Learning processes underlying avoidance of negative outcomes

Mother-child inter-brain synchrony during a mutual visual search task: A study of feedback valence and role

Parent and child have been shown to synchronize their behaviors and physiology during social interactions. This synchrony is an important marker of their relationship quality and subsequently the child's social and emotional development. Therefore, understanding the factors that influence parent-child synchrony is an important undertaking. Using EEG hyperscanning, this study investigated brain-to-brain synchrony in mother-child dyads when they took turns performing a visual search task and received positive or negative feedback. In addition to the effect of feedback valence, we studied how their assigned role, i.e., observing or performing the task, influenced synchrony. Results revealed that mother-child synchrony was higher during positive feedback relative to negative feedback in delta and gamma frequency bands. Furthermore, a main effect was found for role in the alpha band with higher synchrony when a child observed their mother performing the task compared to when the mother observed their child. These findings reveal that a positive social context could lead a mother and child to synchronize more on a neural level, which could subsequently improve the quality of their relationship. This study provides insight into mechanisms that underlie mother-child brain-to-brain synchrony, and establishes a framework by which the impact of emotion and task demand on a dyad's synchrony can be investigated.

Error Processing and Pain: A New Perspective

Errors put organisms in danger. Upon error commission, error processing allows for the updating of behavior that proved ineffective in light of the current context and goals, and for the activation of behavioral defensive systems. Pain, on the other hand, signals actual or potential danger to one's physical integrity and, likewise, motivates protective behavior. These parallels suggest the existence of cross-links between pain and error processing but so far their relationship remains elusive. In this review, we tie together findings from the field of pain research with those from electroencephalography studies on error processing [specifically the Error Related Negativity (ERN) and Positivity (Pe)]. More precisely, we discuss three plausible associations: Firstly, pain may enhance error processing as it increases error salience. Secondly, persons fearful of pain may be particularly vigilant towards painful errors and thus show a stronger neural response to them. Thirdly, the ERN as a component of the neural response to error commission is considered an endophenotype of threat sensitivity. As high sensitivity to pain threats is known to incite avoidance behavior, this raises the intriguing possibility that neural signatures of error processing predict pain-related protective behaviors, such as avoidance. We propose an integration of these findings into a common framework to inspire future research. Perspectives Inspired by research in anxiety disorders, we discuss the potential bi-directional relationships between error processing and pain, and identify future directions to examine the neural and psychological processes involved in acute and chronic pain and respective avoidance behavior.

On second thought … the influence of a second stage in the ultimatum game on decision behavior, electro-cortical correlates and their trait interrelation

Previous EEG research only investigated one stage ultimatum games (UGs). We investigated the influence of a second bargaining stage in an UG concerning behavioral responses, electro-cortical correlates and their moderations by the traits altruism, anger, anxiety, and greed in 92 participants. We found that an additional stage led to more rejection in the 2-stage UG (2SUG) and that increasing offers in the second stage compared to the first stage led to more acceptance. The FRN during a trial was linked to expectance evaluation concerning the fairness of the offers, while midfrontal theta was a marker for the needed cognitive control to overcome the respective default behavioral pattern. The FRN responses to unfair offers were more negative for either low or high altruism in the UG, while high trait anxiety led to more negative FRN responses in the first stage of 2SUG, indicating higher sensitivity to unfairness. Accordingly, the mean FRN response, representing the trait-like general electrocortical reactivity to unfairness, predicted rejection in the first stage of 2SUG. Additionally, we found that high trait anger led to more rejections for unfair offer in 2SUG in general, while trait altruism led to more rejection of unimproving unfair offers in the second stage of 2SUG. In contrast, trait anxiety led to more acceptance in the second stage of 2SUG, while trait greed even led to more acceptance if the offer was worse than in the stage before. These findings suggest, that 2SUG creates a trait activation situation compared to the UG.

Reward prediction error in the ERP following unconditioned aversive stimuli

Reinforcement learning in humans and other animals is driven by reward prediction errors: deviations between the amount of reward or punishment initially expected and that which is obtained. Temporal difference methods of reinforcement learning generate this reward prediction error at the earliest time at which a revision in reward or punishment likelihood is signalled, for example by a conditioned stimulus. Midbrain dopamine neurons, believed to compute reward prediction errors, generate this signal in response to both conditioned and unconditioned stimuli, as predicted by temporal difference learning. Electroencephalographic recordings of human participants have suggested that a component named the feedback-related negativity (FRN) is generated when this signal is carried to the cortex. If this is so, the FRN should be expected to respond equivalently to conditioned and unconditioned stimuli. However, very few studies have attempted to measure the FRN's response to unconditioned stimuli. The present study attempted to elicit the FRN in response to a primary aversive stimulus (electric shock) using a design that varied reward prediction error while holding physical intensity constant. The FRN was strongly elicited, but earlier and more transiently than typically seen, suggesting that it may incorporate other processes than the midbrain dopamine system.

The effect of social anxiety on the acquisition and extinction of low-cost avoidance

Excessive avoidance and safety behaviours are a hallmark feature of social anxiety disorder. However, the conditioning and extinction of avoidance behaviour in social anxiety is understudied. Here, we examined the effect of individual differences in social anxiety on low-cost operant avoidance conditioning and extinction in 80 female participants. We employed an avoidance conditioning and extinction paradigm and measured skin conductance response, threat expectancy ratings and avoidance behaviour throughout the task. Findings demonstrated that elevated levels of social anxiety predicted the generalisation of conditioned avoidance responses across to safety cues during avoidance conditioning. When the opportunity to avoid was returned after the threat extinction phase, elevated social anxiety was associated with increased avoidance behaviour to threat cues. The results suggest that compromised extinction of avoidance behaviour is a characteristic of social anxiety and supports the strategy of minimising avoidance and safety behaviours during exposure therapy for the treatment of social anxiety disorder. Future research should utilise the avoidance conditioning and extinction paradigm as a laboratory model for clinical research to investigate how, and under what circumstances, the extinction of avoidance and safety behaviours can be improved for individuals high in social anxiety.

Impaired probabilistic reversal learning in anxiety: Evidence from behavioral and ERP findings

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High and low anxious participants finish a probabilistic reversal learning task.

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High anxious participants showed a worse performance and less likely to lose-shift.

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Feedback-related negativity (FRN) was correlated with the frequency of lose-shift.

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High anxious participants showed a smaller FRN in response to lose-shift.

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Anxious people’s reversal learning is affected by impaired sensitivity to losses.

Background

Reversal learning reflects an individual’s capacity to adapt to a dynamic environment with changing stimulus–reward contingencies. This study focuses on the potential influence of anxiety on reversal learning skills.

Methods

We asked 40 participants with a high level of trait anxiety (HTA) and 40 counterparts with a low anxiety level (LTA) to finish a probabilistic reversal learning task with event-related potential (ERP) recording, during which stimulus–reward contingencies are reversed after players have learned the optimal choice.

Results

We found that compared to their LTA counterparts, the HTA participants showed worse learning performance and were less likely to make lose-shift choices. The FRN amplitude might help interpret these behavioral results, which is suggested to be associated with punishment sensitivity and was positively correlated with the number of lose-shift in this study. Seeing that anxiety level predicted the FRN amplitude for lose-shift, we explain that anxious individuals’ inflexible behavioral responses to losses are due to their impaired sensitivity to negative feedback.

Conclusions

A higher level of anxiety is associated with weaker reversal learning performance, possibly because of abnormal sensitivity to negative outcomes. These findings have implications for the understanding of behavioral symptoms in anxiety.

Family accommodation of anxiety symptoms in youth undergoing intensive multimodal treatment for anxiety disorders and obsessive-compulsive disorder: Nature, clinical correlates, and treatment response

BACKGROUND

Family accommodation is associated with a range of clinical features including symptom severity, functional impairment, and treatment response. However, most previous studies in children and adolescents investigated family accommodation in samples of youth with obsessive-compulsive disorder (OCD) or anxiety disorders receiving non-intensive outpatient services.

AIMS

In this study, we aimed to investigate family accommodation of anxiety symptoms in a sample of youth with clinical anxiety levels undergoing an intensive multimodal intervention for anxiety disorders or OCD.

PROCEDURES

We first assessed the internal consistency of the Family Accommodation Scale - Anxiety (FASA). We next examined family accommodation presentation and correlates.

RESULTS

The FASA showed high internal consistency for all subscales and total score, and good item and subscale correlations with the total score. All parents reported at least mild accommodation, and the mean levels of family accommodation were particularly high. Child age, anxiety severity, and comorbid depressive symptoms predicted baseline accommodation. However, the association between anxiety severity and family accommodation no longer remained significant after adding the other factors to the model. In addition, family accommodation partially mediated the relationship between anxiety severity and functional impairment. Finally, post-treatment changes in family accommodation predicted changes in symptom severity and functional impairment.

CONCLUSIONS

These findings suggest the FASA is an appropriate tool to assess family accommodation in intensive treatment samples. Further, they underline the importance of addressing family accommodation in this population given the particularly high levels of accommodating behaviors and the evidence for adverse outcomes associated with this feature.

Trait anxiety and probabilistic learning: Behavioral and electrophysiological findings

Anxiety is a negative emotion that affects various aspects of people's daily life. To explain why individuals with high anxiety tend to make suboptimal decisions, we suggest that their learning ability might play an important role. Regarding that anxiety modulates both outcome expectation and attention allocation, it is reasonable to hypothesize that the function of feedback learning should be sensitive to individual level of anxiety. However, previous studies that directly examined this hypothesis were scarce. In this study, forty-two Chinese participants were assigned to a high-trait anxiety (HTA) group or a low-trait anxiety (LTA) group according to their scores in the Trait form of Spielberger's State-Trait Anxiety Inventory (STAI-T). Both groups finished a reward learning task in which two options were associated with different winning probabilities. The event-related potential (ERP) elicited by outcome feedback during the task was recorded and analyzed. Behavioral results revealed that, when the winning probability was 80% for one option and 20% for another, the HTA group chose the 80% winning option less often than the LTA group at the initial stage (i.e., first 20 trials) of the task, but there was no between-group difference in total number of choice. In addition, HTA participants took more time to make decisions in the 80/20 condition than in the 50/50 condition, but this effect was insignificant in the LTA group. ERP results indicated that anxiety affects learning in two ways. First, compared to their LTA counterparts, HTA participants showed a smaller feedback-related negativity (FRN) in response to negative feedback, indicating the impact of anxiety on outcome expectation. Second, HTA participants showed a larger P3 component in the 80/20 condition than in the 50/50 condition, indicating the impact of anxiety on attention allocation. Accordingly, we suggest that individuals' ability of feedback learning could be negatively modulated by anxiety.

Bridging the Gaps Between Basic Science and Cognitive-Behavioral Treatments for Anxiety Disorders in Routine Care

Abstract. As a core component of cognitive-behavioral therapies (CBT), behavioral exposure is an effective treatment for anxiety disorders. Still, recent treatment studies demonstrate relatively high rates of treatment dropout, nonresponse, and relapse, indicating a substantial need for optimizing and personalizing existing treatment procedures. In the present article, we aim to address current challenges and future demands for translational research in CBT for the anxiety disorders, including (a) a better understanding of those mechanisms conferring behavioral change, (b) identifying important sources of individual variation that may act as moderators of treatment response, and (c) targeting practical barriers for dissemination of exposure therapy to routine care. Based on a recursive process model of psychotherapy research we will describe distinct steps to systematically translate basic and clinical research “from bench to bedside” to routine care, but also vice versa. Some of these aspects may stimulate the future roadmap for evidence-based psychotherapy research in order to better target the treatment of anxiety disorders as one core health challenge of our time.