of response magnitudes during angry and neutral faces did not differ significantly in either group. However, high anxious children showed larger responses overall compared with non-anxious control children during the affective modulation phase. Moreover, greater anxiety severity and larger startle reflexes were associated with poorer accuracy in rating neutral faces as neutral in high anxious children. Results may reflect elevated reactivity to threat contexts in 4-8-year-old high anxious versus non-anxious children.     

Does a single session of Attentional Bias Modification influence early neural mechanisms of spatial attention? An ERP study

A relatively new cognitive‐affective training procedure, the Attentional Bias Modification (ABM) technique, is thought to decrease biases in the allocation of attention toward negative emotional stimuli. In two studies, we tested in samples of healthy students whether a single session of ABM has an influence on early orienting of spatial attention as indexed by the N2pc. Replicating previous studies, we found an occipitotemporal N2pc (180–300 ms) contralateral to angry versus neutral facial expressions, indicating that threatening faces automatically draw attention in early stages of stimulus processing. However, this N2pc effect did not significantly change during the ABM training session. Our results therefore indicate that a single session of ABM does not affect early attentional orienting. ABM effects reported in prior research may therefore have been mediated by later cognitive‐affective mechanisms.     

Examining Socioaffective Processing Biases in Cigarette Smokers with High Versus Low Trait Hostility

Developing measures of socioaffective processing is important for understanding the mechanisms underlying emotional-interpersonal traits relevant to health, such as hostility. In this study, cigarette smokers with low (LH; n = 49) and high (HH; n = 43) trait hostility completed the Emotional Interference Gender Identification Task (EIGIT), a newly developed behavioral measure of socioaffective processing biases toward facial affect. The EIGIT involves quickly categorizing the gender of facial pictures that vary in affective valence (angry, happy, neutral, sad). Results showed that participants were slower and less accurate in categorizing the gender of angry faces in comparison to happy, neutral, and sad faces (which did not differ), signifying interference indicative of a socioaffective processing bias toward angry faces. Compared to LH individuals, HH participants exhibited diminished biases toward angry faces on error-based (but not speed-based) measures of emotional interference, suggesting impaired socioaffective processing. The EIGIT may be useful for future research on the role of socioaffective processing in traits linked with poor health.     

Attention and memory bias to facial emotions underlying negative symptoms of schizophrenia

Introduction. This study assessed bias in selective attention to facial emotions in negative symptoms of schizophrenia and its influence on subsequent memory for facial emotions.

Methods. Thirty people with schizophrenia who had high and low levels of negative symptoms (n?=?15, respectively) and 21 healthy controls completed a visual probe detection task investigating selective attention bias (happy, sad, and angry faces randomly presented for 50, 500, or 1000?ms). A yes/no incidental facial memory task was then completed. Attention bias scores and recognition errors were calculated.

Results. Those with high negative symptoms exhibited reduced attention to emotional faces relative to neutral faces; those with low negative symptoms showed the opposite pattern when faces were presented for 500?ms regardless of the valence. Compared to healthy controls, those with high negative symptoms made more errors for happy faces in the memory task. Reduced attention to emotional faces in the probe detection task was significantly associated with less pleasure and motivation and more recognition errors for happy faces in schizophrenia group only.

Conclusions. Attention bias away from emotional information relatively early in the attentional process and associated diminished positive memory may relate to pathological mechanisms for negative symptoms.     

Convergence of fMRI and ERP measures of emotional face processing in combat‐exposed U. S. military veterans

The late positive potential (LPP) and fMRI blood‐oxygen‐level dependent (BOLD) activity can provide complementary measures of the processing of affective and social stimuli. Separate lines of research using these measures have often employed the same stimuli, paradigms, and samples; however, there remains relatively little understanding of the way in which individual differences in one of these measures relates to the other, and all prior research has been conducted in psychiatrically healthy samples and using emotional scenes (not faces). Here, 32 combat‐exposed U. S. military veterans with varying levels of posttraumatic stress symptomatology viewed affective social stimuli (angry, fearful, and happy faces) and geometric shapes during separate EEG and fMRI BOLD recordings. Temporospatial principal component analysis was used to quantify the face‐elicited LPP in a data‐driven manner, prior to conducting whole‐brain correlations between resulting positivities and fMRI BOLD elicited by faces. Participants with larger positivities to fearful faces (> shapes) showed increased activation in the amygdala; larger positivities to angry and happy faces (> shapes) were associated with increased BOLD activation in the posterior fusiform gyrus and inferior temporal gyrus, respectively. Across all face types, larger positivities were associated with increased activation in the fusiform “face” area. Correlations using mean area amplitude LPPs showed an association with increased activation in the anterior insula for angry faces (> shapes). LPP‐BOLD associations were not moderated by PTSD. Findings provide the first evidence of correspondence between face‐elicited LPP and BOLD activation across a range of (normal to disordered) psychiatric health.     

Attention bias to faces in Asperger Syndrome: a pictorial emotion Stroop study

BACKGROUND: Emotional Stroop tasks have shown attention biases of clinical populations towards stimuli related to their condition. Asperger Syndrome (AS) is a neuropsychiatric condition with social and communication deficits, repetitive behaviours and narrow interests. Social deficits are particularly striking, including difficulties in understanding others. METHOD: We investigated colour-naming latencies of adults with and without AS to name colours of pictures containing angry facial expressions, neutral expressions or non-social objects. We tested three hypotheses: whether (1) controls show longer colour-naming latencies for angry versus neutral facial expressions with male actors, (2) people with AS show differential latencies across picture types, and (3) differential response latencies persist when photographs contain females. RESULTS: Controls had longer latencies to pictures of male faces with angry compared to neutral expressions. The AS group did not show longer latencies to angry versus neutral expressions in male faces, instead showing slower latencies to pictures containing any facial expression compared to objects. When pictures contained females, controls no longer showed longer latencies for angry versus neutral expressions. However, the AS group still showed longer latencies to all facial picture types, compared to objects, providing further evidence that faces produce interference effects for this clinical group. CONCLUSIONS: The pictorial emotional Stroop paradigm reveals normal attention biases towards threatening emotional faces. The AS group showed Stroop interference effects to all facial stimuli regardless of expression or sex, suggesting that faces cause disproportionate interference in AS.     

Activation of the visual cortex in motivated attention

Functional activation (measured with fMRI) in occipital cortex was more extensive when participants view pictures strongly related to primary motive states (i.e., victims of violent death, viewer-directed threat, and erotica). This functional activity was greater than that observed for less intense emotional (i.e., happy families or angry faces) or neutral images (i.e., household objects, neutral faces). Both the extent and strength of functional activity were related to the judged affective arousal of the different picture contents, and the same pattern of functional activation was present whether pictures were presented in color or in grayscale. It is suggested that more extensive visual system activation reflects "motivated attention," in which appetitive or defensive motivational engagement directs attention and facilitates perceptual processing of survival-relevant stimuli.     

Automatic emotion regulation in response inhibition: The temporal dynamics of emotion counter‐regulation during a go/no‐go task

Recent behavioral studies indicate that emotion counter‐regulation automatically allocates attention to events that are opposite in the valence to the experienced emotional state. The present study explored the effect of emotion counter‐regulation on response inhibition by using ERPs in a go/no‐go paradigm. We recruited 58 subjects and randomly assigned them to either the angry priming group (watching Nanjing Massacre movie clips) or the neutral priming group (watching “mending a computer” movie clips). The behavioral results revealed that participants in the angry priming group responded significantly more accurately to go happy and no‐go angry faces than go angry and no‐go happy faces. The analyses of ERPs revealed that the amplitudes of the no‐go N2 and no‐go P3 were significantly larger for the happy faces than for the angry faces in the angry priming group. However, no such effects were found in the neutral priming group. These results suggest that highly aroused angry emotion could prompt a priority response to happy emotion stimuli and restrict the responses to angry emotion stimuli through emotion counter‐regulation.     

fMRI responses to emotional faces in children and adolescents at genetic risk for psychiatric illness share some of the features of depression

BackgroundFronto-limbic regions of the brain including the sub-genual (sgPFC) and medial prefrontal (mPFC) cortices are central to processing emotionally salient and hedonic stimuli (Mayberg, 2009) and implicated in depression. The relevance of cortico-limbic models of emotion and reward processing in children with genetic risk for psychiatric disorders has not been assessed.MethodsHere we studied adolescents at risk for schizophrenia (HRS) and controls (HC) using an event-related fMRI continuous affective appraisal task. HRS were divided into sub-groups based on the presence or absence of negative symptoms (Miller et al., 2003), HRS_NS + and HRS_NS ? respectively. Brain responses to positive, negative and neutral emotional stimuli were estimated.ResultsConsistent with observations in the depressive phenotype, for positively valenced stimuli, HRS_NS + (relative to HC and HRS_NS ?) were characterized by hypo-responsivity of the sgPFC and the mPFC, but hyper-responsivity of the mid-brain. sgPFC and mPFC signals were coupled across groups.LimitationsSuch studies can benefit from larger sample sizes, though our observed effect sizes were in the moderate to large range.ConclusionsChildren and adolescents at risk for psychiatric illness and who evince reliably present negative symptoms show brain responses to socially rewarding stimuli similar to those observed in depression. Studies in at-risk children and adolescents may be important in understanding how early manifestations of depression-like characteristics impact brain function.     

Attentional biases for angry faces in unipolar depression

BACKGROUND: Past research has demonstrated that depression is associated with dysfunctional processing of emotional information. Recent studies demonstrate that a bias in the attentional processing of negative information may be an important cognitive vulnerability factor underlying the onset and maintenance of depression. However, to date, the nature of this attentional bias is still poorly understood and further exploration of this topic to advance current knowledge of attentional biases in depression seems imperative. METHOD: This study examined attentional biases for angry facial expressions presented for 1000 ms in 20 patients with major depressive disorder (MDD) and 20 non-depressed control participants (NC) matched for age and gender using an emotional modification of the Exogenous Cueing task. RESULTS: Patients with MDD showed maintained attention for angry faces compared with neutral faces. In comparison with non-depressed participants they showed a stronger attentional engagement for angry faces. In contrast, the NC group directed attention away from angry faces, more rapidly disengaging their attention compared with neutral faces. CONCLUSIONS: This pattern of results supports the assumption that MDD is characterized by deficits in the attentional processing of negative, interpersonal information and suggests a 'protective' bias in non-depressed individuals. Implications in relation to previous research exploring cognitive and interpersonal functioning in depression are discussed.     

Do not prime too much: Prime frequency effects of masked affective stimuli on effort-related cardiovascular response

This experiment investigated the prime frequency effect of masked affective stimuli on effort-related cardiovascular response. Cardiovascular reactivity was recorded during a baseline period and an attention task in which either 1/3, 2/3, or 3/3 of the trials included the presentation of masked emotional facial expressions (sad vs. happy). In the resting trials participants were exposed to masked neutral expressions. As expected, and replicating previous findings (Gendolla and Silvestrini, in press), participants in the 1/3 priming condition showed stronger systolic blood pressure reactivity - indicating more effort - when they were exposed to masked sad faces than when they were exposed to masked happy faces. This effect disappeared in the 2/3 and 3/3 conditions. Findings are interpreted as demonstrating habituation effects of masked affective stimuli on effort mobilization.     

The acute effects of intranasal oxytocin on automatic and effortful attentional shifting to emotional faces

Oxytocin is known to promote social affiliation. The mechanism by which this occurs is unknown, but it may involve changes in social information processing. In a placebo‐controlled study, we examined the influence of intranasal oxytocin on effortful and automatic attentional shifting in 57 participants using a spatial cueing task with emotional and neutral faces. For effortful processing, oxytocin decreased the speed of shifting attention to sad faces presented for 750 ms and facilitated disengagement from right hemifield sad and angry faces presented for 200 ms. For automatic processing, symptoms of depression moderated the relationship between drug and disengagement. Oxytocin attenuated an attentional bias to masked angry faces on disengagement trials in persons with high depression scores. Oxytocin's influence on social behavior may occur, in part, by eliciting flexible attentional shifting in the early stages of information processing.     

Postauricular and eyeblink startle responses to facial expressions

Emotional facial expressions have affective significance. Smiles, for example, are perceived as positive and responded to with increased happiness, whereas angry expressions are perceived as negative and threatening. Yet, these perceptions are modulated in part by facial morphological cues related to the sex of the expresser. The present research assessed both eyeblink startle and the postauricular reflex during happy and angry expressions by men and women. For this 14 male and 16 female undergraduates saw happy, neutral, and angry facial expressions as well as positive and negative pictures. The postauricular reflex was potentiated during happy expressions and inhibited during anger expressions; however, as expected, this pattern was more clearly found for female expressers. Conversely, the expected pattern of eyeblink startle potentiation during angry faces and inhibition during happy faces was found only for male expressers.