Keeping your eyes on the prize: anger and visual attention to threats and rewards

Chinese patients' response to doctor-patient relationship stimuli: evidence from an event-related potential study

Background

With improvements in medical technology, the doctor–patient relationship should be further improved. However, disputes between doctors and patients have increased, with the two groups frequently hurting each other. Therefore, we sought to explore the perception of Chinese patients regarding the stimuli of doctor–patient relationships with different valence.

Methods

We used event-related potential (ERP) to explore the brain electrical activity of 19 undergraduate participants who had a clinical experience in the previous 6 months where they perceived negative, neutral, and positive doctor–patient relationships. The ERPs were recorded, and the early ERP components (P2) and late positive potential (LPP) were measured.

Results

Compared with the stimuli of negative doctor–patient relationships, those of positive doctor–patient relationships would attract more attention and have larger P2 amplitude; LPP was larger for the stimuli of negative doctor–patient relationships than neutral ones in the 500–800 ms, while in the 1100–1500 ms, the stimuli of neutral doctor–patient relationships elicited larger LPP amplitude than positive ones.

Conclusion

Patients paid more attention to the stimuli of positive doctor–patient relationships because they expected to have the same positive relationship. Although threatening elements in negative doctor–patient relationships would catch patients’ attention and make them have implicit emotional regulation, neutral stimuli with poker-faced doctors would cause lasting attention. These results illustrate the patients’ real perception of the different valence of doctor–patient relationship stimuli.

Supplementary Information

The online version contains supplementary material available at 10.1186/s40359-022-00961-y.

Angry Women Are More Trusting: The Differential Effects of Perceived Social Distance on Trust Behavior

Accumulating evidence suggests that anger can have a strong impact on discrete trust behaviors. However, the mechanisms underlying how anger influences trust are still unclear. Based on the appraisal tendency framework, we hypothesized that perceived social distance would positively mediate the effect of anger on trust, and that gender would moderate this mediation. In Study 1, a 2 (Anger vs. Control) × 2 (Men vs. Women) factorial design was used to investigate this hypothesis. Results supported our predictions that anger drove women, but not men, to perceive smaller social distance, and thus sent more money to their counterparts in a trust game as compared to controls. In Study 2, social distance was manipulated, and a 2 (Low social distance vs. Control) × 2 (Men vs. Women) factorial design was used to critically test the causal role of the mediator, namely to examine the effect of perceived social distance on trust. Results showed that women, but not men, sent more money to their counterparts in the low social distance condition than in the control condition. Results of both studies indicate that the high certainty, higher individual control, and approach motivation associated with anger could trigger optimistic risk assessment, and thus more trust toward others in women, via perceiving smaller social distance to others.

Developmental Variation in the Associations of Attention Bias to Emotion with Internalizing and Externalizing Psychopathology

Attention biases to emotion are associated with symptoms of internalizing and externalizing psychopathology in children and adolescents. It is unknown whether attention biases to emotion and their associations with different symptoms of psychopathology vary across development from early childhood through young adulthood. We examine this age-related variation in the current study. Participants (N = 190; ages: 4-25) completed survey-based psychopathology symptom measures and a dot-probe task to assess attention bias to happy, sad, and angry relative to neutral faces. We tested whether linear or non-linear (e.g., spline-based models) associations best characterized age-related variation in attention to emotion. We additionally examined whether attention biases were associated with depression, anxiety, and externalizing symptoms and whether these associations varied by age. No age-related differences in attention biases were found for any of the emotional faces. Attention biases were associated with psychopathology symptoms, but only when examining moderation by age. Biased attention to angry faces was associated with greater symptoms of anxiety and depression in adolescents and young adults, but not children. Similarly, biased attention to happy faces was associated with externalizing symptoms in adolescents and young adults, but not in children. In contrast, biased attention to happy faces was associated with greater anxiety symptoms in children, but not in adolescents or young adults. Biased attention toward social threat and reward becomes more strongly coupled with internalizing and externalizing symptoms, respectively, during the transition to adolescence. These findings could inform when interventions such as attention bias modification training may be most effective.

When Anger Motivates: Approach States Selectively Influence Running Performance

Emotional states are thought to influence athletic performance. Emotions characterized by high arousal enhance exercise performance. Extant research has focused on the valence and arousal dimensions of emotions, but not whether the motivational dimension (the extent to which the emotion engenders approach or avoidance behaviors) influences exercise performance. Two studies aimed to determine whether films and music chosen to induce approach- (i.e., anger), avoidance- (i.e., fear), and neutral-oriented emotions would successfully induce their intended emotional states (Study 1) and whether anger and fear emotion inductions would influence 2-mile time trial performance (Study 2). In Study 1, the films and music successfully induced their intended emotions. In Study 2, run time and perceived level of exertion did not differ between emotions across all participants or among faster running participants per a median split. However, among slower running participants, the anger induction increased the 2-mile running speed relative to the neutral induction. These findings suggest that emotions eliciting approach-related motivational states may improve exercise performance, particularly in slower runners.

Turkish Emotional Word Norms for Arousal, Valence, and Discrete Emotion Categories

The present study combined dimensional and categorical approaches to emotion to develop normative ratings for a large set of Turkish words on two major dimensions of emotion: arousal and valence, as well as on five basic emotion categories of happiness, sadness, anger, fear, and disgust. A set of 2031 Turkish words obtained by translating Affective Norms for English Words to Turkish and pooling from the Turkish Word Norms were rated by a large sample of 1527 participants. This is the first comprehensive and standardized word set in Turkish offering discrete emotional ratings in addition to dimensional ratings along with concreteness judgments. Consistent with Affective Norms for English Words and word databases in several other languages, arousal increased as valence became more positive or more negative. As expected, negative emotions (anger, sadness, fear, and disgust) were positively correlated with each other, whereas the positive emotion, happiness, was negatively correlated with the negative emotion categories. Data further showed that the valence dimension was strongly correlated with happiness, and the arousal dimension was mostly correlated with fear. These findings show highly similar and consistent patterns with word sets provided in other languages in terms of the relationships between arousal and valence dimensions, relationships between dimensions and specific emotion categories, relationships among specific emotions, and further support the stability of the relationship between basic discrete emotions at the word level across different cultures.

Slow motion in films and video clips: Music influences perceived duration and emotion, autonomic physiological activation and pupillary responses

Slow motion scenes are ubiquitous in screen-based audiovisual media and are typically accompanied by emotional music. The strong effects of slow motion on observers are hypothetically related to heightened emotional states in which time seems to pass more slowly. These states are simulated in films and video clips, and seem to resemble such experiences in daily life. The current study investigated time perception and emotional response to media clips containing decelerated human motion, with or without music using psychometric and psychophysiological testing methods. Participants were presented with slow-motion scenes taken from commercial films, ballet and sports footage, as well as the same scenes converted to real-time. Results reveal that slow-motion scenes, compared to adapted real-time scenes, led to systematic underestimations of duration, lower perceived arousal but higher valence, lower respiration rates and smaller pupillary diameters. The presence of music compared to visual-only presentations strongly affected results in terms of higher accuracy in duration estimates, higher perceived arousal and valence, higher physiological activation and larger pupillary diameters, indicating higher arousal. Video genre affected responses in addition. These findings suggest that perceiving slow motion is not related to states of high arousal, but rather affects cognitive dimensions of perceived time and valence. Music influences these experiences profoundly, thus strengthening the impact of stretched time in audiovisual media.

Anger Promotes Economic Conservatism

Research suggests that certain facets of people's political ideals can be motivated by different goals. Although it is widely accepted that emotions motivate goal-directed behavior, less is known about how emotion-specific goals may influence different facets of ideology. In this research, we examine how anger affects political ideology and through what mechanisms such effects occur. Drawing on the dual-process motivational model of ideology and the functionalist perspective of emotion, we propose that anger leads people to support conservative economic ideals, which promote economic independence and discourage societal resource sharing. Four studies support our hypothesis that anger can enhance support for an election candidate espousing conservative economic ideals. We find that anger shifts people toward economic conservatism by orienting them toward competition for resources. Implications and future research on the relationship between emotions and political ideology are discussed.

Association between irritability and bias in attention orienting to threat in children and adolescents

BACKGROUND

Irritability, a frequent complaint in children with psychiatric disorders, reflects increased predisposition to anger. Preliminary work in pediatric clinical samples links irritability to attention bias to threat, and the current study examines this association in a large population-based sample.

METHODS

We studied 1,872 children (ages 6-14) using the Development and Well-Being Assessment (DAWBA), Childhood Behavior Checklist (CBCL), and dot-probe tasks. Irritability was defined using CBCL items that assessed temper tantrums and hot temper. The dot-probe task assessed attention biases for threat-related (angry face) stimuli. Multiple regression analysis was used to assess specificity of associations to irritability when adjusting for demographic variables and co-occurring psychiatric traits. Propensity score matching analysis was used to increase causal inference when matching for demographic variables and co-occurring psychiatric traits.

RESULTS

Irritability was associated with increased attention bias toward threat-related cues. Multiple regression analysis suggests associations between irritability and threat bias are independent from demographic variables, anxiety, and externalizing traits (attention-deficit/hyperactivity, conduct, and headstrong/hurtful), but not from broad internalizing symptoms. Propensity score matching analysis indicated that this association was found for irritable versus nonirritable groups matched on demographic and co-occurring traits including internalizing symptoms.

CONCLUSIONS

Irritability in children is associated with biased attention toward threatening information. This finding, if replicated, warrants further investigation to examine the extent to which it contributes to chronic irritability and to explore possible treatment implications.

Attention bias towards negative emotional information and its relationship with daily worry in the context of acute stress: An eye-tracking study

Cognitive theories of anxiety psychopathology cite biased attention towards threat as a central vulnerability and maintaining factor. However, many studies have found threat bias indices to have poor reliability and have failed to observe the theorized relationship between threat bias and anxiety symptoms; this may be due to the non-unitary nature of threat bias and the influence of state-level variables on its expression. Accumulating data suggests that state anxious mood is important for the robust expression of threat bias and for relations to emerge between threat bias and symptoms, though this possibility has not been experimentally tested. Eye-tracking was used to assess multiple forms of threat bias (i.e., early vigilance, sustained attention, facilitated engagement, delayed disengagement) thought to be related to anxiety. A non-clinical sample (N = 165) was recruited to test the hypothesis that biased attention towards threat, but not dysphoric or positive emotional stimuli, during an anxious mood induction, but not at a pre-stress baseline, would prospectively predict greater worry symptoms on days in which more naturalistic stressors occurred. Results revealed the hypothesized moderation effect for sustained attention towards threat after the mood induction but not at baseline, though sustained attention towards dysphoric stimuli also moderated the effect of stressors on worry. Worry-relevant sustained attention towards negative emotional stimuli may be a partially mood-context dependent phenomenon.

Happy heart, smiling eyes: A systematic review of positive mood effects on broadening of visuospatial attention

Positive mood contributes to mental and physical wellbeing. The broaden-and-build theory (Fredrickson, 2001) proposed that the beneficial effects of positive mood on life quality result from attentional broadening. In this article, we systematically review (following PRISMA guidelines; Moher et al., 2009), a host of studies investigating the nature and extent of attentional changes triggered by the experience of positive mood, with a focus on vision. While several studies reported a broadening of attention, others found that positive mood led to a more diffuse information processing style. Positive mood appears to lessen attention selectivity in a way that is context-specific and bound to limitations. We propose a new framework in which we postulate that positive mood impacts the balance between internally and externally directed attention, through modulations of cognitive control processes, instead of broadening attention per se. This novel model is able to accommodate discrepant findings, seeks to translate the phenomenon of the so-called broadening of attention with positive mood into functional terms, and provides plausible neurobiological mechanisms underlying this effect, suggesting a crucial role of the anterior and posterior cingulate cortex in this interaction.

A general approach-avoidance hypothesis of oxytocin: accounting for social and non-social effects of oxytocin

BACKGROUND

We critically reexamine extant theory and empirical study of Oxytocin. We question whether OT is, in fact, a "social neuropeptide" as argued in dominant theories of OT.

METHOD

We critically review human and animal research on the social and non-social effects of Oxytocin, including behavioral, psychophysiological, neurobiological, and neuroimaging studies.

RESULTS

We find that extant (social) theories of Oxytocin do not account for well-documented non-social effects of Oxytocin. Furthermore, we find a range of evidence that social and non-social effects of Oxytocin may be mediated by core approach-avoidance motivational processes.

CONCLUSIONS

We propose a General Approach-avoidance Hypothesis of Oxytocin (GAAO). We argue that the GAAO may provide a parsimonious account of established social and non-social effects of Oxytocin. We thus re-conceptualize the basic function(s) and mechanism(s) of action of Oxytocin. Finally, we highlight implications of the GAAO for basic and clinical research in humans

A Functionalist Manifesto: Goal-Related Emotions From an Evolutionary Perspective

Functional theories posit that emotions are elicited by particular goal-related situations that represented adaptive problems and that emotions are evolved features of coordinated responses to those situations. Yet little theory or research has addressed the evolutionary aspects of these theories. We apply five criteria that can be used to judge whether features are adaptations. There is evidence that sadness, anger, and anxiety relate to unique changes in physiology, cognition, and behavior, those changes are correlated, situations that give rise to emotions are consistent, and emotions are complex. To date, there is little experimental evidence regarding whether discrete emotions resolve adaptive problems and do so relatively efficiently. Evidence supporting all criteria is required to claim that discrete emotions are evolved features.

Trait approach motivation moderates the aftereffects of self-control

Numerous experiments have found that exercising self-control reduces success on subsequent, seemingly unrelated self-control tasks. Such evidence lends support to a strength model that posits a limited and depletable resource underlying all manner of self-control. Recent theory and evidence suggest that exercising self-control may also increase approach-motivated impulse strength. The two studies reported here tested two implications of this increased approach motivation hypothesis. First, aftereffects of self-control should be evident even in responses that require little or no self-control. Second, participants higher in trait approach motivation should be particularly susceptible to such aftereffects. In support, exercising self-control led to increased optimism (Study 1) and broadened attention (Study 2), but only among individuals higher in trait approach motivation. These findings suggest that approach motivation is an important key to understanding the aftereffects of exercising self-control.

The developmental psychopathology of irritability

Chronic, severe irritability is common in childhood and is very impairing. Furthermore, childhood irritability predicts suicidality, social impairment, and depressive and anxiety disorders in adulthood. Focusing on both normative and pathologic development, we review the construct of irritability from its origins in aggression and disruptive behavior research to its contemporary relevance for affective psychopathology. We then describe two broad neurocognitive systems that show promise in differentiating irritable from nonirritable youths: aberrant processing of emotional stimuli and impaired context-sensitive regulation. We suggest behavioral, neurocognitive, and physiologic measures that may aid in studying severe irritability and assessing its therapeutics. Finally, we argue for therapeutic trials targeting severe irritability that address emotional aspects of irritability in addition to the associated disruptive behavior.

Get in my belly: food preferences trigger approach and avoidant postural asymmetries

Appetitive motivational states are fundamental neural and behavioral mechanisms underlying healthy and abnormal eating behavior, though their dynamic influence on food-related behavior is unknown. The present study examined whether personal food-related preferences would activate approach and avoidance systems, modulating spontaneous postural sway toward and away from food items. Participants stood on a balance board that collected real-time data regarding postural sway along two axes (x, y) while they viewed a series of images depicting food items varying in nutritional value and individual preferences. Overall, participants showed reliable postural sway toward highly preferred and away from highly non-preferred items. This effect became more pronounced over time; sway along the mediolateral axis showed no reliable variation by preference. Results carry implications for two-factor (homeostatic versus hedonic) neurobehavioral theories of hunger and appetitive motivation, and carry applied clinical implications for the measurement and management of abnormal eating behavior.

Toward an understanding of the emotion-modulated startle eyeblink reflex: the case of anger

Three studies investigated the effect of angering pictures on the startle eyeblink response, based on anger's unique identity as an approach-oriented negative affect. In Study 1, eyeblinks to startling noise probes during angering and neutral pictures did not differ, despite angering pictures being rated higher on arousal and anger and more negative in valence. Study 2 replicated Study 1; also, dysphoric participants exhibited potentiated eyeblinks to probes during angering pictures much like those to probes during fear/disgust stimuli. A follow-up study revealed that dysphoric participants rated angering pictures higher in fear. Study 3 again found that eyeblinks to probes during angering and neutral pictures did not differ. Taken together, these results suggest that probes during angering stimuli elicit eyeblinks much like those during neutral stimuli, perhaps due to the competing influences of arousal, valence, and motivation on the startle eyeblink reflex.

Are the New Mass Media Subverting Cultural Transmission?

Popular culture is a subcategory of culture. Today, mass and new media appear to be interfering with the evolved mechanisms that permit the acquisition and editing of culture. We know surprisingly little about these cognitive attentional processes that enable the information acquisition and editing packed into the term “cultural transmission.” It was Michael Chance who first concluded that we attend to and learn preferentially from those high in status. For Chance, high status based on fear leads to agonistic attention and a constricted type of learning, while hedonic attention based on respect permits much broader learning possibilities. If Chance's theories are supported, then it would follow that much of the current unpredictability of popular culture and culture change in general reflects the replacement of family and community high-status figures by influential media celebrities, thereby damaging the transmission of local culture. Chance's approach would also explain why we seem to find it difficult to pay attention to those low in status and power. There may be attractors of attention involved in cultural transmission in addition to status, including physical attractiveness. We consider, from an evolutionary perspective, various researchable hypotheses that stem from Chance's and related work and from ethnography, we discuss this work's implications for how we understand culture and “popular culture,” and we argue that the kind of research in cognitive and evolutionary psychology we espouse is also needed for the next generation of mathematical models of gene–culture coevolution. We conclude with a list of research questions.

When anger leads to aggression: induction of relative left frontal cortical activity with transcranial direct current stimulation increases the anger-aggression relationship

The relationship between anger and aggression is imperfect. Based on work on the neuroscience of anger, we predicted that anger associated with greater relative left frontal cortical activation would be more likely to result in aggression. To test this hypothesis, we combined transcranial direct current stimulation (tDCS) over the frontal cortex with interpersonal provocation. Participants received insulting feedback after 15 min of tDCS and were able to aggress by administering noise blasts to the insulting participant. Individuals who received tDCS to increase relative left frontal cortical activity behaved more aggressively when they were angry. No relation between anger and aggression was observed in the increase relative right frontal cortical activity or sham condition. These results concur with the motivational direction model of frontal asymmetry, in which left frontal activity is associated with anger. We propose that anger with approach motivational tendencies is more likely to result in aggression.

The Angry Spotlight: Trait Anger and Selective Visual Attention to Rewards

This investigation examined links between trait anger and selective attention to threats and rewards. Existing research has focused mainly on trait anxiety and is equally consistent with several competing theoretical accounts of trait emotion and visual attention. Both valence–based and motivation–based accounts predict that trait anxiety would be associated with biased attention toward threats. In contrast, a valence–based account predicts that trait anger would be associated with biased attention toward threats, whereas a motivation–based account predicts that it would be associated with biased attention toward rewards. To test these predictions, we measured trait anxiety, trait anger and selective attention to threats and rewards. Consistent with a motivation–based account, we found that trait anger was associated with selective attention toward rewarding but not threatening information, whereas trait anxiety was associated with selective attention toward threatening but not rewarding information. Copyright © 2012 John Wiley & Sons, Ltd.

Anger and Positive Reactivity in Infancy: Effects on Maternal Report of Surgency and Attention Focusing in Early Childhood

We examined two aspects of temperamental approach in early infancy, positive reactivity and anger, and their unique and combined influences on maternal reports of child surgency and attention focusing at 4 years of age. One hundred and fourteen infants were observed for their positive reactions to novel stimuli at 4 months, and their anger expressions during arm restraint at 9 months. Child surgency and attention focusing at age 4 years were assessed by maternal report. Infants who expressed more anger to restraint were rated higher in surgency during early childhood relative to infants who expressed less anger. The effects of positive reactivity to novelty on attention focusing were moderated by anger to restraint. These findings suggest that infant temperamental approach tendencies are multifaceted and have both unique and combined influences on later maternal report of attention and social behavior.

Anger as a Hidden Motivator

The authors examined whether creating associations between products and anger, a negative but also approach-related emotion, motivates people to get or invest in these products when these products are considered attainable. Experiment 1 demonstrated that participants spontaneously spent more physical effort to get anger-related (compared to neutral) products they could attain as gifts. Experiment 2 showed that participants paid more money for anger-related (compared to neutral) products and thus perceived them as more valuable, regardless of whether the anger–product association was established consciously or unconsciously. Importantly, Experiment 2 also revealed that anger-related products were only perceived as more valuable when they were considered in terms of attainability. The authors conclude that anger can be a hidden motivator: Anger-related products that are perceived in terms of attainability act as rewards that motivate people to obtain these products.

Fear, anger, fruits, and veggies: interactive effects of emotion and message framing on health behavior

OBJECTIVE

Message framing is a theoretically grounded health communication strategy designed to motivate action by emphasizing either the benefits of engaging in a particular behavior (gains) or the costs of failing to engage in the behavior (losses). This study investigated whether the effectiveness of a framed message depends on the emotional state of the message recipient. We examined effects of fear versus anger, emotions that frequently occur within the context of health decision-making.

METHODS

Undergraduate students (N = 133) were randomly assigned to complete a fear or anger induction task after which they read a gain- or loss-framed pamphlet promoting fruit and vegetable consumption. Fruit and vegetable intake (servings per day) subsequently was assessed over the following 2 weeks.

RESULTS

As predicted, a significant frame by emotion interaction was observed, such that participants in the fear condition reported eating more servings of fruits and vegetables after exposure to a loss-framed message than to a gain-framed message. In contrast, participants in the anger condition reported eating (marginally) more servings of fruits and vegetables after exposure to a gain-framed message than to a loss-framed message. Greater increases in fruit and vegetable intake from baseline to follow-up were observed when the message frame was matched to the participant's emotional state.

CONCLUSION

The effectiveness of framed health communications depends on the message recipient's current emotional state. Affective factors that are incidental to the behavior recommended in a health communication can affect the relative success of gain- and loss-framed appeals.

A Dark Side of Happiness? How, When, and Why Happiness Is Not Always Good

Happiness is generally considered a source of good outcomes. Research has highlighted the ways in which happiness facilitates the pursuit of important goals, contributes to vital social bonds, broadens people’s scope of attention, and increases well-being and psychological health. However, is happiness always a good thing? This review suggests that the pursuit and experience of happiness might sometimes lead to negative outcomes. We focus on four questions regarding this purported “dark side” of happiness. First, is there a wrong degree of happiness? Second, is there a wrong time for happiness? Third, are there wrong ways to pursue happiness? Fourth, are there wrong types of happiness? Cumulatively, these lines of research suggest that although happiness is often highly beneficial, it may not be beneficial at every level, in every context, for every reason, and in every variety.

Cognitive control: social evolution and emotional regulation

This commentary argues that theories of cognitive control risk being incomplete unless they incorporate social/emotional factors. Social factors very likely played a critical role in the evolution of human cognitive control abilities, and emotional states are the primary regulatory mechanisms of cognitive control.