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Millroth P, Frey R. Fear and anxiety in the face of COVID-19: Negative dispositions towards risk and uncertainty as vulnerability factors. J Anxiety Disord 2021; 83:102454. [PMID: 34298237 PMCID: PMC8426312 DOI: 10.1016/j.janxdis.2021.102454] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 05/24/2021] [Accepted: 07/09/2021] [Indexed: 12/01/2022]
Abstract
In the face of the COVID-19 pandemic it is important to identify factors that make people particularly vulnerable of developing mental-health issues in order to provide case-specific treatments. In this article, we examine the roles of two psychological constructs - originally put forth in the behavioral decision sciences - in predicting interindividual differences in fear responses: general risk aversion (GRA) and intolerance of uncertainty (IU). We first provide a review of these constructs and illustrate why they may play important roles in shaping anxiety-related disorders. Thereafter we present an empirical study that collected survey data from 550 U.S. residents, comprising self-assessments of dispositions towards risk and uncertainty, anxiety- and depression levels, as well as demographic variables - to thus test the extent to which these psychological constructs are predictive of strong fear responses related to COVID-19 (i.e., mortal fear, racing heart). The results from Bayesian multi-model inference analyses showed that GRA and IU were more powerful predictors of fear responses than demographic variables. Moreover, the predictive power of these constructs was independent of general anxiety- and depression levels. Subsequent mediation analyses showed that the effects of GRA and IU were both direct and indirect via anxiety. We conclude by discussing possible treatment options, but also highlight that future research needs to further examine causal pathways and conceptual overlaps.
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Leenaars CH, Van der Mierden S, Joosten RN, Van der Weide MA, Schirris M, Dematteis M, Meijboom FL, Feenstra MG, Bleich A. Risk-Based Decision Making: A Systematic Scoping Review of Animal Models and a Pilot Study on the Effects of Sleep Deprivation in Rats. Clocks Sleep 2021; 3:31-52. [PMID: 33498259 PMCID: PMC7838799 DOI: 10.3390/clockssleep3010003] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 01/13/2021] [Accepted: 01/18/2021] [Indexed: 02/07/2023] Open
Abstract
Animals, including humans, frequently make decisions involving risk or uncertainty. Different strategies in these decisions can be advantageous depending the circumstances. Short sleep duration seems to be associated with more risky decisions in humans. Animal models for risk-based decision making can increase mechanistic understanding, but very little data is available concerning the effects of sleep. We combined primary- and meta-research to explore the relationship between sleep and risk-based decision making in animals. Our first objective was to create an overview of the available animal models for risky decision making. We performed a systematic scoping review. Our searches in Pubmed and Psychinfo retrieved 712 references, of which 235 were included. Animal models for risk-based decision making have been described for rodents, non-human primates, birds, pigs and honey-bees. We discuss task designs and model validity. Our second objective was to apply this knowledge and perform a pilot study on the effect of sleep deprivation. We trained and tested male Wistar rats on a probability discounting task; a “safe” lever always resulted in 1 reward, a “risky” lever resulted in 4 or no rewards. Rats adapted their preferences to variations in reward probabilities (p < 0.001), but 12 h of sleep deprivation during the light phase did not clearly alter risk preference (p = 0.21).
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Affiliation(s)
- Cathalijn H.C. Leenaars
- Institute for Laboratory Animal Science, Hannover Medical School, 30625 Hannover, Germany; (S.V.d.M.); (A.B.)
- Department for Health Evidence (Section HTA), SYRCLE, Radboud University Medical Centre, 6600 Nijmegen, The Netherlands
- Unit Animals in Science and Society, Population Health Sciences, Utrecht University, 3500 Utrecht, The Netherlands;
- Correspondence: ; Tel.: +49-511-532-1368
| | - Stevie Van der Mierden
- Institute for Laboratory Animal Science, Hannover Medical School, 30625 Hannover, Germany; (S.V.d.M.); (A.B.)
- Department for Health Evidence (Section HTA), SYRCLE, Radboud University Medical Centre, 6600 Nijmegen, The Netherlands
| | - Ruud N.J.M.A. Joosten
- Netherlands Institute for Neuroscience, an Institute of the Royal Netherlands Academy of Arts and Sciences, 1000 Amsterdam, The Netherlands; (R.N.J.M.A.J.); (M.A.V.d.W.); (M.S.); (M.G.P.F.)
| | - Marnix A. Van der Weide
- Netherlands Institute for Neuroscience, an Institute of the Royal Netherlands Academy of Arts and Sciences, 1000 Amsterdam, The Netherlands; (R.N.J.M.A.J.); (M.A.V.d.W.); (M.S.); (M.G.P.F.)
| | - Mischa Schirris
- Netherlands Institute for Neuroscience, an Institute of the Royal Netherlands Academy of Arts and Sciences, 1000 Amsterdam, The Netherlands; (R.N.J.M.A.J.); (M.A.V.d.W.); (M.S.); (M.G.P.F.)
| | - Maurice Dematteis
- Department of Addiction Medicine, Grenobles Alpes University Hospital, Faculty of Medicine, Grenoble Alpes University, 38400 Grenoble, France;
| | - Franck L.B. Meijboom
- Unit Animals in Science and Society, Population Health Sciences, Utrecht University, 3500 Utrecht, The Netherlands;
| | - Matthijs G.P. Feenstra
- Netherlands Institute for Neuroscience, an Institute of the Royal Netherlands Academy of Arts and Sciences, 1000 Amsterdam, The Netherlands; (R.N.J.M.A.J.); (M.A.V.d.W.); (M.S.); (M.G.P.F.)
| | - André Bleich
- Institute for Laboratory Animal Science, Hannover Medical School, 30625 Hannover, Germany; (S.V.d.M.); (A.B.)
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