Interaction of induced anxiety and verbal working memory: influence of trait anxiety

The effect of anxiety on gait: a threat-of-scream study

It is known that fear responses to clearly identified threats can inhibit motion, slowing down gait and inducing postural freezing. Nonetheless, it is less clear how anxiety, which emerges during threat anticipation, affects gait parameters. In the present work, we used a threat-of-scream paradigm to study the effects of anxiety on gait. Twenty-five participants (15 female, aged 23.4 ± 1.8) were instructed to walk on a 5-m walking track, while motion was recorded in 3D, via a VICON system. Four alternating blocks, two "threat" and two "safe" blocks of 10 trials each, were signaled by colored stripes on a screen in front of the walking path. Participants were informed that they could hear a human scream in their headphones at any time during threat blocks, which were in fact always delivered during walking. On the contrary, no screams were delivered in the safe blocks. Results indicated that participants reported higher subjective anxiety during threat vs. safe blocks. Furthermore, increases in self-reported anxiety from safe to threat showed significant moderate correlations with increased stride speed and length, decreased stride time and decreased stance phase duration. Increases in anxiety were also moderately correlated with increased arm/leg swing amplitude, an effect that was fully mediated by increased stride speed. Overall, these results indicate that anxiety invigorates motion in healthy subjects, by increasing speed. These results are discussed in terms of the recent advancements in the understanding of defensive behavior, its neural correlates and on clinical implications relative to pathological anxiety.

Neuropsychology of Generalized Anxiety Disorder in Clinical Setting: A Systematic Evaluation

This research paper provides a systematic review of the neuropsychology of generalized anxiety disorder (GAD), examining relevant articles' methodologies and subject matter and highlighting key findings. It suggests potential cognitive deficits in GAD patients, such as subtle attention, executive function, and working memory deficiencies. It also discusses neural correlates of GAD, particularly the hyperactivity in the amygdala and insula, and the additional impact of comorbidity with other psychiatric disorders. The paper uses the PRISMA methodology and draws data from the PsycINFO, Scopus, PubMed, and Elsevier databases. Although the reviewed research has contributed to understanding GAD's cognitive and neural mechanisms, further research is required. Additionally, the paper mentions the clinical neuropsychology of GAD, including strategies and treatments, such as cognitive behavioral therapy (CBT), mindfulness, and medication. Lastly, the review identifies the limitations of the existing research and recommends future directions to enhance the understanding of GAD's underlying cognitive and neural mechanisms. The neural underpinnings of GAD encompass heightened activity within the amygdala and insula, which are brain regions implicated in processing adverse emotional reactions. Co-occurring psychiatric disorders, such as major depressive disorder (MDD), can also impact neuropsychological functioning. Additional investigation is warranted to better understand the intricate interplay between GAD, cognitive performance, and underlying neural processes.

Anxiety-reducing effects of working memory training: A systematic review and meta-analysis

OBJECTIVE

To assess whether working memory training will relieve anxiety in participants.

METHODS

The PubMed, PsycINFO, Web of Science, and ProQuest databases were searched up to January 25, 2022. We included random controlled trials with low to moderate risk of bias in comparing working memory training with control condition as the only intervention in treating anxiety (PROSPERO ID: CRD42022300404). The language was restricted to English. Data extraction was independently carried out by two authors, following the PRISMA guideline for systematic reviews.

RESULTS

Of the 477 records identified, 19 studies (n = 1051) were included in the meta-analysis. The results showed that the post-training anxiety was reduced with a small but significant value (Hedge's g = -0.392, p = .009) by working memory training. Subgroup analyses confirmed that the moderating effect of anxiety type, anxiety measurement and training environment were significant.

LIMITATIONS

These results should be considered with caution for the heterogeneity of training paradigms, participant population and types of anxiety assessed between studies. Further research is required to support these results.

CONCLUSIONS

Working memory training is a promising intervention to relieve anxiety symptoms.

Action co-representation under threat: A Social Simon study

Several studies have shown that individuals automatically integrate the actions of other individuals into their own action plans, thus facilitating action coordination. What happens to this mechanism in situations of danger? This capacity could either be reduced, in order to allocate more cognitive resources for individualistic actions, or be maintained or enhanced to enable cooperation under threat. In order to determine the impact of the perception of danger on this capacity, two groups of participants carried out, in pairs, the Social Simon task, which provides a measure of co-representation. The task was performed during so-called 'threat blocks' (during which participants could be exposed at any time to an aversive stimulus) and so-called 'safety blocks' (during which no aversive stimulation could occur). In a first group of participants, both individuals were exposed at the same time to threat blocks. In a second group, only one of the two participants was exposed to them at a time. Our results indicate that co-representation, an important cognitive mechanism for cooperation, (i) is preserved in situations of danger; and (ii) may even be increased in participants who are confronted alone to threat but in the presence of a safe partner. Contrarily to popular belief, danger does not shut down our capacities for social interaction.

The 'Threat of Scream' paradigm: a tool for studying sustained physiological and subjective anxiety

Progress in understanding the emergence of pathological anxiety depends on the availability of paradigms effective in inducing anxiety in a simple, consistent and sustained manner. The Threat-of-Shock paradigm has typically been used to elicit anxiety, but poses ethical issues when testing vulnerable populations. Moreover, it is not clear from past studies whether anxiety can be sustained in experiments of longer durations. Here, we present empirical support for an alternative approach, the ‘Threat-of-Scream’ paradigm, in which shocks are replaced by screams. In two studies, participants were repeatedly exposed to blocks in which they were at risk of hearing aversive screams at any time vs. blocks in which they were safe from screams. Contrary to previous ‘Threat-of-Scream’ studies, we ensured that our screams were neither harmful nor intolerable by presenting them at low intensity. We found higher subjective reports of anxiety, higher skin conductance levels, and a positive correlation between the two measures, in threat compared to safe blocks. These results were reproducible and we found no significant change over time. The unpredictable delivery of low intensity screams could become an essential part of a psychology toolkit, particularly when investigating the impact of anxiety in a diversity of cognitive functions and populations.

Better cognitive efficiency is associated with increased experimental anxiety

There is increased interest in the development of cognitive training targeting working memory (WM) to alleviate anxiety symptoms, but the effectiveness of such an approach is unclear. Improved understanding of the effect of cognitive training on anxiety may facilitate the development of more effective cognitive training treatment for anxiety disorders. This study uses an experimental approach to examine the interplay of WM and anxiety following WM training. Previous studies show that increased demand on WM reduces concurrent anxiety evoked by threat of shock (induced anxiety). However, improving WM pharmacologically or via exercise prevents this anxiolytic effect. Conceivably, improving WM frees up cognitive resources to process threat information, thereby increasing anxiety. The present study tested the hypothesis that practicing a high load WM (i.e., increased demand) task would improve WM, and thus, free cognitive resources to process threat of shock, resulting in more anxiety (i.e., greater startle) during a subsequent WM task. Participants were randomly assigned to two training groups. The active-training group (N = 20) was trained on a 1- (low load) & 3-back (high load) WM task, whereas the control-training group (N = 20) performed a 0-back WM task. The experimental phase, similar in both groups, consisted of a 1- & 3-back WM task performed during both threat of shock and safety. As predicted, active training improved WM accuracy and increased anxiety during the experimental 3-back WM task. Therefore, improving WM efficiency can increase anxiety, possibly by freeing WM resources to process threat information.

Exercise modulates the interaction between cognition and anxiety in humans

Despite interest in exercise as a treatment for anxiety disorders the mechanism behind the anxiolytic effects of exercise is unclear. Two observations motivate the present work. First, engagement of attention control during increased working memory (WM) load can decrease anxiety. Second, exercise can improve attention control. Therefore, exercise could boost the anxiolytic effects of increased WM load via its strengthening of attention control. Anxiety was induced by threat of shock and was quantified with anxiety-potentiated startle (APS). Thirty-five healthy volunteers (19 male, age M = 26.11, SD  = 5.52) participated in two types of activity, exercise (biking at 60-70% of heart rate reserve) and control-activity (biking at 10-20% of heart rate reserve). After each activity, participants completed a WM task (n-back) at low- and high-load during safe and threat. Results were not consistent with the hypothesis: exercise vs. control-activity increased APS in high-load (p = .03). However, this increased APS was not accompanied with threat-induced impairment in WM performance (p = .37). Facilitation of both task-relevant stimulus processing and task-irrelevant threat processing, concurrent with prevention of threat interference on cognition, suggests that exercise increases cognitive ability. Future studies should explore how exercise affects the interplay of cognition and anxiety in patients with anxiety disorders.