Abstract
To evaluate the heart rate response, emotion and changes in anxiety and anger levels after exposure to unpleasant pictures from the International Assessment Pictures System (IAPS) compared with neutral picture exposure in healthy individuals. Forty participants (23 women) visited the laboratory on two occasions. State anger and state anxiety levels were evaluated pre- and post-visualization of a set of IAPS pictures and heart rate was monitored during exposure. Two different picture sets were utilized—one with neutral pictures (that served as the control) and the other with unpleasant pictures. State anxiety and state anger were higher in post-unpleasant session for women than before (p < 0.001). For men, only state anxiety was higher in the post-unpleasant session (p < 0.001). State anxiety (p = 0.004) and state anger (p < 0.001) post-unpleasant session was higher for women than in men. The pleasure and dominance domains were lower in the unpleasant session for both men and women (p < 0.001), and the arousal domain was higher for both men and women (p < 0.001) than in the neutral session. In the unpleasant session, arousal was higher (p = 0.004), and dominance was lower (p < 0.001) among women than among men, but no difference in pleasure was found (p > 0.05). For women, average heart rate was higher on unpleasant session, compared to neutral (p = 0.01), but not for men (p > 0.05). Women are more sensitive and react strongly to unpleasant picture exposure. The IAPS unpleasant session was not able to induce anger levels in men.
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Data Availability
The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Biondi, M., & Picardi, A. (1999). Psychological stress and neuroendocrine function in humans: the last two decades of research. Psychotherapy and Psychosomatics, 68(3), 114–150. https://doi.org/10.1159/000012323
Blanchard, D. C., Shepherd, J. K., Carobrez, A. D. P., & Blanchard, R. J. (1991). Sex effects in defensive behavior: Baseline differences and drug interactions. Neuroscience & Biobehavioral Reviews, 15(4), 461–468. https://doi.org/10.1016/S0149-7634(05)80132-0
Bradley, M. M., Codispoti, M., Cuthbert, B. N., & Lang, P. J. (2001a). Emotion and motivation I: Defensive and appetitive reactions in picture processing. Emotion, 1(3), 276–298. https://doi.org/10.1037/1528-3542.1.3.276
Bradley, M. M., Codispoti, M., Sabatinelli, D., & Lang, P. J. (2001b). Emotion and motivation II: Sex differences in picture processing. Emotion, 1(3), 300–319. https://doi.org/10.1037/1528-3542.1.3.300
Bradley, M. M., Sabatinelli, D., Lang, P. J., Fitzsimmons, J. R., King, W., & Desai, P. (2003). Activation of the visual cortex in motivated attention. Behavioral Neuroscience, 117(2), 369–380. https://doi.org/10.1037/0735-7044.117.2.369
Cahill, L. (2006). Why sex matters for neuroscience. Nature Reviews Neuroscience, 7(6), 477–484. https://doi.org/10.1038/nrn1909
Charney, D. S., Galloway, M. P., & Heninger, G. R. (1984). The effects of caffeine on plasma MHPG, subjective anxiety, autonomic symptoms and blood pressure in healthy humans. Life Sciences, 35(2), 135–144. https://doi.org/10.1016/0024-3205(84)90132-2
Chentsova-Dutton, Y. E., & Tsai, J. L. (2007). Gender differences in emotional response among European Americans and Hmong Americans. Cognition & Emotion, 21(1), 162–181. https://doi.org/10.1080/02699930600911333
Crocq, M.-A. (2015). A history of anxiety from Hippocrates to DSM. Dialogues in Clinical Neuroscience, 17(3), 319–325. https://doi.org/10.31887/DCNS.2015.17.3/macrocq
de Azevedo, F. B., Wang, Y.-P., Goulart, A. C., Lotufo, P. A., & Benseñor, I. M. (2010). Application of the Spielberger’s State-trait anger expression inventory in clinical patients. Arquivos De Neuro-Psiquiatria, 68(2), 231–234. https://doi.org/10.1590/S0004-282X2010000200015
de Kloet, E. R., Joëls, M., & Holsboer, F. (2005). Stress and the brain: From adaptation to disease. Nature Reviews Neuroscience, 6(6), 463–475. https://doi.org/10.1038/nrn1683
Engebretson, T. O., Sirota, A. D., Niaura, R. S., Edwards, K., & Brown, W. A. (1999). A simple laboratory method for inducing anger. Journal of Psychosomatic Research, 47(1), 13–26. https://doi.org/10.1016/S0022-3999(99)00012-4
Espírito-Santo, H., & Daniel, F. (2018). Calculating and reporting effect sizes on scientific papers (3): Guide to report regression models and ANOVA effect sizes. Portuguese Journal of Behavioral and Social Research, 4(1), 43–60. https://doi.org/10.7342/ismt.rpics.2018.4.1.72
Francis, H. M., Penglis, K. M., & McDonald, S. (2016). Manipulation of heart rate variability can modify response to anger-inducing stimuli. Social Neuroscience, 11(5), 545–552. https://doi.org/10.1080/17470919.2015.1115777
Fritz, C. O., Morris, P. E., & Richler, J. J. (2012). Effect size estimates: Current use, calculations, and interpretation. Journal of Experimental Psychology: General, 141(1), 2–18. https://doi.org/10.1037/a0024338
Gao, W., Ping, S., & Liu, X. (2020). Gender differences in depression, anxiety, and stress among college students: A longitudinal study from China. Journal of Affective Disorders, 263, 292–300. https://doi.org/10.1016/j.jad.2019.11.121
Gorenstein, C., & Andrade, L. (1996). Validation of a Portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects. Brazilian Journal of Medical and Biological Research = Revista Brasileira de Pesquisas Medicas e Biologicas, 29(4), 453–457. http://www.ncbi.nlm.nih.gov/pubmed/8736107
Gross, J. J., & Levenson, R. W. (1995). Emotion elicitation using films. Cognition & Emotion, 9(1), 87–108. https://doi.org/10.1080/02699939508408966
Han, S., Fan, Y., & Mao, L. (2008). Gender difference in empathy for pain: An electrophysiological investigation. Brain Research, 1196, 85–93. https://doi.org/10.1016/j.brainres.2007.12.062
Harmon-Jones, E. (2007). Trait anger predicts relative left frontal cortical activation to anger-inducing stimuli. International Journal of Psychophysiology, 66(2), 154–160. https://doi.org/10.1016/j.ijpsycho.2007.03.020
Hassmén, P., Koivula, N., & Uutela, A. (2000). Physical exercise and psychological well-being: A population study in Finland. Preventive Medicine, 30(1), 17–25. https://doi.org/10.1006/pmed.1999.0597
Hewig, J., Hagemann, D., Seifert, J., Gollwitzer, M., Naumann, E., & Bartussek, D. (2005). BRIEF REPORT: A revised film set for the induction of basic emotions. Cognition & Emotion, 19(7), 1095–1109. https://doi.org/10.1080/02699930541000084
Julian, L. J. (2011). Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care & Research, 63(S11), S467–S472. https://doi.org/10.1002/acr.20561
Kemp, A., Silberstein, R., Armstrong, S., & Nathan, P. (2004). Gender differences in the cortical electrophysiological processing of visual emotional stimuli. NeuroImage, 21(2), 632–646. https://doi.org/10.1016/j.neuroimage.2003.09.055
Knight, R. G., Waal-Manning, H. J., & Spears, G. F. (1983). Some norms and reliability data for the state-trait anxiety inventory and the zung self-rating depression scale. British Journal of Clinical Psychology, 22(4), 245–249. https://doi.org/10.1111/j.2044-8260.1983.tb00610.x
Koenig, J., & Thayer, J. F. (2016). Sex differences in healthy human heart rate variability: A meta-analysis. Neuroscience & Biobehavioral Reviews, 64, 288–310. https://doi.org/10.1016/j.neubiorev.2016.03.007
Lane, T., & Francis, A. (2003). Premenstrual symptomatology, locus of control, anxiety and depression in women with normal menstrual cycles. Archives of Women’s Mental Health, 6(2), 127–138. https://doi.org/10.1007/s00737-003-0165-7
Lang, P. J., Greenwald, M. K., & Bradley, M. M. (1993). Looking at pictures: Affective, facial, visceral, and behavioral reactions. Psychophysiology, 30(3), 261–273. https://doi.org/10.1111/j.1469-8986.1993.tb03352.x
Lang, P. J., Bradley, M. M., Fitzsimmons, J. R., Cuthbert, B. N., Scott, J. D., Moulder, B., & Nangia, V. (1998). Emotional arousal and activation of the visual cortex: An fMRI analysis. Psychophysiology, 35(2), 199–210. https://doi.org/10.1017/S0048577298001991
Lang, Peter J, Bradley, M. M., & Cuthbert, B. N. (2008) International affective picture system (IAPS): Affective ratings of pictures and instruction manual. In Technical Report A-8
Lasaitis, C., Ribeiro, R. L., & Bueno, O. F. A. (2008). Brazilian norms for the International Affective Picture System (IAPS): Comparison of the affective ratings for new stimuli between Brazilian and North-American subjects. Jornal Brasileiro De Psiquiatria, 57(4), 270–275. https://doi.org/10.1590/S0047-20852008000400008
Markovits, H., Trémolière, B., & Blanchette, I. (2018). Reasoning strategies modulate gender differences in emotion processing. Cognition, 170, 76–82. https://doi.org/10.1016/j.cognition.2017.09.012
NIMH. (2017). Prevalence of Any Anxiety Disorder Among Adults. Anhy Anxiety Disorders. https://www.nimh.nih.gov/health/statistics/prevalence/any-anxiety-disorder-among-adults.shtml
Olejnik, S., & Algina, J. (2003). Generalized Eta and omega squared statistics: measures of effect size for some common research designs. Psychological Methods, 8(4), 434–447. https://doi.org/10.1037/1082-989X.8.4.434
Orth, U., & Wieland, E. (2006). Anger, hostility, and posttraumatic stress disorder in trauma-exposed adults: A meta-analysis. Journal of Consulting and Clinical Psychology, 74(4), 698–706. https://doi.org/10.1037/0022-006X.74.4.698
Perez, G. H., Nicolau, J. C., Romano, B. W., & Laranjeira, R. (2005). Depressão e síndromes isquêmicas miocárdicas instáveis: Diferenças entre homens e mulheres. Arquivos Brasileiros De Cardiologia, 85(5), 319–326. https://doi.org/10.1590/S0066-782X2005001800004
Sabatinelli, D., Bradley, M. M., Fitzsimmons, J. R., & Lang, P. J. (2005). Parallel amygdala and inferotemporal activation reflect emotional intensity and fear relevance. NeuroImage, 24(4), 1265–1270. https://doi.org/10.1016/j.neuroimage.2004.12.015
Shepherd, J. K., Rodgers, R. J., Blanchard, R. J., Magee, L. K., & Blanchard, D. C. (1993). Ondansetron, gender and antipredator defensive behaviour. Journal of Psychopharmacology, 7(1), 72–81. https://doi.org/10.1177/026988119300700111
Smith, J. C. (2013). Effects of emotional exposure on state anxiety after acute exercise. Medicine & Science in Sports & Exercise, 45(2), 372–378. https://doi.org/10.1249/MSS.0b013e31826d5ce5
Smith, J. C., Bradley, M. M., & Lang, P. J. (2005). State anxiety and affective physiology: Effects of sustained exposure to affective pictures. Biological Psychology, 69(3), 247–260. https://doi.org/10.1016/j.biopsycho.2004.09.001
Spielberger, C. D. (2010). State-Trait Anger Expression Inventory. John Wiley & Sons, Inc. https://doi.org/10.1002/9780470479216.corpsy0942
Spielberger, C., Jacobs, G., Russell, S., & Crane, R. (1983). Assessment of anger: The state-trait anger scale. In J. N. Butcher & C. D. Spielberger (Eds.), Advances in personality assessment (pp. 159–187). Erlbaum.
Spielberger, C., & Biaggio, A. (1992) Manual do STAXI. Vetor
Spielberger, C., Gorsuch, R., & Lushene, R. (1970) Manual for the State-Trait Anxiety Inventory. In Consulting Psychologists Press
Spielberger, C., Gorsuch, R., Lushene, R., & Vagg, P. (1983) Manual for the State-Trait Anxiety Inventory. In Consulting Psychologists Press (p. 5)
Thom, N. J., O’Connor, P. J., Clementz, B. A., & Dishman, R. K. (2019). Acute exercise prevents angry mood induction but does not change angry emotions. Medicine and Science in Sports and Exercise, 51(7), 1451–1459. https://doi.org/10.1249/MSS.0000000000001922
Toman, O., Hnatkova, K., Smetana, P., Huster, K. M., Šišáková, M., Barthel, P., Novotný, T., Schmidt, G., & Malik, M. (2020). Physiologic heart rate dependency of the PQ interval and its sex differences. Scientific Reports, 10(1), 2551. https://doi.org/10.1038/s41598-020-59480-8
World Health Organization. (2017). Depression and Other Common Mental Disorders: Global Health Estimates.
Acknowledgements
TGC contributed to the acquisition, analysis, and interpretation of the data and article writing. All the other authors contributed to the conception of the work, data analysis and interpretation, article writing, critical revisions, and final approval of the content for publication, and are responsible for all aspects of the work. We thank the participants for their efforts and commitment to the research project. RLV is a productivity fellowship at the Fundação de Amparo à Pesquisa e Inovação do Espírito Santo (FAPES) agency (Edital No 18/2018-Bolsa Pesquisador Capixaba). CABL is a productivity fellowship at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ) agency (Grant Number 305276/2020-4).
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This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES) Finance Code 001.
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Costa, T.G., Duque, L., do Amaral, L.C. et al. Unpleasant Pictures Exposure Evokes Different Repercussion on Emotional State and Heart Rate Response in Healthy Women and Men. Appl Psychophysiol Biofeedback 47, 85–94 (2022). https://doi.org/10.1007/s10484-021-09532-0
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DOI: https://doi.org/10.1007/s10484-021-09532-0