Asymmetry in hand grip strength and fatigue in low- and high-hostile men

The effect of anger expression style on cardiovascular responses to lateralized cognitive stressors

To determine the effects of self-reported anger expression style on cerebrally lateralized physiological responses to neuropsychological stressors, changes in systolic blood pressure and heart rate were examined in response to a verbal fluency task and a figural fluency task among individuals reporting either "anger in" or "anger out" expression styles. Significant group by trial interaction effects was found for systolic blood pressure following administration of verbal fluency [F(1,54) = 5.86, p < 0.05] and nonverbal fluency stressors [F(1,54) = 13.68, p < .001]. Similar interactions were seen for systolic heart rate following administration of verbal fluency [F(1,54) = 5.86, p < .005] and nonverbal fluency stressors [F(1,54) = 13.68, p < .001]. The corresponding results are discussed in terms of functional cerebral systems and potential implications for physiological models of anger. Given the association between anger and negative physical health outcomes, there is a clear need to better understand the physiological components of anger. The results of this experiment indicate that a repressive "anger in" expression style is associated with deregulation of the right frontal region. This same region has been shown to be intimately involved in cardiovascular recovery, glucose metabolism, and blood pressure regulation.

Frontal lobe regulation of blood glucose levels: support for the limited capacity model in hostile violence-prone men

Hostile men have reliably displayed an exaggerated sympathetic stress response across multiple experimental settings, with cardiovascular reactivity for blood pressure and heart rate concurrent with lateralized right frontal lobe stress (Trajanoski et al., in Diabetes Care 19(12):1412-1415, 1996; see Heilman et al., in J Neurol Neurosurg Psychiatry 38(1):69-72, 1975). The current experiment examined frontal lobe regulatory control of glucose in high and low hostile men with concurrent left frontal lobe (Control Oral Word Association Test [verbal]) or right frontal lobe (Ruff Figural Fluency Test [nonverbal]) stress. A significant interaction was found for Group × Condition, F (1,22) = 4.16, p ≤ .05 with glucose levels (mg/dl) of high hostile men significantly elevated as a function of the right frontal stressor (M = 101.37, SD = 13.75) when compared to the verbal stressor (M = 95.79, SD = 11.20). Glucose levels in the low hostile group remained stable for both types of stress. High hostile men made significantly more errors on the right frontal but not the left frontal stressor (M = 17.18, SD = 19.88) when compared to the low hostile men (M = 5.81, SD = 4.33). These findings support our existing frontal capacity model of hostility (Iribarren et al., in J Am Med Assoc 17(19):2546-2551, 2000; McCrimmon et al., in Physiol Behav 67(1):35-39, 1999; Brunner et al., in Diabetes Care 21(4):585-590, 1998), extending the role of the right frontal lobe to regulatory control over glucose mobilization.

Brain Lateralization of Emotional Processing: Historical Roots and a Future Incorporating “Dominance”

This article provides a review of research on the hemispheric specialization in emotional processing during the past 40 years and the theoretical models derived from the conceptual analysis of these results. The publications reviewed here were collected to better appreciate the cortical lateralization of emotional perception (visual and auditory), expression (facial and prosodic), and experience. Four major models of emotional processing are discussed—the Right Hemisphere, Valence, Approach-Withdrawal, and Behavioral Inhibition System–Behavioral Activation System models. Observing the relative merits and limitations of these models, a new direction for exploration is offered. Specifically, to better appreciate the strength and direction (i.e., approach versus withdrawal) of experienced emotions, it is recommended that state “dominance” be evaluated in the context of asymmetrical activation of left-frontal (dominance) versus right-frontal (submission) brain regions.

Physiological and behavioural indices of hostility: an extension of the capacity model to include exposure to affective stress and right lateralized motor stress

Right hemisphere functional cerebral systems have reliably been associated with sympathetic nervous system arousal and the perception of negative affective events. The goal of the current research was to provide additional support for the capacity model of hostility by examining changes attributable to functional cerebral systems within the right hemisphere using a dual concurrent task paradigm. To incorporate exposure to negative affective and right-lateralized motor stress using this approach, high and low hostile individuals completed a series of grip-strength tasks before and after hearing a recording of angry infant vocalizations. Results supported the capacity model in that high hostile individuals were unable to maintain regulatory control over right hemisphere activation as indicated through increased motor perseveration in the pre- and post-affective stress conditions, heightened systolic blood pressure (SBP) upon exposure to negative emotional sounds, and increased heart rate (HR) following stress. Conversely, low hostile individuals showed improved regulatory control over these regions as evidenced by reduced motor perseveration in the pre- and post-affective stress conditions, maintenance of SBP and reductions in HR following stress. The current data support the capacity model and extend its scope to include exposure to affective and right-lateralized motor stress.

An extension of the functional cerebral systems approach to hostility: a capacity model utilizing a dual concurrent task paradigm

Regulatory control of emotions and expressive fluency (verbal or design) have historically been associated with the frontal lobes. Moreover, research has demonstrated the importance of cerebral laterality with a prominent role of the right frontal regions in the regulation of negative affect (anger, hostility) and in the fluent production of designs rather than verbal fluency. In the present research, participants identified with high and with low levels of hostility were evaluated on a design fluency test twice in one experimental session. Before the second administration of the fluency test, each participant underwent physiological (cold pressor) stress. It was hypothesized that diminished right frontal capacity in high-hostile men would be evident through lowered performance on this cognitive stressor. Convergent validity of the capacity model was supported wherein high-hostile men evidenced reduced delta magnitude over the right frontal region after exposure to the physiological stressor but failed to maintain consistent levels of right cerebral activation across conditions. The results suggest an inability for high-hostile men to maintain stable levels of cerebral activation after exposure to physiological and cognitive stress. Moreover, low-hostiles showed enhanced cognitive performance on the design task with lower levels of arousal (heightened delta magnitude). In contrast, reduced arousal yielded increased executive deficits in high-hostiles as evidenced through increased perseverative errors on the design fluency task.

EFFECTS OF HOSTILITY AND STRESS ON AFFECTIVE VERBAL LEARNING IN WOMEN

The current experiment investigated the effects of hostility on affective verbal learning and physiological regulation in high and low hostile women. The Auditory Affective Verbal Learning Test (AAVLT) was administered to women in either a cold pressor or no cold pressor condition. Systolic blood pressure, diastolic blood pressure, and heart rate were recorded before and after the cold pressor or no cold pressor manipulation. Results indicated that high hostile women learned fewer words across conditions. The cold pressor primarily influenced neutral learning in high and low hostile participants. Additionally, primacy and recency effects of the AAVLT were replicated.

Emotion and Pain: A Functional Cerebral Systems Integration

Emotion and pain are psychological constructs that have received extensive attention in neuropsychological research. However, neuropsychological models of emotional processing have made more progress in describing how brain regions interact to process emotion. Theories of emotional processing can describe inter-hemispheric and intra-hemispheric interactions during emotional processing. Due to similarities between emotion and pain, it is thought that emotional models can be applied to pain. The following review examines the neuropsychology of emotion and pain using a functional cerebral systems approach. Specific comparisons are made between pain and anger. Attention is given to differences in cerebral function and physiology that may contribute to the processing of emotion and pain. Suggestions for future research in emotion and pain are given.

Lateralized Visual Hallucinations: An Analysis of Affective Valence

Visual formaesthesias (hallucinations) are a common symptom of neurological insult. Research on emotional valances and the laterality of emotional valence extends to clinical populations experiencing visual hallucinations. The purpose of this project was to evaluate the relationship of reported hemispace of visual formaesthesia and associated emotional valence. Based on current literature exploring asymmetries in the processing of emotional valence, it was predicted that right visual formaesthesias would be predominantly associated with positive emotion and that left visual formaesthesias would largely be associated with negative emotion. Review of archival data on 150 neuropsychological patients from a rehabilitation unit in a tertiary care regional medical center resulted in 25 men and women, ages 25 to 93, endorsing visual formaesthesia upon neuropsychological interview. Analysis of variance results indicate the associated affective valence of the visual formaesthesia is a function of location, F(1, 24) = 8.33, p < .008. Additionally, the majority (84%) of sensory deficits detected were left-sided, regardless of the location of the formaesthesia. Patients specifically evidencing visual and tactile deficits had essentially exclusive left-sided deficits regardless of the location of the formaesthesia.

A fatigue resistance test for elderly persons based on grip strength: reliability and comparison with healthy young subjects

BACKGROUND AND AIMS

Although a wide variety of protocols are available for evaluating skeletal muscle fatigue resistance, they often necessitate important technological resources or are too complicated for elderly subjects. We present here a new test, designed for elderly persons, based on maintaining maximal voluntary grip strength as long as possible. The aim of the study was to determine the reliability of this test procedure in hospitalized geriatric patients and in young healthy persons.

METHODS

Fatigue resistance was considered as the time in which grip strength decreases to 50% of its maximum value. Twenty geriatric, hospitalized patients (age 83 +/- 6 yrs) and thirty-nine young, healthy persons (age 23 +/- 4 yrs) were evaluated for fatigue resistance by two different observers. Height, weight and body mass index were determined for each participant and the current amount of sports activity was recorded in the young subjects.

RESULTS

All participants were able to perform the test. Inter- and intra-rater reliability in both subgroups was good to excellent, with ICC(3,1) values ranging from 0.77 to 0.94. No significant differences in inter- and intra-rater measurements were found, except for inter-observer evaluations of the dominant hand in hospitalized geriatric patients. No significant relationships were found between fatigue resistance and maximal grip strength, anthropometrics or gender.

CONCLUSIONS

The proposed fatigue resistance test is a reliable tool to evaluate geriatric hospitalized patients as well as young, active and healthy persons. Fatigue resistance scores are not related to gender, maximal strength or anthropometrics within the observed subgroups.

Hostility and facial affect recognition: Effects of a cold pressor stressor on accuracy and cardiovascular reactivity

The effects of hostility and a cold pressor stressor on the accuracy of facial affect perception were examined in the present experiment. A mechanism whereby physiological arousal level is mediated by systems which also mediate accuracy of an individual's interpretation of affective cues is described. Right-handed participants were classified as high hostile (N = 28) or low hostile (N = 28) using the Cook Medley Hostility Scale. The high-hostile group met joint selection criteria. Only high-hostile participants who showed cardiovascular reactivity to the cold pressor, with systolic BP change exceeding the group mean were included. Groups were further subdivided into cold pressor and non-cold pressor test conditions. It was predicted that high-hostile men, relative to low-hostile men, would show decreased perceptual accuracy when presented with happy, angry, and neutral facial configurations within the left visual field (LVF). Results indicated that high-hostile men were less accurate than low-hostile men in the LVF. Further, pre-stress accuracy scores in the high-hostile men were similar to the post-stress accuracy scores of the low-hostile men. The lateralization of affective function and the role of physiological arousal in affective facial perception are discussed.

Functional cerebral asymmetry in hostility: a dual task approach with fluency and cardiovascular regulation

The influence of hostility levels on verbal and nonverbal fluency, and the concurrent cerebral regulation of autonomic nervous system functioning was examined in 48 right-handed males, half classified as low-hostile, and half as high-hostile. Recent research has supported inhibitory roles for the anterior right cerebrum in sympathetic regulation, and the anterior left cerebrum in parasympathetic regulation. Two neuropsychological tests purportedly mediated by left and right anterior cerebral systems, respectively, are the Controlled Oral Word Association Test and the Ruff Figural Fluency Test. Fluency and perseverative errors were assessed using these measures. Systolic and diastolic blood pressure, and heart rate were assessed with a digital blood pressure meter. It was predicted that high-hostile men would evidence interference on cardiovascular regulation concurrent with the nonverbal fluency task in comparison to low-hostile males. Further, interference was expected to manifest in the cognitive variable with more perseverative errors on the nonverbal fluency task in high-hostile males than in low-hostile males. The results support a capacity-limited prediction. High-hostile males evidenced significantly heightened systolic blood pressure during the nonverbal fluency task in comparison with low-hostile males. Further, high-hostile males displayed more perseverative errors in nonverbal fluency than did the low-hostile males. These results support the expectation that differences exist between high- and low-hostile males for right frontal functioning. These findings were discussed within the proposed anterior-posterior inhibition model of hostility.