Yiend J, Barnicot K, Williams M, Fox E
Institute of Psychiatry, Psychology and Neuroscience, Kings College London, United Kingdom.
Centre for Psychiatry, Central & North West London NHS Foundation Trust and Imperial College London, United Kingdom.
J Behav Ther Exp Psychiatry. 2018 Dec;61:80-86. doi: 10.1016/j.jbtep.2018.06.008. Epub 2018 Jun 26.
Mechanisms of engagement and disengagement of attention to emotional information are thought to contribute to the onset and maintenance of anxiety and depression, a conclusion based largely on findings in analogue subclinical samples. However, we argue that traditionally defined analogue samples can be misleading. Firstly, research has challenged the adequacy of conventional measures of subclinical traits by illustrating that supposedly distinct scales are highly inter-correlated and do not therefore measure independent constructs. Secondly, recent research in clinical groups has revealed results opposite to those expected from the analogue literature, suggesting speeded, rather than impaired, disengagement from threat.
We present analogue findings, from a sample of 70 healthy participants, allowing a purer distinction between the phenomenology of anxiety versus depression using the orthogonal traits of positive and negative affect to classify individuals.
Using emotional peripheral cueing we found that, at short cue durations, dysphoric individuals' (those with low positive and high negative affect) attention to facial expressions was slowed by emotional compared to neutral invalid cues.
Limitations included a small sample size and limited generalisability due to sampling from a student population.
The data suggest that, in line with the previous subclinical literature, dysphoric individuals are slow to disengage attention from emotional information at early stages of processing and are consistent with the possibility that patterns of orienting of attention might be qualitatively different in subclinical versus clinical populations.
对情绪信息的注意力投入与脱离机制被认为与焦虑和抑郁的发生及维持有关,这一结论很大程度上基于模拟亚临床样本的研究结果。然而,我们认为传统定义的模拟样本可能具有误导性。首先,研究对亚临床特质的传统测量方法的充分性提出了质疑,表明原本被认为不同的量表高度相关,因此并未测量独立的结构。其次,近期对临床群体的研究揭示了与模拟文献预期相反的结果,表明从威胁中脱离的速度加快而非受损。
我们展示了来自70名健康参与者样本的模拟研究结果,利用积极和消极情绪的正交特质对个体进行分类,从而更纯粹地区分焦虑与抑郁的现象学。
使用情绪外周线索提示,我们发现,在短线索持续时间内,与中性无效线索相比,烦躁不安的个体(那些积极情绪低且消极情绪高的个体)对面部表情的注意力因情绪线索而减慢。
局限性包括样本量小以及因从学生群体中抽样导致的普遍适用性有限。
数据表明,与先前的亚临床文献一致,烦躁不安的个体在加工早期从情绪信息中脱离注意力的速度较慢,并且与亚临床群体和临床群体中注意力定向模式可能在质上不同的可能性相符。