As Far as the Eye Can See: Relationship between Psychopathic Traits and Pupil Response to Affective Stimuli

Auditory guidance of eye movements toward threat-related images in the absence of visual awareness

The human brain is sensitive to threat-related information even when we are not aware of this information. For example, fearful faces attract gaze in the absence of visual awareness. Moreover, information in different sensory modalities interacts in the absence of awareness, for example, the detection of suppressed visual stimuli is facilitated by simultaneously presented congruent sounds or tactile stimuli. Here, we combined these two lines of research and investigated whether threat-related sounds could facilitate visual processing of threat-related images suppressed from awareness such that they attract eye gaze. We suppressed threat-related images of cars and neutral images of human hands from visual awareness using continuous flash suppression and tracked observers' eye movements while presenting congruent or incongruent sounds (finger snapping and car engine sounds). Indeed, threat-related car sounds guided the eyes toward suppressed car images, participants looked longer at the hidden car images than at any other part of the display. In contrast, neither congruent nor incongruent sounds had a significant effect on eye responses to suppressed finger images. Overall, our results suggest that only in a danger-related context semantically congruent sounds modulate eye movements to images suppressed from awareness, highlighting the prioritisation of eye responses to threat-related stimuli in the absence of visual awareness.

Trustworthiness judgments and pupil-size in individuals with schizophrenia

Individuals with schizophrenia show aberrant processing of social cues. In the current study, we (1) compared trustworthiness ratings of faces between patients with schizophrenia and healthy controls, (2) compared pupillary reactivity between patients and controls (3) examined whether trustworthiness judgments in schizophrenia are related to pupil reactivity, (4) and examined associations between trustworthiness judgements and symptom severity, specifically paranoia. Patients with schizophrenia spectrum disorders (N = 48) and healthy controls (N = 33) completed a Trustworthiness Task, during which their pupil size was measured via an eye-tracking device. The mean baseline-corrected pupil size was calculated from 24 pictures of real neutral faces, each presented for 2500 ms. Self-reported psychotic experiences were measured by Community Assessment of Psychic Functioning (CAPE-42), and symptom severity was rated by Brief Psychiatric Rating Scale (BPRS). No group differences were found in trustworthiness ratings or pupil reactivity parameters during trustworthiness judgments. Separately, among patients, absolute difference in pupil-size change and dilation after reaching minimum size were related to more severe positive symptoms and self-reported paranoia. Our results did not show social cognitive biases in the stable outpatients with schizophrenia, or the role of pupil reactivity in trustworthiness judgments. Future studies should use longer stimuli for pupillary reactivity and control the type and dosage of utilized antipsychotic medication. Further studies are required to explore relationships in larger and more symptomatic groups of patients.

Gender congruence and emotion effects in cross-modal associative learning: Insights from ERPs and pupillary responses

Social and emotional cues from faces and voices are highly relevant and have been reliably demonstrated to attract attention involuntarily. However, there are mixed findings as to which degree associating emotional valence to faces occurs automatically. In the present study, we tested whether inherently neutral faces gain additional relevance by being conditioned with either positive, negative, or neutral vocal affect bursts. During learning, participants performed a gender-matching task on face-voice pairs without explicit emotion judgments of the voices. In the test session on a subsequent day, only the previously associated faces were presented and had to be categorized regarding gender. We analyzed event-related potentials (ERPs), pupil diameter, and response times (RTs) of N = 32 subjects. Emotion effects were found in auditory ERPs and RTs during the learning session, suggesting that task-irrelevant emotion was automatically processed. However, ERPs time-locked to the conditioned faces were mainly modulated by the task-relevant information, that is, the gender congruence of the face and voice, but not by emotion. Importantly, these ERP and RT effects of learned congruence were not limited to learning but extended to the test session, that is, after removing the auditory stimuli. These findings indicate successful associative learning in our paradigm, but it did not extend to the task-irrelevant dimension of emotional relevance. Therefore, cross-modal associations of emotional relevance may not be completely automatic, even though the emotion was processed in the voice.

Reading Your Emotions in My Physiology? Reliable Emotion Interpretations in Absence of a Robust Physiological Resonance

Affective states are expressed in an individual’s physical appearance, ranging from facial expressions and body postures, to indicators of physiological arousal (e.g., a blush). Confirming the claimed communicative function of these markers, humans are capable of distinguishing between a variety of discrete emotion displays. In an attempt to explain the underlying mechanism, characteristic bodily changes within the observer, including physiological arousal and mimicry, have been suggested to facilitate the interpretation of an expression. The current study aims to create a holistic picture of emotion perception by (1) using three different sources of emotional information (prototypical facial expressions, bodily expressions, and subtle facial cues) and (2) measuring changes in multiple physiological signals (facial electromyography, skin conductance level, skin temperature, and pupil size). While participants clearly discriminated between perceived emotional expressions, there was no overall 1–1 correspondence with their physiological responses. Some specific but robust effects were observed. Angry facial expressions were consistently responded to with a peak in skin conductance level. Furthermore, sad body expressions were associated with a drop in skin temperature. In addition to being the best recognized expression, viewing happy faces elicited congruent facial muscle responses, which supports the potential role of embodied simulation in emotion recognition. Lastly, tears were not only rated as highly emotional intense but also evoked a peak in skin conductance level in the observer. The absence of distinct physiological responses to other expressions could be explained by the lacking functionality of affect sharing in a non-interactive experimental context. Consequentially, emotional alignment in body and mind might especially take place in real social situations, which should be considered in future research.

A reduction in the pupil's response to affective sounds in psychopathy and related personality traits

The pupil of the eye dilates in response to affective information, even if that information is not visual. We used this affective modulation of the pupil to examine the hypothesis that individuals with high traits of psychopathy have an insensitivity to emotional stimuli. We also examined general personality traits related to psychopathy. A sample of 120 healthy young men had their pupils monitored while they listened to sound clips that conveyed either neutral emotion (e.g., rain), negative emotion (e.g., a person screaming) or positive emotion (e.g., people laughing). Psychopathy and general personality traits were measured via self-report questionnaire. As expected, both the positive and negative emotional sounds produced greater dilation in the pupil size than neutral sounds. This affective modulation of the pupil was found to be reduced for the negative sounds for people high on the "callous/affective" components of psychopathy (the Affective facet of the SRP-4 and the Meanness scale of the TriPM) and the general personality traits of Reward Dependence and Cooperativeness. The results indicate that these callous traits of psychopathy and general personality may be underpinned by a reduction in the ability to effectively process or monitor emotional stimuli.

Simulated proximity enhances perceptual and physiological responses to emotional facial expressions

Physical proximity is important in social interactions. Here, we assessed whether simulated physical proximity modulates the perceived intensity of facial emotional expressions and their associated physiological signatures during observation or imitation of these expressions. Forty-four healthy volunteers rated intensities of dynamic angry or happy facial expressions, presented at two simulated locations, proximal (0.5 m) and distant (3 m) from the participants. We tested whether simulated physical proximity affected the spontaneous (in the observation task) and voluntary (in the imitation task) physiological responses (activity of the corrugator supercilii face muscle and pupil diameter) as well as subsequent ratings of emotional intensity. Angry expressions provoked relative activation of the corrugator supercilii muscle and pupil dilation, whereas happy expressions induced a decrease in corrugator supercilii muscle activity. In proximal condition, these responses were enhanced during both observation and imitation of the facial expressions, and were accompanied by an increase in subsequent affective ratings. In addition, individual variations in condition related EMG activation during imitation of angry expressions predicted increase in subsequent emotional ratings. In sum, our results reveal novel insights about the impact of physical proximity in the perception of emotional expressions, with early proximity-induced enhancements of physiological responses followed by an increased intensity rating of facial emotional expressions.

Negative parental emotional environment increases the association between childhood behavioral problems and impaired recognition of negative facial expressions

Impaired facial emotion recognition is a transdiagnostic risk factor for a range of psychiatric disorders. Childhood behavioral difficulties and parental emotional environment have been independently associated with impaired emotion recognition; however, no study has examined the contribution of these factors in conjunction. We measured recognition of negative (sad, fear, anger), neutral, and happy facial expressions in 135 children aged 5-7 years referred by their teachers for behavioral problems. Parental emotional environment was assessed for parental expressed emotion (EE) - characterized by negative comments, reduced positive comments, low warmth, and negativity towards their child - using the 5-minute speech sample. Child behavioral problems were measured using the teacher-informant Strengths and Difficulties Questionnaire (SDQ). Child behavioral problems and parental EE were independently associated with impaired recognition of negative facial expressions specifically. An interactive effect revealed that the combination of both factors was associated with the greatest risk for impaired recognition of negative faces, and in particular sad facial expressions. No relationships emerged for the identification of happy facial expressions. This study furthers our understanding of multidimensional processes associated with the development of facial emotion recognition and supports the importance of early interventions that target this domain.

Pupil dilation reflects the authenticity of received nonverbal vocalizations

The ability to infer the authenticity of other’s emotional expressions is a social cognitive process taking place in all human interactions. Although the neurocognitive correlates of authenticity recognition have been probed, its potential recruitment of the peripheral autonomic nervous system is not known. In this work, we asked participants to rate the authenticity of authentic and acted laughs and cries, while simultaneously recording their pupil size, taken as proxy of cognitive effort and arousal. We report, for the first time, that acted laughs elicited higher pupil dilation than authentic ones and, reversely, authentic cries elicited higher pupil dilation than acted ones. We tentatively suggest the lack of authenticity in others’ laughs elicits increased pupil dilation through demanding higher cognitive effort; and that, reversely, authenticity in cries increases pupil dilation, through eliciting higher emotional arousal. We also show authentic vocalizations and laughs (i.e. main effects of authenticity and emotion) to be perceived as more authentic, arousing and contagious than acted vocalizations and cries, respectively. In conclusion, we show new evidence that the recognition of emotional authenticity can be manifested at the level of the autonomic nervous system in humans. Notwithstanding, given its novelty, further independent research is warranted to ascertain its psychological meaning.

Personality Sensing

Personality detection is an important task in psychology, as different personality traits are linked to different behaviours and real-life outcomes. Traditionally it involves filling out lengthy questionnaires, which is time-consuming, and may also be unreliable if respondents do not fully understand the questions or are not willing to honestly answer them. In this article, we propose a framework for objective personality detection that leverages humans’ physiological responses to external stimuli. We exemplify and evaluate the framework in a case study, where we expose subjects to affective image and video stimuli, and capture their physiological responses using non-invasive commercial-grade eye-tracking and skin conductivity sensors. These responses are then processed and used to build a machine learning classifier capable of accurately predicting a wide range of personality traits. We investigate and discuss the performance of various machine learning methods, the most and least accurately predicted traits, and also assess the importance of the different stimuli, features, and physiological signals. Our work demonstrates that personality traits can be accurately detected, suggesting the applicability of the proposed framework for robust personality detection and use by psychology practitioners and researchers, as well as designers of personalised interactive systems.

The effect of oxytocin on pupil response to naturalistic dynamic facial expressions

The neuropeptide oxytocin (OT) has been found to play an important role in a variety of social behaviours and social cognition in particular. The social salience hypothesis of OT suggests that OT shifts attention towards socially relevant stimuli, which offers an explanation for improvements on social cognition measures following OT administration. Pupil dilation occurs with increasing attentional resource allocation and previous research has found that OT administration led to an increase in pupil diameter in response to social stimuli relative to placebo (PL), thereby suggesting increased social attention. The current study aimed to investigate the effects of OT on pupillary responses to more naturalistic social stimuli in a larger sample. Ninety-four male participants took part in the double-blind, placebo controlled, mixed-design study, in which they self-administered either an OT or PL nasal spray before viewing naturalistic dynamic facial expressions of emotion (happy, sad, fear and anger). Contrary to prediction, there was no effect of OT administration on pupil diameter. The results are discussed in light of the social salience hypothesis and with reference to the methodological differences between studies.

Emotional modulation of the pupil in psychopathy: A test of the Response Modulation Hypothesis

Some aspects of psychopathy may be underpinned by a deficit in processing emotional information, although there is evidence that this impairment only emerges when the affective cues are not central to ongoing goal-directed behaviour. However, this hypothesis has not been explored previously in relation to autonomic reactivity to emotional stimuli. The current study investigated this in a large (N = 174) community sample by examining changes in pupil diameter, a measure of autonomic nervous system activity, while participants viewed images that were either neutral in content or contained highly arousing/emotional content. Participants' attentional focus was manipulated across two tasks, such that participants either focused on whether the image contained emotional content (emotion-focus) or whether there were people present in the image (alternate-focus). Psychopathy was conceptualised via the Triarchic model of boldness, meanness and disinhibition. As expected, the arousing images caused greater pupil dilation compared to neutral images. However, the magnitude of this dilation was not moderated by any aspect of psychopathy regardless of the participant's attentional focus. It may be that reduced pupil reactivity to emotional stimuli is only expressed at high levels of psychopathy not normally found in community samples, or that participants with high traits of psychopathy in the community were still able to sufficiently attend to the emotional components of the images to overcome any autonomic deficits regardless of their attentional focus. Further research is needed to explore these possibilities.

Pupil Response to Affective Stimuli: a Biomarker of Early Conduct Problems in Young Children

Childhood conduct problems have been associated with reduced autonomic arousal to negative cues indicative of an insensitivity to aversive stimuli, with mixed evidence in response to positive cues. Autonomic arousal to affective stimuli has traditionally been measured through galvanic skin responses and heart-rate, despite evidence that pupillometry is more reliable and practically beneficial (i.e., no wires are attached to the participant). The current study is the first to examine abnormal pupillary responsivity to affective stimuli as a biomarker for childhood conduct problems. We measured pupil reactivity to negative, positive and neutral images in 131 children aged 4-7 years, who were referred by their teachers for being at risk of future psychopathology. We assessed relationships between pupil response to the images and teacher-rated scores on the Strengths and Difficulties Questionnaire (SDQ), which indexed child conduct problems and their overlapping emotional, behavioural and social difficulties. Reduced pupil dilation to negative images was associated with significantly increased conduct, hyperactivity, emotional and peer problems, as well as reduced prosocial behaviour. Composite scores for disruptive behaviour and emotional difficulties both uniquely predicted blunted pupil response to negative threat stimuli; there were no relations with pupil responses to positive images. These findings highlight that blunted pupil responsivity to negative stimuli serves as a biomarker for early disruptive behavioural problems and affective difficulties. Pupillometry offers an inexpensive, fast and non-intrusive measure to help identify children who are showing early disruptive behaviour or experiencing affective difficulties, which can provide opportunities for preventative intervention to avoid further psychopathology.

Measures of Listening Effort Are Multidimensional

OBJECTIVES

Listening effort can be defined as the cognitive resources required to perform a listening task. The literature on listening effort is as confusing as it is voluminous: measures of listening effort rarely correlate with each other and sometimes result in contradictory findings. Here, we directly compared simultaneously recorded multimodal measures of listening effort. After establishing the reliability of the measures, we investigated validity by quantifying correlations between measures and then grouping-related measures through factor analysis.

DESIGN

One hundred and sixteen participants with audiometric thresholds ranging from normal to severe hearing loss took part in the study (age range: 55 to 85 years old, 50.3% male). We simultaneously measured pupil size, electroencephalographic alpha power, skin conductance, and self-report listening effort. One self-report measure of fatigue was also included. The signal to noise ratio (SNR) was adjusted at 71% criterion performance using sequences of 3 digits. The main listening task involved correct recall of a random digit from a sequence of six presented at a SNR where performance was around 82 to 93%. Test-retest reliability of the measures was established by retesting 30 participants 7 days after the initial session.

RESULTS

With the exception of skin conductance and the self-report measure of fatigue, interclass correlation coefficients (ICC) revealed good test-retest reliability (minimum ICC: 0.71). Weak or nonsignificant correlations were identified between measures. Factor analysis, using only the reliable measures, revealed four underlying dimensions: factor 1 included SNR, hearing level, baseline alpha power, and performance accuracy; factor 2 included pupillometry; factor 3 included alpha power (during speech presentation and during retention); factor 4 included self-reported listening effort and baseline alpha power.

CONCLUSIONS

The good ICC suggests that poor test reliability is not the reason for the lack of correlation between measures. We have demonstrated that measures traditionally used as indicators of listening effort tap into multiple underlying dimensions. We therefore propose that there is no "gold standard" measure of listening effort and that different measures of listening effort should not be used interchangeably. When choosing method(s) to measure listening effort, the nature of the task and aspects of increased listening demands that are of interest should be taken into account. The findings of this study provide a framework for understanding and interpreting listening effort measures.

Visual Behavior, Pupil Dilation, and Ability to Identify Emotions From Facial Expressions After Stroke

Social cognition is the innate human ability to interpret the emotional state of others from contextual verbal and non-verbal information, and to self-regulate accordingly. Facial expressions are one of the most relevant sources of non-verbal communication, and their interpretation has been extensively investigated in the literature, using both behavioral and physiological measures, such as those derived from visual activity and visual responses. The decoding of facial expressions of emotion is performed by conscious and unconscious cognitive processes that involve a complex brain network that can be damaged after cerebrovascular accidents. A diminished ability to identify facial expressions of emotion has been reported after stroke, which has traditionally been attributed to impaired emotional processing. While this can be true, an alteration in visual behavior after brain injury could also negatively contribute to this ability. This study investigated the accuracy, distribution of responses, visual behavior, and pupil dilation of individuals with stroke while identifying emotional facial expressions. Our results corroborated impaired performance after stroke and exhibited decreased attention to the eyes, evidenced by a diminished time and number of fixations made in this area in comparison to healthy subjects and comparable pupil dilation. The differences in visual behavior reached statistical significance in some emotions when comparing individuals with stroke with impaired performance with healthy subjects, but not when individuals post-stroke with comparable performance were considered. The performance dependence of visual behavior, although not determinant, might indicate that altered visual behavior could be a negatively contributing factor for emotion recognition from facial expressions.

Does goal congruence dilate the pupil over and above goal relevance?

To better understand the mechanisms underlying preferential processing of affective stimuli (i.e., affective attention), it is useful to ask which appraisal dimensions characterize stimuli that capture affective attention. Viewed from such appraisal perspective, most accounts of affective attention predict that the appraisal of goal relevance (i.e. the overall relevance of a stimulus/event to one's current goals) should attract attention whereas some accounts also implicate the appraisal of goal congruence (i.e. the value of the stimulus with respect to these goals). We compared these accounts by investigating independent effects of goal relevance and goal congruence on attention capture operationalized through pupil dilation. Forty-seven participants completed a modified Monetary Incentive Delay task (MID) where they sought to maximize the amount of chocolate received at the end of the experiment, pupil data from forty-two participants were used in the final analysis. Implicating attention capture by goal relevance, we found that pupil size was increased by all win- and loss-related compared to neutral stimuli and by materialized wins and losses compared to non-materialized ones. By contrast, we did not find pupil dilation effects of goal congruence across three different operationalizations of this appraisal dimension. These findings suggest that goal congruence appraisal may not contribute to the aspects of affective attention reflected in pupil dilation over and above goal relevance appraisal.

The Pupil Dilation Response to Auditory Stimuli: Current State of Knowledge

The measurement of cognitive resource allocation during listening, or listening effort, provides valuable insight in the factors influencing auditory processing. In recent years, many studies inside and outside the field of hearing science have measured the pupil response evoked by auditory stimuli. The aim of the current review was to provide an exhaustive overview of these studies. The 146 studies included in this review originated from multiple domains, including hearing science and linguistics, but the review also covers research into motivation, memory, and emotion. The present review provides a unique overview of these studies and is organized according to the components of the Framework for Understanding Effortful Listening. A summary table presents the sample characteristics, an outline of the study design, stimuli, the pupil parameters analyzed, and the main findings of each study. The results indicate that the pupil response is sensitive to various task manipulations as well as interindividual differences. Many of the findings have been replicated. Frequent interactions between the independent factors affecting the pupil response have been reported, which indicates complex processes underlying cognitive resource allocation. This complexity should be taken into account in future studies that should focus more on interindividual differences, also including older participants. This review facilitates the careful design of new studies by indicating the factors that should be controlled for. In conclusion, measuring the pupil dilation response to auditory stimuli has been demonstrated to be sensitive method applicable to numerous research questions. The sensitivity of the measure calls for carefully designed stimuli.

Emotional modulation of the pupil response in psychopathy

Psychopathy is a form of personality disorder associated with a deficit in emotional processing. However, there is debate whether this deficit applies to all emotions or exists only for negative emotions. The pupil dilates rapidly in response to emotional stimuli, allowing a time-sensitive index of emotional processing. Across 3 experiments using (a) visual images of real-world scenes, (b) auditory sound clips, and (c) videos of dynamic facial expressions, we measured emotional modulation of the pupil response to both negative and positive stimuli. Participants were 82 male mentally disordered offenders. Psychopathy was measured using the Psychopathy Checklist—Revised to produce factor scores of interpersonal–affective traits (Factor 1) and lifestyle–antisocial traits (Factor 2). Participants with high Factor 1 scores showed reduced emotional modulation of the pupil response to negative images and angry faces but not to any of the positive stimuli. These effects only occurred shortly after the emotion was presented (<2,000 ms), suggesting delayed processing of negative affective stimuli in Factor 1 psychopathy. Factor 2 scores were not associated with any changes in pupil response. There were no effects of psychopathy on the pupil response to the affective sound clips. The results support a specific psychopathic deficit in the processing of negative stimuli related to the interpersonal–affective dimension of psychopathy. We argue that pupillometry is a powerful and noninvasive tool to investigate emotional processing in clinical populations.

Standard measures for sickle cell disease research: the PhenX Toolkit sickle cell disease collections

Standard measures and common data elements for sickle cell disease (SCD) will improve the data quality and comparability necessary for cross-study analyses and the development of guidelines that support effective treatments and interventions. In 2014, the National Institutes of Health, National Heart, Lung, and Blood Institute (NHLBI) funded an Administrative Supplement to the PhenX Toolkit (consensus measures for Phenotypes and eXposures; https://www.phenxtoolkit.org/) to identify common measures to promote data comparability across SCD research. An 11-member Sickle Cell Disease Research and Scientific Panel provided guidance to the project, establishing a core collection of SCD-related measures and defining the scope of 2 specialty collections: (1) cardiovascular, pulmonary, and renal complications, and (2) neurology, quality-of-life, and health services. For each specialty collection, a working group of SCD experts selected high-priority measures using a consensus process that included scientific community input. The SCD measures were released into the Toolkit in August 2015. The 25 measures included in the core collection are recommended for use by all NHLBI-funded investigators performing human-subject SCD research. The 10 neurology, quality-of-life, and health services measures and 14 cardiovascular, pulmonary, and renal measures are recommended for use within these specialized research areas. For SCD and other researchers, PhenX measures will promote collaborations with clinicians and patients, facilitate cross-study analysis, accelerate translational research, and lead to greater understanding of SCD phenotypes and epigenetics. For clinicians, using PhenX measures will help elucidate the etiology, progression, and treatment of SCD, leading to improved patient care and quality of life.