Knowledge of Threat Biases Perceptual Decision Making in Anxiety: Evidence From Signal Detection Theory and Drift Diffusion Modeling.

Background: Threat biases are considered key factors in the development and maintenance of anxiety. However, these biases are poorly operationalized and remain unquantified. Furthermore, it is unclear whether and how prior knowledge of threat and its uncertainty induce these biases and how they manifest in anxiety. Method: Participants (n = 55) used prestimulus cues to decide whether the subsequently presented stimuli were threatening or neutral. The cues either provided no information about the probability (high uncertainty) or indicated high probability (low uncertainty) of encountering threatening or neutral targets. We used signal detection theory and hierarchical drift diffusion modeling to quantify bias. Results: High-uncertainty threat cues improved discrimination of subsequent threatening and neutral stimuli more than neutral cues. However, anxiety was associated with worse discrimination of threatening versus neutral stimuli following high-uncertainty threat cues. Using hierarchical drift diffusion modeling, we found that threat cues biased decision making not only by shifting the starting point of evidence accumulation toward the threat decision but also by increasing the efficiency with which sensory evidence was accumulated for both threat-related and neutral decisions. However, higher anxiety was associated with a greater shift of starting point toward the threat decision but not with the efficiency of evidence accumulation. Conclusions: Using computational modeling, these results highlight the biases by which knowledge regarding uncertain threat improves perceptual decision making but impairs it in case of anxiety.

Threat and uncertainty in the face of perceptual decision-making in anxiety.

Anxiety is defined as an anticipatory response to uncertain, future threats. It is unknown how anticipatory information regarding uncertainty about upcoming threatening and neutral stimuli impacts attention and perception in anxiety. Individuals with and without anxiety disorders performed two perceptual decision-making tasks in which they used threat or neutral prestimulus cues to discriminate between subsequent threatening and neutral faces. In one task, cues provided no probability information (high uncertainty). In the other, cues indicated a high probability of encountering threatening or neutral faces (low uncertainty). Under high uncertainty only, anxious apprehension was associated with worse discrimination between threatening versus neutral faces after threat cues. Additionally, anxious arousal was associated with worse discrimination after neutral cues in individuals with anxiety disorders. These findings will advance the field by spurring the development of more comprehensive and ecologically valid models in which anticipatory top-down factors influence threat perception in anxiety. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Is threat detection Black and White? Race effects in threat-related perceptual decision-making.

There is a vast literature base indicating that people respond differently to Black and White individuals based on differential perceptions of threat. As facial affect is a fundamental way that individuals communicate their emotional state, studies have examined differences in how Black and White threatening facial expressions are perceived. However, perceptual decisions regarding threatening and neutral stimuli often occur in familiar contexts or in environments where explicit cues indicate the presence or absence of threat. Furthermore, these decisions often occur in "noisy" (i.e., ambiguous) environments where the quality of sensory evidence is poor, requiring us to rely on perceptual "sets" or expectations to interpret such evidence. Therefore, in the present study we used a two-alternative perceptual decision-making task in which participants used threatening and neutral cue-elicited perceptual sets to discriminate between subsequently presented threatening and neutral Black and White faces. Threatening cues led to a greater tendency to decide that both Black and White faces were threatening, as well as faster and greater discriminability between threatening and neutral Black and White faces. However, race-related differences revealed that, following both cue types, discriminability between threatening and neutral Black faces was worse compared to White faces. Therefore, using a paradigm that is ecologically valid, our findings highlight the importance of examining basic aspects of visual perception to understand race-related differences in threat-related perceptual decision-making. Furthermore, these findings emphasize the importance of anticipatory top-down factors when making perceptual decisions about the presence or absence of threat in faces of different races. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

They're watching you: the impact of social evaluation and anxiety on threat-related perceptual decision-making.

In day-to-day social interactions, we frequently use cues and contextual knowledge to make perceptual decisions regarding the presence or absence of threat in facial expressions. Such perceptual decisions are often made in socially evaluative contexts. However, the influence of such contexts on perceptual discrimination of threatening and neutral expressions has not been examined empirically. Furthermore, it is unclear how individual differences in anxiety interact with socially evaluative contexts to influence threat-related perceptual decision-making. In the present study, participants completed a 2-alternative forced choice perceptual decision-making task in which they used threatening and neutral cues to discriminate between threatening and neutral faces while being socially evaluated by purported peers or not. Perceptual sensitivity and reaction time were measured. Individual differences in state anxiety were assessed immediately after the task. In the presence of social evaluation, higher state anxiety was associated with worse perceptual sensitivity, i.e., worse discrimination of threatening and neutral faces. These findings suggest that individual differences in anxiety interact with social evaluation to impair the use of threatening cues to discriminate between threatening and neutral expressions. Such impairment in perceptual decision-making may contribute to maladaptive social behavior that often accompanies evaluative social contexts.

Association of attention and memory biases for negative stimuli with post-traumatic stress disorder symptoms.

Cognitive models have highlighted the role of attentional and memory biases towards negatively-valenced emotional stimuli in the maintenance of post-traumatic stress disorder (PTSD). However, previous research has focused mainly on attentional biases towards distracting (task-irrelevant) negative stimuli. Furthermore, attentional and memory biases have been examined in isolation and the links between them remain underexplored. We manipulated attention during encoding of trauma-unrelated negative and neutral words and examined the differential relationship of their encoding and recall with PTSD symptoms. Responders to the World Trade Center disaster (N = 392) performed tasks in which they read negative and neutral words and reported the color of another set of such words. Subsequently, participants used word stems to aid retrieval of words shown earlier. PTSD symptoms were associated with slower response times for negative versus neutral words in the word-reading task (r = 0.170) but not color-naming task. Furthermore, greater PTSD symptom severity was associated with more accurate recall of negative versus neutral words, irrespective of whether words were encoded during word-reading or color-naming tasks (F = 4.11, p = 0.044, ηp2 = 0.018). Our results show that PTSD symptoms in a trauma-exposed population are related to encoding of trauma-unrelated negative versus neutral stimuli only when attention was voluntarily directed towards the emotional aspects of the stimuli and to subsequent recall of negative stimuli, irrespective of attention during encoding.

Online Survey of the Impact of COVID-19 Risk and Cost Estimates on Worry and Health Behavior Compliance in Young Adults.

The novel coronavirus COVID-19 pandemic is associated with elevated rates of anxiety and relatively lower compliance with public health guidelines in younger adults. To develop strategies for reducing anxiety and increasing adherence with health guidelines, it is important to understand the factors that contribute to anxiety and health compliance in the context of COVID-19. Earlier research has shown that greater perceived risk of negative events and their costs are associated with increased anxiety and compliance with health behaviors, but it is unclear what role they play in a novel pandemic surrounded by uncertainty. In the present study we measured (1) perceived risk as the self-reported probability of being infected and experiencing serious symptoms due to COVID-19 and (2) perceived cost as financial, real-world, physical, social, and emotional consequences of being infected with COVID-19. Worry was assessed using the Penn State Worry Questionnaire (PWSQ) and health compliance was measured as endorsement of the World Health Organization (WHO) health directives for COVID-19. Our results showed that greater perceived risk and costs of contracting the COVID-19 virus were associated with greater worry and while only costs were associated with greater compliance with health behaviors. Neither self-reported worry nor its interaction with cost estimates was associated with increased engagement in health behaviors. Our results provide important insight into decision making mechanisms involved in both increased anxiety and health compliance in COVID-19 and have implications for developing psychoeducational and psychotherapeutic strategies to target both domains.

Effects of a Brief Mindfulness-Based Attentional Intervention on Threat-Related Perceptual Decision-Making.

OBJECTIVES: Threat-related cues and contexts facilitate perceptual decision-making, yet it is unclear whether this threat-driven tuning of perceptual decision-making is modifiable by top-down attentional control. Since state and dispositional mindfulness are linked to improved attentional control, we examined whether these factors assist the use of prior knowledge to detect threatening stimuli. METHODS: Participants were randomly assigned to a brief mindfulness-based intervention (N=32) or a physics lecture audio recording (N=31) and then asked to perform a task in which they used threatening and neutral cues to discriminate between threatening and neutral faces. RESULTS: Results showed that threatening cues led to faster and more sensitive perceptual decision-making, specifically for threatening faces. Furthermore, higher levels of dispositional mindfulness were associated with improved ability to use cues to discriminate between threatening and neutral stimuli in the group that underwent a brief mindfulness induction but not in the control group. CONCLUSIONS: Our findings highlight how top-down attention-related dispositions and strategies can influence our ability to detect threats in our environment.

Endogenous in-session cortisol during exposure therapy predicts symptom improvement: Preliminary results from a scopolamine-augmentation trial.

The purpose of this study was to explore whether individual differences in glucocorticoid concentrations were associated with symptom improvement following exposure therapy for patients with social anxiety disorder. To do this, 60 participants with social anxiety disorder completed a randomized-controlled trial of exposure therapy, where participants were randomized to receive scopolamine-augmentation or placebo during their 7 exposure sessions. Scopolamine is an antimuscarinic which blocks the effects of acetylcholine and reduces autonomic arousal. During sessions 1, 4, 7, and during the post-treatment extinction assessment, participants provided up to 16 saliva samples (4 in each session). Pre-treatment, post-treatment, and at 1-month follow-up, participants completed the Liebowitz Social Anxiety Scale to monitor change in fear and avoidance symptoms. Elevated endogenous in-session cortisol during exposure sessions was associated with less symptom improvement from pre- to post-treatment and at 1-month follow-up. The association between elevated endogenous in-session cortisol and attenuated symptom change was not moderated by scopolamine treatment condition. Individuals with social anxiety disorder who have elevated neuroendocrine signaling may under-benefit from exposure therapy. This is the first study, to our knowledge, to examine whether endogenous in-session cortisol concentrations predict symptom changes following exposure therapy for the treatment of social anxiety disorder. More investigation of non-invasive and reliable biological markers that explain variability in responses to effective treatments are needed.

The role of imagery in threat-related perceptual decision making.

Visual perception is heavily influenced by "top-down" factors, including goals, expectations, and prior knowledge about the environmental context. Recent research has demonstrated the beneficial role threat-related cues play in perceptual decision making; however, the psychological processes contributing to this differential effect remain unclear. Since visual imagery helps to create perceptual representations or "templates" based on prior knowledge (e.g., cues), the present study examines the role vividness of visual imagery plays in enhanced perceptual decision making following threatening cues. In a perceptual decision-making task, participants used threat-related and neutral cues to detect perceptually degraded fearful and neutral faces presented at predetermined perceptual thresholds. Participants' vividness of imagery was measured by the Vividness of Visual Imagery Questionnaire-2 (VVIQ-2). Our results replicated prior work demonstrating that threat cues improve accuracy, perceptual sensitivity, and speed of perceptual decision making compared to neutral cues. Furthermore, better performance following threat and neutral cues was associated with higher VVIQ-2 scores. Importantly, more precise and rapid perceptual decision making following threatening cues was associated with greater VVIQ-2 scores, even after controlling for performance related to neutral cues. This association may be because greater imagery ability allows one to conjure more vivid threat-related templates, which facilitate subsequent perception. While the detection of threatening stimuli is well studied in the literature, our findings elucidate how threatening cues occurring prior to the stimulus aid in subsequent perception. Overall, these findings highlight the necessity of considering top-down threat-related factors in visual perceptual decision making. (PsycInfo Database Record (c) 2020 APA, all rights reserved).