Attentional Biases to Internal and External Sources of Potential Threat in Social Anxiety.

D. M. Clark and A. Wells (1995) proposed that a shift of attention inward toward interoceptive information is a central feature of social phobia. However, few studies have examined attentional biases toward internal physiological cues in social phobia. The current experiment assessed whether socially anxious individuals exhibit an attentional bias (a) toward cues for an internal source of potential threat (heart-rate information), (b) toward cues for an external source of potential threat (threatening faces) or (c) both. Ninety-one participants who were selected to form extreme groups based on a social anxiety screening measure performed a dot-probe task to assess location of attention. Results showed that socially anxious participants exhibited an attentional bias toward cues of internal, but not external, sources of potential threat. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coherence and Specificity of Information-Processing Biases in Depression and Social Phobia.

Research has not resolved whether depression is associated with a distinct information-processing bias, whether the content of the information-processing bias in depression is specific to themes of loss and sadness, or whether biases are consistent across the tasks most commonly used to assess attention and memory processing. In the present study, participants diagnosed with major depression, social phobia, or no Axis I disorder, completed several information-processing tasks assessing attention and memory for sad, socially threatening, physically threatening, and positive stimuli. As predicted, depressed participants exhibited specific biases for stimuli connoting sadness; social phobic participants did not evidence such specificity for threat stimuli. It is important to note that the different measures of bias in memory and attention were not systematically intercorrelated. Implications for the study of cognitive bias in depression, and for cognitive theory more broadly, are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attentional Biases for Negative Interpersonal Stimuli in Clinical Depression.

An information-processing paradigm was used to examine attentional biases in clinically depressed participants, participants with generalized anxiety disorder (GAD), and nonpsychiatric control participants for faces expressing sadness, anger, and happiness. Faces were presented for 1,000 ms, at which point depressed participants had directed their attention selectively to depression-relevant (i.e., sad) faces. This attentional bias was specific to the emotion of sadness; the depressed participants did not exhibit attentional biases to the angry or happy faces. This bias was also specific to depression; at 1,000 ms, participants with GAD were not attending selectively to sad, happy, or anxiety-relevant (i.e., angry) faces. Implications of these findings for both the cognitive and the interpersonal functioning of depressed individuals are discussed and directions for future research are advanced. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attentional Bias and Drinking to Cope With Social Anxiety.

This study investigated the sensitivity of the emotional Stroop test for identifying individuals who reported drinking to cope with social fears. Community volunteers completed a modified Stroop task during which social threat, alcohol-related, and control words were presented. High scores on drinking-to-cope measures were hypothesized to be associated with longer response latencies to both social threat and alcohol-related words. Consistent with previous studies, alcohol dependence was correlated with latencies for alcohol-related words, and level of social anxiety was correlated with response latency to social threat words. As expected, drinking-to-cope measures predicted response latency to alcohol-related and social threat words. These results suggest that the emotional Stroop test is useful in studying the relationship between social anxiety and alcohol consumption. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is this happiness I see? Biases in the identification of emotional facial expressions in depression and social phobia.

The present study was designed to examine the operation of depression-specific biases in the identification or labeling of facial expression of emotions. Participants diagnosed with major depression and social phobia and control participants were presented with faces that expressed increasing degrees of emotional intensity, slowly changing from a neutral to a full-intensity happy, sad, or angry expression. The authors assessed individual differences in the intensity of facial expression of emotion that was required for the participants to accurately identify the emotion being expressed. The depressed participants required significantly greater intensity of emotion than did the social phobic and the control participants to correctly identify happy expressions and less intensity to identify sad than angry expressions. In contrast, social phobic participants needed less intensity to correctly identify the angry expressions than did the depressed and control participants and less intensity to identify angry than sad expressions. Implications of these results for interpersonal functioning in depression and social phobia are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Memory of Faces: A Slow Wave ERP Study of Major Depression.

This study examined slow wave (SW) event-related brain potential (ERP) amplitudes in response to happy, neutral, and sad faces during a working memory task to further identify the associated component processes and physiological changes of mood-congruent memory biases in individuals with and without major depression. The results suggest that individuals with and without a diagnosis of major depressive disorder (MDD) differentially maintain valenced facial information in their working memory. Specifically, the nondepressed individuals displayed a marked reduction in SW amplitude to the negative faces. Individuals with MDD exhibited equivalent SW amplitudes for positive and negative facial stimuli. Results are discussed in terms of avoidance coping, previous ERP studies of working memory, and facial recognition deficits in individuals with MDD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Effect of Tobacco Abstinence on Recognition Memory, Digit Span Recall, and Attentional Vigilance.

This article examines the effects of tobacco abstinence on recognition memory, digit span recall, and visual attentional vigilance. The results demonstrated that abstinence impaired recognition memory discrimination (ad libitum d' = .85, abstinent d' = .64), recognition memory hit rates (ad libitum = .60, abstinent = .54), accuracy of target detection in attentional vigilance (ad libitum = .99, abstinent = .97), and speed of target detection in attentional vigilance (ad libitum = 662 ms, abstinent = 687 ms). Abstinence did not impair digit span recall (ad libitum = .55, abstinent = .56). These results are consistent with the hypotheses that tobacco abstinence impairs episodic memory and sustained attention. They also suggest that some, but not necessarily all, short-term memory processes may not be influenced by tobacco abstinence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recognition Accuracy and Response Bias to Happy and Sad Facial Expressions in Patients With Major Depression.

Impaired facial expression recognition has been associated with features of major depression, which could underlie some of the difficulties in social interactions in these patients. Patients with major depressive disorder and age- and gender-matched healthy volunteers judged the emotion of 100 facial stimuli displaying different intensities of sadness and happiness and neutral expressions presented for short (100 ms) and long (2,000 ms) durations. Compared with healthy volunteers, depressed patients demonstrated subtle impairments in discrimination accuracy and a predominant bias away from the identification as happy of mildly happy expressions. The authors suggest that, in depressed patients, the inability to accurately identify subtle changes in facial expression displayed by others in social situations may underlie the impaired interpersonal functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Implicit and Explicit Memory in Children With Congenital and Acquired Brain Disorder.

Implicit and explicit memory were examined in 8- to 15-year-old children with myelomeningocele and shunted hydrocephalus, severe traumatic brain injuries, or orthopedic injuries. Each group included between 22 and 29 children. Children completed a fragmented picture identification task to assess perceptual priming and a semantic decision-making task to assess conceptual priming. Each task also assessed procedural learning as well as explicit recall and recognition. All 3 groups showed significant perceptual and semantic priming of similar magnitude. In contrast, both brain-disordered groups displayed poorer explicit memory than did the comparison group. No group showed significant procedural learning on either task. Age and IQ were stronger predictors of explicit recall than of implicit memory. The findings indicate that implicit memory is relatively intact in many children with congenital and acquired brain disorders, despite deficits in explicit memory, and support the existence of separate memory systems in children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Role of Color in the Implicit Memory Performance of Healthy Older Adults and Individuals With Alzheimer's Disease.

Although the Alzheimer's disease (AD) patients in this study were severely impaired in recognition performance, their naming performance demonstrated normal priming across transformations in object color. This is evidence for preserved implicit shape-based memory performance in AD patients. For colored-object decision, healthy older adult control participants but not AD patients showed priming for new associations between previously encountered object shapes and colors. The author argues, on the basis of this colored object decision performance, that the deficits present in AD do not allow shape and color to be integrated to form a novel unitized representation that can be used to benefit cognitive performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Longitudinal Study of Implicit and Explicit Memory in Old Persons.

Decline in explicit memory with advancing age is a common finding, but it is unclear whether implicit memory (repetition priming) declines or remains stable. Meta-analyses of studies that examined differences between extreme groups (young-old), typically at a single point in time and on a single test, suggest that a mild reduction in priming occurs with advancing age. The authors examined explicit memory and priming, on multiple tests over 4 annual data-collection waves, in a large group of older persons without dementia at baseline. Explicit memory declined significantly, but priming remained stable. Findings indicate that explicit memory and priming are dissociable on the basis of age-related change and that mildly reduced priming is not an inevitable consequence of growing older. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcohol's Dissociation of Implicit and Explicit Memory Processes: Implications of a Parallel Distributed Processing Model of Semantic Priming.

Alcohol's dissociation of implicit (unintentional) and explicit (intentional) memory processes in social drinkers was examined. It was hypothesized that an alcohol challenge would lower the percentage of words recalled and result in more retroactive interference in explicit recall tasks but would not lengthen reaction time in an implicit semantic priming task involving highly semantically similar words. Men and women completed all memory tasks in each of 2 counterbalanced sessions (alcohol challenge vs. no-alcohol) separated by 1 week. Alcohol significantly degraded processing in both explicit memory tasks, yet implicit semantic priming remained intact. A parallel distributed processing model that simulates semantic memory is presented. When this system is strongly activated, it does not appear to be altered during moderate alcohol intoxication. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Empirical Validation and Psychometric Evaluation of the Brief Fear of Negative Evaluation Scale in Patients With Social Anxiety Disorder.

The Brief Fear of Negative Evaluation Scale (BFNE; M. R. Leary, 1983a) is often used to assess fear of negative evaluation, the core feature of social anxiety disorder. However, few studies have examined its psychometric properties in large samples of socially anxious patients. Although the BFNE yields a single total score, confirmatory factor analysis indicated a 2-factor solution to be more appropriate, with the 1st factor consisting of all straightforwardly worded items (BFNE-S) and the 2nd of all reverse-scored items (BFNE-R). Support was obtained for the convergent and discriminant validity of the BFNE and BFNE-S, but not the BFNE-R. These results suggest that standard scoring of the BFNE may not be optimal for patients with social anxiety disorder. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive Processing of Emotional Information in Depression, Panic, and Somatoform Disorder.

Emotional Stroop tasks (subliminal/supraliminal exposures), implicit memory tasks (tachistoscopic word identification), and explicit memory tasks (free recall after incidental learning) with 4 word types (physical threat, positive, negative, and neutral words) were administered to patients with major depressive disorder (n = 30), panic disorder (n = 33), somatoform disorder (n = 25), and healthy control participants (n = 33). On the Stroop task, panic patients showed subliminal interferences for physical threat and negative words, depressive patients showed supraliminal interferences for negative words, and somatoform patients showed supraliminal interferences for physical threat words. No patient groups demonstrated implicit memory biases. On the explicit memory task, depressive and panic patients showed memory biases for negative words; somatoform patients showed biases for physical threat words. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neighborhood Context, Personality, and Stressful Life Events as Predictors of Depression Among African American Women.

The authors tested neighborhood context, negative life events, and negative affectivity as predictors of the onset of major depression among 720 African American women. Neighborhood-level economic disadvantage (e.g., percentage of residents below the poverty line) and social disorder (e.g., delinquency, drug use) predicted the onset of major depression when controlling for individual-level demographic characteristics. Neighborhood-level disadvantage/disorder interacted with negative life events, such that women who experienced recent negative life events and lived in high disadvantage/disorder neighborhoods were more likely to become depressed than were those who lived in more benign settings, both concurrently and over a 2-year period. Neighborhood disadvantage/disorder can be viewed as a vulnerability factor that increases susceptibility to depression following the experience of negative life events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attention, Heart Rate, and Startle Response During Exposure to Trauma-Relevant Pictures: A Comparison of Recent Trauma Victims and Patients With Posttraumatic Stress Disorder.

Victims of a recent trauma were compared with posttraumatic stress disorder (PTSD) patients and healthy controls to assess whether a specific anxiety response and an attentional bias were evident initially or only in chronic PTSD. Heart rate (HR) and startle response were measured, and a dot-probe task was carried out using trauma-relevant pictures. Severely affected recent trauma victims and chronic PTSD patients showed HR acceleration to trauma-related material, which was the only significant group difference. A bias away from trauma-related material was related to severity of intrusions in recent trauma victims, and the bias toward trauma-related material increased with amplitude of the HR response in PTSD patients. A specific anxiety reaction is present initially in severely affected trauma victims. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recovery of Short-Term Memory and Psychomotor Speed but Not Postural Stability With Long-Term Sobriety in Alcoholic Women.

The authors assessed effects of extended abstinence on cognitive and motor function deficits previously observed in a group of alcoholic women (n = 43) initially tested after 15 weeks of sobriety. Alcoholic women were retested 1 and 4 years later, and control women were retested 3 years later. At Year 1, 14 of 23 returners had maintained sobriety, but they did not perform significantly better than relapsers; the group as a whole continued to show deficits relative to age norms. By Year 4, 13 of 14 returners had maintained sobriety for more than 30 months; as a group, these women had returned to normal levels on tests of memory and psychomotor speed but remained impaired in standing balance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social Support, Positive States of Mind, and HIV Treatment Adherence in Men and Women Living With HIV/AIDS.

Numerous studies have linked social support to better medication adherence among illness groups, but few have examined potential mechanisms for this relationship. Relationships were examined between social support, depression, positive states of mind (PSOM), and medication adherence among HIV positive men who have sex with men (n = 61) and women (n = 29) on highly active antiretroviral therapy. Depression and PSOM were evaluated as potential mediators of the relationship between support and adherence. Cross-sectional data showed that greater social support and PSOM related to better adherence whereas higher depression scores related to nonadherence. PSOM partially mediated the relationship between social support and adherence. PSOM may be an important mechanism through which social support is related to better medication adherence in this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)