Attention Bias to Threat in Anxiety-Prone Individuals
Evidence From Disengagement, But Not Engagement Bias Using Cardiac Vagal Tone
Abstract
There is considerable controversy around the factors influencing the attentional biases involved in anxiety, controversies pinpointing to the role of trait anxiety (TA) in these biases. Previous studies have disregarded psychophysiological factors, such as cardiac vagal control, from the relation between TA and attention biases to threat, though cardiac vagal control serves as a proxy of attention regulation. By using a spatial cueing task, the present correlational study examines cardiac vagal tone as a moderator of the relation between TA and attention biases to threat. Cardiac vagal tone was indexed by high-frequency heart-rate variability (HF-HRV) and recorded, at baseline, from participants with high trait anxiety (HTA, N = 34) or low trait anxiety (LTA, N = 40). Our data indicate that HF-HRV significantly moderates the relation between TA and disengagement bias, but does not moderate the relation between TA and engagement bias. Extended analysis on the significant moderation showed that HF-HRV moderated the relation between TA and disengagement bias in the case of the participants with mean to low HF-HRV values. This was not the case for the participants with high values of HF-HRV. Our results suggest implications for redefining groups at risk for anxiety disorders, as well as future considerations of the cardiac vagal tone in attention bias research.
References
1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
(2009). Attention modification program in individuals with generalized anxiety disorder. Journal of Abnormal Psychology, 118, 28–33.
(2008). The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. Journal of Abnormal Psychology, 117, 860–868.
(2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133, 1–24.
(2001). Bad is stronger than good. Review of General Psychology, 5, 323–370.
(2001). Vagal tone, development, and Gray’s motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214.
(1997). Heart rate variability: Origins, methods, and interpretive caveats. Psychophysiology, 34, 623–648.
(1993). The ability of several short-term measures of RR variability to predict mortality after myocardial infarction. Circulation, 85, 164–171.
(2006). Tryptophan depletion affects heart rate variability and impulsivity in remitted depressed patients with a history of suicidal ideation. Biological Psychiatry, 60, 507–514.
(2005). Looking at the heart of low and high heart rate variability fearful flyers: Self-reported anxiety when confronting feared stimuli. Biological Psychology, 70, 182–187.
(2006). Personality and anxiety disorders. Current Psychiatry Report, 8, 263–269.
(2010). Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clinical Psychology Review, 30, 203–216.
(1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
(1951). The Bender-Gestalt Test: Quantification and validity for adults. Journal of Educational Psychology, 42, 438–439.
(2007). Emotional face processing and attention performance in three domains: Neurophysiological mechanisms and moderating effects of trait anxiety. International Journal of Psychophysiology, 65, 10–19.
(2009). Trait anxiety and conflict monitoring following threat: An ERP study. Psychophysiology, 46, 122–131.
(2007). Methodological issues in the quantification of respiratory sinus arrhythmia. Biological Psychology, 74, 286–294.
(2002). Anxiety-related attentional biases and their regulation by attentional control. Journal of Abnormal Psychology, 111, 225–236.
(1997). Anxiety and cognition: A unified theory. Hove, UK: Psychology Press.
(2007). Anxiety and cognitive performance: Attentional control theory. Emotion, 7, 336–353.
(2004). Discovering statistics using SPSS for Windows (1st ed.). London, UK: The Cromwell.
(2002). Do Threatening Stimuli Draw or Hold Visual Attention in Subclinical Anxiety? Journal of Experimental Psychology: General, 130, 681–700.
(2007). An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone. Biological Psychology, 74, 185–199.
(1992). The effects of stress-anxiety and coping styles on heart rate variability. International Journal of Psychophysiology, 12, 81–86.
(2009). Research in anxiety disorders: From the bench to the bedside. European Neuropsychopharmacology, 19, 381–390.
(2000). Heart rate variability in depressive and anxiety disorders. American Heart Journal, 140, 77–83.
(2010). Reduced autonomic flexibility as a predictor for future anxiety in girls from the general population: The TRAILS study. Psychiatry Research, 179, 187–193.
(1991). Prediction of tonic parasympathetic cardiac control using respiratory sinus arrhythmia: The need for respiratory control. Psychophysiology, 28, 201–216.
(2009). Relationship between heart rate variability and cognitive function during threat of shock. Anxiety, Stress & Coping: An International Journal, 22, 77–89.
(2009). Attentional retraining: A randomized clinical trial for pathological worry. Journal of Psychiatric Research, 43, 627–633.
(2011). Measures of RSA suppression, attentional control, and negative affect predict self-ratings of executive functions. Journal of Psychophysiology, 25, 164–173.
(2002). Post-hoc probing of significant moderational and mediational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.
(1981). Publication guidelines for heart rate studies in man. Psychophysiology, 18, 226–231.
(2003). Attentional and physiological characteristics of patients with dental anxiety. Journal of Anxiety Disorders, 17, 75–87.
(2006). Attention to threat in anxiety-prone individuals: Mechanisms underlying attentional bias. Cognitive Therapy and Research, 30, 635–643.
(2006). Components of attentional bias to threat in high trait anxiety: Facilitated engagement, impaired disengagement, and attentional avoidance. Behavior Research and Therapy, 44, 1757–1771.
(2011). Psychophysiological markers of anxiety. Disorders and anxiety symptoms. Rijeka: InTech.
(2008). Depression and anxiety as predictors of heart rate variability after myocardial. Psychological Medicine, 38, 375–383.
(2003). The face of fear: Effects of eye gaze and emotion on attentional engagement. Visual Cognition, 10, 823–835.
(1998). A cognitive model of selective processing in anxiety. Cognitive Therapy and Research, 22, 539–560.
(2002). Induced emotional biases have causal effects on anxiety. Cognition and Emotion, 16, 310–315.
(2009). Individual differences in fear-potentiated startle as a function of resting heart rate variability: Implications for panic disorder. International Journal of Psychophysiology, 71, 109–117.
(2010). Frontal brain electrical asymmetry and cardiac vagal tone predict biased attention to social threat. International Journal of Psychophysiology, 75, 332–338.
(2008). Anxiety impairs decision-making: Psychophysiological evidence from an Iowa Gambling Task. Biological Psychology, 77, 353–358.
(1998). A cognitive-motivational analysis of anxiety. Behavior Research and Therapy, 36, 809–884.
(2004). Autonomic dysfunctions in patients with anxiety throughout therapy. Journal of Psychophysiology, 18, 27–37.
(2007). Interactions among higher trait anxiety, sympathetic activity, and endothelial function in the elderly. Journal of Psychiatric Research, 41, 418–527.
(2004). Software for advanced HRV analysis. Computer Methods and Programs Biomedicine, 76, 73–81.
(2009). Attentional control of emotional distraction in rapid serial visual presentation. Emotion, 9, 140–145.
(1987). Tipul A de comportament si stresul professionl la personalul muncitor feminine cu functii de conducere.
([Type A behavior and professional stress in women workers in management positions] . Revista de Psihologie, 33, 303–310.1995). Orienting in a defensive world: Mammalian modifications of our evolutionary heritage. A polyvagal theory. Psychophysiology, 32, 301–318.
(2006). Computational tools for probing interaction effects in multiple linear regression, multilevel modeling, and latent curve analysis. Journal of Educational and Behavioral Statistics, 31, 437–448.
(1994). Effect of relaxation training on cardiac parasympathetic tone. Psychophysiology, 31, 223–228.
(2007). Selective attention and threat: Quick orienting versus slow disengagement and two versions of the dot probe task. Behavior Research and Therapy, 45, 607–615.
(2010). The time line of threat processing and vagal withdrawal in response to a self-threatening stressor in cognitive avoidant copers: Evidence for vigilance-avoidance theory. Psychophysiology, 47, 786–795.
(2010). ERP indices for response inhibition are related to anxiety-related personality traits. Neuropsychologia, 48, 2488–2495.
(2004). Effects of RR segment duration on HRV spectrum estimations. Psychological Measurement, 25, 721–735.
(1983). Manual for the Strait-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
(1999). Effects of fear induction on heart period variability. Journal of Psychophysiology, 13, 18–26.
(2009). Attention training and attention state training. Trends in Cognitive Sciences, 13, 222–227.
(2002). An advanced detrending method with application to HRV analysis. IEEE Transactions on Biomedical Engineering, 47, 172–175.
(1996). Heart rate variability: Standards of measurement, physiological interpretation and clinical use. (1996). Circulation, 93, 1043–1065.
. (2005). Psychosomatics and psychopathology: looking up and down from the brain. Psychoneuroendocrinology, 30, 1050–1058.
(1996). Autonomic characteristics of generalized anxiety disorder and worry. Biological Psychiatry, 34, 255–266.
(2000). A model of neurovisceral integration in emotion regulation and disregulation. Journal of Affective Disorders, 61, 201–216.
(2002). Perseverative thinking and health: Neurovisceral concomitants. Psychology and Health, 17, 685–695.
(2002). Categorization of facial expressions in children and adults: Establishing a larger stimulus set. Poster session presented at the Annual Meeting of the Cognitive Neuroscience Society, San Francisco, CA. Journal of Cognitive Neuroscience, 14, 74.
(2009). The NimStim set of facial expressions: Judgments from untrained research participants. Psychiatry Research, 168, 242–249.
(1998). Anxiety and vagal control of heart rate. Psychosomatic Medicine, 60, 498–502.
(2001). A functional MRI study of human amygdala responses to facial expressions of fear versus anger. Emotion, 1, 70–83.
(1997). Cognitive psychology and emotional disorders (2nd ed.). Chichester, UK: Wiley.
(2001). Anxiety and attention to threatening pictures. Quarterly Journal of Experimental Psychology Section A – Human Experimental Psychology, 54, 665–681.
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