Attentional patterns as emotion regulation strategies during the anticipation of repetitive emotional scenes: an eye-tracker study.

As difficulties in managing the anticipation of situations is one of the characteristics of emotional problems, the study of regulatory strategies during anticipatory period anticipation is important. In the present study, attentional patterns during the anticipation period were studied. The ability of those attentional patterns to regulate mood after the event's occurrence was analyzed. An experimental paradigm was designed in which participants repeatedly anticipated emotional information. Attentional patterns in response to emotionally expressive faces (happy and sad) were recorded with an eye tracker. The results showed that the valence of the expected outcomes did affect attentional preferences. Specifically, participants spent more time looking at sad faces when they anticipated a negative rather than a positive outcome. The opposite pattern was found for happy faces. With respect to the ability to regulate the emotions of these attention patterns, it was found that emotions experienced after a negatively anticipated event were independent of previous attention patterns, while happiness experienced after a previously anticipated positive event was found to be related to attentional patterns. Specifically, people who spent more time looking at happy faces during the anticipation of a positive outcome reported higher levels of happiness after the event. In conclusion, these results indicate that during the anticipation of emotional outcomes participants implement attentional strategies, although the emotions associated with experiencing those outcomes were independent of those attentional patterns in the negative anticipation, they were found to magnify positive emotions in positive anticipation.

Attentional biases in dysphoria when happy and sad faces are simultaneously presented.

BACKGROUND AND OBJECTIVE: Difficulties to engage attention to positive stimuli and to disengage attention from negative stimuli are typically found in depression. Yet, most of the evidence supporting these attentional biases comes from experimental paradigms in which emotional information (e.g., happy or sad faces) is simultaneously presented with neutral information. Few studies have explored attentional biases when emotional stimuli of different valence are presented simultaneously. The aim of the present study was to assess visual scan patterns of non-dysphoric and dysphoric participants when emotional information is presented simultaneously. METHOD: Using an eye-tracker methodology, the gradient relation between attentional biases and depression scores as well as differences between groups in their attentional performance were assessed in non-dysphoric participants (N = 84) and dysphoric participants (N = 58). Three different pairs of faces were used: happy-neutral, neutral-sad, and happy-sad. RESULTS: First, we found that simultaneous presentation of emotional information (i.e., happy vs. negative faces) reduces the magnitude of attentional biases towards positive information. Second, we also found a significant negative relation between attentional biases towards positive information and depression scores. Finally, compared to non-dysphoric participants, dysphoric individuals marginally spent less time attending positive information in both happy-neutral and happy-sad trials. LIMITATIONS: The cross-sectional nature of our study does not allow us to make inferences about causality. Further, only one type of simultaneous emotional faces presentation (i.e., happy-sad) was used. CONCLUSIONS: These results support the need for further research on the processing of competing emotional stimuli in depression.

Trauma and posttraumatic stress disorder in Spanish public mental health system clients with severe psychiatric conditions: Clinical and demographic correlates.

OBJECTIVE: Compared with the general population, those with severe psychiatric conditions have a substantially higher likelihood of trauma exposure, increased probability of developing posttraumatic stress disorder (PTSD), and more severe consequences if trauma is left untreated. Nevertheless, identification of trauma/PTSD continues to be a neglected mental health system priority. In Spain, few investigations have examined the prevalence of trauma, particularly in persons with severe psychiatric conditions. METHOD: This study reports findings from a trauma/PTSD screening within a large Madrid public mental health agency serving clients with severe psychiatric conditions. RESULTS: Of the 323 participants, 272 (84.2%) reported at least 1 traumatic event; and 124 (38.4%) met criteria for "probable" PTSD, although none had a medical record diagnosis of PTSD. Those with probable PTSD were predominantly male, were in their mid-40s, had received mental health services for 16 years on average, and endorsed 5.64 types of lifetime traumatic events. The most frequent and distressing traumatic event was the sudden, unexpected death of a loved one. The number of traumatic event types reported was positively correlated with PTSD symptom severity. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Despite lower Spanish general population prevalence of trauma/probable PTSD (compared with the United States and other Western countries), rates within those with co-occurring severe psychiatric conditions are high. These findings reinforce the importance of conducting system-wide screening in public mental health clinics serving persons with severe psychiatric conditions in Spain (and beyond), in order to address this ongoing but neglected issue, and begin to offer much-needed recovery services. (PsycINFO Database Record

CBT and positive psychology interventions for clinical depression promote healthy attentional biases: An eye-tracking study.

BACKGROUND: Although there is a growing interest in the role of attentional biases in depression, there are no studies assessing changes in these biases after psychotherapeutic interventions. METHODS: We used a validated eye-tracking procedure to assess pre-post therapy changes in attentional biases toward emotional information (i.e., happy, sad, and angry faces) when presented with neutral information (i.e., neutral faces). The sample consisted of 75 participants with major depression or dysthymia. Participants were blindly assigned to one of two 10 weekly sessions of group therapy: a cognitive behavior therapy intervention (N = 41) and a positive psychology intervention (N = 34). RESULTS: Both treatments were equally efficacious in improving depressive symptoms (p = .0001, η² = .68). A significant change in attentional performance after therapy was observed irrespective of the intervention modality. Comparison of pre-post attentional measures revealed a significant reduction in the total time of fixations (TTF) looking at negative information (i.e., sad and angry faces) and a significant increase in the TTF looking at positive information (i.e., happy faces)-all p < .02. CONCLUSIONS: Findings reveal for the first time that psychotherapeutic interventions are associated with a significant change in attentional biases as assessed by a direct measure of attention. Furthermore, these changes seem to operate in the same direction typically found in healthy populations (i.e., a bias away from negative information and a parallel bias toward positive information). These findings illustrate the importance of considering attentional biases as clinical markers of depression and suggest the viability of modifying these biases as a potential tool for clinical change.