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The neurovisceral integration model proposes that information flows bidirectionally between the brain and the heart via the vagus nerve, indexed by vagally mediated heart rate variability (vmHRV). Voluntary reduction in breathing rate (slow‐paced breathing, SPB, 5.5 Breathing Per Minute (BPM)) can enhance vmHRV. Additionally, prefrontal transcranial direct current stimulation (tDCS) can modulate the excitability of the prefrontal region and influence the vagus nerve. However, research on the combination of SPB and prefrontal tDCS to increase vmHRV and other cardiac (heart rate (HR) and blood pressure) and peripheral (skin conductance) indices is scarce. We hypothesized that the combination of 20 min of SPB and prefrontal tDCS would have a greater effect than each intervention in isolation. Hence, 200 participants were divided into four groups: active tDCS with SPB, active tDCS with 15 BPM breathing, sham tDCS with SPB, and sham tDCS with 15 BPM breathing. Regardless of the tDCS condition, the 5.5 BPM group showed a significant increase in vmHRV over 20 minutes and significant decreases in HR at the first and second 5‐min epochs of the intervention. Regardless of breathing condition, the active tDCS group exhibited higher HR at the fourth 5‐min epoch of the intervention than the sham tDCS group. No other effects were observed. Overall, SPB is a robust technique for increasing vmHRV, whereas prefrontal tDCS may produce effects that counteract those of SPB. More research is necessary to test whether and how SPB and neuromodulation approaches can be combined to improve cardiac vagal tone. This study explored, for the first time, the temporal course of physical (slow‐paced breathing, SPB) and neuromodulation (prefrontal tDCS) interventions to enhance cardiac vagal tone. Through a well‐sampled between‐subjects sham‐controlled design, this study found that SPB has a very rapid impact on increasing vagally mediated HRV and decreasing HR and blood pressure. Prefrontal tDCS, on the contrary, has a slower effect, mainly increasing heart rate suggesting more sympathetic arousal. Unexpectedly, the combination did not yield beneficial results. [ABSTRACT FROM AUTHOR]

Transcranial direct current stimulation (tDCS) of the prefrontal cortex (PFC) modulates the autonomic nervous system by activating deeper brain areas via top‐down pathway. However, effects on the nervous system are heterogeneous and may depend on the amount of current that penetrates. Therefore, we aimed to investigate the variable effects of tDCS on heart rate variability (HRV), a measure of the functional state of the autonomic nervous system. Using three prefrontal tDCS protocols (1.5, 3 mA and sham), we associated the simulated individual electric field (E‐field) magnitude in brain regions of interest with the HRV effects. This was a randomized, double‐blinded, sham‐controlled and within‐subject trial, in which healthy young‐adult participants received tDCS sessions separated by 2 weeks. The brain regions of interest were the dorsolateral PFC (DLPFC), anterior cingulate cortex, insula and amygdala. Overall, 37 participants were investigated, corresponding to a total of 111 tDCS sessions. The findings suggested that HRV, measured by root mean squared of successive differences (RMSSD) and high‐frequency HRV (HF‐HRV), were significantly increased by the 3.0 mA tDCS when compared to sham and 1.5 mA. No difference was found between sham and 1.5 mA. E‐field analysis showed that all brain regions of interest were associated with the HRV outcomes. However, this significance was associated with the protocol intensity, rather than inter‐individual brain structural variability. To conclude, our results suggest a dose‐dependent effect of tDCS for HRV. Therefore, further research is warranted to investigate the optimal current dose to modulate HRV. By dissecting the effects of different tDCS protocols on HRV and linking them to individual brain anatomy, we have uncovered a dose‐dependent relationship between tDCS dose and HRV modulation. These findings underscore the importance of optimizing tDCS for HRV modulation, advancing our understanding of neurostimulation's potential in autonomic nervous system regulation. [ABSTRACT FROM AUTHOR]

Latent growth curve modeling was used to investigate the longitudinal link between attachment, effortful control (EC), and maladaptive development during middle childhood. In a community sample, children (Time 1: n = 157; M age = 10.91) and their mothers were examined three times over a two-year period. Attachment was operationalized at a more strategic (self-reported trust in maternal support) and more automatic level (secure base script knowledge). Mothers reported about children's EC and maladjustment. Secure attachment was associated with higher EC, but EC development was only linked with baseline self-reported trust. Also, EC indirectly linked baseline self-reported trust with change in externalizing and internalizing problems over time. In addition, self-reported trust was indirectly linked with change in externalizing problems over time through EC development. EC, and, less robustly, EC development were linked with attachment and change in emotional and behavioral problems. [ABSTRACT FROM AUTHOR]

The tendency to ruminate (i.e., repetitive, self‐referential, negative thoughts) is a maladaptive form of emotional regulation and represents a transdiagnostic vulnerability factor for stress‐related psychopathology. Vagally‐mediated heart rate variability (vmHRV) provides a non‐invasive, surrogate measure of vagal modulation of the heart, and higher HRV is considered an indicator of susceptibility, or ability to respond to stress. Past research has suggested a link between trait rumination and vmHRV; however, inconsistent results exist in healthy individuals. In this study, we investigated the association between the tendency to ruminate, brooding, and reflection (using the Ruminative Response Scale) with vmHRV measured at baseline in a healthy population using a large cross‐sectional dataset (N = 1189, 88% female; mean age = 21.55, ranging from 17 to 48 years old), which was obtained by combining samples of healthy individuals from different studies from our laboratory. The results showed no cross‐sectional correlation between vmHRV and trait rumination (confirmed by Bayesian analysis), even after controlling for important confounders such as gender, age, and depressive symptoms. Also, a non‐linear relationship was rejected. In summary, based on our results in a large sample of healthy individuals, vmHRV is not a marker of trait rumination (as measured by the Ruminative Response Scale). HRV, measured at rest, has been considered an index of emotional flexibility. As such, the tendency to ruminate following a negative experience has been linked to lower vmHRV, even though experimental findings remain inconsistent. Based on a large‐scale database, we show no correlation between vmHRV and the tendency to ruminate in healthy adults. These findings imply that the relationship between vmHRV and vulnerability to psychopathology in healthy individuals should be re‐evaluated. [ABSTRACT FROM AUTHOR]

Acute psychosocial stress effects on inhibition have been investigated in young adults, but little is known about these effects in older adults. The present study investigated effects of the Trier Social Stress Test on cognitive inhibition (i.e., ability to ignore distracting information) using a cross-over (stress vs. control) design in healthy young (N = 50; 18–30 years; Mage = 23.06) versus older adults (N = 50; 65–84 years; Mage = 71.12). Cognitive inhibition was measured by a letter flanker task and psychophysiological measures (cortisol, heart rate, subjective stress) validated the stress induction. The results showed that while stress impaired overall accuracy across age groups and sessions, stress (vs. control) made older adults' faster in session 1 and slower in session 2. Given that session 2 effects were likely confounded by practice effects, these results suggest that acute psychosocial stress improved older adults' RTs on a novel flanker task but impaired RTs on a practiced flanker task. That is, the interaction between stress and learning effects might negatively affect response execution when testing older adults on flanker tasks. If confirmed by future research, these results might have important implications especially in settings where repeated cognitive testing is performed under acute stress. [ABSTRACT FROM AUTHOR]

Research suggests that self-esteem, individuals´ expectancies regarding their ability to deal with future stressors and cognitive control are related and participate in the process of stress regulation. In the current study, 286 participants (51 men and 235 women; ranging from 18 to 89 years old; mean age = 27.53, SD = 10.64) completed online questionnaires to assess self-esteem, expectancy, cognitive control (assessed using measures of attentional and anxiety control), perceived stress, rumination, and symptoms of distress. Network analysis was used to obtain a comprehensive, data-driven view on the complex interplay between these variables. Our analysis shows that high self-esteem is related to more self-efficacy (a measure of expectancy). Self-efficacy, in turn, shows a strong association with more attentional and anxiety control, which are related to lower overall perceived stress during the past month. Moreover, higher perceived stress was related to more symptoms of distress via higher scores in rumination. This study is the first to provide a data-driven test of how individuals with low self-esteem and expectancy, and deficits in cognitive control processes may have difficulties in dealing with daily stressful situations. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has created a significant mental health burden on the global population. Studies during the pandemic have shown that risk factors such as intolerance of uncertainty and maladaptive emotion regulation are associated with increased psychopathology. Meanwhile, protective factors such as cognitive control and cognitive flexibility have been shown to protect mental health during the pandemic. However, the potential pathways through which these risk and protective factors function to impact mental health during the pandemic remain unclear. In the present multi-wave study, 304 individuals (18 years or older, 191 Males), residing in the USA during data collection, completed weekly online assessments of validated questionnaires across a period of five weeks (27th March 2020–1st May 2020). Mediation analyses revealed that longitudinal changes in emotion regulation difficulties mediated the effect of increases in intolerance of uncertainty on increases in stress, depression, and anxiety during the COVID-19 pandemic. Further, individual differences in cognitive control and flexibility moderated the relationship between intolerance of uncertainty and emotion regulation difficulties. While intolerance of uncertainty and emotion regulation difficulties emerged as risk factors for mental health, cognitive control and flexibility seems to protect against the negative effects of the pandemic and promote stress resilience. Interventions aimed at enhancing cognitive control and flexibility might promote the protection of mental health in similar global crises in the future. [ABSTRACT FROM AUTHOR]

Background: Rumination is associated with counterfactual thinking (CFT) and regret, but underlying mechanisms in this association are uninvestigated. Rumination is characterized by attentional biases and focusing attention towards accomplishments versus lost opportunities influences CFT and regret. The goal of this study was to investigate the association between self-critical rumination and attention towards accomplishments and lost opportunities, and how this may underly the link between rumination and CFT and regret. Methods: Hundred healthy female participants performed a risk-taking task while (a) attention towards accomplishments and lost opportunities, and (b) self-reported CFT and regret were measured. Results: Analyses showed that participants with high (versus low) rumination tendencies focused less on accomplishments, and this mediated the association between rumination and regret. Conclusion: These findings suggest that reduced attention towards accomplishments may be an underlying mechanism in the link between rumination and regret, and interventions could target this attentional bias for therapeutic benefit. [ABSTRACT FROM AUTHOR]

The usage of EEG to uncover the influence of psychosocial stressors (PSSs) on neural activity has gained significant attention throughout recent years, but the results are often troubled by confounding stressor types. To investigate the effect of PSSs alone on neural activity, we employed a paradigm where participants are exposed to negative peer comparison as PSS, while other possible stressors are kept constant, and compared this with a condition where participants received neutral feedback. We analyzed commonly used sensor level EEG indices (frontal theta, alpha, and beta power) and further investigated whether source level power and functional connectivity (i.e., the temporal dependence between spatially seperated brain regions) measures, which have to our knowledge not yet been used, are more sensitive to PSSs than sensor level-derived EEG measures. Our results show that on sensor level, no significant frontal power changes are present (all p's > 0.16), indicating that sensor level frontal power measures are not sensitive enough to be affected by only PSSs. On source level, we find increased alpha power (indicative of decreased cortical activity) in the left- and right precuneus and right posterior cingulate cortex (all p's < 0.03) and increased functional connectivity between the left- and right precuneus (p < 0.001), indicating that acute, trial based PSSs lead to decreased precuneus/PCC activity, and possibly indicates a temporary disruption in the self-referential neural processes of an individual. [ABSTRACT FROM AUTHOR]

Background: As part of repetitive negative thinking (RNT), rumination is a maladaptive cognitive response style to stress or negative mood which can increase the risk of depression and may prohibit complete recovery. Cognitive behavioral therapy (CBT) and transcranial direct current stimulation (tDCS) both proved to be effective in decreasing rumination. However, the combined effects of tDCS and CBT interventions on rumination have not yet been explored. The first aim of this pilot study is to investigate whether the combination of tDCS and CBT has an accumulating positive effect on modulating state rumination. The second aim is to assess the feasibility and safety profile of the proposed combined approach. Method: Seventeen adults aged 32-60 years, suffering from RNT, were referred by their primary care professional to participate in an 8-week group intervention for RNT ("Drop It") comprising 8 sessions of CBT. Before each CBT session, patients underwent one double-blinded prefrontal active (2 mA for 20 min) or sham tDCS (anode over F3, cathode over the right supraorbital region) combined with an internal cognitive attention task focused on individual RNT, i.e., online tDCS priming. During each session, the Brief State Rumination Inventory was used to assess state rumination. Results: A mixed effects model analysis revealed no significant differences between the stimulation conditions, weekly sessions, or their interaction in terms of state rumination scores. Conclusion: Overall, the combination of online tDCS priming followed by group CBT was found to be safe and feasible. On the other hand, no significant additional effects of this combined approach on state rumination were established. Although our pilot study may have been too small to find significant clinical effects, future larger RCT studies on combined tDCS-CBT treatment protocols may reevaluate the selection of internal cognitive attention tasks and more objective neurophysiological measurements, consider the optimal timing of the combination (concurrently or sequentially), or may add additional tDCS sessions when following CBT. [ABSTRACT FROM AUTHOR]

The aim of the present research was to develop and test the efficacy of a novel online contingent attention training (i.e., OCAT) to modify attention and interpretation biases, improve emotion regulation, and reduce emotional symptom levels in the face of major stressors. Two proof-of-principle studies were carried out. In study 1, 64 undergraduates who were about to start a major stressful period (i.e., final exams) were randomized to undergo 10 days of active OCAT or a sham-control training. Emotion regulation (habitual use of rumination and reappraisal) and symptom levels (depression and anxiety) were assessed before and after the intervention. In study 2, the same 2 × 2 mixed design was used with 58 individuals from the general population undergoing a major stressful situation (the lockdown period at the beginning of the COVID-19 pandemic in 2020). In both studies, the OCAT group showed significant improvements on attention towards negative information and interpretation biases in comparison to the sham-control group. Additionally, changes in cognitive biases transferred to reductions of participants' use of rumination and anxiety symptom levels. These results show preliminary evidence regarding the efficacy of the OCAT to target attention and interpretation biases as well as to improve emotion regulation processes and to buffer against the effects of major stressors. [ABSTRACT FROM AUTHOR]

Introduction: Cognitive-affective models of depression show that negative and positive emotionality differentially confer risk for depression through maladaptive and adaptive emotion regulation (ER) strategies respectively. Yet, no research has examined the mechanisms through which these temperament traits shape individual differences in ER. The current study explored the mediating role of attentional breadth for emotional information in the distinct pathways from temperament to ER strategies in adolescents. Methods: The hypotheses were tested in a selected sample of 71 adolescents (M = 14.15, SD = 1.90; 62% girls) using a previously validated measure of visuospatial attentional breadth. Results: First, positive emotionality was positively associated with attentional breadth for positive stimuli and temperamental vulnerable adolescents showed deficits in the processing of positive stimuli when presented far from the center of the visual field. Second, attentional breadth towards neutral stimuli was positively related to adaptive ER strategies. Third, no evidence was found for the proposed mediation models. However, post-hoc analyses provided preliminary evidence for a reversed mediation model in which adaptive ER strategies mediate the relationship between temperament and attentional breadth towards neutral stimuli. Discussion: The results underscore the apparent complexity of the relations between temperament, attentional breadth, and ER and point out the need for further research in order to inform early intervention. [ABSTRACT FROM AUTHOR]

Acute psychosocial stress effects on inhibition have been investigated in young adults, but little is known about these effects in older adults. The present study investigated effects of the Trier Social Stress Test on cognitive inhibition (i.e., ability to ignore distracting information) using a cross-over (stress vs. control) design in healthy young (N = 50; 18–30 years; Mage = 23.06) versus older adults (N = 50; 65–84 years; Mage = 71.12). Cognitive inhibition was measured by a letter flanker task and psychophysiological measures (cortisol, heart rate, subjective stress) validated the stress induction. The results showed that while stress impaired overall accuracy across age groups and sessions, stress (vs. control) made older adults’ faster in session 1 and slower in session 2. Given that session 2 effects were likely confounded by practice effects, these results suggest that acute psychosocial stress improved older adults’ RTs on a novel flanker task but impaired RTs on a practiced flanker task. That is, the interaction between stress and learning effects might negatively affect response execution when testing older adults on flanker tasks. If confirmed by future research, these results might have important implications especially in settings where repeated cognitive testing is performed under acute stress. [ABSTRACT FROM AUTHOR]

The Ruminative Response Scale (RRS) is commonly used to measure people's general tendency to ruminate. In this study, we explored whether only few items from the RRS can be used to capture within-person variation in rumination in intensive longitudinal studies. Such a short RRS version would allow, for example, monitoring the development of rumination during clinical interventions. We measured rumination on five occasions, with at least one week in between. We used multilevel analyses to analyze the data at the within- and between-person level. Using only eight RRS items, we successfully modeled a reflective self-regulation and depressive brooding factor, similar to the two subfacets of rumination as distinguished by Treynor et al. (2003). We also established convergent validity of depressive brooding at the within- and between-person level of analysis and convergent validity of reflection at the between-person level. We thus introduced a short form of the RRS that captures within-person variation in depressive brooding and reflection well. The short RRS is readily applicable in studies on within-person variation or change in rumination. [ABSTRACT FROM AUTHOR]

Repetitive negative thinking (RNT)—such as worry and rumination—is an important transdiagnostic factor in the onset, course, and recurrence of depressive and anxiety disorders. This article describes a psychoeducational cognitive behavioral therapy (CBT)-based group intervention entitled "Drop It" that focuses exclusively on treating RNT in patients with major depressive disorder and/or generalized anxiety disorder. The theoretical concepts and treatment goals of the intervention are outlined. The organization and therapeutic processes of the different sessions are described and illustrated with statements of participants. Special attention is given to how the intervention capitalizes on the group structure and process to maximize the effectiveness of psychoeducation and CBT-based techniques. We also provide practical guidelines for clinicians treating patients with RNT. [ABSTRACT FROM AUTHOR]

Objectives: Treatment of repetitive negative thinking (RNT) focuses rather on individual than group cognitive behaviour therapy (CBT) treatment. Additionally, little is known on how clients experienced these interventions. This study investigates clients' experiences on participating in a CBT group intervention targeting RNT (RNT‐G). Design: Of the 80 participants, 11 were randomly selected for an in‐depth, semi‐structured interview after treatment. Interviews focused on what participants experienced as important on group aspects, offered interventions, homework tasks, and possible changes. Methods: All participants were adults, diagnosed with major depressive disorder and/or generalized anxiety disorder and being currently in mental health care treatment. After transcribing the interviews, analyses were performed according to the guidelines of thematic analysis. Results: Four major themes were identified. First, the group format itself was experienced as an important factor of change. The experiences about the different offered interventions during the group formed a second theme. A third theme related to changes in family or professional life and dealing with RNT as a result of the intervention. Finally, group participation, social interactions, and mental health care treatment were experienced as mutually influencing during the intervention. Conclusions: The results of this study shed some light on which treatment interventions were perceived as beneficial during the RNT‐G and should therefore be emphasized in treatment. Further, they indicate that the treatment in a group format was experienced as helpful by the participants. Finally, a positive mutual influence between the group intervention and the ongoing individual treatment was experienced. [ABSTRACT FROM AUTHOR]

Background: Repetitive negative thinking (RNT) is considered to be an important transdiagnostic factor in the onset, course and recurrence of both depressive and anxiety disorders. This study aimed to investigate whether an add-on group intervention 'Drop it', compared to treatment as usual, would improve RNT, anxiety and depressive symptoms, as well as quality of life and self-esteem of patients with Major Depressive Disorder (MDD) and/or Generalized Anxiety Disorder (GAD). Methods: Eighty patients were randomly allocated to 8 sessions of group intervention (n = 45) or a delayed treatment control group (n = 35). Both conditions continued their ongoing mental health care. Assessments took place before randomization, 12 weeks later (after group intervention) and at 3- and 9- months follow-up. Results: Although all outcomes improved after the intervention, only the uncontrollability of rumination, worrying, distancing oneself from one's thoughts, and quality of life remained statistically significant after Bonferroni correction compared to the delayed treatment control group. Conclusions: Group intervention improves RNT and quality of life of patients treated for MDD and/or GAD. Improvements remain stable until 9 months after treatment. Limitations of the study included the small sample size, the lack of a long-term follow-up in the delayed treatment control group and the inclusion of highly educated patients with mainly high comorbid generalized anxiety disorder and depression. [ABSTRACT FROM AUTHOR]

The left dorsolateral prefrontal cortex (lDLPFC) is implicated in anticipatory (i.e. during anticipation of emotional stimuli) and online (i.e. during confrontation with emotional stimuli) emotion regulatory processes. However, research that investigates the causal role of the lDLPFC in these processes is lacking. In this study, 74 participants received active or sham transcranial direct current stimulation (tDCS) over the lDLPFC. Participants were told strangers evaluated them. These (rigged) social evaluations were presented, and in 50% of the trials, participants could anticipate the valence (positive or negative) of the upcoming social feedback. Pupil dilation (a marker of cognitive resource allocation) and skin conductance responses (a marker of arousal) were measured. The results indicate that active (compared to sham) tDCS reduced arousal during the confrontation with anticipated feedback but only marginally during the confrontation with unanticipated feedback. When participants were given the opportunity to anticipate the social feedback, tDCS reduced arousal, irrespective of whether one was anticipating or being confronted with the anticipated feedback. Moreover, tDCS reduced cognitive resource allocation during anticipation, which was associated with resource allocation increases during the subsequent confrontation. Altogether, results suggest that the lDLPFC is causally implicated in the interplay between anticipatory and online emotion regulatory processes. [ABSTRACT FROM AUTHOR]

Previous research supports the distinction between proactive and reactive control. Although the dorsolateral prefrontal cortex (DLPFC) has been consistently related to these processes, lateralization of proactive and reactive control is still under debate. We manipulated brain activity to investigate the role of the left and right DLPFC in proactive and reactive cognitive control. Using a single-blind, sham-controlled crossover within-subjects design, 25 young healthy females performed the 'AX' Continuous Performance Task after receiving sham vs active high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) to increase left and right DLPFC activity. Reaction times (RTs) and pupillometry were used to assess patterns of proactive and reactive cognitive control and task-related resource allocation, respectively. We observed that, compared to sham, HF-rTMS over the left DLPFC increased proactive control. After right DLPFC HF-rTMS, participants showed slower RTs on AX trials, suggesting more reactive control. However, this latter result was not supported by RTs on BX trials (i.e. the trial that specifically assess reactive control). Pupil measures showed a sustained increase in resource allocation after both active left and right HF-rTMS. Our results with RT data provide evidence on the role of the left DLPFC in proactive control and suggest that the right DLPFC is implicated in reactive control. [ABSTRACT FROM AUTHOR]

Attentional deployment is currently considered as one of the most central mechanisms in emotion regulation (ER) as it is assumed to be a crucial first step in the selection of emotional information. According to the broaden-and-build theory, positive emotions are associated with attentional broadening and negative emotions with attentional narrowing toward emotional information. Given that ER strategies relying on attentional deployment (i.e., rumination, cognitive reappraisal and distraction) have the possibility to influence positive and negative emotions by (re)directing one's attention, there could be an association with one's attentional scope. The current study investigated the association between the general (trait) use of three specific ER strategies and visual attentional breadth for positive, negative, and neutral information in a selected sample of 56 adolescents (M = 12.54, SD = 1.72; 49% girls) at risk for developing psychopathology. First, participants self-reported on their overall use of different ER strategies. Next, the previously validated Attentional Breadth Task (ABT) was used to measure visual attention breadth toward emotional information. No evidence was found for the relationship between 2 specific ER strategies (i.e., cognitive reappraisal and rumination) and visual attentional breadth for neutral, positive and negative emotional information. Surprisingly, "distraction" was associated with visual attentional narrowing, which was unrelated to the valence of the emotion. These unexpected results indicate the multifaceted relationship between trait ER, distraction specifically, and visual attentional breadth for emotional information. Future research, especially in younger age groups, could further elaborate on this research domain. [ABSTRACT FROM AUTHOR]

Major depressive disorder (MDD) and generalized anxiety disorder (GAD) are severe and difficult-to-treat psychiatric illnesses with high rates of comorbidity. Although both disorders are treated with serotonergic based psychotropic agents, little is known on the influence of the serotonergic neurotransmitter system on the occurrence of comorbid GAD when clinically depressed. To investigate this poorly understood clinical question, we examined the involvement of frontolimbic post-synaptic 5-HT2A receptors in 20 medication-resistant depressed (MRD) patients with half of them diagnosed with comorbid GAD with 123I-5-I-R91150 SPECT. To explore whether 5-HT2A receptor-binding indices (BI) associated with comorbid GAD could be related to distinct psychopathological symptoms, all were assessed with the symptom Checklist-90-Revised (SCL-90-R). MRD patients with comorbid GAD displayed significantly higher 5-HT2A receptor BI in the hippocampal–amygdala complex, compared to MRD patients without GAD. Correlation analyses revealed that the 5-HT2A receptor BI in these areas were significantly related to the SCL-90-R subscale hostility (HOS), especially for those MRD patients with comorbid GAD. Comorbid MRD-GAD may be characterized with increased hippocampal–amygdala 5-HT2A receptor BI which could represent enhanced levels in hostility in such kinds of patients. Adapted psychotherapeutic interventions may be warranted. [ABSTRACT FROM AUTHOR]

Background: There is a growing body of research supporting the potential therapeutic value of the Cognitive Control Training (CCT) for depression, even though more research including a control condition is necessary to investigate its working mechanisms. Methods: The aim of this randomized, double-blind, placebo-controlled trial was to investigate the adjunctive effects of CCT to treatment-as-usual, compared to a sham-training, in patients with Major Depressive Disorder. Hundred-and-fifteen inpatients were randomly assigned to complete ten sessions of either an active working-memory based CCT (n = 56) or a comparable sham-training (n = 59). Changes in depressive symptoms and rumination were assessed from baseline to post-training, and at 1 year follow-up. Secondary outcome measures included alternative indices of maladaptive emotion regulation strategies, state-rumination in response to a worry induction, a cognitive transfer task and self-reports of work-status and well-being at 1 year follow-up. Results: Our results show no evidence for short-term beneficial effects of CCT in depressed inpatients when added to TAU. Conclusion: Although other studies suggest that CCT may hold potential as an add-on intervention for depression, our findings point to the importance of investigating individual differences and conditions predicting training response. [ABSTRACT FROM AUTHOR]

Background: The current study sets out to explore the influence of a well-studied cognitive control training (CCT) procedure on cognitive control processes, emotion regulation (ER) and self-reported affect in older adults. Methods: Thirty-nine healthy older adults (aged 64–78) participated in a randomized controlled proof-of-concept trial. Twenty-one of these participants performed 10 sessions of CCT that loads on working memory and sustained attention, the other eighteen performed 10 sessions of an active placebo training. Results: CCT beneficially impacted task-specific transfer, but the training did not result in transfer to an unrelated cognitive control task (Stroop task). In addition, no effects were observed on ER processes or affect changes immediately following training, nor at 6 weeks follow-up. Conclusion: At this point, the CCT seems not suitable to enhance cognitive resilience factors in older non-depressed individuals. However, there is need for more research on possible moderators of the effects, as well as larger-scale studies with longer follow-up measurements. [ABSTRACT FROM AUTHOR]

Social-evaluative threat (SET) – a situation in which one could be negatively evaluated by others – elicits profound (psycho)physiological reactivity which, if chronically present and not adaptively regulated, has deleterious effects on mental and physical health. Decreased self-awareness and increased other-awareness are understood to be an adaptive response to SET. Attentional deployment – the process of selectively attending to certain aspects of emotional stimuli to modulate emotional reactivity – is supported by fronto-parietal and fronto-limbic networks, with the dorsolateral prefrontal cortex being a central hub. The primary aim of the current study was to investigate the effects of active (versus sham) prefrontal transcranial direct current stimulation (tDCS) on self and other-attentional deployment during the exposure to a SET context. Seventy-four female participants received active or sham tDCS and were subsequently exposed to a rigged social feedback paradigm. In this paradigm a series of social evaluations were presented together with a photograph of the supposed evaluator and a self- photograph of the participant, while gaze behavior (time to first fixation, total fixation time) and skin conductance responses (SCRs; a marker of emotional reactivity) were measured. For half of the evaluations, participants could anticipate the valence (negative or positive) of the evaluation a priori. Analyses showed that participants receiving active tDCS were (a) slower to fixate on their self-photograph, (b) spent less time fixating on their self-photograph, and (c) spent more time fixating on the evaluator photograph. During unanticipated evaluations, active tDCS was associated with less time spent fixating on the evaluation. Furthermore, among those receiving active tDCS, SCRs were attenuated as a function of slower times to fixate on the self-photograph. Taken together, these results suggest that in a context of SET, prefrontal tDCS decreases self-attention while increasing other-attention, and that attenuated self-referential attention specifically may be a neurocognitive mechanism through which tDCS reduces emotional reactivity. Moreover, the results suggest that tDCS reduces vigilance toward stimuli that possibly convey threatening information, corroborating past research in this area. [ABSTRACT FROM AUTHOR]

Background: Frequent exposure to criticism is a known risk factor for various adult psychiatric disorders. Adolescents may be even more vulnerable to (parental) criticism, as their imbalanced brain maturation makes them prone to stronger mood changes and less effective emotional regulation. Identifying which adolescent subgroups are more vulnerable than others could be of great clinical relevance. Perceived criticism (PC) and self-criticism (SC), two related but distinct traits, could well be crucial vulnerability factors. Hypotheses: After exposure to criticism during fMRI scanning, rapid changes in amygdalar functional connectivity (FC) with other brain areas involved in emotion regulation and social cognitive processing will occur. These changes will depend on trait moderators, such as the adolescents' proneness to (a) perceive others as critical of them (PC) or (b) perceive themselves positively or negatively (SC). Methods: Sixty-four healthy 14–17-year-olds were exposed to a series of auditory comments. Changes in mood states were assessed based on the Profile of Mood States (POMS) prior to and after exposure to these segments. Pre- and post-experiment FC of the left and right amygdalae with other brain areas were also measured. Correlates between FC changes and psychometric measures—including the perceived criticism measure (PCM) and self-perception profile for adolescents (SPPA)—were assessed. Results: First, after being criticized, FC increases of the left amygdala seed region with brain areas related to sustained emotional processing were found, but no right amygdalar FC changes. Second, there was a significant positive partial correlation between individual PCM scores and FC changes between the left amygdala seed region and the left precuneus and left superior parietal cortex, both part of the default mode network. Conclusion: Exposure to criticism resulted in a rapid negative mood change accompanied by an increase in FC between the left amygdala and regions known to be involved in sustained emotional processing, but no right amygdalar FC changes. Furthermore, higher PC but not SC was correlated with stronger left amygdalar FC increases with these regions, suggesting an elevated vulnerability for disturbed emotional processing, as observed in mood disorders, in healthy adolescents with higher PCM scores. [ABSTRACT FROM AUTHOR]

The tendency to ruminate (i.e., repetitive negative self-referential thoughts that perpetuate depressive mood) is associated with (a) an elevated propensity to maladaptively experience counterfactual thinking (CFT) and regret, and (b) hypo-activity of the left dorsolateral prefrontal cortex (DLPFC). The goal of this study was to investigate whether anodal transcranial direct current stimulation (tDCS) over the left DLPFC, in function of self-critical rumination tendencies, momentarily reduces counterfactual thinking and regret (assessed via self-report and psychophysiological indices). Eighty healthy participants with different levels of self-critical rumination received either anodal or sham tDCS while performing a decision making task in which they were repeatedly confronted with optimal, suboptimal, and non-optimal choice outcomes. The results showed that among rumination-prone individuals, anodal (versus sham) tDCS was associated with decreased CFT and attenuated psychophysiological reactivity to the differential choice outcomes. Conversely, among low rumination-prone individuals, anodal (versus sham) tDCS was associated with increased CFT and regret, but in absence of any effects on psychophysiological reactivity. Potential working mechanisms for these differential tDCS effects are discussed. Taken together, these results provide initial converging evidence for the adaptive effects of left prefrontal tDCS on CFT and regret to personal choice outcomes among individuals prone to engage in self-critical rumination. [ABSTRACT FROM AUTHOR]

COVID-19 took a heavy toll on older adults. In Belgium, by the end of August, 93% of deaths due to COVID-19 were aged 65 or older. Similar trends were observed in other countries. As a consequence, older adults were identified as a group at risk, and strict governmental restrictions were imposed on them. This has caused concerns about their mental health. Using an online survey, this study established the impact of the COVID-19 pandemic on adults aged 65 years or older, and which factors moderate this impact. Participants reported a significant decrease in activity level, sleep quality and wellbeing during the COVID-19 pandemic. Depression was strongly related to reported declines in activity level, sleep quality, wellbeing and cognitive functioning. Our study shows that the COVID-19 pandemic had a severe impact on the mental health of older adults. This implies that this group at risk requires attention of governments and healthcare. [ABSTRACT FROM AUTHOR]

Research on the association between childhood attachment and depressive symptoms has primarily focused on the role of risk factors. This resulted in a lack of research on the role of potential resilience factors. In the current study, we suggest that middle childhood secure attachment is linked to adolescents' trait gratitude, which is linked to the enhanced resilience against the development of depressive symptoms in adolescence. In a longitudinal study, we measured 157 children's (9–12 years old, 48% boys) attachment appraisals (anxiety, avoidance, and trust), attachment representations (secure base script knowledge, and coherence) and depressive symptoms at baseline, and gratitude and depressive symptoms at follow-up two years later. Results supported our hypotheses that middle childhood attachment was robustly linked with adolescent trait gratitude. Moreover, trait gratitude indirectly linked middle childhood attachment avoidance, trust, and secure base script knowledge to change in depressive symptoms over time. These findings may help explain why more securely attached children are less likely to develop depressive symptoms. Highlights: Middle childhood secure attachment links to more trait gratitude in adolescence. Associations were found both for self-reported attachment appraisals and attachment representations derived from narratives. Trait gratitude indirectly linked attachment appraisals and representations to longitudinal changes in depressive symptoms. Trait gratitude is a resilience feature of more securely attached children. [ABSTRACT FROM AUTHOR]

Background: Previous research in the context of depression indicates that Cognitive Control Training (CCT) has the potential to reduce maladaptive emotion regulation, such as rumination. However, as a stand-alone intervention, CCT does not seem to increase adaptive emotion regulation. We examined whether CCT combined with a traditional fear of failure intervention program would improve emotion regulation and psychopathology symptoms. Methods: 102 students participating in a group-based cognitive behavior therapy (CBT) program targeting fear of failure were randomized to CCT or active placebo conditions, performing ten 15-min sessions of the adaptive Paced Auditory Serial Addition Task or an adaptive speed-of-response task, respectively. Primary outcome measures were Repetitive Negative Thinking (RNT) and symptoms related to depression, anxiety and stress. Secondary outcomes included adaptive cognitive emotion regulation strategies. Results: Task-specific cognitive transfer was observed in the CCT condition. In both conditions, RNT and symptoms were reduced. In contrast to our hypotheses, the CCT condition did not significantly differ from the active control condition in terms of treatment effects. Conclusions: The current study is among the first to investigate the added value of combining CCT with CBT in an anxious sample. CCT did not augment effects of a CBT-based fear of failure treatment. [ABSTRACT FROM AUTHOR]

Personality is a predictor of subjective well-being in older and younger adults, but less is known about the underlying mechanisms. One possible mechanism is psychological flexibility, which is the ability to keep an open mind-set in order to make flexible choices adapted to the situation at hand. We recruited 60 younger and 60 older adults and measured personality and well-being by questionnaires. To assess psychological flexibility we used questionnaires and a behavioral task assessing flexibility in information acquisition when making choices. Based on indirect effect analysis of the questionnaire data, in line with former research, our data show that in both age groups, the relationship between personality and well-being runs through psychological flexibility. This implies that training psychological flexibility may be a promising approach to increase well-being in both older and younger adults. This effect could not be demonstrated with our choice flexibility task, thus more research is needed to uncover why this could not be measured at the behavioral level. [ABSTRACT FROM AUTHOR]

The breadth of children's attentional field around their mother determines whether securely or insecurely attached children are at risk to develop depressive symptoms when confronted with distress in adolescence. To test this effect longitudinally, we measured children's (Mage = 10.93; N = 109) baseline attentional breadth around their mother, attachment status (combining attachment coherence, secure base script knowledge, and self-reported trust), and self-reported depressive symptoms. One and two years later, we measured self-reported distress and depressive symptoms. We tested three-way interactions between attentional breadth × attachment × distress on changes in depressive symptoms. This three-way interaction was marginally significantly linked with changes in depressive symptoms from baseline to year 1, and significantly with changes in depressive symptoms from baseline to year 2. Results pointed to the protective role of a narrow attentional field around the mother in middle childhood for securely attached children who are confronted with distress later in life. [ABSTRACT FROM AUTHOR]

The neurovisceral integration model aims to account for the complex interplay between physiological, cognitive, and emotion regulation processes through their support by common cortico–subcortical neural circuits. According to the model, vagally mediated heart rate variability (HRV) serves as a peripheral index of the functioning of these circuits, with higher levels of resting HRV reflecting more optimal functioning, to support goal-directed behaviour and adaptability to environmental demands. Although increased cognitive flexibility has been related to higher resting HRV, this has not been assessed in the context of emotional information to examine the interplay between cognition and emotion. Therefore, we investigated (n = 109) the relationship between resting HRV and performance on a task-switching paradigm in which participants shift attention between affective and nonaffective aspects of emotional material. Resting HRV was not associated with flexibility in processing of positive material, but more efficient shifting of attention (greater flexibility) from affective to nonaffective aspects of negative information was related to lower resting HRV. The avoidance theory of worry and anxiety, as well as empirical evidence, links anxiety to attentional avoidance of negative information. Our findings therefore support the neurovisceral integration model such that when greater flexibility can facilitate attentional avoidance of negative information—as seen in anxiety—it is related to lower resting HRV. [ABSTRACT FROM AUTHOR]

The ability to flexibly process affective information underlies resilient adaptation to changing situations. However, the impact of social contextual changes on affective flexibility has not been examined yet, although this may be crucial to understand how attention operates when changing situations require allocation of different emotional goals. In a novel eye-tracking task, participants had to deploy the goals to attend to positive or negative facial expressions based on contextual cues. We found that dysphorics, compared to non-dysphorics, were faster in switching to negative goals, but slower in switching to positive goals, when the context remained constant. However, when the context changed, dysphorics showed an even faster switch to negative goals, while non-dysphorics became more adept at switching towards positive goals. These results suggest that contextual changes exacerbate the negativity and positivity biases exhibited by dysphoric and non-dysphoric individuals, respectively. The study provides evidence for the key role played by contextual changes in guiding attention allocation and thereby emotion regulation processes. These findings provide preliminary evidence for the role of contextual inflexibility in dysphoria. Results need to be replicated in a clinical sample to further clarify the role of inflexibility over the course of depression. [ABSTRACT FROM AUTHOR]

Although in treatment-resistant depression (TRD) subgenual anterior cingulate cortex (sgACC) functional connectivity (FC) is frequently used to examine deregulated brain networks, neurobiological data from other sources may be required to interpret these FC findings. In 16 melancholic TRD patients with a high level of treatment resistance and 16 closely matched healthy never-depressed individuals we verified whether sgACC FC patterns were related to regional metabolic activity (CMRglc) with 18FDG PET imaging. Notwithstanding that TRD patients displayed stronger sgACC FC with the right lateral frontotemporal cortex, metabolically they exhibited the opposite pattern. Our results indicate that the sgACC seed and its functionally connected regions not automatically follow a similar metabolic pattern in TRD, possibly reflecting the refractory state of the sample. Multimodal brain imaging may help to increase our insight into the pathophysiology of TRD. [ABSTRACT FROM AUTHOR]

Social anxiety is characterised by a bias to recall negative social autobiographical memories as well as anxious expectations about future social interactions. Neuroscientific research shows that a shared neural network underlies both temporal directions of autobiographical recall and future self-projections. Inspired by these findings, the current study tested the effectiveness of a Cognitive Bias Modification training to induce expectancies about the outcome of possible future social interactions (CBM-E). Its effects on interpretation bias, autobiographical recall and personal future projections were tested additionally. Participants read short social scenarios that could possibly happen to them in the future. Each scenario ended in word-fragment which, when completed, disambiguated the meaning of the scenario in either an optimistic or pessimistic way contingent on experimental condition. The CBM-E training was tested in 120 student participants and appeared effective in changing expectancies. The effect generalized to social interpretation bias (scrambled sentences). No direct effects of the training were found on autobiographical recall or future projections. However, participants trained to have pessimistic expectancies who had higher attachment anxiety showed a less positive interpretation bias related to the future. Furthermore, participants with high social anxiety reported less positive personal future projections when trained to have optimistic social expectancies. [ABSTRACT FROM AUTHOR]

This document is a correction notice for an article titled "The interplay between self-esteem, expectancy, cognitive control, rumination, and the experience of stress: A network analysis" published in Current Psychology. The correction addresses an error in Table 1 of the article, where bulleted data in column 1 were incorrectly aligned. The original article has been corrected. The correction notice does not provide any additional information or analysis beyond the correction itself. [Extracted from the article]

Over the last years, individualization of repetitive Transcranial Magnetic Stimulation (rTMS) parameters has been a focus of attention in the field of non-invasive stimulation. It has been proposed that in stress-related disorders personality characteristics may influence the clinical outcome of rTMS. However, the underlying physiological mechanisms as to how personality may affect the rTMS response to stress remains to be clarified. In this sham-controlled crossover study, after being stressed by the Trier Social Stress Test, 38 healthy females received two sessions of intermittent theta burst stimulation (iTBS) applied to the left dorsolateral prefrontal cortex. To take possible personality influences into account, they also completed the Temperament and Character Inventory. Mood and salivary cortisol were assessed throughout the experimental protocol. Overall, two iTBS sessions did not significantly alter mood or influenced cortisol secretion. When taking into account personality features, higher scores on the character dimension Cooperativeness was related to decreased cortisol output, only when active iTBS was administered after the social stressor. In line with other studies, personality features such as the character dimension Cooperativeness may be of particular interest to explain individual neurobiological responses to neurostimulation. [ABSTRACT FROM AUTHOR]

Objectives: Personality is known to be a reliable predictor of well-being. However, it is rather difficult to influence the personality of individuals in order to improve their well-being. Therefore, it is important to examine possible underlying mechanisms or indirect effects. Consequently, the aim of the current study was to investigate whether psychological flexibility is a mechanism explaining the relationship between personality and well-being. Given the evidence that age-related differences exist in personality, flexibility, and well-being, we also investigated whether our indirect effects model differed in both older and younger adults.Design: We used a cross-sectional design.Setting: Participants were asked to fill in questionnaires at home.Participants: We recruited 138 younger (25-50 years) and 120 older (65+) adults from a community-dwelling population.Measurements: Self-report questionnaires were used to assess (mal)adaptive personality traits (Big Five), psychological flexibility, and affective and general subjective well-being.Results: Similar indirect effects were found in older and younger adults: Psychological flexibility is a mechanism explaining the link between personality and well-being. In nearly half of the models, psychological flexibility even fully accounted for the effect of personality on well-being.Conclusion: These results have important implications for clinical practice, since psychological flexibility, contrary to personality traits, is malleable. Interventions to increase psychological flexibility already exist and are validated in both older and younger samples. They may hold promise to improve well-being. [ABSTRACT FROM AUTHOR]

Attachment theory assumes that trust in caregivers' support and exploration are closely related. Little research tried to investigate this link, nor focuses on mechanisms that might explain this association. The present studies examined whether trust is related to exploration through a serial indirect effect of openness to negative affect and self‐regulation. In Study 1, 212 children, aged 8–13, completed questionnaires assessing trust, openness to negative affect, self‐regulation and exploration. The results showed that trust predicted exploration, but only to the extent to which openness to negative affect and self‐regulation were involved too. Study 2 refined these findings (n = 59, aged 9–12) using a behavioral measure of openness to negative affect and exploration, and with mother‐reported self‐regulation. Replicating this serial indirect effect of openness to negative affect and self‐regulation with multiple informants and methods, the present studies advance our understanding of how trust might foster exploration in preadolescence. [ABSTRACT FROM AUTHOR]

The mechanisms by which transcranial direct current stimulation (tDCS) influences emotional processing - and whether this is related to individual vulnerability for psychopathology - are still poorly understood. The present study aimed to investigate if one prefrontal tDCS session modulates mood and neural functional connectivity after being exposed to negative information differently in individuals low or high in perceived criticism (PC), which has been related to vulnerability for psychiatric illness. In a randomized cross-over design, one session of MRI-compatible prefrontal tDCS (neuronavigated placement of the anodal electrode at the left dorsolateral prefrontal cortex and the cathodal electrode at the right supraorbital region; vs. sham) was administered to healthy females, prior to listening to self-referential criticism. PC-dependent (low vs. high PC) changes in mood and resting-state functional connectivity patterns following tDCS and after hearing criticism were explored. After being criticized all females (low and high PC) felt angrier and more depressed, both in the active tDCS or sham tDCS condition. However, in contrast to low PC females, in high PC females prefrontal tDCS reduced connectivity between the left dorsal anterior cingulate cortex and the right dorsomedial prefrontal cortex following criticism. Despite having no differential effects on self-reported mood, prefrontal tDCS reduces medial prefrontal neural connectivity after being criticized in high PC females compared to low PC females. Depending on individual vulnerability for psychopathology, a single tDCS session differentially affects neural processing of negative emotional information, especially in brain regions involved in monitoring, experiencing and appraising/evaluating emotional material. [ABSTRACT FROM AUTHOR]

Background and objectives: The Dorsolateral prefrontal cortex (DLPFC) is implicated in cognitive and emotional responses. Yet, research that investigates the causal role of the left versus right DLPFC during the processes of emotion appraisal is lacking. In the current study, transcranial direct current stimulation (tDCS) was used to disentangle the functional lateralization of the DLPFC on emotional processing in response to the anticipation of, and subsequent confrontation with emotional stimuli in healthy volunteers. Methods: Forty-eight subjects received both active and sham (on separate days) anodal tDCS over either the left (N = 24) or right (N = 24) DLPFC. Subjects’ pupil dilation (PD, a physiological marker of cognitive resource allocation) was recorded while performing an appraisal task in which negative and positive emotion eliciting images were presented, each preceded by an informative cue indicating the valence of the upcoming stimulus. Results: As compared to sham stimulation, left DLPFC anodal tDCS resulted in increased PD when confronted with negative emotional images, whereas right DLPFC anodal tDCS resulted in decreased PD when confronted with emotional images, irrespective of valence. Limitations: The interpretation of pupil dilation in response to emotional stimuli is limited. Conclusion: These findings suggest inverse lateralized DLPFC effects on cognitive resource allocation (as measured by pupillary responses) when confronted with emotional stimuli. The current findings may shed some light on mechanisms that explain the antidepressant effects of non-invasive brain stimulation of the left DLPFC. [ABSTRACT FROM AUTHOR]

Major depression is characterized by abnormal reward processing and reinforcement learning (RL). This impairment might stem from deficient motivation processes, in addition to reduced reward sensitivity. In this study, we recorded 64-channel EEG in a large cohort of major depressive disorder (MDD) patients and matched healthy controls (HC) while they performed a standard RL task. Participants were asked to discover, by trial and error, several hidden stimulus-response associations having different reward probabilities, as enforced using evaluative feedback. We extracted induced fronto-midline Theta (FMT) power time-locked to the response and feedback as neurophysiological index of RL. Furthermore, we assessed approach-related motivation by measuring frontal alpha asymmetry concurrently. At the behavioral level, MDD patients and HCs showed comparable RL. At the EEG level, FMT power systematically varied as a function of reward probability, with opposing effects found at the response and feedback levels. Although this global pattern was spared in MDD, at the feedback level these patients showed however a steep FMT power decrease across trials when reward probability was low. Moreover, they showed impaired approach-related motivation during task execution, as reflected by frontal Alpha asymmetry. These results suggest a dissociation between (globally spared) RL and (impaired) approach motivation in MDD. [ABSTRACT FROM AUTHOR]

Older adults have been found to focus more on positive and less on negative information compared to younger adults. Yet, results on this attentional positivity effect are inconsistent. Since personality has been related to attentional processing in younger adults, we explored whether (mal)adaptive personality traits are also linked to the occurrence of the positivity effect measured with eye tracking paradigms. We performed two studies with different experimental tasks and recruited for each study 60 community dwelling younger (aged 24–50) and 60 older (age 65–91) adults. We found some indication for a positivity effect with a free-viewing task (study 2), but not with a task measuring engagement and disengagement with emotional information (study 1). Although this effect should be interpreted with caution, it corroborates evidence that the positivity effect is more robust in situations without cognitive constraints. No evidence was found for personality traits to be related to the occurrence of the effect. Further research is needed to further clarify conditions that influence older adults’ attention for emotional information. [ABSTRACT FROM AUTHOR]

In this study we investigated the effects of seeking versus avoiding proximity to mother on children's emotional recovery from a stressor. Sixty children 9–12 years underwent a moodinduction procedure and were randomly assigned to seek proximity from or avoid an image of their mothers. The effect of this manipulation on children's self‐reported negative emotions, skin conductance and heart rate variability (respiratory sinus arhythmia) was assessed. Higher levels of attachment anxiety were linked to more self‐reported sadness when children had to avoid mother, but no evidence for such an effect was found on a physiological level. For avoidant attachment, a similar pattern of results emerged, but both for self‐reported sadness and skin conductance. [ABSTRACT FROM AUTHOR]

Despite its everyday ubiquity, not much is currently known about cognitive processes involved in flexible shifts of attention between external and internal information. An important model in the task-switching literature, which can serve as a blueprint for attentional flexibility, states that switch costs correspond to the time needed for a serial control mechanism to reallocate a limited resource from the previous task context to the current one. To formulate predictions from this model when applied to a switch between perceptual attention (external component) and working memory (WM; internal component), we first need to determine whether a single, serial control mechanism is in place and, subsequently, whether a limited resource is shared between them. Following a review of the literature, we predicted that a between-domain switch cost should be observed, and its size should be either similar or reduced compared to the standard, within-domain, switch cost. These latter two predictions derive from a shared resource account between external and internal attention or partial independence among them, respectively. In a second phase, we put to the test these opposing predictions in four successive behavioral experiments by means of a new paradigm suited to compare directly between- (internal to external) and within- (external to external) domain switch costs. Across them, we demonstrated the existence of a reliable between-domain switch cost whose magnitude was similar to the within-domain one, thereby lending support to the resource-sharing account. [ABSTRACT FROM AUTHOR]

In preadolescence, research has shown links between the quality of children's attachment relationships and children's perceived self-regulatory abilities. However, less research has focused on the association between attachment and preadolescents' self-regulation performance. In a sample of 120 children, aged 9–13, we administered questionnaires to assess trust in maternal support and anxious and avoidant attachment. In addition, mothers reported about their children's self-regulatory abilities, and children performed the Stop-Signal Task (SST). Consistent with predictions, correlation analyses revealed that a more insecure attachment relationship with mother was not only associated with less self-regulatory abilities as perceived by mother but also with preadolescents' lower self-regulation performance in the SST. Adding demographic variables as covariates to the analyses did not significantly alter these effects. The current multi-method study contributes to an increasing awareness of the importance of the quality of the mother–child relationship for children's self-regulation. [ABSTRACT FROM AUTHOR]

Introduction: Despite several available evidence-based interventions for major depression relapse, rates remain high and relapse prevention programs are still scarce. To increase effectiveness, novel techniques that target underlying vulnerability factors may be a promising avenue. Depression is associated with impairments in executive functioning, which is in turn associated with poor psychosocial outcomes and more Repetitive Negative Thinking (RNT), a key vulnerability factor for relapse. This paper examines deficits in cognitive control as a potentially modifiable causal mechanism for depression. Areas covered: An overview of studies on the interplay between cognitive control and RNT is presented, assessing the potential of training cognitive control in depressed individuals. Cognitive Control Training (CCT), or other techniques aimed at remediating executive functioning, provides an interesting way to examine the causal status of executive functions in depression-related symptoms, such as emotion regulation and psychosocial functioning. The clinical utility of CCT is assessed. Expert commentary: There is emerging evidence for clinical utility of CCT but more large-scale, longitudinal studies are required. The section discusses how the adaptive Paced Auditory Serial Addition Test (PASAT) can be used as a technique that can be combined with psychological as well as biological interventions, to increase overall effectiveness of treatment for depression. [ABSTRACT FROM AUTHOR]

Transcranial direct current stimulation (tDCS) is a potential treatment strategy for mood and anxiety disorders, but how this application may influence emotional processes, and whether this is related to individual characteristics, is not well understood. It has been proposed that perceived criticism (PC) may represent a vulnerability factor for the development of such mental illnesses. To decipher whether neural mechanisms of action of tDCS potentially differ depending on PC status (low vs. high), we evaluated mood and brain perfusion before and after applying MRI‐compatible tDCS, and after participants were exposed to verbal criticism in the scanner. Experimental design 30 healthy nondepressed females were included in a sham‐controlled crossover MRI‐compatible tDCS study. Brain perfusion was measured by means of arterial spin labeling (ASL) before and after tDCS applied to the left dorsolateral prefrontal cortex (DLPFC), and after hearing criticism. Before the experiment, all participants provided a rating of PC in their closest environment. Principal observations at the behavioral level, criticism made participants angrier. This was unrelated to the active or sham stimulation. After being criticized, females scoring high on PC had significantly decreased brain perfusion in the pregenual anterior cingulate cortex (pgACC) and medioprefrontal cortex (mPFC), after active tDCS but not sham. The decrease in pgACC/mPFC perfusion points to a significant impact of tDCS in brain areas related to stress responses and self‐referential processes, especially in females scoring high on PC, which has been shown to be related to vulnerability for mood and anxiety disorders. [ABSTRACT FROM AUTHOR]

Objectives: Accelerated intermittent theta-burst stimulation (aiTBS) anti-depressive working mechanisms are still unclear. Because aiTBS may work through modulating the reward system and the level of anhedonia may influence this modulation, we investigated the effect of aiTBS on reward responsiveness in high and low anhedonic MDD patients. Methods: In this registered RCT (NCT01832805), 50 MDD patients were randomised to a sham-controlled cross-over aiTBS treatment protocol over the left dorsolateral prefrontal cortex (DLPFC). Patients performed a probabilistic learning task in fMRI before and after each week of stimulation. Results: Task performance analyses did not show any significant effects of aiTBS on reward responsiveness, nor differences between both groups of MDD patients. However, at baseline, low anhedonic patients displayed higher neural activity in the caudate and putamen. After the first week of aiTBS treatment, in low anhedonic patients we found a decreased neural activity within the reward system, in contrast to an increased activity observed in high anhedonic patients. No changes were observed in reward related neural regions after the first week of sham stimulation. Conclusions: Although both MDD groups showed no differences in task performance, our brain imaging findings suggest that left DLPFC aiTBS treatment modulates the reward system differently according to anhedonia severity. [ABSTRACT FROM AUTHOR]

Cognitive theories emphasize the importance of attentional biases in the development and maintenance of depression. Noteworthy, recent studies indicate that depression-related biases only occur in later stages of attentional processing. This is consistent with the idea that attention is a multicomponent process, consisting of at least two mechanisms: selection and inhibition. Therefore, this study aims to investigate interference and inhibition toward angry and happy stimuli in dysphoric adolescents compared to nondysphoric adolescents. To examine interference and inhibition of emotional information in 21 dysphoric (17 girls) and 28 nondysphoric adolescents (17 girls), 10-16 years of age, a Negative Affective Priming task was used. In this task, a target has to be evaluated as positive or negative while ignoring a distractor. As expected, dysphoric adolescents showed both higher interference from and higher inhibition of angry stimuli relative to nondysphoric adolescents. In contrast, happy stimuli did not lead to interference and consequently did not have to be inhibited in either group. Finally, a positive relation was found between interference and the subsequent inhibition of emotional stimuli. These observations confirm the existence of a bias toward angry faces in dysphoric adolescents and indicate a higher inhibition of angry faces in dysphoric adolescents compared to nondysphoric adolescents. The obtained results are different from those of similar previous studies in depressed or dysphoric adults using sad faces or negatively valenced words and might reveal important emotion-specific or age-specific inhibitory biases. [ABSTRACT FROM AUTHOR]