Angry and Fearful Face Conflict Effects in Post-traumatic Stress Disorder

In the presence of threatening stimuli, post-traumatic stress disorder (PTSD) can manifest as hypervigilance for threat and disrupted attentional control. PTSD patients have shown exaggerated interference effects on tasks using trauma-related or threat stimuli. In studies of PTSD, faces with negativ...

Full description

Bibliographic Details
Main Authors: Victoria Ashley, Diane Swick
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-02-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2019.00136/full
_version_ 1817998017334083584
author Victoria Ashley
Diane Swick
Diane Swick
author_facet Victoria Ashley
Diane Swick
Diane Swick
author_sort Victoria Ashley
collection DOAJ
description In the presence of threatening stimuli, post-traumatic stress disorder (PTSD) can manifest as hypervigilance for threat and disrupted attentional control. PTSD patients have shown exaggerated interference effects on tasks using trauma-related or threat stimuli. In studies of PTSD, faces with negative expressions are often used as threat stimuli, yet angry and fearful facial expressions may elicit different responses. The modified Eriksen flanker task, or the emotional face flanker, has been used to examine response interference. We compared 23 PTSD patients and 23 military controls on an emotional face flanker task using angry, fearful and neutral expressions. Participants identified the emotion of a central target face flanked by faces with either congruent or incongruent emotions. As expected, both groups showed slower reaction times (RTs) and decreased accuracy on emotional target faces, relative to neutral. Unexpectedly, both groups showed nearly identical interference effects on fearful and neutral target trials. However, post hoc testing suggested that PTSD patients showed faster RTs than controls on congruent angry faces (target and flanker faces both angry) relative to incongruent, although this finding should be interpreted with caution. This possible RT facilitation effect with angry, but not fearful faces, also correlated positively with self-report measures of PTSD symptoms. These results suggest that PTSD patients may be more vigilant for, or primed to respond to, the appearance of angry faces, relative to fearful, but further study is needed.
first_indexed 2024-04-14T02:47:58Z
format Article
id doaj.art-6ac960c5ef7549e3b1de2294f6667d54
institution Directory Open Access Journal
issn 1664-1078
language English
last_indexed 2024-04-14T02:47:58Z
publishDate 2019-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychology
spelling doaj.art-6ac960c5ef7549e3b1de2294f6667d542022-12-22T02:16:27ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-02-011010.3389/fpsyg.2019.00136421769Angry and Fearful Face Conflict Effects in Post-traumatic Stress DisorderVictoria Ashley0Diane Swick1Diane Swick2Research Service, Veterans Affairs Northern California Health Care System, Martinez, CA, United StatesResearch Service, Veterans Affairs Northern California Health Care System, Martinez, CA, United StatesDepartment of Neurology, University of California, Davis, Davis, CA, United StatesIn the presence of threatening stimuli, post-traumatic stress disorder (PTSD) can manifest as hypervigilance for threat and disrupted attentional control. PTSD patients have shown exaggerated interference effects on tasks using trauma-related or threat stimuli. In studies of PTSD, faces with negative expressions are often used as threat stimuli, yet angry and fearful facial expressions may elicit different responses. The modified Eriksen flanker task, or the emotional face flanker, has been used to examine response interference. We compared 23 PTSD patients and 23 military controls on an emotional face flanker task using angry, fearful and neutral expressions. Participants identified the emotion of a central target face flanked by faces with either congruent or incongruent emotions. As expected, both groups showed slower reaction times (RTs) and decreased accuracy on emotional target faces, relative to neutral. Unexpectedly, both groups showed nearly identical interference effects on fearful and neutral target trials. However, post hoc testing suggested that PTSD patients showed faster RTs than controls on congruent angry faces (target and flanker faces both angry) relative to incongruent, although this finding should be interpreted with caution. This possible RT facilitation effect with angry, but not fearful faces, also correlated positively with self-report measures of PTSD symptoms. These results suggest that PTSD patients may be more vigilant for, or primed to respond to, the appearance of angry faces, relative to fearful, but further study is needed.https://www.frontiersin.org/article/10.3389/fpsyg.2019.00136/fullemotionPTSDflankerfacesangerattention bias
spellingShingle Victoria Ashley
Diane Swick
Diane Swick
Angry and Fearful Face Conflict Effects in Post-traumatic Stress Disorder
Frontiers in Psychology
emotion
PTSD
flanker
faces
anger
attention bias
title Angry and Fearful Face Conflict Effects in Post-traumatic Stress Disorder
title_full Angry and Fearful Face Conflict Effects in Post-traumatic Stress Disorder
title_fullStr Angry and Fearful Face Conflict Effects in Post-traumatic Stress Disorder
title_full_unstemmed Angry and Fearful Face Conflict Effects in Post-traumatic Stress Disorder
title_short Angry and Fearful Face Conflict Effects in Post-traumatic Stress Disorder
title_sort angry and fearful face conflict effects in post traumatic stress disorder
topic emotion
PTSD
flanker
faces
anger
attention bias
url https://www.frontiersin.org/article/10.3389/fpsyg.2019.00136/full
work_keys_str_mv AT victoriaashley angryandfearfulfaceconflicteffectsinposttraumaticstressdisorder
AT dianeswick angryandfearfulfaceconflicteffectsinposttraumaticstressdisorder
AT dianeswick angryandfearfulfaceconflicteffectsinposttraumaticstressdisorder