Strategic regulation of cognitive control by emotional salience: A neural network model

Domain-specific control for cognitive and emotional conflict: Evidence from the transfer of proportion congruency effects

There is ongoing debate about whether control-related processing related to cognitive conflict and emotional conflict operate independently. This study manipulated the proportion of congruent to incongruent trials to determine the domain specificity or generality of these two types of conflict control. Two experiments were conducted in which spatial Simon conflict was combined with emotional face-word conflict. In Experiment 1, the proportion congruency (PC) of spatial conflict was manipulated, and in Experiment 2, the PC of emotional conflict was manipulated. The aim was to determine whether control-related processes elicited by cognitive or emotional conflict show domain-specific (within cognitive or within emotional control-related effects) or domain-general effects, where control elicited by cognitive conflict benefits emotional control processes and vice versa. Behavioral findings indicated that spatial and emotional conflict exhibited within-domain PC effects. For event-related brain potential (ERP) activity, PC effects were primarily reflected in a late slow potential, rather than an early negativity, suggesting that control-related adjustments impacted conflict resolution rather than conflict detection. Furthermore, the results did not show evidence of PC effects across domains for behavioral or ERP data, indicating that proactive control elicited by PC manipulation does not transfer across cognitive and emotional conflict. This study supports the modular nature of proactive control for processes related to cognitive and emotional control.

Impaired inhibitory control when processing real but not cartoon emotional faces in autistic children: Evidence from an event-related potential study

Impaired socioemotional functioning characterizes autistic children, but does weak inhibition control underlie their socioemotional difficulty? This study addressed this question by examining whether and, if so, how inhibition control is affected by face realism and emotional valence in school-age autistic and neurotypical children. Fifty-two autistic and 52 age-matched neurotypical controls aged 10-12 years completed real and cartoon emotional face Go/Nogo tasks while event-related potentials (ERPs) were recorded. The analyses of inhibition-emotion components (i.e., N2, P3, and LPP) and a face-specific N170 revealed that autistic children elicited greater N2 while inhibiting Nogo trials and greater P3/LPP and late LPP for real but not cartoon emotional faces. Moreover, autistic children exhibited a reduced N170 to real face emotions only. Furthermore, correlation results showed that better behavioral inhibition and emotion recognition in autistic children were associated with a reduced N170. These findings suggest that neural mechanisms of inhibitory control in autistic children are less efficient and more disrupted during real face processing, which may affect their age-appropriate socio-emotional development.

Control your emotions: evidence for a shared mechanism of cognitive and emotional control

The current investigation examined the bidirectional effects of cognitive control and emotional control and the overlap between these two systems in regulating emotions. Based on recent neural and cognitive findings, we hypothesised that two control systems largely overlap as control recruited for one system (either emotional or cognitive) can be used by the other system. In two experiments, participants completed novel versions of either the Stroop task (Experiment 1) or the Flanker task (Experiment 2) in which the emotional and cognitive control systems were actively manipulated into either a high or low emotional-load condition (achieved by varying the proportions of negative-valence emotional cues) and a high and a low cognitive control condition (achieved through varying the proportion of conflict-laden trials). In both experiments, participants' performance was impaired when both emotional and cognitive control were low, but significantly and similarly improved when one of the two control mechanisms were activated - the emotional or the cognitive. In Experiment 2, performance was further improved when both systems were activated. Our results give further support for a more integrative notion of control in which the two systems (emotional and cognitive control) not only influence each other, but rather extensively overlap.

Individual differences in the evaluation of ambiguous visual and auditory threat-related expressions

This study investigated the neural correlates of the judgement of auditory and visual ambiguous threat-related information, and the influence of state anxiety on this process. Healthy subjects were scanned using a fast, high-resolution functional magnetic resonance imaging (fMRI) multiband sequence while they performed a two-alternative forced-choice emotion judgement task on faces and vocal utterances conveying explicit anger or fear, as well as ambiguous ones. Critically, the latter was specific to each subject, obtained through a morphing procedure and selected prior to scanning following a perceptual decision-making task. Behavioural results confirmed a greater task-difficulty for subject-specific ambiguous stimuli and also revealed a judgement bias for visual fear, and, to a lesser extent, for auditory anger. Imaging results showed increased activity in regions of the salience and frontoparietal control networks (FPCNs) and deactivation in areas of the default mode network for ambiguous, relative to explicit, expressions. In contrast, the right amygdala (AMG) responded more strongly to explicit stimuli. Interestingly, its response to the same ambiguous stimulus depended on the subjective judgement of the expression. Finally, we found that behavioural and neural differences between ambiguous and explicit expressions decreased as a function of state anxiety scores. Taken together, our results show that behavioural and brain responses to emotional expressions are determined not only by emotional clarity but also modality and the subjects' subjective perception of the emotion expressed, and that some of these responses are modulated by state anxiety levels.

Partner's emotions are associated with preschoolers' prefrontal activation under joint attention: An fNIRS evidence

Emotions and joint attention are highly associated and mutually influenced during preschool, the critical period for early emotional and cognitive development. However, few studies have explored the neuropsychological mechanism of joint attention with preschoolers and their partners under different emotions. This study has examined the prefrontal activation under a comprehensive emotional joint attention task in 45 preschoolers (25 boys, Mage  = 58 ± 9.02 months) to compare the different influences of partners' positive, neutral, and negative emotions. Analysis of the functional near-infrared spectroscopy data indicated that the participants' prefrontal activation triggered by joint attention in positive and negative emotions was significantly higher than in neutral emotions. Moreover, their brain synchronization intensity was significantly higher in positive emotions of joint attention than in negative emotions. These findings advance our understanding of the neural mechanism of early childhood emotional processing under joint attention and provide a neural perspective to explain the effects of different emotions on preschoolers' social cognition.

Linking Sleep and Aggression: Examining the Role of Response Inhibition and Emotional Processing

Although sleep loss is theorized to increase aggression risk, knowledge regarding the sleep-aggression relationship, or explanatory psychological processes, is limited. This study examined whether recent sleep duration predicted subsequent laboratory aggression, and whether neurocognitive indices of attentional and motor inhibition and negative emotional processing explained the sleep-aggression relationship. Participants (n=141) wore Fitbit Flex devices and kept a sleep diary for three days. Event-related potentials were measured during an Emotional-Linguistic Go/No-Go task, followed by a laboratory aggression paradigm. Results of mixed-model repeated measures ANOVAs linked shorter sleep duration with reduced motor inhibition processing during negative and neutral word blocks, and greater aggression. However, neurocognitive indices did not explain the sleep-aggression link. This is the first evidence that naturally occurring sleep loss predicts increases in laboratory aggression across the task and suggests that shorter sleepers are more vulnerable to rash action in negative and neutral contexts. Implications of these findings for understanding aggression will be discussed.

Neuropsychological functions in a pediatric case of partial agenesis of the corpus callosum: Clinical implications

The corpus callosum (CC) is involved in several cognitive processes and the interhemispheric transfer of information. The current case study investigated neurocognitive and emotional processes in a 7-year-old female with partial agenesis of the corpus callosum, with an absent splenium and posterior body, with comorbid autism and ADHD. We measured cognitive functions, such as response inhibition, error monitoring, attentional disengagement, and attention capture by irrelevant emotional stimuli. We found that response inhibition was intact in the case. When happy faces were used as stop-signals, it interfered with response inhibition compared to angry-face-stop-signals. Similarly, happy faces (relative to angry faces) interfered with error monitoring; irrelevant angry faces captured attention more than happy faces. Attentional disengagement functions were impaired in the case compared to healthy controls. The findings give an insight into the interaction between cognition and emotion in pediatric partial agenesis of the CC, and have important clinical and theoretical implications.

Limitations of cognitive control on emotional distraction - Congruency in the Color Stroop task does not modulate the Emotional Stroop effect

Emotional information receives prioritized processing over concurrent cognitive processes. This can lead to distraction if emotional information has to be ignored. In the cognitive domain, mechanisms have been described that allow control of (cognitive) distractions. However, whether similar cognitive control mechanisms also can attenuate emotional distraction is an active area of research. This study asked whether cognitive control (triggered in the Color Stroop task) attenuates emotional distraction in the Emotional Stroop task. Theoretical accounts of cognitive control, and the Emotional Stroop task alike, predict such an interaction for tasks that employ the same relevant (e.g., color-naming) and irrelevant (e.g., word-reading) dimension. In an alternating-runs design with Color and Emotional Stroop tasks changing from trial to trial, we analyzed the impact of proactive and reactive cognitive control on Emotional Stroop effects. Four experiments manipulated predictability of congruency and emotional stimuli. Overall, results showed congruency effects in Color Stroop tasks and Emotional Stroop effects. Moreover, we found a spillover of congruency effects and emotional distraction to the other task, indicating that processes specific to one task impacted to the other task. However, Bayesian analyses and a mini-meta-analysis across experiments weigh against the predicted interaction between cognitive control and emotional distraction. The results point out limitations of cognitive control to block off emotional distraction, questioning views that assume a close interaction between cognitive control and emotional processing.

Negative affective processing is associated with cognitive control in early childhood: An fNIRS study. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021;2021:3423-3426. [PMID: 34891975 DOI: 10.1109/embc46164.2021.9629783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0]

The association between emotion and cognition has recently gathered interest in the field of cognitive neuroscience. However, the neural mechanism of negative emotion processing and its association with cognitive control in early childhood remains unclear. In the present study, we compared the processing of three emotions (i.e., negative, neutral, and positive emotions) and investigated the association between negative emotion processing and cognitive control in children aged 4-6 years (N = 43). Results indicated that children revealed greater brain activation when processing negative emotions than processing neutral and positive emotions. We also found a significant negative association between brain activation during negative emotion processing and reaction times of cognitive control, which represented children with better cognitive control evoked higher brain activation when processing negative emotions. The current study proposes a neural mechanism underlying emotion processing and provides important insights into the risk and future behavioral outcomes of potential psychological disorders.

Frozen in (e)motion: How reactive motor inhibition is influenced by the emotional content of stimuli in healthy and psychiatric populations

Efficient inhibitory control is vital. However, environmental cues can influence motor control especially in an emotional context. One common task to measure inhibitory control is the stop-signal task (SST), which asks participants to respond to go stimuli knowing that on some trials a stop signal will be presented, requiring them to inhibit their response. This paradigm estimates the ability to inhibit already-initiated responses by calculating participants' stop-signal reaction times (SSRT), an index of inhibitory control. Here, we aim to review the existing, often contradictory, evidence on the influence of emotional stimuli on the inhibitory process. We aim to discuss which factors may reveal an interference as well as an advantage of emotional stimuli on action inhibition performance. Finally, we review the existing evidence that has investigated the effect of such stimuli on action inhibition in the psychiatric population. Important factors are the relevance, the intensity and the valence of the emotional stimulus, as well as the affected component of the motor control. From all this evidence, it is clear that understand precisely how emotion is integrated into core executive functions, such as inhibitory control, is essential not only for cognitive neuroscience, but also for refining neurocognitive models of psychopathology.

A randomized controlled trial of yoga vs nonaerobic exercise for veterans with PTSD: Understanding efficacy, mechanisms of change, and mode of delivery

BACKGROUND AND OBJECTIVES

Posttraumatic stress disorder (PTSD) is a chronic, disabling, and prevalent mental health disorder among Veterans. Despite the availability of empirically supported psychotherapies, many Veterans remain symptomatic after treatment and/or prefer to seek complementary and integrative health approaches, including yoga, to manage PTSD. The randomized controlled trial (RCT) described herein will evaluate the efficacy of a manualized yoga program as compared to nonaerobic exercise in reducing PTSD severity among Veterans. A secondary aim of this study is to better understand the mechanisms of change.

METHODS

Veterans (N = 192) with PTSD will be randomized to hatha yoga or nonaerobic physical activity control; both groups consist of 12 weekly, 60-min group or online training sessions with 15-20 min of daily at-home practice. Outcome measures will be administered at baseline, mid-treatment, posttreatment, and 12-week follow-up.

PROJECTED OUTCOMES

This study will evaluate changes in PTSD severity (primary outcome) as well as depression, anxiety, anger, sleep problems, and psychosocial disability (secondary outcomes). We will also use multiple mediation to examine two potential models of the mechanisms of clinical effect: the Attention Model (i.e., yoga increases attentional control, which reduces PTSD symptoms), the Coping Model (i.e., yoga increases distress tolerance, which improves coping, which reduces PTSD symptoms), and the combination of these models. This aspect of the study is innovative and important given the absence of an existing, comprehensive model for understanding yoga's impact on PTSD. Ultimately, we hope to develop guidelines for application of yoga to PTSD recovery.

Perceptual inhibition of emotional interference in children

In daily life, when a bee approaches us while we are sitting in the garden, we must pay attention to that threatening stimulus and give an appropriate response. However, if this bee approaches us while riding a bike, we must inhibit that distractor to avoid an accident. In this case, avoiding the interference of an emotional stimuli and continuing with the task should be preferential. In general, perceptual inhibition is responsible for controlling and suppressing the environmental distractions that interrupt the course of the realization of a goal. In this study, 435 children performed a modified flanker task with entirely irrelevant emotional and neutral stimuli in order to assess perceptual inhibition in contexts with high and low emotional salience. The results showed that entirely irrelevant distractors affected performance, but that there were no significant differences according to whether these distractors were emotionally salient or neutral. These results constitute a first approach to the problem of emotional interference in children considering the multidimensional approach of inhibition.

The Emotional Stroop Effect Is Modulated by the Biological Salience and Motivational Intensity Inherent in Stimuli

Prior research has found significant emotional Stroop effects for negative stimuli, but the results have been inconsistent for positive stimuli. Combining an evolutionary perspective of emotion with the motivational dimensional model of affect, we speculated that the emotional Stroop effect of a stimulus may be influenced by the biological salience and inherent motivational intensity of the stimulus. In the present study, we examined this issue with two experiments. The results indicated that both low- and high-withdrawal-motivation negative stimuli produced a robust emotional Stroop effect; however, the high-withdrawal-motivation negative stimuli produced a stronger emotional Stroop effect than the low-withdrawal-motivation negative stimuli. Regarding positive stimuli, only the high-approach-motivated positive stimuli produced the emotional Stroop effect, unlike the low-approach-motivation positive stimuli. These findings suggest that the emotional Stroop effect is modulated by the biological salience of stimuli and by the motivational intensity inherent in the stimuli. Biological salience and motivational intensity play an additive effect in the emotional Stroop effect.

Priming Emotional Salience Reveals the Role of Episodic Memory and Task Conflict in the Non-color Word Stroop Task

Previous research attempted to account for the emotional Stroop effect based on connectionist models of the Stroop task that implicate conflict in the output layer as the underlying mechanism (e.g., Williams et al., 1996). Based on Kalanthroff et al.'s (2015) proactive-control/task-conflict (PC-TC) model, our study argues that the interference from non-color words (neutral and negative words) is due to task conflict. Using a study-test procedure 120 participants (59 high and 61 low trait anxiety) studied negative and neutral control words prior to being tested on a color responding task that included studied and unstudied words. The results for the low anxiety group show no emotional Stroop effect, but do demonstrate the slowdown in response latencies to a block of studied and unstudied words compared to a block of unstudied words. In contrast, the high anxiety group shows (a) an emotional Stroop effect but only for studied negative words and (b) a reversed sequential modulation in which studied negative words slowed down the color-responding of studied negative words on the next trial. We consider how these findings can be incorporated into the PC-TC model and suggest the interacting role of trait anxiety, episodic memory, and emotional salience driving attention that is based on task conflict.

Priming can affect naming colours using the study-test procedure. Revealing the role of task conflict

The Stroop paradigm has been widely used to study attention whilst its use to explore implicit memory have been mixed. Using the non-colour word Stroop task we tested contrasting predictions from the proactive-control/task-conflict model (Kalanthroff, Avnit, Henik, Davelaar & Usher, 2015) that implicate response conflict and task conflict for the priming effects. Using the study-test procedure 60 native English speakers were tested to determine whether priming effects from words that had previously been studied would cause interference when presented in a colour naming task. The results replicate a finding by MacLeod (1996) who showed no differences between the response latencies to studied and unstudied words. However, this pattern was predominately in the first half of the study where it was also found that both studied and unstudied words in a mixed block were slower to respond to than a block of pure unstudied words. The second half of the study showed stronger priming interference effects as well as a sequential modulation effect in which studied words slowed down the responses of studied words on the next trial. We discuss the role of proactive and reactive control processes and conclude that task conflict best explains the pattern of priming effects reported.

Implicit emotion regulation in adolescent girls: An exploratory investigation of Hidden Markov Modeling and its neural correlates

Numerous data demonstrate that distracting emotional stimuli cause behavioral slowing (i.e. emotional conflict) and that behavior dynamically adapts to such distractors. However, the cognitive and neural mechanisms that mediate these behavioral findings are poorly understood. Several theoretical models have been developed that attempt to explain these phenomena, but these models have not been directly tested on human behavior nor compared. A potential tool to overcome this limitation is Hidden Markov Modeling (HMM), which is a computational approach to modeling indirectly observed systems. Here, we administered an emotional Stroop task to a sample of healthy adolescent girls (N = 24) during fMRI and used HMM to implement theoretical behavioral models. We then compared the model fits and tested for neural representations of the hidden states of the most supported model. We found that a modified variant of the model posited by Mathews et al. (1998) was most concordant with observed behavior and that brain activity was related to the model-based hidden states. Particularly, while the valences of the stimuli themselves were encoded primarily in the ventral visual cortex, the model-based detection of threatening targets was associated with increased activity in the bilateral anterior insula, while task effort (i.e. adaptation) was associated with reduction in the activity of these areas. These findings suggest that emotional target detection and adaptation are accomplished partly through increases and decreases, respectively, in the perceived immediate relevance of threatening cues and also demonstrate the efficacy of using HMM to apply theoretical models to human behavior.

Conditioned task-set competition: Neural mechanisms of emotional interference in depression

Depression has been associated with increased response times at the incongruent-, neutral-, and negative-word trials of the classical and emotional Stroop tasks (Epp et al., Clinical Psychology Review, 32, 316-328, 2012). Response-time slowdown effects at incongruent- and negative-word trials of the Stroop tasks were reported to correlate with depressive severity, indicating strong relevance of the effects to the symptomatology. This study proposes a novel integrative computational model of neural mechanisms of both the classical and emotional Stroop effects, drawing on the previous prominent theoretical explanations of performance at the classical Stroop task (Cohen, Dunbar, & McClelland, Psychological Review, 97, 332-361, 1990; Herd, Banich, & O'Reilly, Journal of Cognitive Neuroscience, 18, 22-32, 2006), and in addition suggesting that negative emotional words represent conditioned stimuli for future negative outcomes. The model is shown to explain the classical Stroop effect and the slow (between-trial) emotional Stroop effect with biologically plausible mechanisms, providing an advantage over the previous theoretical accounts (Matthews & Harley, Cognition & Emotion, 10, 561-600, 1996; Wyble, Sharma, & Bowman, Cognition & Emotion, 22, 1019-1051, 2008). Simulation results suggested a candidate mechanism responsible for the pattern of depressive performance at the classical and the emotional Stroop tasks. Hyperactivity of the amygdala, together with increased inhibitory influence of the amygdala over dopaminergic neurotransmission, could be at the origin of the performance deficits.

Biobehavioral Approaches to Aggression Implicate Perceived Threat and Insufficient Sleep: Clinical Relevance and Policy Implications

Besides reducing the burden of aggression and violence on society, the biobehavioral study of aggression can inform our understanding of emotional problems and maladaptive behaviors more broadly, since aggression can often co-occur with psychological disorders (e.g., depression). This article reviews the neuroscience/psychophysiology literature to explain brain processes in aggression that can be targeted to reduce its scourge on society. In particular, the review implicates brain circuitry that is often triggered by feelings of threat, which in turn disrupt higher order cognitive processes and may prompt aggression. One potentially modifiable factor less frequently considered in the study of aggression is sleep insufficiency or problems. The neurophysiological impact of sleep insufficiency can parallel the brain-related risk factors of aggression. Policy recommendations span individual mental health innovations, community-based interventions, and public health campaigns promoting healthy lifestyles to reduce aggression and violence.

Neuroticism and Individual Differences in Neural Function in Unmedicated Major Depression: Findings from the EMBARC Study

BACKGROUND

Personality dysfunction represents one of the only predictors of differential response between active treatments for depression to have replicated. In this study, we examine whether depressed patients with higher neuroticism scores, a marker of personality dysfunction, show differences versus depressed patients with lower scores in the functioning of two brain regions associated with treatment response, the anterior cingulate and anterior insula cortices.

METHODS

Functional magnetic resonance imaging data during an emotional Stroop task were collected from 135 adults diagnosed with major depressive disorder at four academic medical centers participating in the Establishing Moderators and Biosignatures of Antidepressant Response for Clinical Care (EMBARC) study. Secondary analyses were conducted including a sample of 28 healthy individuals.

RESULTS

In whole-brain analyses, higher neuroticism among depressed adults was associated with increased activity in and connectivity with the right anterior insula cortex to incongruent compared to congruent emotional stimuli (ks>281, ps<0.05 FWE corrected), covarying for concurrent psychiatric distress. We also observed an unanticipated relationship between neuroticism and reduced activity in the precuneus (k=269, p<0.05 FWE corrected). Exploratory analyses including healthy individuals suggested that associations between neuroticism and brain function may be nonlinear over the full range of neuroticism scores.

CONCLUSIONS

This study provides convergent evidence for the importance of the right anterior insula cortex as a brain-based marker of clinically meaningful individual differences in neuroticism among adults with depression. This is a critical next step in linking personality dysfunction, a replicated clinical predictor of differential antidepressant treatment response, with differences in underlying brain function.

Neural correlates of emotional interference in social anxiety disorder

Disorder-relevant but task-unrelated stimuli impair cognitive performance in social anxiety disorder (SAD); however, time course and neural correlates of emotional interference are unknown. The present study investigated time course and neural basis of emotional interference in SAD using event-related functional magnetic resonance imaging (fMRI). Patients with SAD and healthy controls performed an emotional stroop task which allowed examining interference effects on the current and the succeeding trial. Reaction time data showed an emotional interference effect in the current trial, but not the succeeding trial, specifically in SAD. FMRI data showed greater activation in the left amygdala, bilateral insula, medial prefrontal cortex (mPFC), dorsal anterior cingulate cortex (ACC), and left opercular part of the inferior frontal gyrus during emotional interference of the current trial in SAD patients. Furthermore, we found a positive correlation between patients' interference scores and activation in the mPFC, dorsal ACC and left angular/supramarginal gyrus. Taken together, results indicate a network of brain regions comprising amygdala, insula, mPFC, ACC, and areas strongly involved in language processing during the processing of task-unrelated threat in SAD. However, specifically the activation in mPFC, dorsal ACC, and left angular/supramarginal gyrus is associated with the strength of the interference effect, suggesting a cognitive network model of attentional bias in SAD. This probably comprises exceeded allocation of attentional resources to disorder-related information of the presented stimuli and increased self-referential and semantic processing of threat words in SAD.

When emotion does and does not impair performance: a Garner theory of the emotional Stroop effect

It takes people longer to name the ink colour of emotion or threat words than that of neutral words, the emotional Stroop effect (ESE). In three experiments with normal and patient populations, we show that the ESE is a special case of a generic attention model and effect entailed in Garner's speeded classification paradigm. Guided by the Garner model we demonstrate that task-irrelevant dimensions that differ in salience can produce the ESE and mimic it with neutral stimuli. When each word appears in a constant colour, as mandated in the correlation condition of the Garner design, the ESE is eliminated. This important result is consistent with the attention account of the ESE. We conclude that when emotion stimuli appear in a random fashion they interfere with task performance. However, when emotion stimuli are correlated with features of the ongoing task they help task performance not least due to their extreme salience.

The emotional Stroop task and posttraumatic stress disorder: a meta-analysis

Posttraumatic stress disorder (PTSD) is associated with significant impairment and lowered quality of life. The emotional Stroop task (EST) has been one means of elucidating some of the core deficits in PTSD, but this literature has remained inconsistent. We conducted a meta-analysis of EST studies in PTSD populations in order to synthesize this body of research. Twenty-six studies were included with 538 PTSD participants, 254 non-trauma exposed control participants (NTC), and 276 trauma exposed control participants (TC). PTSD-relevant words impaired EST performance more among PTSD groups and TC groups compared to NTC groups. PTSD groups and TC groups did not differ. When examining within-subject effect sizes, PTSD-relevant words and generally threatening words impaired EST performance relative to neutral words among PTSD groups, and only PTSD-relevant words impaired performance among the TC groups. These patterns were not found among the NTC groups. Moderator analyses suggested that these effects were significantly greater in blocked designs compared to randomized designs, toward unmasked compared to masked stimuli, and among samples exposed to assaultive traumas compared to samples exposed to non-assaultive traumas. Theoretical and clinical implications are discussed.