A Smartphone App for Attentional Bias Retraining in Smokers: Mixed Methods Pilot Study

Background Smoking is a global health threat. Attentional bias influences smoking behaviors. Although attentional bias retraining has shown benefits and recent advances in technology suggest that attentional bias retraining can be delivered via smartphone apps, there is a paucity of research on this topic. Objective This study aims to address this gap by exploring the use of attentional bias retraining via a novel smartphone app using a mixed methods pilot study. In the quantitative phase, it is hypothesized that participants in the training group who undertake attentional bias retraining via the app should have decreased levels of attentional bias, subjective craving, and smoking frequency, compared with those in the control group who do not undertake attentional bias retraining. The qualitative phase explores how the participants perceive and experience the novel app. Methods In all, 10 adult smokers (3 females and 7 males) between the ages of 26 and 56 years (mean 34.4 years, SD 9.97 years) were recruited. The participants were randomly allocated to the training and control groups. In weeks 1 and 3, participants from both groups attempted the standard visual probe task and rated their smoking frequency and subjective craving. In week 2, the participants in the training group attempted the modified visual probe task. After week 3, participants from both groups were interviewed about their views and experiences of the novel app. Results The results of the quantitative analysis did not support this study’s hypothesis. The qualitative data were analyzed using thematic analysis. The results yielded 5 themes: ease, helpfulness, unhelpful aspects, barriers, and refinement. Conclusions Findings from the qualitative study were consistent with those from previous studies on health-related smartphone apps. The qualitative results were helpful in understanding the user perspectives and experiences of the novel app, indicating that future research in this innovative area is necessary.

Pattern similarity in the frontoparietal control network reflects an "off-veridical" template that optimizes target-match decisions during visual search

Theories of attention hypothesize the existence of an "attentional" or "target" template that contains task-relevant information in memory when searching for an object. The target template contributes to visual search by directing visual attention towards potential targets and serving as a decisional boundary for target identification. However, debate still exists regarding how template information is stored in the human brain. Here, we conducted a pattern-based fMRI study to assess how template information is encoded to optimize target-match decisions during visual search. To ensure that match decisions reflect visual search demands, we used a visual search paradigm in which all distractors were linearly separable but highly similar to the target and were known to shift the target representation away from the distractor features (Yu & Geng, 2019). In a separate match-to-sample probe task, we measured the target representation used for match decisions across two resting state networks that have long been hypothesized to maintain and control target information: the frontoparietal control network (FPCN) and the visual network (VisN). Our results showed that lateral prefrontal cortex in FPCN maintained the context-dependent "off-veridical" template; in contrast, VisN encoded a veridical copy of the target feature during match decisions. By using behavioral drift diffusion modeling, we verified that the decision criterion during visual search and the probe task relied on a common biased target template. Taken together, our results suggest that sensory-veridical information is transformed in lateral prefrontal cortex into an adaptive code of target-relevant information that optimizes decision processes during visual search.

When Alcohol Adverts Catch the Eye: A Psychometrically Reliable Dual-Probe Measure of Attentional Bias

Existing tasks assessing substance-related attentional biases are characterized by low internal consistency and test–retest reliability. This study aimed to assess the psychometric properties of a novel dual-probe task to measure alcohol-related attentional bias. Undergraduate students were recruited in June 2019 (N = 63; final N = 57; mean age = 20.88, SD = 2.63, 67% females). In the dual-probe task, participants were presented with simultaneous visual streams of adverts promoting either alcoholic or non-alcoholic drinks, and probes were presented in both streams. The dual-probe task measured the percentage of accurately identified probes that appeared on alcohol adverts in relation to total accuracy. The dual-probe task displayed excellent split-half reliability (M = 0.90, SD = 0.11; α = 0.90; 95% CI [0.84, 0.93]), and the derived attentional bias measure was significantly positively associated with beer drinking in a taste-test (r (57) = 0.33, p = 0.013; 95% CI [0.07, 0.54]), with habitual drinking (r (57) = 0.27, p = 0.045; 95% CI [0.01, 0.49]), and with increased craving (r (57) = 0.29, p = 0.031; 95% CI [0.03, 0.51]). Thus, the dual-probe task assessed attentional bias with excellent internal consistency and was associated with laboratory and habitual drinking measures, demonstrating initial support for the task’s utility in addiction research.

The dot-probe attention bias task as a method to assess psychological wellbeing after anesthesia: A study with adult female long-tailed macaques (Macaca fascicularis)

Understanding the impact routine research and laboratory procedures have on animals is crucial to improving their wellbeing and to the success and reproducibility of the research they are involved in. Cognitive measures of welfare offer insight into animals’ internal psychological state, but require validation. Attention bias - the tendency to attend to one type of information over another – is a cognitive phenomenon documented in humans and animals that is known to be modulated by affective state (i.e., emotions). Hence, changes in attention bias may offer researchers a deeper perspective of their animals’ psychological wellbeing. The dot-probe task is an established method for quantifying attention bias in humans (by measuring reaction time to a dot-probe replacing pairs of stimuli), but has yet to be validated in animals. We developed a dot-probe task for long-tailed macaques (Macaca fascicularis) to determine if the task can detect changes in attention bias following anesthesia, a context known to modulate attention and trigger physiological arousal in macaques. Our task included the following features: stimulus pairs of threatening and neutral facial expressions of conspecifics and their scrambled counterparts, two stimuli durations (100 and 1000 ms), and counterbalancing of the dot-probe’s position on the touchscreen (left, right) and location relative to the threatening stimulus. We tested eight group-housed adult females on different days relative to being anesthetized (baseline and one-, three-, seven-, and 14-days after). At baseline, monkeys were vigilant to threatening content when stimulus pairs were presented for 100 ms, but not 1000 ms. On the day immediately following anesthesia, we found evidence that attention bias changed to an avoidance of threatening content. Attention bias returned to threat vigilance by the third day post-anesthesia and remained so up to the last day of testing (14 days after anesthesia). We also found that attention bias was independent of the type of stimuli pair (i.e., whole face vs. scrambled counterparts), suggesting that the scrambled stimuli retained aspects of the original stimuli. Nevertheless, whole faces were more salient to the monkeys as responses to these trials were generally slower than to scrambled stimulus pairs. Overall, our study suggests it is feasible to detect changes in attention bias following anesthesia using the dot-probe task in non-human primates. Our results also reveal important aspects of stimulus preparation and experimental design.

The Study of Security Priming on Avoidant Attentional Biases: Combining Microsaccadic Eye-Movement Measurement With a Dot-Probe Task

Microsaccades are small fixational eye movements that have shown to index covert attentional shifts. The present experiment combined microsaccades with performance measures from a dot-probe task to study influences of attachment security priming on the attentional biases of individuals high in attachment avoidance. Security priming is an experimental manipulation aimed at boosting felt security. Using a randomized, mixed design, we measured differences in attentional vigilance toward angry and neutral faces as a function of priming (neutral vs. secure) and attachment avoidance. Individuals high in avoidance habitually tend to withdraw from, or otherwise dismiss, emotionally salient stimuli. Here, we operationalized attentional withdrawal based on both task performance in the dot-probe task and microsaccadic movements. In addition, unlike previous studies where priming salience for the individual participant has been unclear, we used a standardized narrative method for attachment script assessment, securing an indication of how strongly each participant was primed. Dot-probe data significantly captured the link between avoidance and attentional disengagement, though from all facial stimuli (angry and neutral). Although microsaccadic movements did not capture avoidant attentional disengagement, they positively correlated to dot-probe data suggesting measurement convergence. Avoidance was associated with weaker security priming and no overall effect of priming on attention was found, indicating a need for further exploration of suitable priming methods to bypass avoidant deactivation. Our results provide a first indication that, as an implicit looking measure, microsaccadic movements can potentially reveal where early attention is directed at the exact moment of stimulus presentation.

The induction of social pessimism reduces pain responsiveness

Objectives Past work has found that optimism reduces a person’s responsiveness to pain, but the effects of pessimism are not clear. Therefore, we gave pessimistic forecasts of participants’ future social life and measured changes in their pain responsiveness. In particular, some participants were told that they would end up alone in life. Methods Seventy-five subjects were investigated in three conditions (negative forecast, positive forecast, no forecast) for changes in pain threshold and pain tolerance threshold. Pressure pain induction was accomplished by either human- or machine-driven algometers. A randomly assigned bogus forecast promising either a lonely or a socially satisfying future was ostensibly based on a personality questionnaire and an emotional dot-probe task. As potential covariates, questionnaires assessing dispositional optimism (LOT-R), pain catastrophizing (PCS), and self-esteem (SISE) were given. Results Pain thresholds suggested a change toward unresponsiveness only in the negative forecast condition, with only small differences between the modes of pain induction (i.e., human or machine). The results for pain tolerance thresholds were less clear also because of limiting stimulation intensity for safety reasons. The covariates were not associated with these changes. Conclusions Thus, people expecting a lonely future became moderately less responsive to pain. This numbing effect was not modulated by personality measures, neither in a protective fashion via dispositional optimism and self-esteem nor in a risk-enhancing fashion via trait pain catastrophizing. Alternative mechanisms of action should be explored in future studies.

Measuring Food-Related Attentional Bias

Objective: Food-related attentional bias has been defined as the tendency to give preferential attention to food-related stimuli. Attentional bias is of interest as studies have found that increased attentional bias is associated with obesity; others, however, have not. A possible reason for mixed results may be that there is no agreed upon measure of attentional bias: studies differ in both measurement and scoring of attentional bias. Additionally, little is known about the stability of attentional bias over time. The present study aims to compare attentional bias measures generated from commonly used attentional bias tasks and scoring protocols, and to test re-test reliability.Methods: As part of a larger study, 69 participants (67% female) completed two food-related visual probe tasks at baseline: lexical (words as stimuli), and pictorial (pictures as stimuli). Reaction time bias scores (attentional bias scores) for each task were calculated in three different ways: by subtracting the reaction times for the trials where probes replaced (1) neutral stimuli from the trials where the probes replaced all food stimuli, (2) neutral stimuli from the trials where probes replaced high caloric food stimuli, and (3) neutral stimuli from low caloric food stimuli. This resulted in three separate attentional bias scores for each task. These reaction time results were then correlated. The pictorial visual probe task was administered a second time 14-days later to assess test-retest reliability.Results: Regardless of the scoring use, lexical attentional bias scores were minimal, suggesting minimal attentional bias. Pictorial task attentional bias scores were larger, suggesting greater attentional bias. The correlation between the various scores was relatively small (r = 0.13–0.20). Similarly, test-retest reliability for the pictorial task was poor regardless of how the test was scored (r = 0.20–0.41).Conclusion: These results suggest that at least some of the variation in findings across attentional bias studies could be due to differences in the way that attentional bias is measured. Future research may benefit from either combining eye-tracking measurements in addition to reaction times.

Attentional Bias in Humans Toward Human and Bonobo Expressions of Emotion

Correctly recognizing and efficiently attending to emotional situations are highly valuable skills for social species such as humans and bonobos, humans' closest living relatives. In the current study, we investigated whether humans perceive a range of emotional situations differently when these involved other humans compared to bonobos. A large group of children and adults participated in an emotion perception task and rated scenes showing either bonobos or humans in situations depicting distressed or aggressive behavior, yawning, scratching, grooming, playing, sex scenes or neutral situations. A new group of people performed a dot-probe task to assess attentional biases toward these materials. The main finding is that humans perceive emotional scenes showing people similarly as emotional scenes of bonobos, a result reflecting a shared evolutionary origin of emotional expressions. Other results show that children interpreted bonobos’ bared teeth displays as a positive signal. This signal is related to the human smile, but is frequently seen in distressed situations, as was the case in the current experiment. Children may still need to learn to use contextual cues when judging an ambiguous expression as positive or negative. Further, the sex scenes were rated very positively, especially by male participants. Even though they rated these more positively than women, their attention was captured similarly, surpassing all other emotion categories. Finally, humans’ attention was captured more by human yawns than by bonobo yawns, which may be related to the highly contagious nature of yawns, especially when shown by close others. The current research adds to earlier work showing morphological, behavioral and genetic parallels between humans and bonobos by showing that their emotional expressions have a common origin too.