Inhibitory control in anxious and healthy adolescents is modulated by incentive and incidental affective stimuli.
Open accessAbstract
Background: Anxiety disorders are characterized by elevated, sustained responses to threat, that manifest as threat attention biases. Recent evidence also suggests exaggerated responses to incentives. How these characteristics influence cognitive control is under debate and is the focus of the present study. Methods: Twenty‐five healthy adolescents and 25 adolescents meeting DSM‐IV diagnostic criteria for an anxiety disorder were compared on a task of response inhibition. Inhibitory control was assayed with an antisaccade task that included both incentive (monetary reward) and incidental emotion (facial expression) cues presented prior to the execution of inhibitory behavior. Results: Inhibitory control was enhanced following exposure to threat cues (fear faces) only in adolescent patients, and following exposure to positive cues (happy faces) only in healthy adolescents. Results also revealed a robust performance improvement associated with monetary incentives. This incentive effect did not differ by group. No interaction between incentives and emotional cues was detected. Conclusions: These findings suggest that biased processing of threat in anxious adolescents affects inhibitory control, perhaps by raising arousal prior to behavioral performance. The absence of normalization of performance in anxious adolescents following exposure to positive emotional cues is a novel finding and will require additional exploration. Future studies will need to more specifically examine how perturbations in positive emotion processes contribute to the symptomatology and the pathogenesis of anxiety disorders.
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Recent studies show that providing incentives can enhance cognitive control performance.
“A notable exception is recent work demonstrating how incentive can upregulate cognitive control abilities (Geier, et al., 2010; Hardin, et al., 2009), in which participants were rewarded for correctly suppressing an otherwise neutral behavior.”
From Frontostriatal maturation predicts cognitive control failure to appetitive cues in adolescents (2011) · cites this paper as Hardin, et al., 2009
Some studies have found less prefrontal cortical recruitment with increasing age.
“Some studies, consistent with what is presented here, have demonstrated progressively lesser recruitment of prefrontal cortical regions with increasing age (Hardin, et al., 2009; Velanova, Wheeler, & Luna, 2008).”
From Frontostriatal maturation predicts cognitive control failure to appetitive cues in adolescents (2011) · cites this paper as Hardin, et al., 2009
The Methods (Eye Movement Recording; page unavailable) describe eye-tracking measures, and the Discussion (page unavailable) reports how incentives and emotional cues affected inhibitory performance. A search for age-related prefrontal recruitment found no passage in our copy reporting progressively less prefrontal cortical recruitment with increasing age. (LLM, conf=0.77)
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“Imaging research supports the potential protective role of increased striatal response during reward-related preparation for inhibition in adolescents compared to adults and children (Geier et al., 2010; Hardin et al., 2009).”
BackgroundInteraction of threat and verbal working memory in adolescents
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Inhibitory control and emotion dysregulation: A framework for research on anxiety
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“Finally, a few studies examine saccade metrics in anxiety, but these studies either examine adults or embed emotional stimuli within pro- and antisaccade trials (Derakshan, Ansari, Hansard, Shoker, & Eysenck, 2009; Hardin et al., 2009; Mueller, Hardin, Korelitz, et al., 2012; Mueller, Hardin, Mogg, et al., 2012).”
BackgroundSelf-citationMueller, S. C., Hardin, M. G., Mogg, K., Benson, V., Bradley, B. P., Reinholdt‐Dunne, M. L., Liversedge, S. P., Pine, D. S., & Monique Ernst, D. (2012) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2012.02541.x · Cited by 30 · see citing works
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Adolescent Transformations of Behavioral and Neural Processes as Potential Targets for Prevention
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“First, relative to controls, anxious and depressed adolescents show an overall deficit in inhibitory performance (Hardin et al. 2009; Hardin et al. 2007; Jazbec et al. 2005), a finding that is consistent with some contemporary models of information-processing associated with these disorders…”
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“New discoveries have emerged in our understanding of reward processing in anxiety with the use of monetary incentive cues that highlight how incentives modulate approach and avoidance behaviors [ 98, 99 ] .”
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“…characterized by decision-making bias (e.g., risk aversion) (Maner and Schmidt 2006; Maner et al. 2007; Lorian and Grisham 2010, 2011; Lorian et al. 2012a,b) and deviant responses to incentives (i.e., reward or punishment) (Hardin et al. 2007a; DeVido et al. 2009; Hardin et al. 2009; Goschke 2014).”
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“Yet, state NA improved IC performance in anxious adolescents, but not in healthy controls (Constantinou et al., 2010; Hardin et al., 2009).”
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“The Emotional Antisaccade task has also been used to explore attentional processes in adolescents with clinical levels of anxiety (Hardin et al., 2009; Hardin, Schroth, Pine, & Ernst, 2007).”
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“…anxiety was not directly assessed, despite evidence that anxiety can impair inhibitory control and efficient top-down attentional regulation and that such effects may be particularly relevant when affective distractors compete with task goals (Ansari and Derakshan, 2010; Hardin et al., 2009).”
- Authors
- Hardin, M. G., Mandell, D., Mueller, S. C., Dahl, R. E., Pine, D. S., & Ernst, M.
- Affiliations
- United States Department of Health and Human Services (US)
- University of Pittsburgh Medical Center (US)
- Corresponding author
- Hardin, Michael G.
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2009-11-05
- Volume
- 50
- Issue
- 12
- Pages
- 1550-1558
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC2804785
- OpenAlex
- W2088884425
- Cited by
- 66
- References
- 40
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 2 · 2022: 5 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 4 · 2013: 10 · 2012: 5
- FWCI
- 8.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- National Institutes of Health (Z99 MH999999)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- inhibitory control, anxiety disorders, adolescents, response inhibition, antisaccade task, financial incentives, positive emotions, facial expressions, emotional cues, arousal
- MeSH terms
- Adolescent, Affect, Anxiety Disorders, Child, Cognition, Cues, Major Depressive Disorder, Facial Expression, Female, Health Status, Humans, Inhibition, Psychological, Male, Motivation, Prevalence
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