Fear Spreading Across Senses: Visual Emotional Events Alter Cortical Responses to Touch, Audition, and Vision

Effects of emotional arousal on the neural impact and behavioral efficacy of cigarette graphic warning labels

BACKGROUND AND AIMS

Graphic warning labels (GWLs) on cigarette packs have been adopted by many jurisdictions world-wide. In the United States, the introduction of GWLs has been delayed by claims that their high level of negative emotional arousal unnecessarily infringed upon the tobacco manufacturers' free speech. This study aimed to provide experimental data on the contribution of emotional arousal to GWL efficacy.

DESIGN

Observational study using long-term naturalistic exposure and functional magnetic resonance imaging.

SETTING

Research university in Philadelphia, PA, USA.

PARTICIPANTS

A total of 168 adult smokers.

MEASUREMENTS

For 4 weeks, participants received cigarettes in packs that carried either high-arousal or low-arousal GWLs (n = 84 versus 84). Smoking behavior, quitting-related cognitions and GWL-induced brain response were measured before and after the 4-week exposure. The amygdala and medial prefrontal cortex served as regions of interest.

FINDINGS

Compared with the high-arousal group, the low-arousal group smoked fewer cigarettes [log10 -transformed, 1.076 versus 1.019; difference = 0.056, 95% confidence interval (CI) = 0.027, 0.085, χ2 (1)  = 14.21, P < 0.001] and showed stronger intention to quit (2.527 versus 2.810; difference = -0.283, 95% CI = -0.468, -0.098, χ2 (1)  = 8.921, P = 0.007) and endorsement of the GWLs' textual component (4.805 versus 5.503; difference = -0.698, 95% CI = -1.016, -0.380, χ2 (1)  = 18.47, P < 0.001). High-arousal GWLs induced greater amygdala response than low-arousal GWLs (0.157 versus 0.052; difference = 0.105, 95% CI = 0.049, 0.161, χ2 (1)  = 23.52, P < 0.001), although the response to high-arousal GWLs declined over time (slope = -0.087 versus 0.016; difference = -0.103, 95% CI = -0.198, -0.009, χ2 (1)  = 6.370, P = 0.046). Greater baseline amygdala response was associated with more smoking at 4 weeks in the high-arousal group, but less smoking in the low-arousal group (slope = 0.179 versus -0.122; difference = 0.287, 95% CI = 0.076, 0.498, χ2 (1)  = 7.086, P = 0.008). Medial prefrontal response did not differ significantly between groups.

CONCLUSIONS

High-arousal cigarette graphic warning labels (GWLs) appear to be less efficacious than low-arousal GWLs. The high emotional reaction that high-arousal GWLs elicit wanes over time. Baseline amygdala response negatively predicts efficacy of high-arousal GWLs and positively predicts efficacy of low-arousal GWLs. High emotional arousal may not be required for sustained GWL efficacy.

Emotion schema effects on associative memory differ across emotion categories at the behavioural, physiological and neural level: Emotion schema effects on associative memory differs for disgust and fear

Previous behavioural and neuroimaging studies have consistently reported that memory is enhanced for associations congruent or incongruent with the structure of prior knowledge, termed as schemas. However, it remains unclear if similar effects arise with emotion-related associations, and whether they depend on the type of emotions. Here, we addressed this question using a novel face-word pair association paradigm combined with fMRI and eye-tracking techniques. In two independent studies, we demonstrated and replicated that both congruency with emotion schemas and emotion category interact to affect associative memory. Overall, memory retrieval was higher for faces from pairs congruent vs. incongruent with emotion schemas, paralleled by a greater recruitment of left inferior frontal gyrus (IFG) during successful encoding. However, emotion schema effects differed across two negative emotion categories. Disgust was remembered better than fear, and only disgust activated left IFG stronger during encoding of congruent vs. incongruent pairs, suggestive of deeper semantic processing for the associations. On the contrary, encoding of congruent fear vs. disgust-related pairs was accompanied with greater activity in right fusiform gyrus (FG), suggesting a stronger sensory processing of faces. In addition, successful memory formation for congruent disgust pairs was associated with a higher pupil dilation index related to sympathetic activation, longer gaze time on words compared to faces, and more gaze switches between paired words and faces. This was reversed for fear-related congruent pairs where the faces attracted longer gaze time (compared to words). Overall, our results provide converging evidence from behavioural, physiological, and neural measures to suggest that congruency with available emotion schemas influence memory associations in a similar manner to semantic schemas. However, these effects vary across distinct emotion categories, pointing to a differential role of semantic processing and visual attention processes in the modulation of memory by disgust and fear, respectively.

Distinct medial-tempora lobe mechanisms of encoding and amygdala-mediated memory reinstatement for disgust and fear

Current models of episodic memory posit that retrieval involves the reenactment of encoding processes. Recent evidence has shown that this reinstatement process - indexed by subsequent encoding-retrieval similarity of brain activity patterns - is related to the activity in the hippocampus during encoding. However, we tend to re-experience emotional events in memory more richly than dull events. The role of amygdala - a critical hub of emotion processing - in reinstatement of emotional events was poorly understood. To investigate it, we leveraged a previously overlooked divergence in the role of amygdala in memory modulation by distinct emotions - disgust and fear. Here we used a novel paradigm in which participants encoded complex events (word pairs) and their memory was tested after 3 weeks, both phases during fMRI scanning. Using representational similarity analysis and univariate analyses, we show that the strength of amygdala activation during encoding was correlated with memory reinstatement of individual event representations in emotion-specific regions. Critically, amygdala modulated reinstatement more for disgust than fear. This was in line with other differences observed at the level of memory performance and neural mechanisms of encoding. Specifically, amygdala and perirhinal cortex were more involved during encoding of disgust-related events, whereas hippocampus and parahippocampal gyrus during encoding of fear-related events. Together, these findings shed a new light on the role of the amygdala and medial temporal lobe regions in encoding and reinstatement of specific emotional memories.

Positive and negative mood states do not influence cross-modal auditory distraction in the serial-recall paradigm

The aim of this study was to examine whether positive and negative mood states affect auditory distraction in a serial-recall task. The duplex-mechanism account differentiates two types of auditory distraction. The changing-state effect is postulated to be rooted in interference-by-process and to be automatic. The auditory-deviant effect is attributed to attentional capture by the deviant distractors. Only the auditory-deviant effect, but not the changing-state effect, should be influenced by emotional mood states according to the duplex-mechanism account. Four experiments were conducted to test how auditory distraction is affected by emotional mood states. Mood was induced by autobiographical recall (Experiments 1 and 2) or the presentation of emotional pictures (Experiments 3 and 4). Even though the manipulations were successful in inducing changes in mood, neither positive mood (Experiments 1 and 3) nor negative mood (Experiments 2 and 4) had any effect on distraction despite large samples sizes (N = 851 in total). The results thus are not in line with the hypothesis that auditory distraction is affected by changes in mood state. The results support an automatic-capture account according to which the auditory-deviant effect and the changing-state effect are mainly stimulus-driven effects that are rooted in the automatic processing of the to-be-ignored auditory stream.

Fear-related signals are prioritised in visual, somatosensory and spatial systems

The human brain has evolved a multifaceted fear system, allowing threat detection to enable rapid adaptive responses crucial for survival. Although many cortical and subcortical brain areas are believed to be involved in the survival circuits detecting and responding to threat, the amygdala has reportedly a crucial role in the fear system. Here, we review evidence demonstrating that fearful faces, a specific category of salient stimuli indicating the presence of threat in the surrounding, are preferentially processed in the fear system and in the connected sensory cortices, even when they are presented outside of awareness or are irrelevant to the task. In the visual domain, we discuss evidence showing in hemianopic patients that fearful faces, via a subcortical colliculo-pulvinar-amygdala pathway, have a privileged visual processing even in the absence of awareness and facilitate responses towards visual stimuli in the intact visual field. Moreover, evidence showing that somatosensory cortices prioritise fearful-related signals, to the extent that tactile processing is enhanced in the presence of fearful faces, will be also reported. Finally, we will review evidence revealing that fearful faces have a pivotal role in modulating responses in peripersonal space, in line with the defensive functional definition of PPS.

Childhood Maltreatment Alters the Neural Processing of Chemosensory Stress Signals

Accumulating evidence suggests that childhood maltreatment (CM) confers risk for psychopathology later in life by inducing hypervigilance to social threat cues such as fearful faces. However, it remains unclear whether the modulatory impact of CM extents to the olfactory domain of social communication in humans. To address this question, we examined whether CM modulates the neural processing of chemosensory threat signals in sweat and whether CM affects the stress-reducing effects of oxytocin (OXT) in this context. In a randomized, double-blind within-subject functional MRI study design, 58 healthy participants (30 females) received intranasal OXT (40 IU) or placebo (PLC) and completed a forced-choice emotion recognition task with faces of varying emotion intensities (neutral to fearful) while exposed to sweat stimuli and a non-social control odor. Axillary sweat samples were collected from 30 healthy male donors undergoing an acute psychosocial stressor (stress) and ergometer training (sport) as control in a pre-study. CM was assessed by the 25-item Childhood Trauma Questionnaire (CTQ). The final fMRI analysis included 50 healthy participants (26 females). Regression analysis showed a stress-specific association of CTQ scores with amygdala hyperreactivity, hippocampal deactivation, and increased functional connectivity between the amygdala and the hippocampus, medial orbitofrontal cortex, and the anterior cingulate cortex (ACC) under PLC. Furthermore, we observed a positive association of CTQ scores and the dampening effects of OXT on stress-related amygdala responses. Our findings suggest that CM may induce hypervigilance to chemosensory threat cues in a healthy sample due to inefficient frontolimbic inhibition of amygdala activation. Future studies should investigate whether increased recruitment of the intralimbic amygdala-hippocampus complex reflects a compensatory mechanism that prevents the development of psychopathology in those who have experienced CM. Furthermore, the results reveal that the stress-specific effects of OXT in the olfactory domain are more pronounced in participants with increasing levels of CM exposure.

Quantifying Intermodal Distraction by Emotion During Math Performance: An Electrophysiological Approach

Emotionally engaging stimuli are powerful competitors for limited attention capacity. In the cognitive neuroscience laboratory, the presence of task-irrelevant emotionally arousing visual distractors prompts decreased performance and attenuated brain responses measured in concurrent visual tasks. The extent to which distraction effects occur across different sensory modalities is not yet established, however. Here, we examined the extent and time course of competition between a naturalistic distractor sound and a visual task stimulus, using dense-array electroencephalography (EEG) recordings from 20 college students. Steady-state visual evoked potentials (ssVEPs) were quantified from EEG, elicited by periodically flickering vignettes displaying basic arithmetic problems - the participants' primary task. Concurrently, low-arousing and high-arousing sounds were presented, as well as auditory pink noise, used as a control. Capitalizing on the temporal dynamics of the ssVEP signal allowed us to study intermodal interference of the sounds with the processing of the visual math problems. We observed that high-arousing sounds were associated with diminished visuocortical responses and poor performance, compared to low-arousing sounds and pink noise, suggesting that emotional distraction acts across modalities. We discuss the role of sensory cortices in emotional distraction along with implications for translational research in educational neuroscience.

Cognitive penetration of early vision in face perception

Cognitive and affective penetration of perception refers to the influence that higher mental states such as beliefs and emotions have on perceptual systems. Psychological and neuroscientific studies appear to show that these states modulate the visual system at the visuomotor, attentional, and late levels of processing. However, empirical evidence showing that similar consequences occur in early stages of visual processing seems to be scarce. In this paper, I argue that psychological evidence does not seem to be either sufficient or necessary to argue in favour of or against the cognitive penetration of perception in either late or early vision. In order to do that we need to have recourse to brain imaging techniques. Thus, I introduce a neuroscientific study and argue that it seems to provide well-grounded evidence for the cognitive penetration of early vision in face perception. I also examine and reject alternative explanations to my conclusion.

Modality general and modality specific coding of hedonic valence

The pleasant or unpleasant qualities that attach to our perceptions help to determine whether we approach or avoid environmental stimuli, shaping their affordances. How do brains create this affective perceptual dimension? The traditional answer is that sensory areas serve only as conduits for external impressions that are then modulated by heteromodal limbic structures in subsequent phases. Here we raise the possibility that, in addition to these well established gain control effects, sensory systems might also have a more direct role in representing the pleasantness component of perception, as supported by several strands of recent brain imaging evidence. In conjunction with a shared valence code that is independent of its sensory origins, valence representations interleaved within sensory brain areas may support finer grained experiential distinctions between how things look, sound, feel, taste and smell good or bad to us, offering a higher dimensional space of evaluative discriminations.