Negative mood induction in children: An examination across mood, physiological, and cognitive variables.

Experimental mood induction procedures are commonly used in studies of children's emotions, although research on their effectiveness is lacking. Studies that support their effectiveness report sample-level changes in self-reported affect from pre- to post-induction, and a subset of children who do not self-report expected changes in affect (i.e., "nonresponders"). Given children's limited abilities to self-report their emotions, it is critical to know whether these paradigms also shift physiological and social-cognitive indices of emotion. We hypothesized increases in physiological reactivity and accuracy for discerning facial expressions of negative emotions from pre- to post-induction and smaller increases for nonresponders, Children (N = 80; 7- to 12-year-olds) completed a facial emotion recognition task and had an electrocardiogram recorded to index high-frequency heart rate variability (HF-HRV) before and after a mood induction procedure. The mood induction involved watching a 3-min sad film clip while attending to their feelings. In the sample overall, from pre- to post-mood induction, children self-reported significantly sadder affect, displayed significant increases in HF-HRV, and displayed significant increases in accuracy of recognizing facial emotion expressions congruent with the mood induced. One quarter (25%) of the sample did not self-report expected increases in sad affect. Contrary to expectations, responders and nonresponders did not differ in mood-induced changes in physiological reactivity or emotion recognition accuracy. These findings support that mood inductions are efficacious in shifting not only children's self-reported affect but also underlying physiological and social-cognitive processes. Furthermore, they are an effective methodology for research questions related to underlying processes even in self-reported nonresponders.

Activity increases in empathy-related brain regions when children contribute to peers' sadness and happiness.

Responding empathically when causing peers' emotions is critical to children's interpersonal functioning, yet there are surprising gaps in the literature. Previous research has focused on empathy when witnessing others' emotions instead of causing others' emotions, on negative emotions instead of positive emotions, and on behavioral correlates instead of neural correlates. In this study, children (N = 38; Mage = 9.28 years; 50% female) completed a functional magnetic resonance imaging block design task in which they played a rigged game where they won and lost coins for themselves or peers and viewed their peers' happiness and sadness. We used a region of interest approach to test whether activity in brain regions associated with positive and negative empathy in adults showed significantly greater activity in each condition (i.e., when children won and lost tokens for themselves and peers) compared with a fixation baseline. We predicted that experiencing self-conscious emotions, such as pride and guilt, would heighten the experience of empathy. Activity in the amygdala, which is associated with visceral arousal, and in the anterior insula and dorsal anterior cingulate cortex, which are associated with integrated arousal, increased significantly when winning and losing for oneself and peers and observing their resulting happy and sad facial expressions. Activity did not differ when playing for oneself versus peers, indicating that self-conscious emotions do not heighten empathy and instead support similar neural processes underlying firsthand and secondhand (empathic) emotions. These findings support that empathy during middle childhood involves the same brain regions as empathy during adulthood and that children experience firsthand and secondhand positive and negative emotions in similar ways.

Sex differences in social communication behaviors in toddlers with suspected autism spectrum disorder as assessed by the ADOS-2 toddler module.

LAY ABSTRACT: When toddlers are suspected of autism spectrum disorder (ASD), the gold-standard assessment technique is with the Autism Diagnostic Observation Schedule, 2nd edition (ADOS-2) Toddler Module, a behavioral observation system. ASD is a neurodevelopmental condition more frequently diagnosed in toddler boys than in toddler girls. There is some evidence that the ADOS-2 assesses behaviors that are more characteristic of boys with ASD than girls. Thus, it is possible that focusing on these behaviors contributes at least in part to why more boys are diagnosed than girls. Specifically, girls may show more social skills than boys during the ADOS-2 assessment due to their socialization histories, which may lead to missed diagnoses of ASD in toddler girls. The current study examined eight social behaviors assessed by the ADOS-2 in a sample of toddlers with suspected ASD to see if they contributed differently to the total score of those items. Examination of those items suggested that those social communication behaviors work the same for boys and girls with suspected ASD, which was inconsistent with hypotheses. However, examination of particular items raises the possibility of examining creative/imaginative play as an area for future research.

Children's recognition of happy, sad, and angry facial expressions across emotive intensities.

Sharing emotional experiences is a key task that requires accurate recognition of peers' emotions during middle childhood. Existing research suggests that children are proficient at discerning emotion from facial expressions during middle childhood, but this research has focused on recognition of adults' intense emotional expressions. In this study, facial emotion recognition for children's happy, sad, and angry expressions across low, medium, and high intensities was measured in a sample of 7- to 10-year-old children (N = 80; 53% female) to quantify overall accurate recognition as well as inaccuracies, including identifying an emotion as present when it is not (false alarms) and failing to identify an emotion when present (miss rate). Children's recognition accuracy for low-threshold happiness, sadness, and anger was quite poor but improved in a cubic fashion as expression intensity increased, with dramatic improvements across medium-intensity expressions, and little further improvement across high-intensity expressions. A positivity bias was evident; children were more accurate at recognizing happiness than at recognizing sadness and anger, rarely failed to identify happiness when present, and tended to mislabel expressions as happy rather than as angry or sad. Children were generally better at recognizing anger compared with sadness but were more accurate at recognizing subtle sadness compared with anger, which appeared to be due to children missing subtle anger when present. The findings are discussed with regard to the functionality of others' happiness for signaling positive socializing opportunities, anger for signaling threatening interactions, and sadness for prompting prosocial action and with regard to how children's facial emotion recognition may affect general socioemotional development.

Cognitive reappraisal moderates the quadratic association between heart rate variability and negative affectivity.

There is uncertainty as to how high-frequency heart rate variability (HF-HRV), a marker of an individual's capacity for flexible physiological reactivity, relates to an individual's tendency to experience negative emotions. We propose that both excessively high and excessively low HF-HRV may reflect maladaptive physiological reactivity tendencies associated with high negative affectivity and that this association may be influenced by the use of emotion regulation strategies, such as cognitively reappraising negative environmental stimuli to downregulate the experience of negative emotions. The purpose of the current study was to examine the moderating role of cognitive reappraisal in the quadratic association between HF-HRV and negative affectivity. Electrocardiograms (ECG) were recorded at rest for 269 young adults (77% female; M = 19.7 years) who then completed self-report rating scales assessing trait negative affectivity and trait cognitive reappraisal. As predicted, high and low HF-HRV were associated with high negative affectivity at low levels of trait cognitive reappraisal. At high levels of trait reappraisal, the quadratic association between HF-HRV and negative affectivity was not significant. These results suggest that, contrary to traditional views, high HF-HRV may not always be an adaptive characteristic and may depend on an individual's use of emotion regulation strategies, such as cognitive reappraisal.

Toddlers imitate prosocial demonstrations in bystander but not transgressor contexts.

Although prosocial abilities are associated with a wide range of healthy outcomes, few studies have experimentally examined socialization practices that may cause increased prosocial responding. The purpose of this study was to investigate conditions under which 2- and 3-year-old children can acquire prosocial behaviors through imitation. In Study 1 (N = 53), toddlers in the experimental condition watched a video of an adult comfort a woman in distress by performing a novel prosocial action without depicting how the woman was hurt. Parents then pretended they hurt their own finger and feigned distress. Children in the experimental condition were more likely to imitate the novel action relative to two control groups: (a) children who did not watch the video but witnessed a distressed parent, and (b) children who watched the video but witnessed parents engage in a neutral interaction. Thus, in a bystander context where children witnessed parent distress, toddlers imitated a general demonstration of how to respond prosocially to distress and applied this information to a specific distress scenario. In Study 2 (N = 54), the procedures were identical to those in the first study except that children were led to believe that they had transgressed to cause parent distress. In a transgressor context, children in the experimental condition were not more likely to imitate the prosocial behavior relative to children in either control group. These studies demonstrate that whether or not children have caused a victim's distress greatly affects their ability to apply a socially learned prosocial behavior, possibly due to self-conscious emotions such as guilt and shame.

Emotional Contexts Influence Toddlers' Prosocial Strategies.

Prosocial behavior is a highly heterogeneous construct, and young children use distinct prosocial actions in response to differing emotional needs of another person. This study examined whether toddlers' prosocial responses differed in response to two understudied emotional contexts-whether or not children caused a victim's distress, and the specific emotion expressed by the victim. Toddlers (N = 86; M age =35 months) and their parent participated in two separate mishap paradigms in which parents feigned pain and sadness, respectively. Half of the sample was led to believe they had transgressed to cause their parent's distress, whereas the other half simply witnessed parent distress as bystanders. Results indicated that toddlers were overall equally prosocial when they were transgressors compared to when they were bystanders, and significantly more prosocial in response to sadness than pain Toddlers were significantly more likely to use affection as transgressors than bystanders, information seeking as bystanders than transgressors, and affection in response to pain than sadness. All children used greater helping in response to sadness than pain, and this was especially true when they were bystanders. Findings add to mounting evidence of the complexity of prosocial action in early childhood by identifying that two, distinct emotional contexts influence the amount and type of prosocial behaviors that toddlers use to help others.

Reparative prosocial behaviors alleviate children's guilt.

Guilt theoretically functions to motivate reparative behaviors, which, in turn, theoretically alleviate guilt and prevent depression. Although empirical research supports these theories in adults, studies have not investigated causal relations between guilt and reparative behaviors in children. Thus, this study examined whether guilt motivates children's reparative behaviors, and whether their reparative behaviors successfully alleviate guilty feelings. Six-to 10-year olds (N = 97) were randomly assigned to 1 of 3 conditions. Children in the experimental condition were led to believe they had transgressed to cause a peer's distress. Children self-reported their guilt following the transgression, and then had the opportunity to repair the transgression by giving stickers and writing a note to the victimized peer. Following the repair opportunity, children self-reported their guilt a second time. Children in the experimental condition (i.e., children who felt guilty) engaged in greater reparative behavior than children in a no-guilt condition who were led to believe they had caused a peer's slightly positive emotions. Further, children in the experimental condition reported reduced guilt across the first to second guilt measurement, whereas children in the no-repair condition (who transgressed but did not have a repair opportunity) did not report reduced guilt over time. Results demonstrate that guilt and reparative behaviors function as theorized in middle childhood and may begin to inform reparative interventions aimed at preventing maladaptive guilt and depression. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Understanding associations between negatively biased attention and depression and social anxiety: positively biased attention is key.

Background and objectives: Although research supports the premise that depressed and socially anxious individuals direct attention preferentially toward negative emotional cues, little is known about how attention to positive emotional cues might modulate this negative attention bias risk process. The purpose of this study was to determine if associations between attention biases to sad and angry faces and depression and social anxiety symptoms, respectively, would be strongest in individuals who also show biased attention away from happy faces. Methods: Young adults (N = 151; 79% female; M = 19.63 years) completed self-report measures of depression and social anxiety symptoms and a dot probe task to assess attention biases to happy, sad, and angry facial expressions. Results: Attention bias to happy faces moderated associations between attention to negatively valenced faces and psychopathology symptoms. However, attention bias toward sad faces was positively and significantly related to depression symptoms only for individuals who also selectively attended toward happy faces. Similarly, attention bias toward angry faces was positively and significantly associated with social anxiety symptoms only for individuals who also selectively attended toward happy faces. Conclusions: These findings suggest that individuals with high levels of depression or social anxiety symptoms attend preferentially to emotional stimuli across valences.

Cognitive Predictors of Parental Rescue Behavior and Malleability of Behavior Using a Brief Psychoeducation Intervention.

Cognitive factors, such as beliefs that anxiety is harmful, may lead parents to engage excessively in over-controlling parenting practices, such as "rescuing" children from distress. The present study examined whether parental rescue behavior, or the speed at which parents intervened to rescue an increasingly distressed child during an audio paradigm, was associated with beliefs about child anxiety. We also evaluated the impact of psychoeducation on rescue behavior during the audio paradigm. A nonclinical sample of 310 parents was recruited from an online crowdsourcing platform. Findings support the hypothesis that parents' stronger beliefs that anxiety is harmful relate to parents' faster speed of rescue. Additionally, participants who received psychoeducation delayed their rescue responses more than did participants who received benign information. Findings add to the growing body of evidence that cognitive factors contribute to countertherapeutic parent behavior and indicate that psychoeducation can be an important component of family-based child anxiety treatment.

Nonlinear Associations Between Co-Rumination and Both Social Support and Depression Symptoms.

Co-ruminating about one's problems appears to involve both beneficial self-disclosure and harmful rumination, suggesting that moderate levels may be the most adaptive. This study used nonlinear regression to determine whether moderate levels of self-reported co-rumination in relationships with a sibling, parent, friend, and romantic partner are linked to the highest levels of self-perceived social support and lowest levels of self-reported depression symptoms in 175 emerging adults (77% female; M = 19.66 years). As expected, moderate co-rumination was associated with high social support across all four relationship types, but, somewhat unexpectedly, high levels of co-rumination were also associated with high social support. As predicted, moderate levels of co-rumination with friends and siblings were associated with low levels of depression. Contrary to hypotheses, high levels of co-rumination were associated with high depression within romantic relationships. Co-rumination with a parent did not have a linear or quadratic association with depression. These findings suggest that high co-ruminating in supportive relationships and to a lesser extent low co-ruminating in unsupportive relationships are maladaptive interpersonal processes but that co-rumination's relation to depression depends on the co-ruminating partner. Psychotherapies for depression may target these maladaptive processes by supporting clients' development of balanced self-focused negative talk.

Positively Biased Processing of Mother's Emotions Predicts Children's Social and Emotional Functioning.

Risk for internalizing problems and social skills deficits likely emerges in early childhood when emotion processing and social competencies are developing. Positively biased processing of social information is typical during early childhood and may be protective against poorer psychosocial outcomes. We tested the hypothesis that young children with relatively less positively biased attention to, interpretations of, and attributions for their mother's emotions would exhibit poorer prosocial skills and more internalizing problems. A sample of 4- to 6-year-old children (N=82) observed their mothers express happiness, sadness and anger during a simulated emotional phone conversation. Children's attention to their mother when she expressed each emotion was rated from video. Immediately following the phone conversation, children were asked questions about the conversation to assess their interpretations of the intensity of mother's emotions and misattributions of personal responsibility for her emotions. Children's prosocial skills and internalizing problems were assessed using mother-report rating scales. Interpretations of mother's positive emotions as relatively less intense than her negative emotions, misattributions of personal responsibility for her negative emotions, and lack of misattributions of personal responsibility for her positive emotions were associated with poorer prosocial skills. Children who attended relatively less to mother's positive than her negative emotions had higher levels of internalizing problems. These findings suggest that children's attention to, interpretations of, and attributions for their mother's emotions may be important targets of early interventions for preventing prosocial skills deficits and internalizing problems.

Parenting and youth sexual risk in context: The role of community factors.

Black South African youth are disproportionately affected by HIV, and risky sexual behaviors increase youths' vulnerability to infection. U.S.-based research has highlighted several contextual influences on sexual risk, but these processes have not been examined in a South African context. In a convenience sample of Black South African caregivers and their 10-14-year-old youth (Mage = 11.7, SD = 1.4; 52.5% female), we examined the relation between parenting and youth sexual risk within the context of community-level processes, including neighborhood quality and maternal social support. Hypotheses were evaluated using structural equation modeling. Results revealed that better neighborhood quality and more social support predicted positive parenting, which in turn predicted less youth sexual risk. There was a significant indirect effect from neighborhood quality to youth sexual risk via parenting. Results highlight the importance of the community context in parenting and youth sexual risk in this understudied sample. HIV prevention-interventions should be informed by these contextual factors.

The role of parental marital discord in the etiology of externalizing problems during childhood and adolescence.

Previous research has established that parental marital discord is associated with higher levels of offspring externalizing behaviors, but it is unclear how parental relationship functioning is associated with the genetic and environmental variance on a factor of externalizing problems. Thus, the current study assessed how parental marital discord moderates genetic and environmental variance on offspring externalizing problems at two different ages: childhood and late adolescence. That is, the magnitude of genetic and environmental influences on offspring externalizing at ages 11 and 17 was examined as a function of parental marital discord. Consistent with a diathesis-stress model of psychopathology, it was hypothesized that with increasing marital discord, genetic influences on externalizing would be more pronounced. Rather, results indicated that for the 11-year-old sample, nonshared environmental influences were greater when parental marital discord was low, and comparatively, shared environmental influences contributed more to the variance in externalizing problems when parental marital discord was high. No moderation was found for the 17-year-old cohort. In contrast to studies that do not find an effect of the shared environment, these results provide evidence that the common rearing environment has an impact on externalizing problems in preadolescent children.

Empathic Responses to Mother's Emotions Predict Internalizing Problems in Children of Depressed Mothers.

Recent theories posit that empathy, typically an adaptive characteristic, may be associated with internalizing problems when children are chronically exposed to mother's depression. We tested this postulation in a sample of children (N = 82, M age = 5 years). Children witnessed their mothers express sadness, anger, and happiness during a simulated phone conversation, and researchers rated children's negative affective empathy, positive affective empathy, and information-seeking (cognitive empathy) in response to their mother's emotions. The chronicity of mother's depression during the child's lifetime moderated associations between children's empathy and internalizing problems. As predicted, all three empathy measures were related to greater mother-rated internalizing problems in children of chronically (i.e., 2-3 years) depressed mothers. Greater positive empathy was related to lower internalizing problems in children of nondepressed mothers. Positive empathy may contribute to adaptive processes when mothers are not depressed, and positive, negative, and cognitive empathy may contribute to maladaptive processes when mothers are chronically depressed.

Quadratic Associations Between Empathy and Depression as Moderated by Emotion Dysregulation.

Empathic tendencies have been associated with interpersonal and psychological benefits, but empathy at extreme levels or in combination with certain personal characteristics may contribute to risk for depression. This study tested the moderating role of cognitive emotion regulation in depression's association with empathy using nonlinear models. Young adults (N = 304; 77% female; M = 19 years) completed measures of cognitive emotion regulation strategies, depression, and affective and cognitive empathy. Individuals with good regulation had low levels of depression overall and their depression symptoms were lowest when levels of affective empathy were average. Individuals with poor regulation had high levels of depression overall, particularly when levels of empathy were moderate to high. Extremely high and low levels of cognitive empathy were associated with elevated depression, and this association was not moderated by regulation. These findings suggest tendencies to respond empathically to others' needs is neither an adaptive nor maladaptive characteristic but rather moderate empathy, particularly in the context of good regulation, may offer the greatest protection against depression.

Evaluating changes in judgmental biases as mechanisms of cognitive-behavioral therapy for social anxiety disorder.

Reductions in judgmental biases concerning the cost and probability of negative social events are presumed to be mechanisms of treatment for SAD. Methodological limitations of extant studies, however, leave open the possibility that, instead of causing symptom relief, reductions in judgmental biases are correlates or consequences of it. The present study evaluated changes in judgmental biases as mechanisms explaining the efficacy of CBT for SAD. Participants were 86 individuals who met DSM-IV-TR criteria for a primary diagnosis of SAD, participated in one of two treatment outcome studies of CBT for SAD, and completed measures of judgmental (i.e., cost and probability) biases and social anxiety at pre-, mid-, and posttreatment. Treated participants had significantly greater reductions in judgmental biases than not-treated participants; pre-to-post changes in cost and probability biases statistically mediated treatment outcome; and probability bias at midtreatment was a significant predictor of treatment outcome, even when modeled with a plausible rival mediator, working alliance. Contrary to hypotheses, cost bias at midtreatment was not a significant predictor of treatment outcome. Results suggest that reduction in probability bias is a mechanism by which CBT for SAD exerts its effects.

Children's empathy responses and their understanding of mother's emotions.

This study investigated children's empathic responses to their mother's distress to provide insight about child factors that contribute to parental socialisation of emotions. Four- to six-year-old children (N = 82) observed their mother's sadness and anger during a simulated emotional phone conversation. Children's facial negative affect was rated and their heart rate variability (HRV) was recorded during the conversation, and their emotion understanding of the conversation was measured through their use of negative emotion words and perspective-taking themes (i.e., discussing the causes or resolution of mother's emotions) in narrative accounts of the conversation. There were positive quadratic relationships between HRV and ratings of facial affect, narrative references to mother's negative emotions and perspective-taking themes. High and low HRV was associated with high facial negative affect, suggesting well-regulated sympathy and poorly regulated personal distress empathic responses, respectively. Moderate HRV was associated with low facial negative affect, suggesting minimal empathic engagement. High and low HRV were associated with the highest probabilities of both emotion understanding indicators, suggesting both sympathy and personal distress responses to mother's distress facilitate understanding of mother's emotions. Personal distress may motivate attempts to understand mother's emotions as a self-soothing strategy, whereas sympathy-related attempts to understand may be motivated by altruism.

The course of the working alliance during virtual reality and exposure group therapy for social anxiety disorder.

BACKGROUND: Psychoanalytic theory and some empirical research suggest the working alliance follows a "rupture and repair" pattern over the course of therapy, but given its emphasis on collaboration, cognitive behavioral therapy may yield a different trajectory. AIMS: The current study compares the trajectory of the working alliance during two types of cognitive behavioral therapy for social anxiety disorder - virtual reality exposure therapy (VRE) and exposure group therapy (EGT), one of which (VRE) has been proposed to show lower levels of working alliance due to the physical barriers posed by the technology (e.g. no eye contact with therapist during exposure). METHOD: Following randomization, participants (N = 63) diagnosed with social anxiety disorder received eight sessions of manualized EGT or individual VRE and completed a standardized self-report measure of working alliance after each session. RESULTS: Hierarchical linear modeling showed overall high levels of working alliance that changed in rates of growth over time; that is, increases in working alliance scores were steeper at the beginning of therapy and slowed towards the end of therapy. There were no differences in working alliance between the two treatment groups. CONCLUSION: Results neither support a rupture/repair pattern nor the idea that the working alliance is lower for VRE participants. Findings are consistent with the idea that different therapeutic approaches may yield different working alliance trajectories.