RESUMO
Conventional wisdom dictates we must face our fears to conquer them. This idea is embodied in exposure-based treatments for anxiety disorders, where the intent of exposure is to reverse a history of avoidant behavior that is thought to fuel a patient's irrational fears. We tested in humans the relationship between fear and avoidance by combining Pavlovian differential fear conditioning with a novel task for quantifying spontaneous passive avoidant behavior. During self-guided navigation in virtual reality following de novo fear conditioning, we observed participants keeping their distance from the feared object. At the individual level, passive avoidant behavior was highly associated with maladaptive fear expression (fear-potentiated startle) during late extinction training, indicating that extinction learning was impaired following a brief episode of avoidance. Avoidant behavior, however, was not related to initial acquired fear, raising doubt about a straightforward link between physiological fear and behavioral avoidance. We conclude that a deeper understanding of what motivates avoidance may offer a target for early intervention, before fears transition from the rational to the irrational.
Assuntos
Aprendizagem da Esquiva/fisiologia , Extinção Psicológica/fisiologia , Medo/psicologia , Adulto , Análise de Variância , Conscientização/fisiologia , Condicionamento Clássico , Interpretação Estatística de Dados , Discriminação Psicológica/fisiologia , Eletromiografia , Feminino , Humanos , Masculino , Músculos Oculomotores/fisiologia , Orientação , Reflexo de Sobressalto , Análise de Regressão , Interface Usuário-Computador , Adulto JovemRESUMO
Working memory relies on executive resources for successful task performance, with higher demands necessitating greater resource engagement. In addition to mnemonic demands, prior studies suggest that internal sources of distraction, such as mind wandering (i.e., having off-task thoughts) and greater time on task, may tax executive resources. Herein, the consequences of mnemonic demand, mind wandering, and time on task were investigated during a visual working memory task. Participants (N=143) completed a delayed-recognition visual working memory task, with mnemonic load for visual objects manipulated across trials (1 item=low load; 2 items=high load) and subjective mind wandering assessed intermittently throughout the experiment using a self-report Likert-type scale (1=on-task, 6=off-task). Task performance (correct/incorrect response) and self-reported mind wandering data were evaluated by hierarchical linear modeling to track trial-by-trial fluctuations. Performance declined with greater time on task, and the rate of decline was steeper for high vs low load trials. Self-reported mind wandering increased over time, and significantly varied asa function of both load and time on task. Participants reported greater mind wandering at the beginning of the experiment for low vs. high load trials; however, with greater time on task, more mind wandering was reported during high vs. low load trials. These results suggest that the availability of executive resources in support of working memory maintenance processes fluctuates in a demand-sensitive manner with time on task, and may be commandeered by mind wandering.
Assuntos
Atenção/fisiologia , Memória de Curto Prazo/fisiologia , Reconhecimento Psicológico/fisiologia , Pensamento/fisiologia , Percepção Visual/fisiologia , Adolescente , Função Executiva/fisiologia , Feminino , Humanos , Masculino , Estimulação Luminosa , Fatores de Tempo , Adulto JovemRESUMO
Anxiety can be broken down into multiple facets including behavioral components, such as defensive reactivity, and cognitive components, such as distracting anxious thoughts. In a previous study, we showed that anticipation of unpredictable shocks facilitated response inhibition to infrequent no-go trials during a go/no-go task. The present study extends this work to examine the distinct contribution of defensive reactivity, measures with fear-potentiated startle, and anxious thought, assessed with thought probes, on go and no-go performance. Consistent with our prior findings, shock anticipation facilitated response inhibition (i.e., reduced errors of commission) on the no-go trials. Regression analyses showed that (a) no-go accuracy was positively associated with fear-potentiated startle and negatively associated with threat-related/task-unrelated thoughts and (b) go accuracy correlated negatively with fear-potentiated startle. Thus, while the present findings confirm the influence of anxiety on response inhibition, they also show that such influence reflects the balance between the positive effect of defensive reactivity and the negative effect of distracting anxious thoughts. (PsycINFO Database Record
Assuntos
Ansiedade/psicologia , Medo/psicologia , Inibição Psicológica , Reflexo de Sobressalto/fisiologia , Adulto , Feminino , Humanos , Masculino , Testes Neuropsicológicos , Adulto JovemRESUMO
BACKGROUND: We have delineated, across four prior studies, the role of positive dorsal medial prefrontal/anterior cingulate cortex (dmPFC/ACC)-amygdala circuit coupling during aversive processing in healthy individuals under stress. This translational circuit, termed the 'aversive amplification circuit', is thought to drive adaptive, harm-avoidant behavior in threatening environments. Here, in a natural progression of this prior work, we confirm that this circuit also plays a role in the pathological manifestation of anxiety disorders. METHODS: Forty-five unmedicated participants (N=22 generalized and social anxiety disorder/N=23 controls) recruited from Washington DC metropolitan area completed a simple emotion identification task during functional magnetic resonance imaging at the National Institutes of Health, Bethesda, MD, USA. FINDINGS: As predicted, a diagnosis by valence interaction was seen in whole-brain amygdala connectivity within the dmPFC/ACC clusters identified in our prior study; driven by significantly greater circuit coupling during fearful versus happy face processing in anxious, but not healthy, participants. Critically, and in accordance with contemporary theoretical approaches to psychiatry, circuit coupling correlated positively with self-reported anxious symptoms, providing evidence of a continuous circuit-subjective symptomatology relationship. INTERPRETATION: We track the functional role of a single neural circuit from its involvement in adaptive threat-biases under stress, to its chronic engagement in anxiety disorders in the absence of experimentally induced stress. Thus, we uniquely map a mood and anxiety related circuit across its adaptive and maladaptive stages. Clinically, this may provide a step towards a more mechanistic spectrum-based approach to anxiety disorder diagnosis and may ultimately lead to more targeted treatments.
RESUMO
Anxiety has wide reaching effects on cognition; evidenced most prominently by the "difficulties concentrating" seen in anxiety disorders, and by adaptive harm-avoidant behaviors adopted under threatening circumstances. Despite having critical implications for daily-living, the precise impact of anxiety on cognition is as yet poorly quantified. Here we attempt to clarify the impact of anxiety on sustained attention and response inhibition via a translational anxiety induction in healthy individuals (N = 22). Specifically, in a within-subjects design, participants completed the Sustained Attention to Response Task (SART) in which subjects withhold responses to infrequent no-go stimuli under threat of unpredictable electrical shock (anxious) and safe (non-anxious) conditions. Different studies have argued that this task measures either (1) attention lapses due to off-task thinking or (2) response inhibition; two cognitive functions which are likely impacted by anxiety. We show that threat of shock significantly reduces errors of commission on the no-go trials relative to the safe condition whilst having no effect on go trials or overall reaction time (RT). We suggest that this is because threat of shock during SART promotes response inhibition. In particular we argue that, by virtue of frequency, subjects acquire a habitual bias toward a go response which impairs no-go performance and that threat of shock improves the ability to withhold these prepotent responses. This improved response inhibition likely falls within the range of adaptive cognitive functions which promote cautious harm avoidance under threatening conditions, although a range of alternative explanations for this effect is discussed.
RESUMO
Two studies were conducted in which human participants rated pairs of words according to the perceived degree to which the words' referents shared semantic features. The participants found thetask intuitive, simple, and quick to complete. The ratings were reliable and valid. Interrater and interstudy correlations were high, and ratings were good predictors of known feature overlap values obtained from existing semantic feature norms.