Unpleasant Stimuli Research Articles

Neuroleptic-free youth at ultrahigh risk for psychosis evidence diminished emotion reactivity that is predicted by depression and anxiety

Although abnormalities in emotional response have long been considered a core feature of the chronic phase of schizophrenia, few investigations have examined emotional response in individuals at ultrahigh-risk (UHR) for psychosis. We investigated whether neuroleptic-free UHR (n=29) and healthy control (n=32) participants differed in emotional reactivity and emotion regulation on a laboratory-based task that required reporting levels of positive and negative affect to pleasant, unpleasant, and neutral stimuli. Results indicated that the UHR group evidenced reduced emotional reactivity, including decreased positive emotion to pleasant stimuli and decreased negative emotion to unpleasant stimuli. Furthermore, within the UHR group, attenuated positive emotion to pleasant stimuli was associated with greater severity of depression and anxiety. There were no group differences in self-reported emotion regulation effectiveness to unpleasant or pleasant stimuli. Findings suggest that UHR youth display a profile of emotional experience abnormalities that differs from the chronic phase of illness, which can be characterized as reduced positive emotion reactivity to pleasant stimuli (i.e., anhedonia) that may be driven by mood and anxiety symptoms.

Clinical features and subjective/physiological responses to emotional stimuli in the presence of emotion dysregulation in attention-deficit hyperactivity disorder

ABSTRACTIntroduction: Emotion dysregulation (ED) has long been recognized in clinical descriptions of attention-deficit hyperactivity disorder (ADHD), but a renewed interest in ED has advanced research on the overlap between the two entities. Autonomic reactivity (AR) is a neurobiological correlate of emotion regulation; however, the association between ADHD and AR remains unclear. Our aim was to explore the clinical differences, AR, and subjective emotional responses to visual emotional stimuli in ADHD children with and without ED.Method: School-aged ADHD children with (n = 28) and without (n = 20) ED, according to the definition of deficiency in emotional self-regulation (DESR), and healthy controls (n = 22) were interviewed by using the Schedule for Affective Disorders and Schizophrenia for School Aged Children–Present and Lifetime version (K-SADS-PL) to screen frequent psychopathologies for these ages. All subjects were evaluated with Child Behavior Checklist 6–18 (CBCL), the Strengths and Difficulties Questionnaire (SDQ), the McMaster Family Assessment Device (FAD), the School-Age Temperament Inventory (SATI), and Conners’ Parent Rating Scale (CPRS-48), which were completed by parents. To evaluate emotional responses, the International Affective Picture System (IAPS) and the subjective and physiological responses (electrodermal activity and heart rate reactivity) to selected pictures were examined.Results: Regarding clinically distinctive features, the ADHD+ED group differed from the ADHD–ED and the control groups in terms of having higher temperamental negative reactivity, more oppositional/conduct problems, and lower prosocial behaviors. In the AR measures, children in the ADHD+ED group rated unpleasant stimuli as more negative, but they still had lower heart rate reactivity (HRR) than the ADHD–ED and control groups; moreover, unlike the two other groups, the ADHD+ED group showed no differences in HRR between different emotional stimuli.Conclusion: The presented findings are unique in terms of their ability to clinically and physiologically differentiate between ADHD children with and without ED.

Pleasant and unpleasant odour-face combinations influence face and odour perception: An event-related potential study

Odours alter evaluations of concurrent visual stimuli. However, neural mechanisms underlying the effects of congruent and incongruent odours on facial expression perception are not clear. Moreover, the influence of emotional faces on odour perception is not established. We investigated the effects of one pleasant and one unpleasant odour paired with happy and disgusted faces, on subjective ratings and ERP responses to faces.Participants rated the pleasantness of happy and disgusted faces that appeared during 3s pleasant or unpleasant odour pulses, or without odour. Odour pleasantness and intensity ratings were recorded in each trial. EEG was recorded continuously using a 128-channel system.Happy and disgusted faces paired with pleasant and unpleasant odour were rated as more or less pleasant, respectively, compared to the same faces presented in the other odour conditions. Odours were rated as more pleasant when paired with happy faces, and unpleasant odour was rated more intense when paired with disgusted faces. Unpleasant odour paired with disgusted faces also decreased inspiration. Odour-face interactions were evident in the N200 and N400 components.Our results reveal bi-directional effects of odours and faces, and suggest that odour-face interactions may be represented in ERP components. Pairings of unpleasant odour and disgusted faces resulted in stronger hedonic ratings, ERP changes, increased odour intensity ratings and respiratory adjustment. This finding likely represents heightened adaptive responses to multimodal unpleasant stimuli, prompting appropriate behaviour in the presence of danger.

Electrophysiological evidence for detrimental impact of a reappraisal emotion regulation strategy on subsequent cognitive control in schizophrenia.

In healthy individuals, there is evidence that effective implementation of an emotion regulation strategy has beneficial effects on temporally proximal cognitive control task performance. This effect occurs because both of these processes rely heavily on the prefrontal cortex. Individuals with schizophrenia (SZ) have impairments in both emotion regulation and cognitive control that are driven by structural and functional abnormalities of the prefrontal cortex; however, it is unknown whether emotion regulation attempts fail to benefit subsequently performed cognitive control tasks in people with SZ. The present study examined whether attempts to increase or decrease negative emotion via reappraisal have differential effects on subsequent cognitive control in a sample of outpatients diagnosed with SZ (n = 30) and demographically matched healthy controls (CN; n = 29). Participants completed a combined emotion regulation and cognitive control task in which numerical Stroop trials were presented immediately after unpleasant or neutral images that were either increased via reappraisal, decreased via reappraisal, or passively viewed. The electroencephalogram was recorded while participants performed the reappraisal-Stroop task and event related potentials (ERPs) were used to index emotion regulation effectiveness (late positive potential: LPP) and cognitive control (sustained potential: SP). Both CN and SZ evidenced higher LPP amplitude for unpleasant than neutral stimuli consistent with robust neural response to unpleasant stimuli. Although CN demonstrated neurophysiological evidence of effective use of reappraisal to increase and decrease negative emotion, SZ only showed an effective ability to increase negative emotion via reappraisal. CN displayed enhanced cognitive control following increase trials and impaired cognitive control following decrease trials, as indicated by modulation of SP amplitude. In SZ, increase instructions impaired cognitive control and decrease instructions had no effect on cognitive control. Findings suggest that emotion regulation abnormalities may play an underrecognized role in general cognitive control deficits that occur in SZ. (PsycINFO Database Record

The two faces of avoidance: Time-frequency correlates of motivational disposition in blood phobia.

Contrary to other phobias, individuals with blood phobia do not show a clear-cut withdrawal disposition from the feared stimulus. The study of response inhibition provides insights into reduced action disposition in blood phobia. Twenty individuals with and 20 without blood phobia completed an emotional go/no-go task including phobia-related pictures, as well as phobia-unrelated unpleasant, neutral, and pleasant stimuli. Behavioral results did not indicate a phobia-specific reduced action disposition in the phobic group. Time-frequency decomposition of event-related EEG data showed a reduction of right prefrontal activity, as indexed by an increase in alpha power (200 ms), for no-go mutilation trials in the phobic group but not in controls. Moreover, theta power (300 ms) increased specifically for phobia-related pictures in individuals with, but not without, blood phobia, irrespective of go or no-go trial types. Passive avoidance of phobia-related stimuli subtended by the increased alpha in the right prefrontal cortex, associated with increased emotional salience indexed by theta synchronization, represents a possible neurophysiological correlate of the conflicting motivational response in blood phobia. Through the novel use of time-frequency decomposition in an emotional go/no-go task, the present study contributed to clarifying the neurophysiological correlates of the overlapping motivational tendencies in blood phobia.

Emotional processing is enhanced in peri-hand space

The space near the hands, or peri-hand space is a critical multisensory-motor interface between people and the environment. Recent studies have shown that visual processing near the hands is altered compared with stimuli far from the hands. Some results suggest that the changes may be mediated by brain mechanisms involved in evaluating emotional stimuli. Here we show direct evidence for that proposal: we found that both the emotional Stroop effect and the Late Positive Potential (LPP) to unpleasant visual stimuli were enhanced near the hands compared to far from the hands. The results reveal enhanced processing of unpleasant stimuli in peri-hand space, which may facilitate the response to potentially dangerous stimuli.

Nicotine Withdrawal Induces Neural Deficits in Reward Processing.

Nicotine withdrawal reduces neurobiological responses to nonsmoking rewards. Insight into these reward deficits could inform the development of targeted interventions. This study examined the effect of withdrawal on neural and behavioral responses during a reward prediction task. Smokers (N = 48) attended two laboratory sessions following overnight abstinence. Withdrawal was manipulated by having participants smoke three regular nicotine (0.6 mg yield; satiation) or very low nicotine (0.05 mg yield; withdrawal) cigarettes. Electrophysiological recordings of neural activity were obtained while participants completed a reward prediction task that involved viewing four combinations of predictive and reward-determining stimuli: (1) Unexpected Reward; (2) Predicted Reward; (3) Predicted Punishment; (4) Unexpected Punishment. The task evokes a medial frontal negativity that mimics the phasic pattern of dopaminergic firing in ventral tegmental regions associated with reward prediction errors. Nicotine withdrawal decreased the amplitude of the medial frontal negativity equally across all trial types (p < .001). Exploratory analyses indicated withdrawal increased time to initiate the next trial following unexpected punishment trials (p < .001) and response time on reward trials during withdrawal was positively related to nicotine dependence (p < .001). Nicotine withdrawal had equivocal impact across trial types, suggesting reward processing deficits are unlikely to stem from changes in phasic dopaminergic activity during prediction errors. Effects on tonic activity may be more pronounced. Pharmacological interventions directly targeting the dopamine system and behavioral interventions designed to increase reward motivation and responsiveness (eg, behavioral activation) may aid in mitigating withdrawal symptoms and potentially improving smoking cessation outcomes. Findings from this study indicate nicotine withdrawal impacts reward processing signals that are observable in smokers' neural activity. This may play a role in the subjective aversive experience of nicotine withdrawal and potentially contribute to smoking relapse. Interventions that address abnormal responding to both pleasant and unpleasant stimuli may be particularly effective for alleviating nicotine withdrawal.

Pavlov's Orienting Response in Frontotemporal Dementia.

Behavioral variant frontotemporal dementia (bvFTD) is a neurodegenerative disorder with initial disturbances in socioemotional behavior in the absence of a sensitive diagnostic test. This study evaluated Pavlov's "orienting response" (OR) or "what is it?" reflex as a measure of their ability to refocus attention on socioemotional stimuli and as a potentially distinguishing measure for bvFTD. Ten patients with bvFTD were compared with 18 normal controls (NC) on ORs (defined as initial heart rate [HR] deceleration) to different pictures based on social and emotional (valence) differences from the International Affective Picture Stimuli. HR was measured while participants viewed pleasant-nonsocial (e.g., food), unpleasant-nonsocial (e.g., garbage), pleasant-social (e.g., babies), and unpleasant-social (e.g., violence) pictures. Participants watched each picture for 6 seconds, and the study examined HR changes during the first 2-second OR interval. The results showed significant differences in valence (pleasant-unpleasant) and valence-group interactions, but no effects of nonsocial-social. Whereas the NCs showed the expected HR deceleration (OR) to unpleasant stimuli, the bvFTD patients showed increased HRs without an initial refocusing. Decreased HR slowing to stimuli among the bvFTD patients correlated with increased scores on an emotional blunting scale. These findings suggest that decreased socioemotional behavior in bvFTD may be associated with decreased appreciation of emotional aspects of stimuli as evidenced by decreased ORs to emotional stimuli, regardless of social content. These findings also suggest further investigation of the OR in bvFTD as an early diagnostic measure for this disorder.

Comparison of hemispheric asymmetry measurements for emotional recordings from controls

Four asymmetry measurements (conventional coherence function (CCF), cross wavelet correlation (CWC), phase lag index (PLI), and mean phase coherence (MPC)) have been compared to each other for the first time in order to recognize emotional states (pleasant (P), neutral (N), unpleasant (UP)) from controls in EEG sub-bands (delta (0–4 Hz), theta (4–8 Hz), alpha (8–16 Hz), beta (16–32 Hz), gamma (32–64 Hz)) mediated by affective pictures from the International Affective Picture Archiving System (IAPS). Eight emotional features, computed as hemispheric asymmetry between eight electrode pairs (Fp1 − Fp2, F7 − F8, F3 − F4, C3 − C4, T7 − T8, P7 − P8, P3 − P4, and O1 − O2), have been classified by using data mining methods. Results show that inter-hemispheric emotional functions are mostly mediated by gamma. The best classification is provided by a neural network classifier, while the best features are provided by CWC in time-scale domain due to non-stationary nature of electroencephalographic (EEG) series. The highest asymmetry levels are provided by pleasant pictures at mostly anterio-frontal (F3 − F4) and central (C3 − C4) electrode pairs in gamma. Inter-hemispheric asymmetry levels are changed by each emotional state at all lobes. In conclusion, we can state the followings: (1) Nonlinear and wavelet transform-based methods are more suitable for characterization of EEG; (2) The highest difference in hemispheric asymmetry was observed among emotional states in gamma; (3) Cortical emotional functions are not region-specific, since all lobes are effected by emotional stimuli at different levels; and (4) Pleasant stimuli can strongly mediate the brain in comparison to unpleasant and neutral stimuli.

An fMRI Study of the Emotional Perception of Erotic Images in Men Aged 49–74 Years

Psychological studies have indicated that erotic images are evaluated in the context of positive emotions as the most intense, associated with the greatest degree of emotional arousal, among the whole gamut of pleasant and unpleasant stimuli. It is difficult to discriminate the cortical zones directly associated with emotional arousal from the activity of structures responsible for assessing emotional stimuli in the inducement/reward system. The aim of the present work was to identify differences in cerebral activity using functional MRI scans (fMRI) in men during assessment of the intensity of pleasant images, including erotic images, or unpleasant and neutral images. Comparison of tasks involving the assessment of pleasant images of the erotic type with tasks containing neutral or unpleasant stimuli revealed significantly more marked activation in the posterior cingulate cortex, the prefrontal cortex, and the globus pallidus on the right side. Comparison of tasks with pleasant and neural stimuli revealed an increase in the activity of the right anterior central gyrus. Thus, the process of assessment of the intensity of emotional images of erotic type was related to activation of brain areas belonging not only to the neural representation of the emotions, but also to the cognitive system controlling emotional arousal and the motivational domain, which needs to be considered when using erotic images as powerful positive emotional stimuli.

Association between risky behaviors in adolescents and altered psychophysiological emotional responses

Introducción. La psicofisiología de la respuesta emocional en la adolescencia es un factor clave en la comprensión de conductas de riesgo y desadaptación.Objetivo. Comparar especificidades de la reacción psicofisiológica emocional entre adolescentes con y sin conductas de riesgo.Materiales y métodos. Las medidas consistieron en la caracterización de conductas de riesgo (CR), variaciones en la frecuencia cardiaca (FC) electromiografía (EMG), conductancia de la piel (CP) y temperatura durante la presentación de estímulos emocionales visuales, así como la calificación en parámetros de valencia emocional, activación y dominancia de dichos estímulos.Resultados. Se encontraron diferencias significativas entre los adolescentes con CR comparados con aquellos que no las presentaban: se detectaron signos de mayor reacción psicofisiológica a los estímulos emocionales.Conclusiones. El grupo control se caracterizó por una bradicardia inicial más expresiva en comparación con el grupo con CR, ambos grupos mostraron desaceleración cardíaca más pronunciada ante estímulos desagradables, niveles más altos en EMG ante estímulos agradables en el grupo con RB e indicadores más elevados de CP ante los tres tipos de estímulo. Se requiere un estudio de cohorte a fin de comparar los hallazgos actuales en CR frente a la reacción fisiológica emocional entre los grupos de adolescentes.

Sigh rate during emotional transitions: More evidence for a sigh of relief

Evidence suggests that sighs regulate stress and emotions, e.g. by facilitating relief. This study aimed to investigate sigh rates during relief. In addition, links between sighs, anxiety sensitivity and HPA-axis activity were explored.Healthy volunteers (N=29) were presented cues predicting the valence of subsequent stimuli. By sequencing cues that predicted pleasant or unpleasant stimuli with or without certainty, transitions to certain pleasantness (relief) or to certain unpleasantness (control) were created and compared to no transitions. Salivary cortisol, anxiety sensitivity and respiration were measured.Sigh frequency was significantly higher during relief than during control transitions and no transition states, and higher during control transitions than during no transition states. Sigh frequency increased with steeper cortisol declines for high anxiety sensitive persons.Results confirm a relationship between sighs and relief. In addition, results suggest that sigh frequency is importantly related to HPA-axis activity, particularly in high anxiety sensitive persons.

Startle modulation and explicit valence evaluations dissociate during backward fear conditioning.

Blink startle magnitude is linearly modulated by affect such that, relative to neutral stimuli, startle magnitude is inhibited during pleasant stimuli and potentiated during unpleasant stimuli. Andreatta, Mühlberger, Yarali, Gerber, and Pauli (2010), however, report a dissociation between startle modulation and explicit valence evaluations during backward conditioning, a procedure in which the unconditional stimulus precedes the conditional stimulus (CS). Relative to controls, startles elicited during the CS were inhibited, suggesting that the CS had acquired positive valence, but participants still evaluated the CS as unpleasant after the experiment. In Experiment 1, we aimed to replicate this dissociation using a trial-by-trial measure of CS valence to measure startle modulation and CS valence simultaneously during forward and backward differential fear conditioning. In Experiment 2, we examined whether early and late portions of the CS could acquire differential valence by presenting startle probes at early and late probe positions during the CS. In both experiments, the dissociation between startle modulation and explicit valence evaluations in backward conditioning replicated, with CS+ evaluated as less pleasant than CS-, but startles elicited during CS+ inhibited relative to CS-. In Experiment 2, we provide preliminary evidence that this inhibition was present early, but not late, during the CS+. The results replicate the dissociation between implicit and explicit CS valence reported by Andreatta et al. (2010) using a trial-by-trial measure of valence. We also provide preliminary evidence that this dissociation may occur because the implicit and explicit measures are recorded at different times during the CS presentation.

Variants of TPH2 interact with fast visual processing as assessed by metacontrast.

Sensitivity to threatening or otherwise unpleasant visual stimuli has become a widely used measure of potential vulnerability/resilience. Basically, experiments using this strategy present brief stimuli, often followed by a mask, and individuals' sensitivity is measured. However, it has not been asked whether the individual differences in threat detection or adaptive resilience associated with genetic variability-related endophenotypes might be just a function of some basic visual functions involved in processing and reporting brief visual stimuli without any emotional content. Effects attributed to emotional processing may be confounded by variability in simple basic visual skills. However, if simple visual skills are variable depending on common genetic variability, simple perceptual tests of screening for genetic risks can be developed. In a sample of normal human individuals, we studied the effects of a single nucleotide polymorphism (rs4570625) in the gene that encodes the rate-limiting enzyme in serotonin synthesis, TPH2, on metacontrast masking. Visual discrimination of target shapes that were incongruent with mask shapes was poorer in G homozygotes (typically considered more resilient individuals) compared with T-allele carriers and this effect was influenced by participants' sex. Implications for the development of psychophysical testing-based methods of screening for vulnerability/resilience in relation to the pathology of the serotonergic system-related dysfunction are considered.

Social information influences emotional experience and late positive potential response to affective pictures.

Emotion experience and regulation frequently occur in social settings. Social influence is a common source of unconscious change in judgment in many contexts, but it has yet to be investigated as a form of automatic emotion regulation. Here, we demonstrate that nonpredictive social information (i.e., high or low "emotion intensity ratings from other people" that were not related to the actual intensity of the pictures) about the intensity of pleasant and unpleasant picture stimuli can influence self-reported emotional experience and the magnitude of the late positive potential, an event-related potential associated with the detection of emotional salience and sustained attention to motivationally significant stimulus features. These results show that emotional responses to pleasant and unpleasant affective pictures can be altered by nonpredictive social information on both the behavioral and the neurophysiological level. (PsycINFO Database Record

Examining the short term effects of emotion under an Adaptation Level Theory model of tinnitus perception

ObjectivesExisting evidence suggests a strong relationship between tinnitus and emotion. The objective of this study was to examine the effects of short-term emotional changes along valence and arousal dimensions on tinnitus outcomes. Emotional stimuli were presented in two different modalities: auditory and visual. The authors hypothesized that (1) negative valence (unpleasant) stimuli and/or high arousal stimuli will lead to greater tinnitus loudness and annoyance than positive valence and/or low arousal stimuli, and (2) auditory emotional stimuli, which are in the same modality as the tinnitus, will exhibit a greater effect on tinnitus outcome measures than visual stimuli. Study designAuditory and visual emotive stimuli were administered to 22 participants (12 females and 10 males) with chronic tinnitus, recruited via email invitations send out to the University of Auckland Tinnitus Research Volunteer Database. Emotional stimuli used were taken from the International Affective Digital Sounds- Version 2 (IADS-2) and the International Affective Picture System (IAPS) (Bradley and Lang, 2007a, 2007b). The Emotion Regulation Questionnaire (Gross and John, 2003) was administered alongside subjective ratings of tinnitus loudness and annoyance, and psychoacoustic sensation level matches to external sounds. ResultsMales had significantly different emotional regulation scores than females. Negative valence emotional auditory stimuli led to higher tinnitus loudness ratings in males and females and higher annoyance ratings in males only; loudness matches of tinnitus remained unchanged. The visual stimuli did not have an effect on tinnitus ratings. The results are discussed relative to the Adaptation Level Theory Model of Tinnitus. ConclusionsThe results indicate that the negative valence dimension of emotion is associated with increased tinnitus magnitude judgements and gender effects may also be present, but only when the emotional stimulus is in the auditory modality. Sounds with emotional associations may be used for sound therapy for tinnitus relief; it is of interest to determine whether the emotional component of sound treatments can play a role in reversing the negative responses discussed in this paper.

Hurricane Sandy Exposure Alters the Development of Neural Reactivity to Negative Stimuli in Children.

This study examined whether exposure to Hurricane Sandy-related stressors altered children's brain response to emotional information. An average of 8months (Mage =9.19) before and 9months after (Mage =10.95) Hurricane Sandy, 77 children experiencing high (n=37) and low (n=40) levels of hurricane-related stress exposure completed a task in which the late positive potential, a neural index of emotional reactivity, was measured in response to pleasant and unpleasant, compared to neutral, images. From pre- to post-Hurricane Sandy, children with high stress exposure failed to show the same decrease in emotional reactivity to unpleasant versus neutral stimuli as those with low stress exposure. Results provide compelling evidence that exposure to natural disaster-related stressors alters neural emotional reactivity to negatively valenced information.

Cortical correlations in wavelet domain for estimation of emotional dysfunctions

In the present study, the level of nonlinear inter-hemispheric synchronization has been estimated by using wavelet correlation (WC) method for detection of emotional dysfunctions. Due to non-stationary nature of EEG series in addition to the assumption that the high-frequency band is possibly associated with emotional activation, WC has been applied to five distinct frequency band activities (fba) (Delta: \(0.5{-}4\,\hbox {Hz}\), Theta: \(4{-}8\,\hbox {Hz}\), Alpha: \(8{-}16\,\hbox {Hz}\), Beta: \(16{-}32\,\hbox {Hz}\), Gamma: \(32{-}64\,\hbox {Hz}\)) embedded in non-averaged single-trial EEG series mediated by convenient affective pictures from International Affective Picture System. Experimental data were collected from both healthy controls and patients, diagnosed with first-episode psychosis, through a 16-channel EEG cap. WC estimations, which are computed for eight electrode pairs (pre-frontal, anterio-frontal, central, parietal, occipital, posterio-frontal, anterio-temporal, posterio-temporal), in accordance with each specified fba and emotional state (pleasant, un-pleasant, neutral) have been classified by using Least Squares Support Vector Machines with tenfold cross-validation to distinguish controls from patients. Results show that the highest classification accuracies of 88.06, 86.39, 83.89% are obtained in Gamma with respect to neutral, un-pleasant, and pleasant stimuli, respectively. In each group (controls and patients), the largest WCs are observed at anterio-frontal and central lobes; however, controls generate the high WC in response to pleasant stimuli, whereas the patients generate the high WC in response to neutral stimuli in Gamma. In conclusion, fronto-central lobes are the most activated brain regions during emotional stimulation by means of inter-hemispheric correlation. Gamma is the most sensitive fba to visual affective pictures. Emotional dysfunctions are found to be characterized by decreased WC in pleasant state, increased WC in neutral state in Gamma.

Effectiveness of Earmuffs and Noise-cancelling Headphones for Coping with Hyper-reactivity to Auditory Stimuli in Children with Autism Spectrum Disorder: A Preliminary Study

Objective/BackgroundThe purpose of this pilot study was to examine the effectiveness of standard earmuffs and noise-cancelling (NC) headphones in controlling behavioural problems related to hyper-reactivity to auditory stimuli in children with autism spectrum disorder (ASD).MethodsTwenty-one children with ASD aged 4–16 years (16 boys and 5 girls), after a 2-week nonwearing baseline period, were asked to use standard earmuffs and NC headphones for 2 weeks, in a random order. Parents or teachers rated participants’ behaviours that were related to their reaction to auditory stimuli.ResultsFour participants refused to wear either the earmuffs or the NC headphones. It was found that the T-score on the Goal Attainment Scaling was significantly higher during the earmuff period than that in the baseline period (Z = 2.726, p = .006). The behaviours of 5 children with ASD improved during the NC headphone period as compared with those in the baseline period; there were no differences in the T-scores on the Goal Attainment Scaling between the NC headphone period and the baseline period (Z = 1.689, p = .091) and between the earmuff and NC headphone periods (Z = −0.451, p = .678).ConclusionThis study demonstrated the effectiveness of standard earmuffs and NC headphones in helping children with ASD to cope with problem behaviours related to hyperreactivity to auditory stimuli, therefore, children with ASD could use earmuffs to help to deal with unpleasant sensory auditory stimuli.

Airway reactivity in response to repeated emotional film clip presentation in asthma

Emotional stimuli elicit airway constriction in individuals with asthma and in healthy individuals, but little is known about effects of repeated stimulation. We therefore explored the effect of repeated emotion induction on respiratory resistance (Rrs) using unpleasant, high-arousal surgery films and investigated effects of respiration and emotional reactivity. Twenty-six participants (13 with asthma) watched a series of 12 short, 45-s surgery films followed by 2-min recovery periods. Rrs assessed with impulse oscillometry was significantly elevated during films in both groups compared to baseline and recovered quickly after that. No habituation of airway responses occurred. Rrs was higher in participants who felt more aroused and less in control when watching the films. Changes in Rrs remained significant when controlling for changes in respiration or emotional experience. Thus, although unpleasant stimuli lead to elevated Rrs, airway obstruction is not exacerbated with repeated stimulation due to a fast return to baseline after stimulation.