No evidence of attentional prioritization for threatening targets in visual search.

Throughout human evolutionary history, snakes have been associated with danger and threat. Research has shown that snakes are prioritized by our attentional system, despite many of us rarely encountering them in our daily lives. We conducted two high-powered, pre-registered experiments (total N = 224) manipulating target prevalence to understand this heightened prioritization of threatening targets. Target prevalence refers to the proportion of trials wherein a target is presented; reductions in prevalence consistently reduce the likelihood that targets will be found. We reasoned that snake targets in visual search should experience weaker effects of low target prevalence compared to non-threatening targets (rabbits) because they should be prioritized by searchers despite appearing rarely. In both experiments, we found evidence of classic prevalence effects but (contrasting prior work) we also found that search for threatening targets was slower and less accurate than for nonthreatening targets. This surprising result is possibly due to methodological issues common in prior studies, including comparatively smaller sample sizes, fewer trials, and a tendency to exclusively examine conditions of relatively high prevalence. Our findings call into question accounts of threat prioritization and suggest that prior attention findings may be constrained to a narrow range of circumstances.

Can the processing of task-irrelevant threatening stimuli be inhibited? - The role of shape and valence in the saliency of threatening objects.

Numerous studies have demonstrated that attention is quickly oriented towards threatening stimuli, and that this attentional bias is difficult to inhibit. The root cause(s) of this bias may be attributable to the affective (e.g., valence) or visual features (e.g., shape) of threats. In two experiments (behavioral, eye-tracking), we tested which features play a bigger role in the salience of threats. In both experiments, participants looked for a neutral target (butterfly, lock) among other neutral objects. In half of the trials a threatening (snake, gun) or nonthreatening (but visually similar; worm, hairdryer) task-irrelevant distractor was also present at a near or far distance from the target. Behavioral results indicate that both distractor types interfered with task performance. Rejecting nonthreatening distractors as nontargets was easier when they were presented further from the target but distance had no effect when the distractor was threatening. Eye-tracking results showed that participants fixated less often (and for less time) on threatening compared to nonthreatening distractors. They also viewed targets for less time when a threatening distractor was present (compared to nonthreatening). Results suggest that visual features of threats are easier to suppress than affective features, and the latter may have a stronger role in eliciting attentional biases.

A Short Form for Measuring Anxiety in Nursing Education.

Background and purpose: Nursing education lacks an easily accessible, valid, and reliable short instrument to support researchers and instructors in quickly assessing student anxiety. The purpose of this research was to respond to this need by assessing the reliability and validity of a short-form anxiety instrument adapted from psychology which could measure state and trait anxiety. Methods: Using a one-group, repeated measures design, 51 sophomore level undergraduate nursing students had their state and trait anxiety levels measured at three time points over the course of a semester. Results: Results showed that the anxiety instrument was valid and reliable for use in nursing education with Cronbach's α ranging from .65 to .88. Conclusion: Future nurse researchers and educators should consider using the short-form anxiety instrument when a quick differentiation is needed to measure state and trait anxiety.

The effect of emotional arousal on visual attentional performance: a systematic review.

Although the arousal elicited by emotional stimuli, similarly to valence, is an integrative part of emotion theories, previous studies and reviews mostly focused on the valence of a stimulus and rarely investigated the role of arousal. Here, I systematically searched for articles that used visual attentional paradigms, manipulated emotional arousal by auditory or visual, task-relevant or task-irrelevant stimuli, measured behavioral responses, ocular behavior, or neural correlates. I found that task-relevant arousing stimuli draw and hold attention regardless of the modality. In contrast, task-irrelevant arousing stimuli impaired task performance. However, when the emotional content precedes the task or it is presented for a longer duration, arousal increased performance. Future directions on how research could address the remaining questions are discussed.

Key factors behind various specific phobia subtypes.

While it has been suggested that more than a quarter of the whole population is at risk of developing some form of specific phobia (SP) during their lives, we still know little about the various risk and protective factors and underlying mechanisms. Moreover, although SPs are distinct mental disorder categories, most studies do not distinguish between them, or stress their differences. Thus, our study was manifold. We examined the psychometric properties of the Specific Phobia Questionnaire (SPQ) and assessed whether it can be used for screening in the general population in a large sample (N = 685). Then, using general linear modeling on a second sample (N = 432), we tested how potential socio-demographic, cognitive emotion regulatory, and personality variables were associated with the five SP subtypes. Our results show that the SPQ is a reliable screening tool. More importantly, we identified transdiagnostic (e.g., younger age, female gender, rumination, catastrophizing, positive refocusing) as well as phobia-specific factors that may contribute to the development and maintenance of SPs. Our results support previous claims that phobias are more different than previously thought, and, consequently, should be separately studied, instead of collapsing into one category. Our findings could be pertinent for both prevention and intervention strategies.

Structural neural correlates of mental fatigue and reward-induced improvement in performance.

Neuroimaging studies investigating the association between mental fatigue (henceforth fatigue) and brain physiology have identified many brain regions that may underly the cognitive changes induced by fatigue. These studies focused on the functional changes and functional connectivity of the brain relating to fatigue. The structural correlates of fatigue, however, have received little attention. To fill this gap, this study explored the associations of fatigue with cortical thickness of frontal and parietal regions. In addition, we aimed to explore the associations between reward-induced improvement in performance and neuroanatomical markers in fatigued individuals. Thirty-nine healthy volunteers performed the psychomotor vigilance task for 15 min (i.e., 3 time-on-task blocks of 5 min) out of scanner; followed by an additional rewarded block of the task lasting 5 min. Baseline high-resolution T1-weigthed MR images were obtained. Reaction time increased with time-on-task but got faster again in the rewarded block. Participants' subjective fatigue increased during task performance. In addition, we found that higher increase in subjective mental fatigue was associated with the cortical thickness of the following areas: bilateral precuneus, right precentral gyrus; right pars triangularis and left superior frontal gyrus. Our results suggest that individual differences in subjective mental fatigue may be explained by differences in the degree of cortical thickness of areas that are associated with motor processes, executive functions, intrinsic alertness and are parts of the default mode network.

Associations between Executive Functions and Sensorimotor Performance in Children at Risk for Learning Disabilities.

Executive functions (EF) and sensorimotor skills play a critical role in children's goal-directed behavior and school readiness. The aim of the current study is to provide new insights into the relationship between executive functions and sensorimotor development by considering the risks associated with learning difficulties. Therefore, we investigate the predictive role of EF and sensorimotor skills in the development of learning difficulties during preschool years. Ninety-five preschool children (5-7 years old) were tested, comparing the performance of children that are at risk of learning difficulties (n = 55) to the performance of typically developing children (n = 40). Participants completed a battery for the assessment of sensorimotor skills (i.e., Southern California Sensory Integration Test: postural imitation, body midline crossing, bilateral motor coordination, and standing balance with eyes open) and executive functions (i.e., inhibition, cognitive flexibility, and verbal working memory). Our results show that children at risk for learning difficulties exhibited more impairments on sensorimotor and EF measures (inhibition and verbal working memory) when compared with TD children. We ran three separate binary logistic regression analyses to assess the relative influence of EF and sensorimotor functions on predicting risk for learning difficulties. Our findings demonstrated that verbal working memory as EF function (odd ratio (OR) = 0.91, 95% CI 0.78-0.91, P = 0.05) and standing balance skills as a sensorimotor skill (odd ratio (OR) = 0.86, 95% CI 0.81-0.98, P = 0.01) were the strongest predictors of risk for learning difficulties. The findings point to the importance of supporting children's executive function development and promoting sensorimotor development, as both fundamentally influence school readiness.

The interference of negative emotional stimuli on semantic vigilance performance in a dual-task setting.

A large body of previous research has shown that emotional stimuli have an advantage in a wide variety of cognitive processes. This was mainly observed in visual search and working memory tasks. Emotionally charged objects draw and hold attention, are remembered better, and interfere more with the completion of the primary task than neutral ones. Therefore, it seems reasonable to assume that emotional stimuli also greatly affect sustained attention and vigilance decrement. In the present research, we investigated whether emotional stimuli demand more attentional resources than neutral ones in a dual-task paradigm. We adopted the abbreviated semantic discrimination vigilance task and measured participants' (N = 49) performance in a single-task and two dual-task settings. In the dual-task conditions, the visual semantic vigilance paradigm was combined with an auditory word recall task (with neutral or emotional stimuli). We found reduced vigilance and improved word recall performance in the emotional dual-task condition compared to the neutral dual-task and single-task conditions. The reduced performance was apparent throughout the task, while in the neutral conditions, participants' performance first increased and then dropped as time progressed. To conclude, our results indicate that emotional stimuli not only have an advantage in cognitive processing but also demand more attentional resources continuously while it is present compared to neutral stimuli. These results are consistent with the emotionality effect theory and evolutionary accounts of the neural circuits underlying motivated behaviors associated with critical survival needs.

Phobia-specific patterns of cognitive emotion regulation strategies.

Although fear plays a vital role in survival, an overly active threat detection system could be maladaptive due to its negative health consequences. Putatively maladaptive emotion regulation (ER) strategies are a core problem in phobias. In contrast, adaptive ER strategies could help downregulate the emotion elicited by a threatening stimulus and decrease anxiety. Yet, the number of studies directly examining the pattern of ER strategies linked to various phobias is still scarce. Thus, this study sought to map the patterns of adaptive and maladaptive ER strategies linked to the three most common phobias (social, animal, and blood-injection-injury [BII]). A total of 856 healthy participants filled out our survey including self-reported measures of social anxiety, snake-, spider-, BII phobia, and cognitive ER strategies. Structural equation modeling was used to test the effects between the variables. The results show that social anxiety and animal phobia were linked to both adaptive and maladaptive ER strategies, while BII was only associated with maladaptive ones. Further analyses showed that the most prominent ER strategies differed by subtype. This is in line with previous neuroimaging studies claiming that the neurocognitive mechanisms underlying phobias are also different. Theoretical as well as practical implications are discussed.

The role of self-reported fear and disgust in the activation of behavioral harm avoidance related to medical settings.

Introduction: Although adaptive defense mechanisms are useful in helping us avoid getting injured, they are also triggered by medical interventions and procedures, when avoidance is harmful. A body of previous results showed that both fear and disgust play a pivotal role in medical avoidance. However, the underlying mechanisms are not fully understood. Thus, the aim of the current study was to examine the effects of experience, perceived control, and pain on medical avoidance with disgust and fear as mediating factors from an evolutionary perspective. Methods: We assessed participants' knowledge of and experience with medical procedures, former negative medical experiences, and health-related information; their life history strategy variation; pain-related fear and anxiety of medical procedures; perceived control over emotional reactions and extreme threats; disgust sensitivity; blood-injury-injection phobia and medical treatment avoidance. Results: We found that more knowledge, experience, and a slower life strategy were linked to a greater level of perceived control and attenuated emotional reactions. Further, better ability to control affective and stress reactions to negative experiences was linked to reduced disgust and fear of pain, and thus might mitigate the level of perceived threat, and diminish fear and disgust reactions. Discussion: More knowledge and experiences, better perceived control together with reduced disgust and fear of pain can decrease the probability of avoiding medical situations. Implications to treatment are discussed. Results support the importance of targeting these contextual factors in prevention to increase the likelihood of people attending regular screenings or seeking medical care when needed.

An ethologically based view into human fear.

The quality of the defensive response to a threat depends on the elements that trigger the fear response. The current classification system of phobias does not account for this. Here, we analyze the fear-eliciting elements and discern the different types of fears that originate from them. We propose Pain, Disgust, Vasovagal response, Visual-vestibular and postural interactions, Movement and Speed, Distance and Size, Low and mid-level visual features, Smell, and Territory and social status. We subdivide phobias according to the fear-eliciting elements most frequently triggered by them and their impact on behavior. We discuss the implications of a clinical conceptualization of phobias in humans by reconsidering the current nosology. This conceptualization will facilitate finding etiological factors in defensive behavior expression, fine-tuning exposure techniques, and challenging preconceived notions of preparedness. This approach to phobias leads to surprising discoveries and shows how specific responses bear little relation to the interpretation we might later give to them. Dividing fears into their potentially fear-eliciting elements can also help in applying the research principles formulated by the Research Domain Criteria initiative.

Task-irrelevant threatening information is harder to ignore than other valences.

Emotionally salient objects activate the survival circuits of the brain and are given priority in cognitive processing, even at the cost of inhibiting ongoing activities. These circuits arouse and prepare the organism to take swift action when needed. Previous studies have suggested, however, that not all emotional dimensions are equally prioritized. Threatening stimuli may have greater prominence than other emotional categories. Thus, we sought to compare the effects that stimuli of varying emotions would have on orienting and executive attentional processing. We performed two experiments to broaden our understanding of the attentional consequences of threats through the monitoring of participants' eye movements. Participants were exposed to emotionally charged (threatening, nonthreatening negative, positive) and neutral pictures as task-irrelevant distractors while performing a primary visual search task (under conditions of varying cognitive load). Behavioural results showed that participants found the first target number more slowly when the distractor image was threatening, but overall task completion times were actually speeded in this condition (relative to other valences). Further, participants fixated on threatening distractor images earlier and observed them longer than other valences. Results were more pronounced when the primary task was harder. These biases were not evident for positive and nonthreatening images, presumably because participants were able to ignore them, providing further support to the contention that threatening stimuli hold greater prominence than other emotional categories. Together, our results are in line with previous studies suggesting that the processing of threatening stimuli is speeded, potentially because of differences in the brain circuits involved. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The role of fear, disgust, and relevant experience in the assessment of stimuli associated with blood-injury-injection phobia.

Individuals with high levels of blood-injection-injury (BII) fears are more likely to avoid health screenings, vaccination, and even minor medical interventions. This could result in more serious health issues, lower quality of life, and even shorter life expectancy. However, still little is known about how various emotions (i.e., fear and disgust) affect subjective evaluation on phobia-related stimuli, and what are the potential risk and protective factors that may change the perception of such stimuli throughout these emotions. We investigated the role of fear of medical interventions and the degree of disgust sensitivity in the evaluation of BII phobia-related content and whether previous relevant experience and age may provide protection against the development of a phobia. We collected online survey data from multiple university sources. Participants (N = 228) completed measures of medical fear, disgust sensitivity, prior relevant experience and medical knowledge. Participants were also asked to rate images related to medical settings on dimensions of valence, arousal, disgust, and threat. Our results suggest that high disgust sensitivity and fear of medical interventions may be a risk factor for avoiding medical settings. However, previous relevant medical experience may function as protective factor. The pandemic of recent years underscored the importance of medical intervention and screening tests. These results have implications for professionals helping (e.g., as counselors) people with BII phobia, and physicians and nurses in informing and treating patients.

In COVID-19 Health Messaging, Loss Framing Increases Anxiety with Little-to-No Concomitant Benefits: Experimental Evidence from 84 Countries.

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions.

Why Hungarians Have Sex: Development and Validation of a Brief 15-Item Instrument (YSEX?-15H).

The present study developed a brief version of the Hungarian Why Sex? questionnaire (Meskó et al., 2022). The study was in part based on previously reported data obtained from several samples (N = 6193; 1976 men, 4217 women). Using Mokken Scaling Procedure, Item Response Model and redundancy analysis indicated that retaining three summary scales comprising five items each was the optimal solution for the brief version. The validity of the brief scale was tested with the Sexual System Functioning Scale (SSFS), the Experiences in Close Relationships Scale-Short Form (ECR-S) and, the Hungarian version of the Attachment Style Questionnaire (ASQ-H; n = 297, 127 men, 170 women). In addition, correlations between the long and brief versions of YSEX? with sociosexual orientation (SOI-R) and the five-factor personality construct (BFI-S) were compared (n = 1024, 578 women, 446 men). The results suggest that the three summary scales of the Hungarian 15-item Form of the Why Sex Questionnaire (YSEX?-15H) provide reliable and valid measures of the previously affirmed three broad sexual motives (Personal Goal Attainment, Relational Reasons, Sex as Coping). The Relational Reasons summary scale was associated with secure emotional and sexual attachment. The Personal Goal Attainment and Sex as Coping summary scales showed coherent patterns of associations with the emotional and sexual aspects of secondary attachment strategies (over- and under-functioning). The YSEX?-15H offers both researchers and practitioners a concise and useful instrument for the assessment of sexual motivation.

Pain catastrophizing, pain sensitivity and fear of pain are associated with early life environmental unpredictability: a path model approach.

BACKGROUND: Socioeconomic disadvantages in the childhood environment might strongly influence beliefs and behavior characterizing the adult years. When children experience unpredictable and adverse situations, they develop an unpredictability schema with the core belief that situations are unpredictable. METHODS: In two studies, we examined the association of childhood socioeconomic disadvantages with self-reported pain sensitivity, pain catastrophizing, and pain-related fear. Multidimensional survey measures were used to assess environmental conditions experienced in childhood. In addition, participants completed the Pain Catastrophizing Scale, Pain Sensitivity Questionnaire, Body Awareness Questionnaire, Unpredictability Schema Questionnaire, and Fear of Pain Questionnaire. In Study 1 (N = 252), in separate models, we examined pain sensitivity and pain catastrophizing of a community sample of pain-free young individuals in association with their childhood experiences. In Study 2 (N = 293), in a new sample, but with a wider age range, we examined the association of early life socioeconomic disadvantages with pain-related fear. In both studies, the predictions were tested with Structural Equation Modeling. Our models constituted a path from childhood socioeconomic status and household unpredictability to pain variables via the factors of family resources, unpredictability schemas, and body awareness. RESULTS AND CONCLUSIONS: The findings converged on the conclusion that individuals experiencing disadvantageous early life conditions tended to have an elevated level of pain catastrophizing, higher perceived sensitivity to pain, and higher level of pain-related fear. These associations were mediated by an unpredictability schema and body awareness.

Task demands determine whether shape or arousal of a stimulus modulates competition for visual working memory resources.

It has been posited (Öhman, 1986) that the processing of threatening stimuli became prioritized during the course of mammalian evolution and that such objects may still enjoy an advantage in visual processing to this day. It has been well-documented that both mid-level visual features (i.e., conjunctions of low-level features) and the arousal level of threatening stimuli affect attentional allocation (Cisler & Koster, 2010; Wolfe & Horowitz, 2004). Despite this, few studies have investigated the effect these factors have on visual working memory resources. Here, we investigated these factors using a rapid serial visual presentation (RSVP) paradigm, and by manipulating mid-level features (specifically, shape: similar vs. dissimilar) and the arousal level (non-threatening vs threatening) of the stimuli. Participants watched an RSVP stream in preparation for an upcoming memory test. Then, they completed a two-alternative forced-choice recognition memory test (with semantically matched foils) wherein they had to identify which item they had seen in the RSVP stream. Our results showed that when shape was a sufficient feature to discriminate the target from the other items in the stream, there was no effect of arousal (i.e., threat level) on reaction time or accuracy during the memory test. However, when the shapes of all the stimuli in the visual stream were highly similar, an effect of arousal appeared: When the target had a different arousal level than the background items (i.e., non-targets), performance was improved. Together, the results suggest that both mid-level visual features and arousal level can modulate competition for visual working memory resources.

Psychological well-being, risk factors, and coping strategies with social isolation and new challenges in times of adversity caused by the COVID-19 pandemic.

OBJECTIVE: COVID-19 triggers anxiety and fear due to several reasons, and thus, dealing with it requires prolonged coping mechanisms. When the number of infections soared, to slow the spread, many governments decided to close universities and dormitories and move teaching to online platforms. The majority of the university students decided to move back home to their parents changing their social lives. Here, we aimed to point to risk, as well as protective factors, and understand the influence of these factors on both physical and psychological indicators of well-being. Further, to discover how university students cope with maintaining their social lives during the COVID-19 pandemic. METHOD: We collected online survey data from multiple university sources. Participants (N = 605) completed measures of emotion regulation strategies, knowledge on the disease, contamination fear, perceived social support, worrying and intolerance of uncertainty, quality of sleep, well-being, emotional stability, anxiety, and depression. RESULTS: Our results showed that the most prominent risk and protective factors that were most strongly associated with the indicators of well-being were rumination, catastrophizing, positive refocusing, and social support from family; respectively. CONCLUSION: These results have implications for professionals working with and helping (e.g., as counselors) people during the challenges of an emergency.