Emotional Reactivity Research Articles

The empathic measure of true emotion (EMOTE): a novel set of stimuli for measuring emotional responding

ABSTRACT Empathy plays a fundamental role in successful social interactions. However, most tasks currently available for measuring empathy have limited ecological validity and therefore may not elicit true emotional responses in observers. To address this gap, we developed the Empathic Measure of True Emotion (EMOTE), the first emotion stimuli set to include footage of genuine positive and negative emotions unfolding in naturalistic contexts. We validated the EMOTE in a sample of 216 participants. The EMOTE demonstrated acceptable internal consistency, construct validity, and alternate forms reliability for both cognitive and affective empathy. We also found that, relative to conventional empathy measures, the EMOTE elicited stronger affective empathy ratings in observers, and the stimuli were rated higher in both genuineness and emotional intensity. Together, these findings demonstrate that the EMOTE is a reliable and valid measure of cognitive and affective empathy with enhanced ecological validity, providing a valuable new tool for measuring empathy in both clinical and research settings.

Negative emotional reactivity to racial/ethnic stress among Black adults who smoke

Black/African American (hereafter, Black) adults who smoke are at risk for tobacco-related health disparities in the United States (US). Although racial-based stressors (e.g., discrimination) are associated with smoking among this group, past work has not characterized individual differences in negative emotional reactivity to racial/ethnic stress in terms of smoking. The present investigation sought to address this limitation and evaluate the incremental validity of negative emotional reactivity to racial/ethnic stress on smoking processes after accounting for clinically important covariates. Participants included 517 Black individuals from the US who endorsed daily cigarette smoking (≥5 cigarettes per day, Mage = 45.1 years of age, 51.5% female). Results indicated that negative emotional reactivity to racial/ethnic minority stress was associated with an increased risk of severity of problems when quitting (ΔR 2 = .01), perceived barriers for smoking cessation (ΔR 2 = .03), and addictive (ΔR 2 = .03) as well as negative mood reduction smoking motives (ΔR 2 = .04); with effects evident after adjusting for frequency of racial/ethnic discrimination and other factors (e.g., drug use problems). Overall, the present findings provide novel empirical evidence that negative emotional reactivity to racial/ethnic minority stress among Black adults in the US is associated with several smoking processes implicated in the maintenance and relapse of smoking.

Developing an AI-Based Digital Biophilic Art Curation to Enhance Mental Health in Intelligent Buildings

Biophilic design is a well-recognised discipline aimed at enhancing health and well-being, however, most buildings lack adequate representation of nature or nature-inspired art. Notable barriers exist such as wealth, education, and physical ability restricting people’s accessibility to nature and associated artworks. An AI-based Biophilic arts curation and personalised recommendation system were developed in this study to improve accessibility to biophilic arts. Existing Biophilic research mainly focuses on building design principles, limited research exists to examine biophilic arts and associated emotional responses. In this paper, an interdisciplinary study addresses this gap by developing metrics for Biophilic art attributes and potential emotional responses, drawing on existing Biophilic architecture attributes and PANAS items. A public survey of 200 participants was developed in this study. The survey collected art viewers’ ratings of Biophilic attributes and associated emotional responses to establish statistical correlations between Biophilic attributes and emotional responses. The statistical analysis established a positive correlation between Biophilic attributes and positive emotions. The public survey results show significant positive emotional impacts (p-value <0.05) after exposure to Biophilic images, supporting further research and development of the Biophilic art curation system. This digital curation system employs Computer Vision algorithms (ResNet50) to automate Biophilic art categorisation and generate personalised recommendations. This study emphasises the importance of integrating nature into built environments. It proposes that artificial intelligence could significantly enhance the categorisation and recommendation of Biophilic art, advocating for expanding Biophilic art databases for emotionally responsive art display systems, benefiting mental health, and making art more accessible.

Associations Between Callous-Unemotional (CU) Traits and EmotionRecognition Abilities in School Children: The Influence of ConductProblems and Age.

Callous-unemotional (CU) traits are associated with severe conduct problems (CP) in youth. Causal theories for CU traits focus on emotion processing deficits that interfere with empathy development. However, though CU traits are consistently associated with deficits in affective empathy (i.e., emotional reactivity), the association between CU traits and cognitive empathy, which requires accurate emotion recognition, is less clear. We hypothesize that past inconsistencies in the associations between CU traits and emotion recognition may be due to interactions with conduct problems (CP) and age. To test this, a sample (N = 258) of school children in the 3rd, 6th, and 8th grades completed a computer task that assessed facial expression recognition, while caregivers and teachers reported on CU traits and CP. Results from hierarchical linear regression analyses indicated significant interactions between CU traits and CP in their associations with overall emotion recognition and with recognition of fearful and sad faces. In each case, CP showed a non-significant negative association with emotion recognition at high levels of CU traits. However, for fear and sadness recognition, CP was positively associated with accuracy at low levels of CU traits. Significant interactions between CU traits and age also emerged for recognition of fear and sadness, such that there were non-significant negative associations between CU traits and recognition accuracy in younger children, but significant positive associations in 8th grade students. These results have multiple implications as they help to clarify past inconsistencies on the association between CU traits and emotion recognition and can aid in the development of more effective interventions to prevent or treat conduct problems in young children.

Predicting analog intrusions from neural correlates of immediate and lasting effects of cognitive reappraisal.

Emotional dysregulation is considered as an etiologically relevant factor for posttraumatic stress disorder. The relevance of immediate and lasting effects of cognitive reappraisal, a prominent emotion regulation strategy, and its habitual use for the development of posttraumatic stress symptoms in response to an experimental trauma are therefore investigated in our study. Eighty-five healthy women participated in a functional magnetic resonance imaging study, which included an emotion regulation paradigm prior to the conduction of the trauma film paradigm, which was used to assess the development of analog intrusions. During the first phase of the emotion regulation paradigm, participants were instructed to use two reappraisal tactics (reinterpretation and distancing) to reduce negative feelings toward aversive pictures or to passively watch aversive and neutral pictures. One week later, these pictures were presented again during a passive reexposure phase. Ratings of negative feelings and blood oxygen level dependent responses in regions of interest served as main outcome variables. The habitual use of cognitive reappraisal was assessed by questionnaire. Reduced habitual use and stronger lasting effects of cognitive reappraisal, as indicated by reduced insula activation during reexposure to pictures previously reinterpreted and distanced from, predicted the development of long-term analog intrusions. Stronger lasting effects of both reappraisal tactics for women with long-term analog intrusions seem to result from stronger emotional reactivity processes. Women with long-term analog intrusions in response to an experimental trauma seem to benefit to a greater extent from a cognitive reappraisal training than women without long-term intrusions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Emotion processes in voice-hearers: Understanding differences in emotional reactivity, emotion regulation and alexithymia.

Disrupted emotion processes are commonly linked to the onset and maintenance of auditory verbal hallucinations. However, a comprehensive approach using an extended emotion model has not previously been applied to voice-hearers to distinguish impairments in emotion processes from non-clinical populations. The present study hypothesised voice-hearers, as compared to controls, would have (1) higher reactivity to negative emotions and lower reactivity to positive emotions, (2) more difficulties regulating negative and positive emotions, (3) more maladaptive strategy use, and (4) higher alexithymia. T-tests tested these hypotheses, comparing self-report measures of emotional reactivity, emotion regulation and alexithymia in voice-hearers(n = 50) to controls (n = 53). There were no group differences in emotional reactivity to positive or negative emotions. Compared to controls, voice-hearers showed difficulties in both positive and negative emotion regulation, were more likely to use expressive suppression, and were more likely to be alexithymic. These findings may help researchers and clinicians identify difficulties in voice-hearers' emotion processing, providing better direction for case formulation and treatment.

Measurement invariance of the Child Behavior Checklist in autistic toddlers

BackgroundChallenging behavior has been examined in older children and adolescents with autism spectrum disorder (ASD), but less is known about these behaviors in toddlers, due in part to variability in measurement and limited instruments available for this population. To address this need, this study examined the psychometric properties of the Child Behavior Checklist (CBCL), a commonly used and widely validated measure of challenging behavior, in a group of toddlers with ASD. MethodParticipants included 496 toddlers aged 18–48 months with (n=398) and without (n= 100) a diagnosis of ASD. Psychometrics of the CBCL were analyzed including internal consistency, factor structure, and measurement invariance. ResultsConfirmatory factor analysis results indicated acceptable fit for the tested model, and internal consistency was largely acceptable. All levels of measurement invariance were tested for each subscale. The Emotional Reactivity, Anxious/Depressed, Withdrawn, and Aggressive Behavior subscales achieved scalar invariance, while the Attention Problems subscale achieved metric invariance, and the Somatic Complaints subscale did not achieve even configural invariance. ConclusionsResults indicate the current CBCL conceptualization of challenging behavior in autistic toddlers is consistent with such constructs in older autistic children and provide preliminary support for the use of the CBCL to assess for challenging behavior in toddlers with ASD. Measurement invariance (MI) analyses support the construct validity of the CBCL in toddlers with ASD. However, based on the results of the MI analyses, some caution is warranted with specific subscales when conducting group comparison analyses between toddlers with and without ASD.

Specific symptom change associated with ecological momentary assessments of intrusive trauma memories

As the global prevalence of exposure to traumatic events rises, there is a growing need for accessible and scalable treatments for trauma-related disorders like posttraumatic stress disorder (PTSD). Intrusive reexperiencing symptoms, such as trauma-related intrusive memories (TR-IMs), are central to PTSD and a target of gold-standard treatments that are effective but resource-intensive. This study examined whether completing a brief ecological momentary assessment (EMA) protocol assessing the occurrence and phenomenology of TR-IMs was associated with decreases in intrusion symptom severity. Trauma-exposed adults (N = 139) experiencing at least 2 TR-IMs per week related to a DSM-5 criterion A traumatic event completed a 2-week EMA protocol. During this period, they reported on 18 sensory-perceptual and affective qualities of their TR-IMs three times per day and on posttraumatic stress symptom severity at day’s end. Longitudinal symptom measurements were entered into linear mixed-effects models to test the effect of Time on symptom severity. Over the 2-week protocol, intrusion symptom severity decreased, while other symptom cluster scores did not change. Within the intrusion symptoms, this effect was specific to TR-IMs and emotional reactivity to trauma reminders, and was not moderated by survey completion rate, total PTSD symptom severity, ongoing treatment, or time since trauma. This study was quasi-experimental and lacked a control group, therefore no definitive conclusions about clinical utility can be made. Nonetheless, these findings provide preliminary proof-of-principle and warrant future clinical trials assessing the clinical efficacy of EMAs of intrusive trauma memories as a scalable treatment option targeting intrusive memory symptoms.

Resilience and mental and physical health of higher and lower educated youth during COVID-19

Abstract Background COVID-19 had a considerable impact on the mental and physical health of youth. To limit the impact of this crisis on their health, resilience was required. This study aims to discover how resilient, in terms of mastery, emotional reactivity and social support, groups of youth with different SES were during COVID-19, and what risk and protective factors they experienced. Methods Two qualitative datasets were analyzed. One dataset included 10 interviews of university students during April-May 2020, and the other dataset included 8 interviews with pre-vocational secondary education adolescents during October 2021 to March 2022. Interviews were held in person or online. Data were analyzed with thematic analysis in Atlas.ti. Results In general, university students displayed resilience despite the tumultuous beginning of the pandemic, and their mental and physical health was positive. Protective factors that helped them during COVID-19 were spending time with friends and family, being healthy and having a healthy lifestyle, and being able to avoid stressful situations. Risk factors that impacted their resilience were loneliness, COVID-19 anxiety, and missing stability and routine. Adolescents receiving pre-vocational secondary education showed mixed resilience later in the COVID-19 period, and they made negative observations about their health. Protective factors that helped them were achieving good results in school, hobbies, and avoiding stressful situations. Risk factors they experienced were lack of motivation and having difficulties at school. They experienced worry about school progress during COVID-19. Conclusions University students and lower educated adolescents seemed to have differing resilience during the impactful stages of COVID-19, possibly due to differences in their psychological development. To protect their well-being, it is important that policy makers consider the protective and risk factors that impact the health of youth during crises. Key messages • Resilience differs among the two different age groups and education levels. • Policy makers should consider the protective and risk factors that impact the health of youth during crises.

Attachment, feeling, and feeding: Associations between caregivers' attachment, emotional and feeding responsiveness, and Children's food consumption

A substantial body of literature links attachment to childhood obesity. However, research on the mechanisms underlying this association is scarce. The present study aimed to test four serial indirect path models to examine whether caregivers' insecure attachment is related to children's food consumption, through its influence on emotional and feeding responsiveness. A total of 352 caregivers of preschool children reported on their attachment orientation, emotional responses to their children's distress, feeding practices, and their children's food consumption. Results showed that caregivers with higher levels of attachment avoidance and anxiety were more likely to use unsupportive emotional responses to children's distress, which predicted the increased use of unresponsive feeding practices, and consequently children's higher sugary and fatty/salty food consumption. Higher levels of attachment avoidance were also associated with children's lower fruit and vegetable consumption through lower use of supportive emotional responses and responsive feeding practices, while higher levels of attachment anxiety were associated with children's lower fruit and vegetable consumption only by lower use of responsive feeding practices. These findings suggest that the influence of insecure attachment on caregivers' emotion regulation may contribute to the use of specific feeding practices that, in turn, affect children's food intake and may have implications for obesity risk.

Could an evaluative conditioning intervention ameliorate paranoid beliefs? Self-reported and neurophysiological evidence from a brief intervention focused on improving self-esteem.

Much research on the treatment of paranoia has involved cognitive-behavioural interventions that address explicit social cognition processes. However, much of human cognition is preverbal or implicit, raising the possibility that such social judgements are implicated in paranoia. One type of implicit social cognition that has been investigated concerning paranoia is implicit self-esteem with some evidence that it may be possible to change implicit self-esteem using techniques based on conditioning theory. Therefore, the primary purpose of this research is to further evaluate the potential of this approach. At the same time, as a secondary purpose, we introduce a novel way of measuring social cognition that, we argue, has utility for investigating the psychological processes involved in paranoia. We conducted two proof-of-concept studies of a novel brief intervention based on evaluative conditioning, targeting implicit cognition. The first study was conducted with a large non-clinical sample, while the second study included a small series of psychotic patients. As part of our proof-of-concept evaluation of the potential of evaluative conditioning, we attempted to probe for neurophysiological changes following the intervention using magnetoencephalography in an exploratory way in the clinical sample. Our results revealed that both non-clinical and clinical participants in the experimental group showed a significant change in how they evaluated themselves in the social cognition task, which could be related to the perception of social information in a less threatening way. In addition, clinical participants in the experimental group showed changes in brain activity during the social cognition task, particularly in regions involved in emotional reactivity and mentalization processes. Our results are encouraging, suggesting that implicit cognition is manipulable, that such manipulation affects underlying neurophysiological mechanisms, and that there may be an impact on paranoid symptoms. However, much more work is required to determine whether this approach can produce meaningful clinical change and be delivered in routine clinical settings. Finally, it is important to note that we are not claiming the clinical effectiveness of our intervention, which is in a very early stage of development. Our goal here is to demonstrate clinical possibilities that warrant further investigation.

The role of gender in emotional reactions elicited by music: Autonomic reactivity, facial expression, and self-reports

Studies in the field of emotions have yielded mixed findings regarding differences between women’s and men’s emotional reactivity. In the majority, emotional scenes, facial expressions, and movies were used as stimuli. However, music has been less frequently used, despite its capacity to evoke strong emotional responses in the listeners. In this study, we aimed to explore the role of gender in emotional reactivity to music. A sample of 110 healthy participants (60 women) listened to 42 excerpts (14 pleasant, 14 neutral, 14 unpleasant) from the Film Music Stimulus Set (FMSS) for 8 s, while their autonomic reactivity and facial expression were continuously recorded. Participants then rated each excerpt on affective dimensions (hedonic valence, tension arousal, and energy arousal), discrete emotions (happiness, anger, fear, tenderness, and sadness), musical preference, and familiarity. Some differences were found between women’s and men’s reactivity to the stimuli, such that women showed a greater deceleration of heart rate while listening to both emotional (pleasant and unpleasant) and neutral music, and rated unpleasant excerpts as less preferred. Women also scored higher on trait anxiety compared to men. These results suggest that women may have heightened sensitivity to emotional stimuli, particularly unpleasant music, which could have implications for better understanding clinical pathologies that vary in prevalence based on gender.

Developmental mechanisms linking deprivation and threat to psychopathology and school outcomes.

Decades of evidence have elucidated associations between early adversity and risk for negative outcomes. However, traditional conceptualizations of the biologic embedding of adversity ignore neuroscientific principles which emphasize developmental plasticity. Dimensional models suggest that separate dimensions of experiences shape behavioral development differentially. We hypothesized that deprivation would be associated with higher psychopathology and lower academic achievement through executive function and effortful control, while threat would do so through observed, and parent reported emotional reactivity. In this longitudinal study of 206 mother-child dyads, we test these theories across the first 7 years of life. Threat was measured by the presence of domestic violence, and deprivation by the lack of cognitive stimulation within the parent-child interaction. We used path analyses to test associations between deprivation and threat with psychopathology and school outcomes through cognition and emotional reactivity. We show that children who experienced more deprivation showed poor academic achievement through difficulties with executive function, while children who experienced more threat had higher levels of psychopathology through increased emotional reactivity. These observations are consistent with work in adolescence and reflect how unique adverse experiences have differential effects on children's behavior and subsequently long-term outcomes.

Stress Levels and Coping Strategies in Medical Students and its Association with Salivary IL-6 Levels

Background: Medical students face ongoing stress during their training but have developed coping mechanisms. Stress alters various physiological processes, including pro-inflammatory markers like Interleukin-6(IL-6). The present study was conducted to assess stress levels and coping strategies in medical students and their association with salivary IL-6 levels. Methods: This descriptive study was conducted after obtaining institutional ethical clearance. A total of 76 consenting undergraduate medical students answered the Cohen’s perceived stress scale and BriefCOPE questionnaire. Unstimulated saliva was used to assess salivary IL-6 levels using a Diaclone human IL-6 ELISA kit and the data obtained was analyzed. Results: Out of the 76 participants, 59(77.6%) were female and 17(22.4%) were male. Mild stress was reported by 9 students, moderate by 53, and severe stress by 14 students. Based on Kruskal-Wallis p test, most students used approach coping for stress of all levels. This active strategy involves problem-solving and future planning. Approach coping has shown better responses to adversity, physical health, and emotional responsiveness. Mild and moderate stressed students used acceptance, positive-refrain, and planning, while severe stressed students used planning, self-distraction, and self-blame. Despite the perceived stress, there were no significant differences in the salivary IL-6 levels among the three categories. Conclusion: ‘Approach’ coping was commonly used and linked to positive outcomes. Despite this, a number of students have reported to experience stress. Therefore, more effective strategies are needed to handle stress and demands of the profession effectively. Further research with larger samples is recommended to explore salivary IL-6 levels’ relation to stress.

Pathological personality dimensions and neurobiological emotional reactivity.

The Hierarchical Taxonomy of Psychopathology (HiTOP) offers a promising framework to identify the neurobiological mechanisms of psychopathology. Many forms of psychopathology are characterized by dysfunctional emotional reactivity. The late positive potential (LPP) is an event-related potential component that provides an index of neurobiological emotional reactivity. Several categorical disorders have demonstrated a similar association with the emotion-modulated LPP. It is possible that higher-order dimensional representations of psychopathology might explain the comparable results. The present study examined the association between HiTOP-consistent pathological personality dimensions across multiple levels of the hierarchy and neurobiological emotional reactivity. The sample included 215 18-35-year-old adults (86% female) who were oversampled for psychopathology. Participants completed the emotional interrupt task while electroencephalography was recorded to examine the LPP. Participants also completed the Comprehensive Assessment of Traits relevant to Personality Disorders to assess pathological personality. At the spectra level, higher negative emotionality was associated with a larger emotion-modulated LPP, while higher detachment was associated with a smaller emotion-modulated LPP. There were no associations between higher-order psychopathology levels and the emotion-modulated LPP. Compared to categorical diagnoses, spectra-level personality pathology dimensions significantly improved the prediction of the emotion-modulated LPP. The present study indicates that HiTOP spectra levels of negative emotionality and detachment demonstrate unique associations with neurobiological emotional reactivity. The study highlights the utility of examining dimensional and hierarchical, rather than categorical, representations of psychopathology in the attempt to identify the neurobiological origins of psychopathology.

Age differences in emotional reactivity to facets of sadness and anger

ABSTRACT Emotional reactivity, based on the discrete emotions approach (DEA), is related to opportunities or constraints across development. While prior research suggests sadness to be more adaptive in old age and anger to be more adaptive in young adulthood, there may be facets within these discrete emotion categories that further expand the DEA framework: loss-based vs. failure-based sadness and frustration-based vs. moral violation-based anger. A sample of 49 younger adults (M age = 20.00, SD = 2.26) and 51 older adults (M age = 66.00, SD = 4.94) were asked to relive and describe an emotional memory associated with facets of sadness and anger. Emotional reactivity was operationalized through self-report ratings on distinct facet categories. Results revealed a significant age difference in emotional reactivity to moral violation-based anger, with older adults being more reactive than younger adults. No other significant age differences were observed. These findings are discussed in terms of how further distinctions across emotional facets can inform a better understanding of affective experience across adulthood and old age.

Cumulative stressor exposure predicts menstrual cycle affective changes in a transdiagnostic outpatient sample with past-month suicidal ideation.

Affective responses to the menstrual cycle vary widely. Some individuals experience severe symptoms like those with premenstrual dysphoric disorder, while others have minimal changes. The reasons for these differences are unclear, but prior studies suggest stressor exposure may play a role. However, research in at-risk psychiatric samples is lacking. In a large clinical sample, we conducted a prospective study of how lifetime stressors relate to degree of affective change across the cycle. 114 outpatients with past-month suicidal ideation (SI) provided daily ratings (n = 6187) of negative affect and SI across 1-3 menstrual cycles. Participants completed the Stress and Adversity Inventory (STRAIN), which measures different stressor exposures (i.e. interpersonal loss, physical danger) throughout the life course, including before and after menarche. Multilevel polynomial growth models tested the relationship between menstrual cycle time and symptoms, moderated by stressor exposure. Greater lifetime stressor exposure predicted a more pronounced perimenstrual increase in active SI, along with marginally significant similar patterns for negative affect and passive SI. Additionally, pre-menarche stressors significantly increased the cyclicity of active SI compared to post-menarche stressors. Exposure to more interpersonal loss stressors predicted greater perimenstrual symptom change of negative affect, passive SI and active SI. Exploratory item-level analyses showed that lifetime stressors moderated a more severe perimenstrual symptom trajectory for mood swings, anger/irritability, rejection sensitivity, and interpersonal conflict. These findings suggest that greater lifetime stressor exposure may lead to heightened emotional reactivity to ovarian hormone fluctuations, elevating the risk of psychopathology.

Behaviour and Psychopathology in Preschool Children with William Syndrome and the Effects of Age, Sex and Cognition.

The current study compared the prevalence of cognitive and psychopathological impairments among 24 preschool children with Williams syndrome (WS) (aged 2.20 to 5.97years) and 53 controls without WS and screened for developmental or psychological diagnoses (aged 2.21 to 5.89years) matched on chronological age and sex distribution. Associations between sex, chronological age, early development and psychopathology were also investigated. The Child Behavior Checklist-Preschool Version (CBCL) and the Mullen Scales of Early Learning were administered. Higher reported rates of Attention Problems, Emotional Reactivity, Somatic Complaints, Withdrawal, Affective Problems and Total Problems were found in preschool children with WS. There were no significant group differences in prevalence rates of all other CBCL domains. Attention Problems were the most prevalent psychopathology in preschool children with WS (33% falling in the clinically significant range), followed by Affective Problems (29% in clinically significant range), then Anxiety Problems (17%) or Attention Deficit/Hyperactivity Problems (17%). Among children without WS, the highest prevalence rates of psychopathology were for Attention Problems (4% falling in the clinically significant range), Aggressive Behaviour (4%), Sleep Problems (4%) and Oppositional Defiant Problems (4%). There were no significant associations between sex or chronological age and CBCL-reported psychopathology for either group. In addition, there were no significant relationships between CBCL ratings and verbal ability, nonverbal ability or overall developmental level in either group. Findings highlight variations in the pattern of psychopathology among preschool children with WS compared to those without WS, which needs to be considered in clinical management and future research.

No Sex-based Differences in Self-reported Empathy between Patients with Schizophrenia and Control Subjects.

Schizophrenia, one of the most disabling disorders worldwide, is characterized by impaired empathy, which appears to be more common in women. This study aimed to compare empathy levels between control subjects and patients with schizophrenia by sex. We compared sixty-two patients with schizophrenia and 166 control subjects. All participants completed the Empathy Quotient (EQ) questionnaire. A multivariate analysis of variance model was performed with the EQ as the outcome criterion, and group and sex as fixed factors to test for interaction effects. Overall, patients obtained lower scores in the cognitive, emotional reactivity and social skills domains of empathy (p < 0.001). No differences between men and women were found and no interaction effect was identified between sex and group (schizophrenia vs. control) (p > 0.05). This study adds to the evidence on differences in social cognition between people with and without a mental illness such as schizophrenia. It also identifies the absence of sex differences between men and women, observed in both the group of patients and control subjects, which warrants further exploration.

Nightmares in the elderly: Associations with self-reported executive functions

Study objectivesTo describe nightmare phenomenology among community dwelling elderly and to test the hypothesis that reduction in cognitive control is associated with nightmare-related phenomenology including nightmare frequency and severity, greater emotional reactivity, imagery immersion, and dream enactment behaviors (DEBs). MethodsStudy 1: Survey with multiple regression and ANOVAs on N = 56 people with frequent nightmares plus N = 62 age- and gender-matched controls to quantify the strength of the association between cognitive control variables and nightmare phenomenology. Study 2: Computational simulation of nightmare phenomenology in relation to cognitive control to simulate the empirical findings and to assess the underlying causal theory through computationally supported causal inference. ResultsStudy 1: Regressions demonstrated a strong association between reduction in cognitive control and more extreme nightmare phenomenology, including severity, frequency, daytime effects, and DEBs. Study 2: The computational simulation of nightmare phenomenology in relation to cognitive control is validated relative to regressions from study 1 and offers computational support for the causal theory explaining the associations in study 1. ConclusionsIn aging people, decline in executive cognitive functions, cognitive control, and inhibitory processes reduce cognitive control over emotions, thus contributing to unusual nightmare activity, including more extreme nightmare phenomenology such as more severe nightmares, greater emotional reactivity, deeper imagery immersion, and DEBs.