Effects of aging on experimentally instructed detached reappraisal, positive reappraisal, and emotional behavior suppression

Emotion regulation includes multiple strategies that rely on different underlying abilities and that may be affected differently by aging. We assessed young, middle-aged, and older adults' ability to implement 3 emotion regulation strategies (detached reappraisal, positive reappraisal, and behavior suppression) in a laboratory setting, using standardized emotional stimuli and a multimethod approach to assessing regulation success. Results revealed age-related decline in ability to implement detached reappraisal, enhancement of ability to implement positive reappraisal, and maintenance of ability to implement behavior suppression. We discuss these findings in terms of their implications for emotion theory and for promoting successful aging.

We can work it out: age differences in relational pronouns, physiology, and behavior in marital conflict

This study examined the relationship that personal pronouns spoken during a marital conversation have with the emotional qualities of those interactions and with marital satisfaction. Middle-aged and older couples (N = 154) engaged in a 15-min conflict conversation during which physiology and emotional behavior were continuously monitored. Verbatim transcripts of the conversations were coded into 2 lexical categories: (a) we-ness (we-words), pronouns that focus on the couple; (b) separateness (me/you-words), pronouns that focus on the individual spouses. Analyses revealed that greater we-ness was associated with a number of desirable qualities of the interaction (lower cardiovascular arousal, more positive and less negative emotional behavior), whereas greater separateness was associated with a less desirable profile (more negative emotional behavior, lower marital satisfaction). In terms of age differences, older couples used more we-ness words than did middle-aged couples. Further, the associations between separateness and marital satisfaction were strongest for older wives. These findings indicate that the emotional aspects of marital quality are expressed in the natural language of couples engaged in conversation.

The emotional brain: combining insights from patients and basic science

Emotional dysfunction occurs commonly in neurological disease, although the study of this phenomenon has been relatively neglected. In this introduction to the special issue of Neurocase, we review some key processes underlying normal emotional function and we link these processes to their putative neuroanatomical substrates. Emotions are multimodal phenomena involving the coordinated activation of thoughts, somatic musculature, and the autonomic system in response to shifting environmental demands. Key facets of emotional function include appraisal, reactivity, regulation, emotional understanding, and empathy. These processes are carried out via interactions between the frontal and temporal lobes and insula, and subcortical structures including the amygdala, basal ganglia, hypothalamus and brainstem. A thorough understanding of emotional dysfunction in neurological disease will require a sophisticated approach to studying emotion, which takes into account these various processes and links them to neuroanatomical changes.

Do tests of executive functioning predict ability to downregulate emotions spontaneously and when instructed to suppress?

Behavioral regulation is a hallmark feature of executive functioning (EF). The present study investigated whether commonly used neuropsychological test measures of EF (i.e., working memory, Stroop, trail making, and verbal fluency) were related to ability to downregulate emotion both spontaneously and when instructed to suppress emotional expressions. To ensure a wide range of EF, 24 frontotemporal lobar degeneration patients, 7 Alzheimer's patients, and 17 neurologically normal controls participated. Participants were exposed to an acoustic startle stimulus (single aversive noise burst) under three conditions: (1) unwarned, (2) warned with no instructions (to measure spontaneous emotion downregulation), and (3) warned with instructions to suppress (to measure instructed emotion downregulation). Results indicated that higher verbal fluency scores were related to greater emotion regulation (operationalized as reduction in body movement and emotional facial behavior when warned of the impending startle) in both regulation conditions. No relationships were found between emotion regulation in these conditions and the other EF measures. We conclude that, of four commonly used measures of EF, verbal fluency best indexes the complex processes of monitoring, evaluation, and control necessary for successful emotion regulation, both spontaneously and following instructions to suppress.

Diminished self-conscious emotional responding in frontotemporal lobar degeneration patients

Frontotemporal lobar degeneration (FTLD) is a neurodegenerative disease that dramatically alters social and emotional behavior. Recent work has suggested that self-conscious emotions (e.g., embarrassment) may be particularly vulnerable to disruption in this disease. Self-conscious emotions require the ability to monitor the self in relation to others. These abilities are thought to be subserved by brain regions (e.g., medial prefrontal, anterior cingulate, and insula) that are particularly vulnerable to damage in FTLD. This study examined emotional responding (expressive behavior, peripheral physiology, and subjective experience) in 24 FTLD patients and 16 cognitively normal control participants using a karaoke task known to elicit self-conscious emotion reliably and a nonemotional control task (isometric handgrip). Results indicated that FTLD patients showed diminished self-conscious emotional behavior (embarrassment and amusement) and diminished physiological responding while watching themselves singing. No differences were found between patients and controls in the nonemotional control task. These findings offer evidence of marked disruption of self-conscious emotional responding in FTLD. Diminished self-conscious emotional responding likely contributes significantly to social inappropriateness and other behavioral abnormalities in FTLD.

Social information processing and cardiac predictors of adolescent antisocial behavior

The relations among social information processing (SIP), cardiac activity, and antisocial behavior were investigated in adolescents over a 3-year period (from ages 16 to 18) in a community sample of 585 (48% female, 17% African American) participants. Antisocial behavior was assessed in all 3 years. Cardiac and SIP measures were collected between the first and second behavioral assessments. Cardiac measures assessed resting heart rate (RHR) and heart rate reactivity (HRR) as participants imagined themselves being victimized in hypothetical provocation situations portrayed via video vignettes. The findings were moderated by gender and supported a multiprocess model in which antisocial behavior is a function of trait-like low RHR (for male individuals only) and deviant SIP. In addition, deviant SIP mediated the effects of elevated HRR reactivity and elevated RHR on antisocial behavior (for male and female participants).

Cardiovascular costs of emotion suppression cross ethnic lines

Previous research has shown that inhibiting emotion-expressive behavior (emotion suppression) leads to increased sympathetic activation of the cardiovascular system [Gross, J.J. and Levenson, R.W. (1993). Emotional suppression: physiology, self-report, and expressive behavior. J. Pers. Soc. Psychol. 64(6), 970-986]. Ethnic differences have been reported in how frequently suppression is used as an emotion regulation strategy [Gross, J.J. and John, O. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J. Pers. Soc. Psychol. 85(2), 348-362]; however, it remains unknown whether there are ethnic differences in the physiological consequences of suppression. To test this, 168 participants from four ethnic groups (African American, Chinese American, European American, Mexican American) watched a disgust-eliciting film clip; half were instructed to suppress their emotions and half simply watched the film. Consistent with previous research, suppression was associated with decreased facial behavior, increased cardiovascular activation, and no impact on subjective emotional experience. Ethnicity failed to moderate these effects, indicating the generality of the cardiovascular consequences of emotion suppression across ethnic background.

Emotional reactivity and emotion recognition in frontotemporal lobar degeneration

BACKGROUND

Frontotemporal lobar degeneration (FTLD) is associated with a profound decline in social and emotional behavior; however, current understanding regarding the specific aspects of emotional functioning that are preserved and disrupted is limited.

OBJECTIVE

To assess preservation of function and deficits in two aspects of emotional processing (emotional reactivity and emotion recognition) in FTLD.

METHODS

Twenty-eight FTLD patients were compared with 16 controls in emotional reactivity (self-reported emotional experience, emotional facial behavior, and autonomic nervous system response to film stimuli) and emotion recognition (ability to identify a target emotion of fear, happy, or sad experienced by film characters). Additionally, the neural correlates of emotional reactivity and emotion recognition were investigated.

RESULTS

FTLD patients were comparable to controls in 1) emotional reactivity to the fear, happy, and sad film clips and 2) emotion recognition for the happy film clip. However, FTLD patients were significantly impaired compared with controls in emotion recognition for the fear and sad film clips. Volumetric analyses revealed that deficits in emotion recognition were associated with decreased lobar volumes in the frontal and temporal lobes.

CONCLUSIONS

The socioemotional decline typically seen in frontotemporal lobar degeneration patients may result more from an inability to process certain emotions in other people than from deficits in emotional reactivity.

Subjective, behavioral, and physiological reactivity to ethnically matched and ethnically mismatched film clips

This study examined whether individuals from 4 major ethnic groups within the United States (African American, Chinese American, European American, and Mexican American) showed greater subjective, behavioral, and physiological responses to emotional film clips (amusement, sadness, and disgust) with actors from their own ethnic group (ethnically matched) compared with actors from the other 3 ethnic groups (ethnically mismatched). Evidence showed greater responsivity to ethnically matched films for African Americans and European Americans, with the largest effect for African Americans. These findings were consistent across both sex and level of cultural identification. Findings of ethnic difference notwithstanding, there were many areas in which ethnic differences were not found (e.g., little or no evidence was found of greater response to ethnically matched films in Chinese-American or Mexican- American participants). These findings indicate that the emotional response system clearly reacts to stimuli of diverse ethnic content; however, the system is also amenable to subtle "tuning" that allows for incrementally enhanced responding to members of one's own ethnic or cultural group.

Expressive suppression during an acoustic startle

Previous studies have shown that inhibiting negative or positive emotion-expressive behavior leads to increased sympathetic activation. Inhibiting facial behavior while in an affectively neutral state has no such physiological consequences. This suggests that there may be something special about inhibiting emotion-expressive behavior. To test the boundary conditions of the suppression effect, acoustic startles were delivered to 252 participants in three experimental groups. Participants in one group received unanticipated startles. Participants in the other two groups were told that after a 20-s countdown a loud noise would occur; participants in one of these groups were further told to inhibit their expressive behavior. Results indicated that startle suppression increased sympathetic activation. These findings extend prior work on emotion suppression, and suggest that inhibiting other biologically based responses also may be physiologically taxing.

Self-conscious emotion deficits in frontotemporal lobar degeneration

Frontotemporal lobar degeneration (FTLD) is a neurodegenerative disease associated with dramatic changes in emotion. The precise nature of these changes is not fully understood; however, we believe that the most salient losses relate to self-relevant processing. Thus, FTLD patients exhibit emotional changes that are consistent with a reduction in self-monitoring, self-awareness and the ability to place the self in a social context. In contrast, other more primitive aspects of the emotional system may remain relatively intact. The startle response is a useful way to examine the precise nature of emotional deficits in neurological patients. In addition to a stereotyped defensive response (characterized by negative emotional facial behaviour and physiological activation), in many individuals it also evokes embarrassment, a self-conscious emotional response. Embarrassment seems to occur as the person becomes aware that the reaction to the startle was excessive and was observed by others. Because the self-conscious response depends on certain regions in frontal cortex, we expected that FTLD patients would have specific deficits in their self-conscious response. To test this notion, we examined the response of 30 FTLD patients and 23 cognitively normal controls to a loud, unexpected acoustic startle stimulus (115-dB burst of white noise). Emotional behaviours were measured along with an assessment of somatic, electrodermal, cardiovascular and respiratory responses. Results indicated that FTLD patients and controls were similar in terms of physiological responses and negative emotional facial behaviour to the startle, indicating that the defensive aspect of the startle was preserved. However, there were profound differences in the self-conscious response. FTLD patients showed significantly fewer facial signs of embarrassment than controls. This deficit in self-conscious response could not be explained by sex, cognitive status, age, education, medication, or differences in the negative emotional behaviour or physiological response. Thus, the emotional deficit in FTLD patients' response to the startle suggests a reduction in self-consciousness. These findings suggest that the emotional deficit in FTLD may be most profound in higher-order processes akin to those involved in the generation of embarrassment. These deficits are consistent with neural loss in the medial prefrontal cortex, which may play an important role in the production of self-conscious emotions. Disrupted self-conscious emotions in FTLD patients may have clinical importance because these deficits may underlie some of the socially inappropriate behaviours that are common in these patients.

Cultural and temperamental variation in emotional response

To examine the relative influence of cultural and temperamental factors on emotional response, we compared the emotional behavior, reports of emotional experience, and autonomic responses of 50 European American (EA) and 48 Chinese American (CA) college-age dating couples during conversations about conflicts in their relationships. EA couples showed more positive and less negative emotional behavior than did CA couples, despite similarities in reports of emotional experience and autonomic reactivity. Group differences in emotional behavior were mediated by cultural (values and practices) but not temperamental factors (neuroticism and extraversion). Collapsing across groups, cultural factors accounted for greater variance in emotional behavior but lesser variance in reports of emotional experience compared with temperamental factors. Together, these findings suggest that the relative influence of cultural and temperamental factors on emotion varies by response component.

The tie that binds? Coherence among emotion experience, behavior, and physiology

Emotion theories commonly postulate that emotions impose coherence across multiple response systems. However, empirical support for this coherence postulate is surprisingly limited. In the present study, the authors (a) examined the within-individual associations among experiential, facial behavioral, and peripheral physiological responses during emotional responding and (b) assessed whether emotion intensity moderates these associations. Experiential, behavioral, and physiological responses were measured second-by-second during a film that induced amusement and sadness. Results indicate that experience and behavior were highly associated but that physiological responses were only modestly associated with experience and behavior. Intensity of amusement experience was associated with greater coherence between behavior and physiological responding; intensity of sadness experience was not. These findings provide new evidence about response system coherence in emotions.

Neuroanatomical correlates of impaired recognition of emotion in dementia

Neurodegenerative diseases frequently affect brain regions important for emotional processing, offering a valuable opportunity to study the effects of brain injury on emotion. The current study examined the neuroanatomical correlates of impaired recognition of emotions in patients with neurodegenerative disease. Performance on recognition of facial expressions, as measured by the Florida Affect Battery, was correlated with regional changes in gray matter tissue content in 50 patients with neurodegenerative disease using voxel-based morphometry. Recognition accuracy in the group was poor for negative emotions (fear, anger and sadness) and good for happiness, consistent with previous studies. For negative emotions, a region in the right lateral inferior temporal gyrus (Brodman's area (BA) 20) extending into the right middle temporal gyrus (BA 21) was correlated with accuracy. This effect appeared to be strongest for sadness, which was also independently correlated with atrophy in the superior temporal gyrus. These data suggest that regions in the right lateral and inferolateral temporal lobe are important for visual processing of negative emotions from faces and that functioning of this right temporal network is most critical for recognition of sad faces.

Behavioral Inhibition and Amplification During Emotional Arousal: A Comparison of Two Age Groups

This study investigated age differences in the ability to suppress and amplify expressive behavior during emotional arousal. Young and old participants viewed 3 film clips about medical procedures while their behavioral, autonomic, and subjective responses were recorded. Half of the participants viewed all 3 films without additional instructions; the other half was asked to suppress and amplify their behavioral expression during the 2nd and 3rd films. Except for heart rate, suppression and amplification produced similar patterns of autonomic activation. Neither suppression nor amplification had effects on self-reported emotion. There were no age differences in the ability to suppress or amplify emotional expression or in their physiological or subjective consequences. Considering that older people's unregulated reactivity was lower than that of young adults, suppression may have been easier and amplification more difficult for older adults. Voluntary emotion regulation might be one domain of human performance that is spared from age-related losses.

Cultures of Moderation and Expression: Emotional Experience, Behavior, and Physiology in Chinese Americans and Mexican Americans

Ethnographic accounts suggest that emotions are moderated in Chinese cultures and expressed openly in Mexican cultures. The authors tested this notion by comparing subjective, behavioral, and physiological aspects of emotional responses to 3 (warned, unwarned, instructed to inhibit responding) aversive acoustic startle stimuli in 95 Chinese Americans and 64 Mexican Americans. Subjective reports were consistent with ethnographic accounts; Chinese Americans reported experiencing significantly less emotion than Mexican Americans across all 3 startle conditions. Evidence from a nonemotional task suggested that these differences were not artifacts of cultural differences in the use of rating scales. Few cultural differences were found in emotional behavior or physiology, suggesting that these aspects of emotion are less susceptible to cultural influence.

The autonomic and behavioral profile of emotional dysregulation

The authors describe a patient with focal brain atrophy and emotional lability characterized by episodes of excessive crying and laughing. The patient was selectively impaired in the production of voluntary complex facial movements and was unable to regulate her emotional behavior and autonomic reactivity. She also displayed increased behavioral and autonomic changes when explicitly trying to suppress her responses to emotional stimuli (compared with when not trying to regulate her responses). This pattern of deficits supports a selective deficit in voluntary emotional control.

Sniffing a human sex-steroid derived compound affects mood and autonomic arousal in a dose-dependent manner

The effects of sniffing different concentrations of the human sex-steroid derived compound 4,16-androstadien-3-one (AND) on autonomic nervous system function and mood were measured in 60 subjects. The effects were sex-specific and concentration-dependent. Only high concentrations of AND (0.00625 M) increased positive mood (p < 0.03) and decreased negative mood (p < 0.05) in women compared to men, and had sympathetic-like effects in women (p < 0.003), and parasympathetic-like effects in men (p < 0.05). These findings further implicate AND in chemical communication between humans, but pose questions as to the path by which AND is transduced, whether through chemical sensing or transdermal diffusion.

Recognition of emotion in the frontal and temporal variants of frontotemporal dementia

Recent studies have suggested that the frontal and temporal variants of frontotemporal dementia (fvFTD and tvFTD) are both associated with impairments in emotional processing. However, the degree and type of emotional processing deficits in the two syndromes have not been previously compared. We used the Florida Affect Battery to examine recognition of facial expressions of emotion in fvFTD and tvFTD patients who have no evidence of visual perceptual difficulties for faces. In general, both groups were impaired at recognizing emotions compared with age-matched controls. In tvFTD, this deficit was limited to emotions with a negative valence (sadness, anger, fear), while fvFTD patients showed impairment for positive valence (happiness) as well. These results suggest that damage to frontal lobe regions in FTD may lead to more profound impairment in recognition of emotion than when damage is more limited to the temporal lobe.

The impact of orbital prefrontal cortex damage on emotional activation to unanticipated and anticipated acoustic startle stimuli

Damage to the orbital prefrontal cortex has been implicated in selectively diminishing electrodermal autonomic nervous system responses to anticipated punishing stimuli (e.g., losing money; Bechara, Damasio, & Damasio, 2000), but not to unanticipated punishing stimuli (e.g., loud noises; Damasio, Tranel, & Damasio, 1990). We extended this research by examining the effects of orbitofrontal damage on emotional responses to unanticipated and anticipated acoustic startles and collecting a more extensive set of physiological measures, emotional facial behavior, and self-reported emotional experience. Consistent with previous research, patients showed intact physiology to an unanticipated startle but failed to show appropriate anticipatory cardiovascular responses (patients' heart rates decreased, controls' increased). In addition, patients displayed more surprise facial behavior and reported marginally more fear than did controls in response to the unanticipated startle. Thus, orbitofrontal damage may compromise the ability to anticipate physiologically the onset of aversive stimuli, despite intact or enhanced emotional responses when such stimuli occur unexpectedly.

Blood, sweat, and fears: the autonomic architecture of emotion

The autonomic nervous system (ANS) plays a critical role in emotion, providing metabolic support for adaptive action, generating appearance changes with high signal value for conspecifics, and producing visceral sensations that shape subjective emotional experience. In this chapter, I consider several of the most important ways that the ANS is involved in emotion, including: (a) peripheral activation of emotion; (b) autonomic influences on emotional language and the labeling of subjective emotional experience; (c) positive emotion and autonomic soothing; (d) expressive signs of autonomic origin; (e) autonomic substrates of emotional contagion and empathy; and (f) autonomic consequences of emotion regulation. For each, I describe relevant research from our laboratory and discuss implications for an evolutionary account of emotion. In these and many other ways the autonomic architecture of human emotion has evolved not only to move blood and tears in the service of fears, but also to provide us with a rich set of tools that help us communicate and signal the nature of our internal emotional experiences, understand the emotions of others, calm ourselves and others, and give us some modicum of control over harmful and unproductive emotions.

Sex-steroid derived compounds induce sex-specific effects on autonomic nervous system function in humans

The physiological and psychological effects of 2 human sex-steroid derived compounds, 4.16-androstadien-3-one (AND) and l,3,5(10),16-estratetraen-3-ol(EST) were measured in 24 subjects who participated in a within-subjects, double-blind experiment. A dissociation was evident in the physiological effects of AND, in that it increased physiological arousal in women but decreased it in men. EST did not significantly affect physiological arousal in women or men. Neither compound significantly affected mood. AND is an androgen derivative that is the most prevalent androstene in human male sweat, male axillary hair, and on the male axillary skin surface. The authors argue that AND's opposite effects on physiology in men and women further implicate this compound in chemical communication between humans.

The effects of depression on the emotional responses of Spanish-speaking Latinas

Emotional responses (physiology, self-report, and facial expression) of 12 depressed and 10 nondepressed Spanish-speaking Latinas during sad and amusing film clips of human and animal content were compared. Depressed Latinas demonstrated less electrodermal reactivity across all the film clips and displayed fewer social smiles during the amusing-human film clip than nondepressed Latinas. No differences emerged for cardiovascular measures, reports of emotion, or facial expressions of happiness and negative emotion. Observed differences in electrodermal reactivity are similar to results from previous studies of Anglo Americans, suggesting that reduced electrodermal activity may be linked to depression across cultures. The findings also suggest that, for Latinas, depression may selectively alter expressions that serve interpersonal functions.