Evaluating the Association of High Trait Anxiety With a Bias in Familiarity-Based Recognition of Emotional Stimuli

Abstract

<jats:p> Abstract. In the past decades the role of cognitive biases as maintaining factors of anxiety has been widely researched. This theoretical framework assumes that vulnerability self-referential thoughts promote a hyper-vigilant mode of processing environmental stimuli. In this mode, threatening information increases attentional capture and therefore encoding and retrieval of such stimuli is enhanced. Although this attentional bias has been confirmed, the evidence concerning the memory bias is contradictory. Our hypothesis is that the bias in memory is expressed through the pattern of recognition. Particularly, the aim of this study was to evaluate the association of anxiety with familiarity, a deficient form of recognition which consists only in the identification of the item without retrieval of contextual information. Two groups of 17 participants with low and high anxiety levels performed an experimental task of visual recognition memory, using neutral, positive, and negative pictures. The experiment had two test phases, with a 24-hour interval, to evaluate possible effects of consolidation. The pattern of recognition was measured, behaviorally (through an independent Remember/Know paradigm) and through event-related potentials (ERP). Participants with higher levels of anxiety developed a bias in recognition of arousing stimuli (positive and negative) compared with the control group. This bias was observed behaviorally through an increase of familiarity-based recognition, and was associated with a positive modulation of a right parietal late positive component (LPC) at approximately 600 ms of latency. Participants with higher levels of anxiety are capable of recognizing arousing stimuli but lack efficiency in retrieving past contextual information compared to lower level anxiety participants. A recognition bias can be the first step in cognitive distortions that generate anxiety. This is, to our knowledge, the first study to explore the association of anxiety with familiarity-based recognition, using an independent Remember/Know paradigm combined with electrophysiological data. Further studies with bigger samples and more recording channels are needed to confirm the electrophysiological findings. </jats:p>