The influence of selective attention to specific emotions on the processing of faces as revealed by event-related brain potentials

Event-related potential studies using affective words have indicated that selective attention to valence can increase affective discrimination at early perceptual stages. This effect most likely relies on neural associations between perceptual features of a stimulus and its affective value. Similar to words, emotional expressions in human faces are linked to specific visual elements. Therefore, selectively attending to a given emotion should allow for the preactivation of neural networks coding for the emotion and associated first-order visual elements, leading to enhanced early processing of faces expressing the attended emotion. To investigate this, we employed an expression detection task (N = 65). Fearful, happy, and neutral faces were randomly presented in three blocks while participants were instructed to respond only to one predefined target level of expression in each block. Reaction times were the fastest for happy target faces, which was accompanied by an increased occipital P1 for happy compared with fearful faces. The N170 yielded an arousal effect (emotional > neutral) while both components were not modulated by target status. In contrast, the early posterior negativity (EPN) arousal effect tended to be larger for target compared with nontarget faces. The late positive potential (LPP) revealed large effects of status and expression as well as an interaction driven by an increased LPP specifically for nontarget fearful faces. These findings tentatively indicate that selective attention to facial affect may enhance early emotional processing (EPN) even though further research is needed. Moreover, late controlled processing of facial emotions appears to involve a negativity bias.

Of ugly gains and happy losses: An event-related potential study of interactions of the intrinsic and acquired valence of emotional pictures

During the last decades, event-related potential research on the processing of intrinsic and acquired valence has made great progress, but the two dimensions rarely varied simultaneously. Only that way, however, can we investigate whether the acquisition of extrinsic valence varies with intrinsic valence and whether intrinsic and acquired valence share the same brain mechanisms. Forty-five participants performed associative learning of gains and losses, using pictures varying on intrinsic valence (positive, negative) and outcome (90 % gain, 50 %/50 %, 90 % loss). 64-channel EEG was recorded. During acquisition, one picture from each valence/outcome combination was repeatedly presented, followed by abstract outcome information (+10 ct, -10 ct) at the predefined probability. In the test phase, participants pressed buttons to earn the real gains and avoid the real losses associated with the pictures. Here, effects of outcome and/or its congruence with intrinsic valence were observed for RT, error rate, frontal theta power, posterior P2, P300, and LPP. Moreover, outcome systematically affected post-test valence and arousal ratings. During acquisition, a contingency effect (90 % > 50 %) on amplitude of a frontal negative slow wave accompanied the progress of learning, independently of outcome, valence, and congruence. The relative absence of outcome effects during acquisition suggests "cold" semantic rather than genuinely affective processing of gains and losses. However, with real gains and losses in the test phase, "hot" affective processing took place, and outcome and its congruence with intrinsic valence influenced behavior and neural processing. Finally, the data suggest both shared and distinct brain mechanisms of intrinsic and acquired valence.

Event-related potentials of food-induced blindness in the rapid serial visual presentation paradigm

Emotion-induced blindness is known as the impairment in the identification of targets that follow shortly after emotional distractors in the rapid serial visual presentation (RSVP) paradigm. Besides negative or erotic stimuli, food distractors have also been found to elicit a similar effect. This indicates an attentional bias for food stimuli in the temporal dimension of visual attention, which is highly relevant in the context of eating behaviour. So far, the neural mechanisms of this food-induced blindness are widely unknown. In the present study (N = 53), we investigated event-related potentials (ERPs) in response to food distractors and non-food targets in a single-target RSVP task. Automatic capture of visual attention by task-irrelevant food distractors was evident in enhanced Distractor Negativity (N2) and Early Food Positivity (P1). However, food distractors did not elicit a P3b. Thus, apparently, not the encoding of food distractors in working memory but alternative attentional processes are responsible for the food-induced blindness. Reduced target P3b reflected errors in target identification but was unaffected by the preceding distractor. In contrast, target N2 was specifically reduced for unidentified targets preceded by food distractors. Presumably, the attentional capture of food distractors may have caused a reduction of target N2, thereby contributing to the impairment in target identification. However, future research is needed to confirm this assumption and bridge the gap between the food-induced blindness on the behavioural level and the attentional capture of food stimuli reflected in the distractor ERPs.

Moral Distress in Hospitals During the First Wave of the COVID-19 Pandemic: A Web-Based Survey Among 3,293 Healthcare Workers Within the German Network University Medicine

Objective: The present study aimed to investigate the correlation between moral distress and mental health symptoms, socio-demographic, occupational, and COVID-19-related variables, and to determine differences in healthcare workers’ (HCW) moral distress during the first wave of the COVID-19 pandemic.

Method: Data from 3,293 HCW from a web-based survey conducted between the 20th of April and the 5th of July 2020 were analyzed. We focused on moral distress (Moral Distress Thermometer, MDT), depressive symptoms (Patient Health Questionnaire-2, PHQ-2), anxiety symptoms (Generalized Anxiety Disorder-2, GAD-2), and increased general distress of nurses, physicians, medical-technical assistants (MTA), psychologists/psychotherapists, and pastoral counselors working in German hospitals.

Results: The strongest correlations for moral distress were found with depressive symptoms, anxiety symptoms, occupancy rate at current work section, and contact with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Nurses and MTA experienced significantly higher moral distress than physicians, psychologists/psychotherapists, and pastoral counselors. The average level of moral distress reported by nurses from all work areas was similar to levels which before the pandemic were only experienced by nurses in intensive or critical care units.

Conclusion: Results indicate that moral distress is a relevant phenomenon among HCW in hospitals during the COVID-19 pandemic, regardless of whether they work at the frontline or not and requires urgent attention.

Sense of coherence, social support and religiosity as resources for medical personnel during the COVID-19 pandemic: A web-based survey among 4324 health care workers within the German Network University Medicine

Introduction

The COVID-19 pandemic resulted in severe detrimental effects on the mental well-being of health care workers (HCW). Consequently, there has been a need to identify health-promoting resources in order to mitigate the psychological impact of the pandemic on HCW.

Objective

Our objective was to investigate the association of sense of coherence (SOC), social support and religiosity with self-reported mental symptoms and increase of subjective burden during the COVID-19 pandemic in HCW.

Methods

Our sample comprised 4324 HCW of four professions (physicians, nurses, medical technical assistants (MTA) and pastoral workers) who completed an online survey from 20 April to 5 July 2020. Health-promoting resources were assessed using the Sense of Coherence Scale Short Form (SOC-3), the ENRICHD Social Support Inventory (ESSI) and one item on religiosity derived from the Scale of Transpersonal Trust (TPV). Anxiety and depression symptoms were measured with the PHQ-2 and GAD-2. The increase of subjective burden due to the pandemic was assessed as the retrospective difference between burden during the pandemic and before the pandemic.

Results

In multiple regressions, higher SOC was strongly associated with fewer anxiety and depression symptoms. Higher social support was also related to less severe mental symptoms, but with a smaller effect size, while religiosity showed minimal to no correlation with anxiety or depression. In professional group analysis, SOC was negatively associated with mental symptoms in all groups, while social support only correlated significantly with mental health outcomes in physicians and MTA. In the total sample and among subgroups, an increase of subjective burden was meaningfully associated only with a weaker SOC.

Conclusion

Perceived social support and especially higher SOC appeared to be beneficial for mental health of HCW during the COVID-19 pandemic. However, the different importance of the resources in the respective occupations requires further research to identify possible reasons.