Emotional Triggers Research Articles

Trends in Takotsubo syndrome

Abstract Background Previously considered a rare and relatively benign cardiac condition, Takotsubo syndrome (TTS) has undergone a significant shift in perception over the last two decades. This shift was mainly driven by results indicating that TTS is associated with signicant mortality and morbidity. Consequently, also the criteria for diagnosing TTS have been updated to reflect its recognition as a complex, multifactorial disease. Purpose The aim of the present study was to investigate trends in clinical presentation, demographics, and outcomes of patients with TTS. Methods The study analyzed 3,675 patients diagnosed with TTS from 2004 to 2021. Participants were divided into groups based on diagnosis, using three-year intervals, to perform trend analyses on demographics, risk factors, clinical presentations, and outcomes. The Cochran-Mantel-Haenszel test was used for categorical data trends, while the Mann-Kendall test assessed numerical variables. Mortality rates were compared using the log-rank test. Findings: The study period saw a steady increase in male patients (from 10% to 15%, p = 0.003). While apical TTS continued to be the most common type, the occurrence of midventricular TTS increased (from 18% to 37%, p = 0.002). Emotional triggers remained constant, whereas the prevalence of physical triggers significantly rose (from 35% to 50%, p = 0.034). The incidence of cardiogenic shock increased (from 11% to 20%, p=0.030), leading to a rise in in-hospital mortality rates (from 2% to 9%, p<0.001). A landmark analysis showed a significant increase in 60-day mortality rates (p < 0.001), but no difference in one-year mortality over the years (p = 0.140, Figure 1). Summary: This study of temporal trends in TTS highlights a shift in patients demographic with agrowing prevalence among males, increasing recognition of midventricular TTS type, and increased rates of cardiogenic shock and mortality in recent years. This shift aligns with the rising prevalence of physical triggers, as an expression of increased recognition of TTS in association with acute comorbidities.

The Effect of Emotion Priming on Risk Attitudes among Southern Chinese College Students

Abstract: The correlation between emotions and risk attitudes has been thoroughly substantiated in various disciplines such as behavioral economics, finance, and psychology. Evidence has revealed that emotions, influenced by a range of emotional factors, have the potential to significantly affect risk attitudes. Building upon prior research, this study investigates the impact of certain emotional triggers on risk attitudes in a sample of university students in southern China. A total of 55 valid subjects, including 42 females (76.4%), were enrolled in the experiment. Their risk attitudes were assessed using multiple scales, and they were randomly assigned into three groups to receive positive, neutral, and negative emotional stimuli before making risky decisions separately. The findings demonstrated that individuals who were emotionally primed with a positive emotion video were more inclined to undertake hazardous decisions compared to those exposed to negative emotional priming. This outcome aligns with earlier studies indicating that positive emotions are linked with a heightened fondness for risky behavior. In conclusion, this study corroborates the relevance of this theory to a group of undergraduates in the south of China.

Factors Affecting Impulsive Product and Service Buying Behavior: A Study of College Students in the Kathmandu Valley

Impulsive buying is the tendency of a customer to buy goods and services without planning. The study's objective is to determine the factors affecting the impulsive buying behavior of the students in Kathmandu Valley. The study was based on the cross-sectional research design which followed the quantitative design. The study targeted college-level students studying at Bachelor's and Master's level in Kathmandu Valley. 200 students were selected from different colleges through a simple random sampling technique. A well-structured closed-ended survey questionnaire was developed and disseminated in a well-organized manner to respondents to collect the primary data from the field and analyzed systematically in 2023. The study analyzed the data using statistical tools like frequency distribution, mean, standard deviation, and correlation to derive the findings. The study finds that social influence is considered the first important cause influencing impulsive buying behavior. Similarly, it is followed by emotional triggers, lack of control, and financial resources influencing respectively. The study also shows that there was a strong relationship between social influence and impulse buying behavior. Business organizations should strategically leverage social factors in marketing campaigns to tap into this influential aspect of consumer behavior. Future researchers need to survey another variable with a large sample size by applying different methods.

Verbal triggers of positive emotions as a tool for forming the emotional component of schoolchildren’s value attitude towards other people

Importance. Building students’ value-based attitudes towards other people is an important goal of the modern educational process. This kind of attitude includes three aspects (cognitive, emotional and behavioural). The research focuses on the development of the emotional aspect of the valuebased attitude towards other people. The author analyses how verbal means affect people’s emotions and how these means can be used to create positive emotions in the process of building the emotional aspect of the value-based attitude towards other people in schoolchildren.Research Methods. The study uses an analytical review of the scientific and methodological literature on pedagogy; lexical, morphological and stylistic analyses of verbal structures are used.Results and Discussion. Verbal triggers are designed by the author in order to evoke positive emotions in schoolchildren towards the people around them. The examples of exercises with verbal triggers of tenderness and admiration for extra-curricular classes, or course on emotional intelligence, or as part of academic lessons, are also designed by the author.Conclusion. The research results can be used in the process of organising complex work on the formation of the emotional component of the value attitude towards people, as well as for further theoretical research on the issues of emotional learning and moral education in general.

Анализ рынка нейромаркетинговых технологий и оценка их роли в повышении эффективности восприятия контента

The results of a study of the dynamics of the global market of neuromarketing technologies, in particular the market of eye movement tracking technology (eyetracking), are presented. The conclusion is made about the existing positive dynamics: in recent years, the market has been showing annual growth and, according to experts, by 2032 it may reach a value of $ 3.2 billion.; as well as the high demand for neuromarketing technologies in various fields such as healthcare, retail, the gaming industry, automotive, advertising, etc., due to the growing needs of businesses in monitoring consumer behavior, uncovering subconscious motives and emotional triggers in order to adapt company strategies to the needs of the target audience. The analysis of the market structure by region is carried out: the largest market share belongs to North America, the Asia-Pacific region and Europe. The dominant regions in the eyetracking market are North America and Europe. Neuromarketing tools are applicable for conducting research and experiments in various fields and allow you to measure responses to product advertising, packaging, price, ease of use, assessment of emotional state, as well as human perception of content posted on a website, advertising surface or presentation slides. Experiments with the use of trackers make it possible to understand how a person perceives information, what he reads first of all, what he looks at. The results of existing experiments with the use of eye trackers allow you to make decisions about content and its rational placement on the surface (slides, website, advertising banners, etc.), maximizing meaningful interaction. Further research and experiments are needed to optimize marketing efforts and increase the effectiveness of interaction with consumers.

Exploring Emotional Triggers in Advertising: A Study of Consumer Buying Behavior in Kathmandu Valley

This study aims to analyze the impact of emotional advertising on consumer buying behavior in Kathmandu Valley. An explanatory research approach is used for the study, employing convenience sampling under the non-probability sampling technique. To gather information from 412 respondents, structured questions and the KOBO toolbox are used. For data analysis, both descriptive and inferential analyses are employed. Findings reveal that emotions such as happiness, excitement, and humor are powerful tools in advertising. They help build trust, shape consumer perceptions, and influence buying behavior. However, challenges such as the gap between promises and delivery and the lack of creativity can hinder the effectiveness of emotional ads. To overcome these challenges, realistic advertisements that showcase the product accurately and creative approaches should be utilized to create a stronger impact on consumers' purchasing decisions.

Collective Identity and Ethical Dilemmas Among College Students in Chinese Anonymous Online Communities: Sensory Stimulation and Media Effects of Online Exposure Discourse

This paper explores the dynamics of viral social media exposure posts within anonymous online communities in China, specifically concentrating on college students. Based on theories of effervescence and collective frenzy, this research probes into the emotional triggers and functions of group polarization and social identity reconstruction in the digital sphere. Adopting a mixed-methods approach that integrates semi-structured interviews and surveys, it evaluates participants' interactions with online exposure. The anticipated findings are expected to shed light on how factors like group identity, anonymity, and virality cultivate a carnival-like ambiance in social media exposure. These posts function as instruments for mobilization, provide support for social and political causes, and act as platforms for community building and identity formation. They also offer psychological and emotional outlets, aiding users in processing and expressing personal and societal grievances. The paper aims to deepen people's understanding of how digital interactions influence collective identities and social behaviors.

Unintentional nonsuicidal self-injury in an adolescent with perfectionism

Nonsuicidal self-injury typically involves deliberate harm without suicidal intent; however, rare cases exist where self-injury occurs unintentionally, without conscious awareness. This report presents the case of a 16-year-old boy who exhibited unintentional self-harm during sleep, associated with severe academic stress and perfectionism. Despite psychological and medical interventions, the behavior persisted until academic stress was alleviated. This case highlights the need for a differentiated clinical approach to managing unintentional self-harm, emphasizing the importance of stress management and psychological support in adolescents to address the underlying emotional and behavioral triggers.

Functional seizure semiology and classification in a public and private hospital

PurposeOur understanding of potential differences in seizure semiology among patients with functional seizures (FS), also known as psychogenic non-epileptic seizures (PNES), across socioeconomic contexts is currently limited. By examining the differences in seizure manifestations between different socioeconomic groups, we aim to enhance the understanding of how socioeconomic factors may influence FS presentation. This study aimed to describe FS semiology in patients from a private and public epilepsy monitoring units (EMUs) in Cape Town, South Africa. MethodsThe study included patients with FS confirmed through video-electroencephalography (video-EEG) and without comorbid epilepsy. For this retrospective case-control study, data on seizure semiology was gathered from digital patient records, beginning with the earliest available record for each hospital. ResultsA total of 305 patients from a private hospital and 67 patients from a public hospital were eligible for the study (N = 372). The private hospital tended to report more akinetic and subjective seizure types when compared to the public hospital. Additionally, patients at the public hospital had higher odds of reporting emotional seizure triggers (aOR=2.57, 95% CI [1.03, 6.37]), loss of consciousness or awareness (aOR=2.58, 95% CI [1.07, 6.24]), and rapid post-event recovery (aOR=6.01, 95% CI [2.52, 14.34]). At the same time, they were less likely to report both short (<30 s) (aOR=0.21, 95% CI [0.08, 0.55]) and long (>5 min) seizures (aOR=0.73, 95% CI [0.13, 0.56]), amnesia for the event (aOR=0.19, 95% CI [0.09, 0.43]), ictal aphasia (aOR=0.33, 95% CI [0.14, 0.76]) or falls and drop attacks (aOR=0.43, 95% CI [0.18, 0.996]), when compared to the private hospital patients. ConclusionWhile the seizure manifestations were largely consistent across the two socioeconomic cohorts of patients with FS, some subtle differences were observed and warrant further investigation.

The effect of self-conscious emotions of guilt and regret on consumers’ intentions to reduce food waste

The study explores the role of guilt and regret in influencing consumers’ food waste intentions and behaviors in India. We conducted a longitudinal study spanning May–September 2022 and August–December 2023. Study 1 indicates a negative association between regret and the intention to reduce waste, while Study 2 found a positive association. Felt guilt significantly influenced the intention to reduce waste in both studies. This study aims to inform interventions and policies that promote sustainable consumption by uncovering the psychological factors influencing food waste. Waste reduction is consistently motivated by guilt in various restaurant settings, and the impact of regret improves over time. Based on our findings, it is evident that emotional responses are highly individualized, but various situational factors also influence consumer responses. This study highlights the need for customized interventions to address consumer emotions about food waste. Developing practical strategies that can effectively address emotional triggers, increase consumer awareness, and close the gap between intention and behavior is essential. By considering our findings, stakeholders can develop impactful campaigns and policies that encourage sustainable food practices and reduce waste, thereby cultivating a more sustainable food system.

Exploring nursing students’ experiences of contemplating self-injury during their clinical practicums: A phenomenological study

AimTo explore nursing students’ thoughts and feelings about self-injuring during their clinical practicums. BackgroundUnfamiliar clinical environments pose challenges for nursing students, potentially leading to high levels of stress. When students find it difficult to cope with emotional triggers, some contemplate self-injury. Yet, it is rare to explore nursing students’ thoughts and feelings related to self-injury during their clinical practicums. DesignA phenomenological approach was used. MethodsPurposive sampling was used and the participants were drawn from nursing students who graduated from universities in Taiwan. In-depth, semi-structured interviews were conducted from August to November 2023. Data saturation was reached after interviewing 15 participants. Colaizzi's seven steps and NVivo software were used for data analysis. ResultsFour themes and 14 subthemes emerged. They were: (1) Sensing an emotional crescendo: participants experienced anxieties about clinical educators, assignments, homework and the clinical practicums and these intensified across time. (2) Physical and mental dysregulation: participants experienced physical discomfort, psychological distress and negative thoughts when subjected to overwhelming pressures during their clinical practicums. (3) Unwholesome self-protective behaviors: participants expressed thoughts of self-injury, engaged in self-injurious behaviors, experienced suicidal ideations and attempted suicide as measures of relieving stress. (4) Compassionate self-protective behaviors: participants coped with stress through emotional voicing, modifying situations to adjust stress, reaching out for help, self-compassion and self-care. ConclusionsFindings raise awareness of the need for clinical educators to demonstrate empathy with nursing students who have thoughts of self-injury during their clinical practicums. Further, it is crucial for them to offer timely guidance on the healing process while simultaneously creating nurturing clinical environments wherein students could flourish and grow.

Understanding impulse buying in E-commerce: The Big Five traits perspective and moderating effect of time pressure and emotions

Impulsive buying behavior is crucial for understanding the psychological dynamics of consumer purchasing in the online marketplace. Identifying antecedents and moderating factors is vital to comprehensively understanding impulsive buying behavior. This research explores the influence of the Big Five personality traits on impulsive buying behavior in e-commerce settings and investigates the moderating effects of time pressure and emotions on these relationships. Data was collected through online questionnaires from 342 Indonesian participants with e-commerce purchasing experience. Structural Equation Modeling was utilized to validate the research hypotheses. The findings reveal that personality traits such as agreeableness, openness to experience, extroversion, and conscientiousness significantly drive impulsive buying behavior in e-commerce. Additionally, the study highlights that the interaction between emotions and neuroticism, as well as time pressure and agreeableness, significantly impacts impulsive buying behavior. The findings contribute valuable theoretical insights by demonstrating how specific Big Five personality traits influence impulsive buying behavior, while also providing practical implications for e-commerce platforms to effectively manage and leverage time pressure and emotional triggers to enhance consumer engagement and drive impulsive purchases.

The socio-technical short-term implications of drinking water hoarding on supply reliability

ABSTRACT Panic buying during crises, like the initial hoarding of toilet paper amid COVID-19 restrictions, is mainly driven by social and emotional factors influenced by risk perception and social media content. Similarly, unreasonable drinking water hoarding, i.e., simultaneous withdrawal of water by a large number of customers, can influence the performance of water supply systems (WSS). Decreasing performance (e.g., more friction losses and therefore a smaller outflow rate at faucets) can cause a negative feedback loop that might trigger further water hoarding behaviours. This research explores the socio-technical implications of water hoarding in crisis situations within a WSS. An analysis of an Alpine WSS in Austria reveals that up to 40% of households, with a filling rate of 0.1 L/s (bathtub filling), can hoard without performance drop and negative feedback. Beyond this threshold, impacts become noticeable, leading to inadequate water supply for some households, causing disruptions and negative feedback loops. This emphasizes the need for information campaigns to counter false information, preventing emotional triggers. In conclusion, the research highlights the interplay between technical and social factors in crisis water demand management, stressing the importance of informed interventions to mitigate hoarding behaviour and maintain efficient WSS operation.

Emotion regulation in emotionally focused therapists working with high-conflict couples.

Guided by the Person-of-the Therapist Training (POTT) Model, the current qualitative study explores emotional experiences and emotion regulation strategies of emotionally focused trained therapists who work with high-conflict couples in Turkey. Twenty-one therapists who completed at least the externship in emotionally focused couple therapy (EFCT) and had prior or current clinical experience working with high-conflict couple(s) were recruited through various social media platforms and professional organizations' listservs. Semistructured individual interviews were conducted, audio-recorded, and transcribed verbatim. Thematic analysis of the qualitative data revealed five main themes: (1) Different Compelling Emotional Experiences of the Therapists, (2) Sun After Storm, (3) Triggers of Therapists' Emotions, (4) Perceived Adaptive Emotion Regulation Strategies, and (5) Positive Impact of the Therapist's Regulation Strategies on the Therapy Process. Overall, the findings supported the three phases of the POTT model: namely, knowledge of self, access to self, and use of self. Our study demonstrates the need for integrating self-of-the-therapist work into the clinical practice, training, and supervision of therapists working with distressed couples.

DECODING CONSUMER CHOICES: THE INTERSECTION OF BEHAVIORAL ECONOMICS AND MARKETING STRATEGIES

This study explores how psychological factors influence consumer choices and marketing strategies through the lens of Behavioral Economics. By examining cognitive biases, heuristics, and emotional triggers, the research provides insights into consumer decision-making. Using real-world case studies and empirical data, the paper demonstrates how these factors can be integrated into effective marketing strategies. By bridging theory and practice, the study aims to enhance marketers' understanding of subconscious consumer preferences, leading to more tailored and resonant campaigns. Ultimately, this research contributes to the field by combining Behavioral Economics and marketing insights, offering a guide for businesses to create stronger connections with consumers and foster mutually beneficial relationships

Coronary microvascular dysfunction in patients with Takotsubo syndrome

BackgroundThe pathophysiology of Takotsubo syndrome (TTS) remains incompletely understood. While coronary microvascular dysfunction (CMD) is a potential pathophysiologic mechanism, evidence is limited. ObjectivesWe sought to evaluate CMD in patients with TTS. MethodsConsecutive patients diagnosed with TTS were included and underwent coronary angiography with invasive microvascular function evaluation, including fractional flow reserve, Coronary Flow Reserve (CFR), Index of Microcirculatory Resistance (IMR), and Resistive Reserve Ratio (RRR). Patients had an echocardiography evaluation during their index admission and at approximately 6 weeks. ResultsThirty patients were included (mean age 74 ±9, 90 % female). Twenty-five patients (83 %) had at least one abnormal coronary microvascular function parameter. Abnormal parameters included CFR<2.5 in 20 patients (67 %), IMR>25 in 18 patients (60 %), and RRR<3.5 in 25 (83 %). Longer time from symptoms to angiography correlated with a higher CFR (r = 0.51, P<0.01), and had an area under the receiver operating characteristic curve of 0.793 (95 % CI 0.60-0.98) for pathologic CFR. Patients with emotional trigger had a lower rate of pathologic IMR compared with non-emotional trigger (36 % vs 81 %, p = 0.01). Follow up echocardiography performed at a median of 1.5 months (IQR 1.15-6) showed an improvement in left ventricular ejection fraction for all patients (from mean of 40 % to 57 %). ConclusionCMD was present in most patients with TTS. The role of microvascular function in TTS may vary according to the clinical presentation and RRR may be more sensitive for the diagnosis of CMD in TTS.

Pheochromocytoma Induced Coronary Vasospasm and Takotsubo Cardiomyopathy

Takotsubo cardiomyopathy (TTC) is characterized by transient left ventricular systolic dysfunction and can have various physical and emotional triggers, including pheochromocytomas. Pheochromocytoma is a rare neuroendocrine tumor associated with hypertension, orthostatic hypotension, tachyarrhythmias, myocardial infarction, and cardiomyopathies. TTC is a recognized complication of pheochromocytoma and can be life-threatening in severe cases, sometimes requiring mechanical circulatory support. One of the proposed mechanisms for pheochromocytoma-induced TTC is coronary vasospasm. This review includes a clinical observation illustrating coronary vasospasm leading to TTC and cardiogenic shock in a patient with pheochromocytoma. We conducted an extensive literature search to identify all the cases of TTC attributed to pheochromocytoma-induced coronary vasospasm. This review aims to provide a comprehensive summary of the latest research, encompassing the pathophysiology, diagnostic findings, and treatment approaches for TTC in the context of pheochromocytoma.

Takotsubo Syndrome in Older Men - Clinical Characteristics Differ by Sex and Age.

Background: Takotsubo syndrome (TTS) in male patients is under-studied, particularly in the older population. Methods and Results: From 226 patients with TTS, 44 older male patients (prevalence rate: 19.5%, age: median 77 years) were compared with 182 older female patients (prevalence rate: 80.5%, age: median 80 years). Emotional triggers of TTS were less frequent (2% vs. 19%; P=0.007), whereas physical triggers were more frequent (75% vs. 58%; P=0.040) in older men than in women. Among physical triggers, serious respiratory infection was more common in older men than in women. As initial clues to the diagnosis, ECG T-wave inversion was more frequent (48% vs. 29%; P=0.018) and chest pain and/or dyspnea were less common (23% vs. 38%; P=0.050) in older men than in women. In total, 14 patients (6%) had cardiogenic shock and 41 (18%) had severe heart failure as complications, although there were no significant differences in the frequency of these complications between older men and women. Although cardiac death occurred in 3 female patients (1%) and noncardiac death in 3 male and 5 female patients (4%), there were no significant differences in death rate between older men and women. Conclusions: Emotional triggers of TTS were extremely infrequent whereas physical triggers were common in older men. Although severe heart failure was common, there were no significant differences in the frequency of complications and in-hospital deaths between older men and women.

Learning to identify fake news and digital misinformation: lessons for educators

ABSTRACT This UK-based study examines how people learned to identify digital misinformation. This included what experiences enabled this development, and the skills that were acquired in the process. This is a small-scale qualitative study of participants who self-reported as being confident in spotting digital misinformation and the data was analysed using a thematic network model. The three main themes identified were: “Formal Learning”, “Informal Learning”, and “Sense of Self”. Participants reported that their formal educational experiences at primary and secondary school were largely unhelpful in their development of digital media literacy. Although a university education was identified as enabling the acquisition of some useful skills such as cross-referencing and critical thinking, participants acquired most of their abilities to identify digital misinformation from what is best characterised as their informal learning experiences, most notable of which was the establishment of a strong sense of self-awareness. This was pivotal to the monitoring of emotional triggers which are often the crux of digital misinformation. This paper also highlights the importance of critical pedagogy which promotes an awareness of wider power structures underpinning what is now being widely referred to as “surveillance capitalism”. In conclusion, it is suggested that formal education could learn much from these informal educational processes which have been identified as being helpful in building criticality, which is in turn integral to producing more digital media-literate citizens, and a population more resilient to digital misinformation.

“If It Bleeds It Leads”: The Visual Witnessing Trauma Phenomenon Among Journalists in East Africa

The paradox of documenting history through gruesome visuals depicting the prominence of stories intrigues media researchers. Foundational work on the dual representation theory explains trauma transference to brain functions following disturbing emotional triggers. The analysis suggests an existing link between exposure to disturbing information and trauma. In East Africa, trauma and related psychological effects thrive amid rigid newsroom structures devoid of intervention mechanisms. The scarcity of trauma mitigations is not just an issue in journalism, but in society, as mental health concerns and other deprivations become common. Data from in-depth interviews with journalists reporting trauma in Kenya, Uganda, and Rwanda indicate a positive correlation between a heightened frequency of exposure to violent visuals and an increased manifestation of trauma. Data also show a dearth in psychosocial support, indicating a need for alternative mitigation strategies.