1
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Hu K, Hu Y, Godfrey K, Li Q, Li CSR. A 2-year mental health follow-up study subsequent to COVID-19. Psychiatry Res 2024; 333:115684. [PMID: 38219344 DOI: 10.1016/j.psychres.2023.115684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 12/17/2023] [Accepted: 12/20/2023] [Indexed: 01/16/2024]
Abstract
The COVID-19 pandemic has profoundly impacted the mental health and education of college students. This study examined the interrelationships among loneliness, resilience, and COVID-19 fear among college students in Northern Michigan, a region of the United States severely affected by the pandemic. Data were collected from two student cohorts (n = 258), with half surveyed in early 2022 and the other half in mid-2022, two years after pandemic's onset. The Omicron wave peaked in Michigan in January 2022, but by June 2022, cases, hospitalizations, and deaths had significantly declined. Students completed measures of loneliness, resilience, learning difficulty, and psychological symptoms. Key findings are: 1) Participants' fear, loneliness, and academic difficulty decreased over time, reflecting fluctuations in acute situational and emotional states; 2) Unexpectedly, resilience declined from early to mid-2022, suggesting its diminishing protective role under prolonged, pandemic-induced stress; 3) Despite improvements, students continued reporting high academic difficulties. Loneliness, heightened fear, and dampened happiness together contributed to greater academic difficulties; 4) Pre-existing sex differences equalized two years after the pandemic's onset. While modest improvements were noted, enduring academic and mental health impacts signal a need for continued support.
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Affiliation(s)
- Kesong Hu
- School of Psychology, Capital Normal University, Beijing, China; Department of Psychology, University of Arkansas, Little Rock, AR, USA.
| | - Yuhan Hu
- Little Rock Central High School, Little Rock, AR, USA
| | - Kaylene Godfrey
- Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI, USA
| | - Qi Li
- Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI, USA.
| | - Chiang-Shan R Li
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA; Wu Tsai Institute, Yale University, New Haven, CT, USA
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2
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Grégoire L, Anderson BA. Instructional learning of threat-related attentional capture is modulated by state anxiety. Emotion 2024; 24:531-537. [PMID: 37650791 PMCID: PMC10902188 DOI: 10.1037/emo0001291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
The present study aimed to determine whether persistent threat-related attentional capture can result from instructional learning, when participants acquire knowledge of the aversive qualities of a stimulus through verbal instruction. Fifty-four nonclinical adults first performed a visual search task in which a green or red circle was presented as a target. They were instructed that one of these two colors might be paired with an electric shock if they responded slowly or inaccurately, whereas the other color was never associated with shock. However, no shocks were actually delivered. In a subsequent test phase, in which participants were explicitly informed that shocks were no longer possible, former-target-color stimuli were presented as distractors in a visual search task for a shape-defined target. In both tasks, although participants were never exposed to the electric shock, we observed a significant correlation between threat-related attentional priority and state anxiety. Our results demonstrate that exposure to a stimulus with the belief that it could be threatening is sufficient to generate a persistent attentional bias toward that stimulus, but this effect is modulated by state anxiety. Attentional biases for fear-relevant stimuli have been implicated in anxiety disorders, and our findings demonstrate that for anxious participants, attentional biases can be entirely the product of erroneous beliefs concerning the linking between stimuli and possible outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Laurent Grégoire
- Department of Psychological and Brain Sciences, Texas A&M University
| | - Brian A Anderson
- Department of Psychological and Brain Sciences, Texas A&M University
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3
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Hu K, Godfrey K, Ren Q, Wang S, Yang X, Li Q. The impact of the COVID-19 pandemic on college students in USA: Two years later. Psychiatry Res 2022; 315:114685. [PMID: 35872401 PMCID: PMC9197567 DOI: 10.1016/j.psychres.2022.114685] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 05/29/2022] [Accepted: 06/13/2022] [Indexed: 10/26/2022]
Abstract
Coronavirus disease 19 (COVID-19) has posed an unprecedented public health challenge for most countries, and the repeated outbreaks of this disease have created a largest disruption of education systems. The intent of this work was to examine the intersection of COVID-19 fear and mental health consequences among college students in Northern Michigan, a region of the U.S. severely affected by the pandemic. This study was conducted from January 17 to February 25, 2022, two years later since the outbreak of the pandemic, and 151 college students (female, 76) were involved. Participants' potential psychological symptoms, anxiety, happiness, learning difficulty, and demographic information were surveyed. We have three main findings. First, 60.3% of students had tested positive for COVID-19, and more female than male students were affected (female, 69.7%; male, 50.7%). Second, there was a high prevalence of mental problems among college students, with 95.7% of the sample experiencing moderate or severe mood disorders. Third, respondents' education was severely affected by the pandemic, averaging a score of 7.6 on a scale of 10 when asked how much their learning quality was affected. They showed increased fear, stress, and decreased happiness, and these were associated with their learning quality change. Given the impact would be far-reaching, not only college students' mental health but also their learning difficulties should be monitored during the pandemic. These findings are alarming and timely, and their implications are discussed.
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Affiliation(s)
- Kesong Hu
- Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China; Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI, USA.
| | - Kaylene Godfrey
- Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI, USA
| | - Qiping Ren
- Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China
| | - Shenlian Wang
- Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China
| | - Xuemei Yang
- Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China
| | - Qi Li
- School of Psychology, Capital Normal University, Beijing, China.
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4
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Li Q, Dai W, Zheng Y, Wang C, Yang Z, Liu X, Ren Q, Hu K. Social comparisons differentially affect fair and unfair processing in ultimatum bargaining. Neuropsychologia 2022; 174:108318. [PMID: 35830915 DOI: 10.1016/j.neuropsychologia.2022.108318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 07/04/2022] [Accepted: 07/04/2022] [Indexed: 11/30/2022]
Abstract
Several theoretical frameworks have attempted to illustrate the influence of social contexts on decision-making and well-being. Traditional economic models assume that absolute income is the crucial determinant of one's well-being, while the comparative models state that social comparisons influence well-being and decisions. Here we investigated the impact of social comparisons on decision-making using a modified three-player Ultimatum Game and ERP technique. We found two independent effects: First, social comparisons did not affect decision-making when a fair norm was enforced. Second, social comparisons affected fairness consideration for unfair offers only-responders were less likely to accept unfair offers in upward comparisons but more likely to accept unfair offers in downward comparisons. These results revealed that people were envy-free of fair offers while affected mainly by social comparisons when the equality norm was broken. Event-related brain potentials showed that in the early time window (260-320 ms), compared to fair offers, unfair offers elicited a larger negative-going medial frontal negativity (MFN) in upward than parallel and downward comparisons, and in the late stage (320-650 ms), compared to fair offers, unfair offers led to equally less positive-going P300 in upward and downward comparisons relative to parallel comparison. Although partly consistent with the relative standing assumption, both traditional economic models and comparative models require revision to account for the results.
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Affiliation(s)
- Qi Li
- Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China
| | - Weine Dai
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; CFIN and PET Center, Aarhus University, 8200, Aarhus, N C, Denmark; Sino-Danish College, University of Chinese Academy of Sciences, Beijing, China; Sino-Danish Center for Education and Research, Beijing, China
| | - Ya Zheng
- Department of Psychology, Dalian Medical University, Dalian, China
| | - Chunsheng Wang
- Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China
| | - Zhong Yang
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Xun Liu
- CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Qiping Ren
- Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China
| | - Kesong Hu
- Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China; Department of Psychology, Lake Superior State University, Sault St. Marie, MI, USA.
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5
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Balderston NL, Flook E, Hsiung A, Liu J, Thongarong A, Stahl S, Makhoul W, Sheline Y, Ernst M, Grillon C. Patients with anxiety disorders rely on bilateral dlPFC activation during verbal working memory. Soc Cogn Affect Neurosci 2020; 15:1288-1298. [PMID: 33150947 PMCID: PMC7759210 DOI: 10.1093/scan/nsaa146] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 10/01/2020] [Accepted: 10/22/2020] [Indexed: 01/06/2023] Open
Abstract
One of the hallmarks of anxiety disorders is impaired cognitive control, affecting working memory (WM). The dorsolateral prefrontal cortex (dlPFC) is critical for WM; however, it is still unclear how dlPFC activity relates to WM impairments in patients. Forty-one healthy volunteers and 32 anxiety (general and/or social anxiety disorder) patients completed the Sternberg WM paradigm during safety and unpredictable shock threat. On each trial, a series of letters was presented, followed by brief retention and response intervals. On low- and high-load trials, subjects retained the series (five and eight letters, respectively) in the original order, while on sort trials, subjects rearranged the series (five letters) in alphabetical order. We sampled the blood oxygenation level-dependent activity during retention using a bilateral anatomical dlPFC mask. Compared to controls, patients showed increased reaction time during high-load trials, greater right dlPFC activity and reduced dlPFC activity during threat. These results suggest that WM performance for patients and controls may rely on distinct patterns of dlPFC activity with patients requiring bilateral dlPFC activity. These results are consistent with reduced efficiency of WM in anxiety patients. This reduced efficiency may be due to an inefficient allocation of dlPFC resources across hemispheres or a decreased overall dlPFC capacity.
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Affiliation(s)
- Nicholas L Balderston
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
- Center for Neuromodulation in Depression and Stress Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Elizabeth Flook
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
| | - Abigail Hsiung
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
| | - Jeffrey Liu
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
| | - Amanda Thongarong
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
| | - Sara Stahl
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
| | - Walid Makhoul
- Center for Neuromodulation in Depression and Stress Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Yvette Sheline
- Center for Neuromodulation in Depression and Stress Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Monique Ernst
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
| | - Christian Grillon
- Section on Neurobiology of Fear and Anxiety, National Institute of Mental Health National Institutes of Health, Bethesda, MD 20892, USA
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6
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Wang H, Li Y, Chen J, Liu X, Zhang Q, Chen M, Cui L. The interaction between reward and the task-irrelevant emotional context in memory. Memory 2020; 29:129-140. [PMID: 33320037 DOI: 10.1080/09658211.2020.1860229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Reward improves task performance while the emotional contexts irrelevant to the task impair task performance. An interaction between reward and the task-irrelevant emotional context has been discovered by some studies using perceptual tasks. However, it is unclear that how memory performance would be affected by both variables. This study aimed to answer this question and explore the role of arousal induced by emotional stimuli, to which was seldomly paid attention by previous studies. We conducted two experiments with the study-test paradigm. The first difference between the experiments was the way that the emotional stimuli were presented. They were presented with the words (Experiment 1) or separately (Experiment 2). The second difference was that the manipulation of the emotional arousal was phasic (Experiment 1) or tonic (Experiment 2). Both experiments showed that the reward effect was greater in emotional context compared to the neutral context, which is not only due to the poorer memory of no reward-associated words but also the better memory of reward-associated words in emotional contexts especially in negative one. These results supported the view that emotional arousal enhanced the memory of high priority stimuli (reward-associated words) and impaired the memory of low priority stimuli (no reward-associated words).
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Affiliation(s)
- Hui Wang
- Learning and Cognition Key Laboratory of Beijing, School of Psychology, Capital Normal University, Beijing, People's Republic of China
| | - Yang Li
- Learning and Cognition Key Laboratory of Beijing, School of Psychology, Capital Normal University, Beijing, People's Republic of China
| | - Jinyu Chen
- Learning and Cognition Key Laboratory of Beijing, School of Psychology, Capital Normal University, Beijing, People's Republic of China
| | - Xinyu Liu
- Learning and Cognition Key Laboratory of Beijing, School of Psychology, Capital Normal University, Beijing, People's Republic of China
| | - Qin Zhang
- Learning and Cognition Key Laboratory of Beijing, School of Psychology, Capital Normal University, Beijing, People's Republic of China
| | - Mengyuan Chen
- College of Foreign Languages, Capital Normal University, Beijing, People's Republic of China
| | - Lixia Cui
- Learning and Cognition Key Laboratory of Beijing, School of Psychology, Capital Normal University, Beijing, People's Republic of China
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7
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Hu K, De Rosa E, Anderson AK. Differential color tuning of the mesolimbic reward system. Sci Rep 2020; 10:10223. [PMID: 32576844 PMCID: PMC7311418 DOI: 10.1038/s41598-020-66574-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Accepted: 05/13/2020] [Indexed: 02/05/2023] Open
Abstract
Visual wavelengths are not only associated with the subjective experience of color but also have long been thought to regulate affect. Here we examined the attracting rewarding properties of opposite ends of the wavelength spectrum, as well as their individual variation. As reward is multifaceted, we sought convergent evidence from subjective and objective behavioral and attentional indices, as well as its neural reward system bases. On average, short (blue) relative to long (red) wavelengths were judged subjectively more pleasant and had objectively greater behavioral and attentional salience, regulating speed of simple color discriminations and perception of temporal order. Consistent with reward, these color effects were magnified following monetary reinforcement. Pronounced individual differences in color effects were related to reward but not punishment sensitivity, with blue relative to red preference associated with high relative to low reward sensitivity. An fMRI study revealed these individual differences were supported by color-dependent functional coupling between the visual cortices and mesolimbic reward circuitry. Our findings reveal the reward bases of color, demonstrating color is a potent regulator of perception, action, and neural dynamics.
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Affiliation(s)
- Kesong Hu
- Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China. .,Department of Psychology, Lake Superior State University, Sault St. Marie, USA. .,Department of Human Development, Cornell University, Ithaca, USA. .,Human Neuroscience Institute, Cornell University, Ithaca, USA.
| | - Eve De Rosa
- Department of Human Development, Cornell University, Ithaca, USA.,Human Neuroscience Institute, Cornell University, Ithaca, USA
| | - Adam K Anderson
- Department of Human Development, Cornell University, Ithaca, USA. .,Human Neuroscience Institute, Cornell University, Ithaca, USA.
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8
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Qin N, Xue J, Chen C, Zhang M. The Bright and Dark Sides of Performance-Dependent Monetary Rewards: Evidence From Visual Perception Tasks. Cogn Sci 2020; 44:e12825. [PMID: 32180260 DOI: 10.1111/cogs.12825] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 12/17/2019] [Accepted: 02/10/2020] [Indexed: 11/30/2022]
Abstract
Studies have shown that performance-dependent monetary rewards facilitate visual perception. However, no study has examined whether such a positive effect is limited to the rewarded task or may be generalized to other tasks. In the current study, two groups of people were asked to perform two visual perception tasks, one being a reward-relevant task and the other being a reward-irrelevant task. For the reward-relevant task, the experimental group received performance-dependent monetary rewards, whereas the control group did not. For the reward-irrelevant task, both groups were not rewarded. The two tasks were randomly intermixed trial by trial (Experiment 1) or presented block by block (Experiment 2) or session by session (Experiments 3a, 3b, and 3c). Results showed that performance-dependent monetary rewards improved participants' performance on the relevant task in all experiments and impaired their performance on the irrelevant task in Experiments 2, 3a, 3b, and 3c. These results suggested that monetary rewards might incur a cost on reward-irrelevant tasks. Finally, the benefit of monetary rewards disappeared when they were no longer provided during the final session. This is the first study that reveals both the bright and dark sides of the performance-dependent monetary rewards in visual perception.
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Affiliation(s)
- Nan Qin
- CAS Key Laboratory of Behavioral Science, Institute of Psychology.,Department of Psychology, University of Chinese Academy of Sciences
| | - Jingming Xue
- Faculty of Psychology, Beijing Normal University
| | - Chuansheng Chen
- Department of Psychological Science, University of California
| | - Mingxia Zhang
- CAS Key Laboratory of Behavioral Science, Institute of Psychology
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9
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Hu K. Investigations into ventral prefrontal cortex using mediation models. J Neurosci Res 2019; 98:632-642. [PMID: 31420919 DOI: 10.1002/jnr.24512] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2018] [Revised: 07/21/2019] [Accepted: 07/22/2019] [Indexed: 11/11/2022]
Abstract
The ventral prefrontal cortex (vPFC) is a major focus of investigation in neuroscience, particularly in the studies of emotion and emotion-cognition integration. A crucial question concerning the regulatory function of vPFC is how it is recruited, especially how the function maps onto the structure and determines appropriate behavior. In social exclusion studies, mediation model analyses suggest that vPFC regulates distress by disrupting anterior cingulate cortex (ACC) activities, whereas I recently report (Hu, 2018; Neuropsychologia) that ventral medial prefrontal cortex appears to defend the organism from acute stress by activating ACC. In this review, I synthesize and highlight functional imaging research with mediation analysis that over the past decades has begun to offer new insights into the brain mechanisms underlying vPFC. Toward this end, the first section of the paper outlines a model of the processes and neural systems involved in the interaction of emotion and cognition. The second and third sections survey recent research on emotional regulation with negative and positive pathways, respectively, emanating from vPFC. The fourth section summarizes the current dynamic network findings. Functional mediation analysis helps to identify signals within vPFC and others that are common and/or specific to particular information processing. Finally, I provide a personal perspective of the adoption of mediation model analysis in the investigations into vPFC.
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Affiliation(s)
- Kesong Hu
- Department of Psychology, Lake Superior State University, Sault Ste. Marie, Michigan.,Institute of Mental Health, Nanjing Xiaozhuang University, Nanjing, China
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10
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Hu K, De Rosa E, Anderson AK. Yellow is for safety: perceptual and affective perspectives. PSYCHOLOGICAL RESEARCH 2019; 84:1912-1919. [PMID: 31037452 DOI: 10.1007/s00426-019-01186-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 04/12/2019] [Indexed: 10/26/2022]
Abstract
Is there a link between color and safety? Yellow is often used in safety contexts. Using the Singapore accident record datasets, Ho et al. provided evidence that yellow taxis have fewer accidents than blue taxis (Ho et al. in Proc Natl Acad Sci 114(12):3074-3078, 2017). Does yellow differentially influence attention and action and if so is this related to purely visual or affective factors? Here, we examined the visual priority of yellow relative to luminance matched colors at opposing ends of the wavelength spectrum (i.e., red and blue), using a temporal order judgment task, between color pairs. Despite being matched in arousal, when yellow and blue were pitted against each other, yellow was consistently seen as occurring first, even when objectively appearing second at short stimulus onset asynchronies. Despite being matched in valence, yellow again showed a larger temporal priority when it was pitted against red. Yellow temporal priority bias was modulated by individual differences in regulatory focus, highlighting a potential affective-motivational origin. These results support that yellow is a safety color, having a temporal advantage, and further evidence that colors have special influences on cognition, perception and behavior.
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Affiliation(s)
- Kesong Hu
- Department of Human Development, Cornell University, Ithaca, NY, USA. .,Human Neuroscience Institute, Cornell University, Ithaca, NY, USA. .,Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI, USA.
| | - Eve De Rosa
- Department of Human Development, Cornell University, Ithaca, NY, USA.,Human Neuroscience Institute, Cornell University, Ithaca, NY, USA
| | - Adam K Anderson
- Department of Human Development, Cornell University, Ithaca, NY, USA. .,Human Neuroscience Institute, Cornell University, Ithaca, NY, USA.
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11
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Neural correlates of reward-related response tendencies in an equiprobable Go/NoGo task. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2019; 19:555-567. [DOI: 10.3758/s13415-019-00692-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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12
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Winning smiles: Signalling reward by overlapping and non-overlapping emotional valence differentially affects performance and neural activity. Neuropsychologia 2019; 122:28-37. [DOI: 10.1016/j.neuropsychologia.2018.11.018] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 11/23/2018] [Accepted: 11/30/2018] [Indexed: 01/11/2023]
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13
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Padmala S, Sambuco N, Pessoa L. Interactions between reward motivation and emotional processing. PROGRESS IN BRAIN RESEARCH 2019; 247:1-21. [DOI: 10.1016/bs.pbr.2019.03.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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14
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Morriss J, Gell M, van Reekum CM. The uncertain brain: A co-ordinate based meta-analysis of the neural signatures supporting uncertainty during different contexts. Neurosci Biobehav Rev 2018; 96:241-249. [PMID: 30550858 DOI: 10.1016/j.neubiorev.2018.12.013] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 12/09/2018] [Accepted: 12/10/2018] [Indexed: 12/23/2022]
Abstract
Uncertainty is often inevitable in everyday life and can be both stressful and exciting. Given its relevance to psychopathology and wellbeing, recent research has begun to address the brain basis of uncertainty. In the current review we examined whether there are discrete and shared neural signatures for different uncertain contexts. From the literature we identified three broad categories of uncertainty currently empirically studied using functional MRI (fMRI): basic threat and reward uncertainty, decision-making under uncertainty, and associative learning under uncertainty. We examined the neural basis of each category by using a coordinate based meta-analysis, where brain activation foci from previously published fMRI experiments were drawn together (1998-2017; 87 studies). The analyses revealed shared and discrete patterns of neural activation for uncertainty, such as the insula and amygdala, depending on the category. Such findings will have relevance for researchers attempting to conceptualise uncertainty, as well as clinical researchers examining the neural basis of uncertainty in relation to psychopathology.
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Affiliation(s)
- Jayne Morriss
- Centre for Integrative Neuroscience and Neurodynamics, School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.
| | - Martin Gell
- Centre for Integrative Neuroscience and Neurodynamics, School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK
| | - Carien M van Reekum
- Centre for Integrative Neuroscience and Neurodynamics, School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK
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15
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Gorka AX, Fuchs B, Grillon C, Ernst M. Impact of induced anxiety on neural responses to monetary incentives. Soc Cogn Affect Neurosci 2018; 13:1111-1119. [PMID: 30289497 PMCID: PMC6234319 DOI: 10.1093/scan/nsy082] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 08/30/2018] [Accepted: 09/17/2018] [Indexed: 11/13/2022] Open
Abstract
Previous research demonstrates that aversive stimuli can interrupt appetitive processing and that brain regions involved with the processing of potential rewards, such as the ventral striatum (VS), also respond to threatening information. Potential losses can likewise activate the VS and, thus, the full extent to which threat can impact neural responses during incentive processing remains unclear. Here, unpredictable threat of shock was used to induce anxiety while participants performed the monetary incentive delay (MID) task during functional magnetic resonance imaging (fMRI). During anticipation, anxiety impacted neural responses within the bilateral VS and distributed regions of the occipital cortex. Anxiety enhanced activity within the VS to both gain and loss trials. Furthermore, anxiety enhanced activity to both gain and loss trials within dorsal areas of BA19. However, anxiety only enhanced activity during gain, but not loss trials, within ventral areas of BA19. These results suggest that during anticipation, induced anxiety enhanced VS activity to incentives generally, which might reflect changes in the subjective salience of gains and losses. Collectively, these results suggest that the impact of induced anxiety on responses to monetary incentives depend on the neural region, type of incentive, and stage of processing.
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Affiliation(s)
- Adam X Gorka
- Section on the Neurobiology of Fear & Anxiety, National Institute of Mental Health, Bethesda, MD, USA
| | - Bari Fuchs
- Department of Nutritional Sciences, Penn State University, State College, PA, USA
| | - Christian Grillon
- Section on the Neurobiology of Fear & Anxiety, National Institute of Mental Health, Bethesda, MD, USA
| | - Monique Ernst
- Section on the Neurobiology of Fear & Anxiety, National Institute of Mental Health, Bethesda, MD, USA
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16
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Hu K. Neural activity to threat in ventromedial prefrontal cortex correlates with individual differences in anxiety and reward processing. Neuropsychologia 2018; 117:566-573. [PMID: 29981291 DOI: 10.1016/j.neuropsychologia.2018.07.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2018] [Revised: 07/01/2018] [Accepted: 07/02/2018] [Indexed: 01/05/2023]
Abstract
Emotion studies show that ventromedial prefrontal cortex (vmPFC) plays a critical role in negative affect evaluation. Here we investigated two questions: Does the neural sensitivity to threat of bodily harm in vmPFC alter as anxiety levels increase? If the neural sensitivity to threat in vmPFC reflects a kind of general emotional processing, does it predict reward processing? To address these questions, we first recorded participants' self-reported anxiety. In an investigation of neural responses in vmPFC (Session 1), we measured brain activity (fMRI) associated with the anticipation of threat, using a sphere based ROI approach. In a behavioral experiment (Session 2), participants' reward processing efficiency was evaluated when they performed a visual discrimination task in which they had the opportunity to earn cash rewards. We found that across participants, there were tightly coupled associations between signal changes in the vmPFC and self-reported state anxiety. Specifically, participants who showed more activation in vmPFC to threat also exhibited greater behavioral efficiency in reward processing. Path analysis revealed a closely interconnected network of vmPFC (cortical) and VS (ventral striatum, subcortical) which predicted reward processing. Therefore, in addition to negative affect evaluation, neural sensitivity in vmPFC correlated with both anxiety and reward-related metrics. These results support an emerging model in which the vmPFC functions to defend the organism from acute stress and facilitate reward processes.
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Affiliation(s)
- Kesong Hu
- Department of Psychology and Neuroscience, DePauw University, Greencastle, IN 46135, USA; Department of Psychology, University of Maryland, College Park, MD 20742, USA; Department of Human Development, Cornell University, Ithaca, NY 14850, USA; Human Neuroscience Institute, Cornell University, Ithaca, NY 14850, USA.
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17
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Padmala S, Sirbu M, Pessoa L. Potential reward reduces the adverse impact of negative distractor stimuli. Soc Cogn Affect Neurosci 2018; 12:1402-1413. [PMID: 28505380 PMCID: PMC5629819 DOI: 10.1093/scan/nsx067] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 04/23/2017] [Indexed: 11/23/2022] Open
Abstract
Knowledge about interactions between reward and negative processing is rudimentary. Here, we employed functional MRI to probe how potential reward signaled by advance cues alters aversive distractor processing during perception. Behaviorally, the influence of aversive stimuli on task performance was reduced during the reward compared to no-reward condition. In the brain, at the task phase, paralleling the observed behavioral pattern, we observed significant interactions in the anterior insula and dorsal anterior cingulate cortex, such that responses during the negative (vs neutral) condition were reduced during the reward compared to no-reward condition. Notably, negative distractor processing in the amygdala appeared to be independent of the reward manipulation. During the initial cue phase, we observed increased reward-related responses in the ventral striatum/accumbens, which were correlated with behavioral interference scores at the subsequent task phase, revealing that participants with increased reward-related responses exhibited a greater behavioral benefit of reward in reducing the adverse effect of negative images. Furthermore, during processing of reward (vs no-reward) cues, the ventral striatum exhibited stronger functional connectivity with fronto-parietal regions important for attentional control. Together, our findings contribute to the understanding of how potential reward influences attentional control and reduces negative distractor processing in the human brain.
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Affiliation(s)
- Srikanth Padmala
- Department of Psychology.,Neuroscience and Cognitive Sciences Program, University of Maryland, College Park, MD, USA
| | | | - Luiz Pessoa
- Department of Psychology.,Neuroscience and Cognitive Sciences Program, University of Maryland, College Park, MD, USA
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18
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Brewer A, Johnson P, Stein J, Schlund M, Williams DC. Aversive properties of negative incentive shifts in Fischer 344 and Lewis rats. Behav Brain Res 2016; 319:174-180. [PMID: 27864048 DOI: 10.1016/j.bbr.2016.11.025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Revised: 11/07/2016] [Accepted: 11/13/2016] [Indexed: 10/20/2022]
Abstract
Research on incentive contrast highlights that reward value is not absolute but rather is based upon comparisons we make to rewards we have received and expect to receive. Both human and nonhuman studies on incentive contrast show that shifting from a larger more-valued reward to a smaller less-valued reward is associated with long periods of nonresponding - a negative contrast effect. In this investigation, we used two different genetic rat strains, Fischer 344 and Lewis rats that putatively differ in their sensitivity to aversive stimulation, to assess the aversive properties of large-to-small reward shifts (negative incentive shifts). Additionally, we examined the extent to which increasing cost (fixed-ratio requirements) modulates negative contrast effects. In the presence of a cue that signaled the upcoming reward magnitude, lever pressing was reinforced with one of two different magnitudes of food (large or small). This design created two contrast shifts (small-to-large, large-to-small) and two shifts used as control conditions (small-to-small, large-to-large). Results showed a significant interaction between rat strain and cost requirements only during the negative incentive shift with the emotionally reactive Fischer 344 rats exhibiting significantly longer response latencies with increasing cost, highlighting greater negative contrast. These findings are more consistent with emotionality accounts of negative contrast and results of neurophysiological research that suggests shifting from a large to a small reward is aversive. Findings also highlight how subjective reward value and motivation is a product of gene-environment interactions.
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Affiliation(s)
| | | | - Jeff Stein
- Virginia Tech Carillion Research Institute, Roanoke, VA, USA
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Kaag AM, Schluter RS, Karel P, Homberg J, van den Brink W, Reneman L, van Wingen GA. Aversive Counterconditioning Attenuates Reward Signaling in the Ventral Striatum. Front Hum Neurosci 2016; 10:418. [PMID: 27594829 PMCID: PMC4990538 DOI: 10.3389/fnhum.2016.00418] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Accepted: 08/08/2016] [Indexed: 12/17/2022] Open
Abstract
Appetitive conditioning refers to the process of learning cue-reward associations and is mediated by the mesocorticolimbic system. Appetitive conditioned responses are difficult to extinguish, especially for highly salient reward such as food and drugs. We investigate whether aversive counterconditioning can alter reward reinstatement in the ventral striatum in healthy volunteers using functional magnetic resonance imaging (fMRI). In the initial conditioning phase, two different stimuli were reinforced with a monetary reward. In the subsequent counterconditioning phase, one of these stimuli was paired with an aversive shock to the wrist. In the following extinction phase, none of the stimuli were reinforced. In the final reinstatement phase, reward was reinstated by informing the participants that the monetary gain could be doubled. Our fMRI data revealed that reward signaling in the ventral striatum and ventral tegmental area following reinstatement was smaller for the stimulus that was counterconditioned with an electrical shock, compared to the non-counterconditioned stimulus. A functional connectivity analysis showed that aversive counterconditioning strengthened striatal connectivity with the hippocampus and insula. These results suggest that reward signaling in the ventral striatum can be attenuated through aversive counterconditioning, possibly by concurrent retrieval of the aversive association through enhanced connectivity with hippocampus and insula.
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Affiliation(s)
- Anne Marije Kaag
- Department of Radiology, Academic Medical CenterAmsterdam, Netherlands; Department of Psychiatry, Academic Medical CenterAmsterdam, Netherlands; Amsterdam Brain and Cognition, University of AmsterdamAmsterdam, Netherlands
| | - Renée S Schluter
- Department of Psychiatry, Academic Medical Center Amsterdam, Netherlands
| | - Peter Karel
- Donders Institute for Brain, Cognition, and Behaviour, Medical Centre, Radboud University Nijmegen, Netherlands
| | - Judith Homberg
- Donders Institute for Brain, Cognition, and Behaviour, Medical Centre, Radboud University Nijmegen, Netherlands
| | - Wim van den Brink
- Department of Psychiatry, Academic Medical Center Amsterdam, Netherlands
| | - Liesbeth Reneman
- Department of Radiology, Academic Medical Center Amsterdam, Netherlands
| | - Guido A van Wingen
- Department of Psychiatry, Academic Medical CenterAmsterdam, Netherlands; Amsterdam Brain and Cognition, University of AmsterdamAmsterdam, Netherlands; Spinoza Center for Neuroimaging, Institute of the Royal Netherlands Academy of Arts and SciencesAmsterdam, Netherlands
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Schlund MW, Brewer AT, Magee SK, Richman DM, Solomon S, Ludlum M, Dymond S. The tipping point: Value differences and parallel dorsal–ventral frontal circuits gating human approach–avoidance behavior. Neuroimage 2016; 136:94-105. [DOI: 10.1016/j.neuroimage.2016.04.070] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Revised: 04/28/2016] [Accepted: 04/29/2016] [Indexed: 01/22/2023] Open
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Abstract
AbstractIn the précis to The Cognitive-Emotional Brain, I summarize a framework for understanding the organization of cognition and emotion in the brain. Here, I address six major themes that emerged in the commentaries: (1) emotional perception and automaticity; (2) the status of cognition and emotion: together or separate? (3) evolutionary implications for the understanding of emotion and cognition; (4) the diverse forms of cognitive-emotional integration; (5) dual process theories; and (6) functional diversity of brain regions/networks and cognitive ontologies. The central argument is, again, that cognition and emotion are so highly interactive, and indeed integrated, that these two elements blend into a new amalgam.
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Yokoyama T, Padmala S, Pessoa L. Reward learning and negative emotion during rapid attentional competition. Front Psychol 2015; 6:269. [PMID: 25814971 PMCID: PMC4357219 DOI: 10.3389/fpsyg.2015.00269] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2014] [Accepted: 02/23/2015] [Indexed: 11/29/2022] Open
Abstract
Learned stimulus-reward associations influence how attention is allocated, such that stimuli rewarded in the past are favored in situations involving limited resources and competition. At the same time, task-irrelevant, high-arousal negative stimuli capture attention and divert resources away from tasks resulting in poor behavioral performance. Yet, investigations of how reward learning and negative stimuli affect perceptual and attentional processing have been conducted in a largely independent fashion. We have recently reported that performance-based monetary rewards reduce negative stimuli interference during perception. The goal of the present study was to investigate how stimuli associated with past monetary rewards compete with negative stimuli during a subsequent attentional task when, critically, no performance-based rewards were at stake. Across two experiments, we found that target stimuli that were associated with high reward reduced the interference effect of potent, negative distractors. Similar to our recent findings with performance-based rewards, our results demonstrate that reward-associated stimuli reduce the deleterious impact of negative stimuli on behavior.
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Affiliation(s)
- Takemasa Yokoyama
- Department of Psychology, University of Maryland College Park, MD, USA ; Graduate School of Environmental Studies, Nagoya University Nagoya, Japan ; Japan Society for the Promotion of Science Tokyo, Japan
| | - Srikanth Padmala
- Department of Psychology, University of Maryland College Park, MD, USA ; Neuroscience and Cognitive Science program, University of Maryland College Park, MD, USA
| | - Luiz Pessoa
- Department of Psychology, University of Maryland College Park, MD, USA
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Choi JM, Padmala S, Pessoa L. Counteracting effect of threat on reward enhancements during working memory. Cogn Emot 2015; 29:1517-26. [PMID: 25559397 DOI: 10.1080/02699931.2014.993596] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Cognitive performance has been shown to be enhanced when performance-based rewards are at stake. On the other hand, task-irrelevant threat processing has been shown to have detrimental effects during several cognitive tasks. Crucially, the impact of reward and threat on cognition has been studied largely independently of one another. Hence, our understanding of how reward and threat simultaneously contribute to performance is incomplete. To fill in this gap, the present study investigated how reward and threat interact with one another during a cognitive task. We found that threat of shock counteracted the beneficial effect of reward during a working memory task. Furthermore, individual differences in self-reported reward-sensitivity and anxiety were linked to the extent to which reward and threat interacted during behaviour. Together, the current findings contribute to a limited but growing literature unravelling how positive and negative information processing jointly influence cognition.
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Affiliation(s)
- Jong Moon Choi
- a Neuroscience and Cognitive Science Program , University of Maryland , College Park , MD , USA.,b Department of Psychology , University of Maryland , College Park , MD , USA
| | - Srikanth Padmala
- a Neuroscience and Cognitive Science Program , University of Maryland , College Park , MD , USA.,b Department of Psychology , University of Maryland , College Park , MD , USA
| | - Luiz Pessoa
- b Department of Psychology , University of Maryland , College Park , MD , USA
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Uncovering the interaction between empathetic pain and cognition. PSYCHOLOGICAL RESEARCH 2014; 79:1054-63. [PMID: 25476997 DOI: 10.1007/s00426-014-0634-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Accepted: 11/24/2014] [Indexed: 12/14/2022]
Abstract
Recent studies have demonstrated that empathizing with pain involves both cognitive and affective components of pain. How does empathetic pain impact cognition? To investigate this question, in the present study, participants performed a classic color-word Stroop task that followed a pain portraying or a corresponding control image. We found that observing pain experience in another had a basic slowing down effect on Reaction times (RTs) during neutral Stroop trials. Further, it affected cognition in a way that it decreased interference and increased facilitation. Moreover, our findings revealed that RTs during the incongruent and congruent trials were essentially unchanged by pain observing (empathy vs. control). The data are best accounted by a two-opposing effect model that empathetic pain impacts cognition through two different ways: it slows down performance in general, and facilitates performance during incongruent and congruent trials in particular. In this way, the present study also lends support to an idea that all components of empathy should be understood from an integrative approach.
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25
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Abstract
Visual processing is influenced by stimulus-driven and goal-driven factors. Recent interest has centered on understanding how reward might provide additional contributions to visual perception and unraveling the underlying neural mechanisms. In this review, I suggest that the impact of reward on vision is not unitary and depends on the type of experimental manipulation. With this in mind, I outline a possible classification of the main paradigms employed in the literature and discuss potential brain processes that operate during some of the experimental manipulations described.
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26
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Grimshaw GM, Carmel D. An asymmetric inhibition model of hemispheric differences in emotional processing. Front Psychol 2014; 5:489. [PMID: 24904502 PMCID: PMC4033216 DOI: 10.3389/fpsyg.2014.00489] [Citation(s) in RCA: 72] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Accepted: 05/05/2014] [Indexed: 11/13/2022] Open
Abstract
Two relatively independent lines of research have addressed the role of the prefrontal cortex in emotional processing. The first examines hemispheric asymmetries in frontal function; the second focuses on prefrontal interactions between cognition and emotion. We briefly review each perspective and highlight inconsistencies between them. We go on to describe an alternative model that integrates approaches by focusing on hemispheric asymmetry in inhibitory executive control processes. The asymmetric inhibition model proposes that right-lateralized executive control inhibits processing of positive or approach-related distractors, and left-lateralized control inhibits negative or withdrawal-related distractors. These complementary processes allow us to maintain and achieve current goals in the face of emotional distraction. We conclude with a research agenda that uses the model to generate novel experiments that will advance our understanding of both hemispheric asymmetries and cognition-emotion interactions.
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Affiliation(s)
- Gina M Grimshaw
- School of Psychology, Victoria University of Wellington Wellington, New Zealand
| | - David Carmel
- Psychology Department, University of Edinburgh Edinburgh, UK
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27
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Padmala S, Pessoa L. Motivation versus aversive processing during perception. ACTA ACUST UNITED AC 2014; 14:450-4. [PMID: 24708503 DOI: 10.1037/a0036112] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Reward facilitates performance and boosts cognitive performance across many tasks. At the same time, negative affective stimuli interfere with performance when they are not relevant to the task at hand. Yet, the investigation of how reward and negative stimuli impact perception and cognition has taken place in a manner that is largely independent of each other. How reward and negative emotion simultaneously contribute to behavioral performance is currently poorly understood. The aim of the present study was to investigate how the simultaneous manipulation of positive motivational processing (here manipulated via reward) and aversive processing (here manipulated via negative picture viewing) influence behavior during a perceptual task. We tested 2 competing hypotheses about the impact of reward on negative picture viewing. On the one hand, suggestions about the automaticity of emotional processing predict that negative picture interference would be relatively immune to reward. On the other, if affective visual processing is not obligatory, as we have argued in the past, reward may counteract the deleterious effect of more potent negative pictures. We found that reward counteracted the effect of potent, negative distracters during a visual discrimination task. Thus, when sufficiently motivated, participants were able to reduce the deleterious impact of bodily mutilation stimuli.
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28
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Morrison I, Perini I, Dunham J. Facets and mechanisms of adaptive pain behavior: predictive regulation and action. Front Hum Neurosci 2013; 7:755. [PMID: 24348358 PMCID: PMC3842910 DOI: 10.3389/fnhum.2013.00755] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Accepted: 10/21/2013] [Indexed: 12/30/2022] Open
Abstract
Neural mechanisms underlying nociception and pain perception are considered to serve the ultimate goal of limiting tissue damage. However, since pain usually occurs in complex environments and situations that call for elaborate control over behavior, simple avoidance is insufficient to explain a range of mammalian pain responses, especially in the presence of competing goals. In this integrative review we propose a Predictive Regulation and Action (PRA) model of acute pain processing. It emphasizes evidence that the nervous system is organized to anticipate potential pain and to adjust behavior before the risk of tissue damage becomes critical. Regulatory processes occur on many levels, and can be dynamically influenced by local interactions or by modulation from other brain areas in the network. The PRA model centers on neural substrates supporting the predictive nature of pain processing, as well as on finely-calibrated yet versatile regulatory processes that ultimately affect behavior. We outline several operational categories of pain behavior, from spinally-mediated reflexes to adaptive voluntary action, situated at various neural levels. An implication is that neural processes that track potential tissue damage in terms of behavioral consequences are an integral part of pain perception.
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Affiliation(s)
- India Morrison
- 1Department of Clinical Neurophysiology, Sahlgrenska University Hospital Gothenburg, Sweden ; 2Institute of Neuroscience and Physiology, University of Gothenburg Gothenburg, Sweden ; 3Department of Cognitive Neuroscience and Philosophy, University of Skövde Skövde, Sweden
| | - Irene Perini
- 1Department of Clinical Neurophysiology, Sahlgrenska University Hospital Gothenburg, Sweden ; 2Institute of Neuroscience and Physiology, University of Gothenburg Gothenburg, Sweden
| | - James Dunham
- 1Department of Clinical Neurophysiology, Sahlgrenska University Hospital Gothenburg, Sweden
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