Emotional dampening in hypertension: Impaired recognition of implicit emotional content in auditory and cross-modal stimuli
Meenakshi Shukla, Rakesh Pandey
Emotional dampening in hypertension: Impaired recognition of implicit emotional content in auditory and cross-modal stimuli
Research shows a reduced responsivity to implicit as well as explicit facial emotion recognition (emotional dampening) in prehypertensives and hypertensives. This study explored auditory and audiovisual emotion recognition in prehypertensives and hypertensives. Participants (N = 175) who were normotensives, prehypertensives, and hypertensives (n = 57, 58, and 60, respectively) completed an auditory implicit task (matching auditory target with auditory distractors) and two cross-modal implicit tasks (matching visual target with auditory distractors, and vice-versa), and an auditory explicit task (labelling emotions in audio-clips). Findings showed an aberrant speed–accuracy trade-off, where prehypertensives focused more on accuracy at the cost of speed while hypertensives showed the opposite. Discriminant function analysis revealed that blood pressure (BP)-associated emotional dampening is a highly specific but moderately sensitive correlate of hypertension. Our study highlights that prehypertensives and hypertensives demonstrate emotional dampening in implicit (but not explicit) auditory emotion recognition and a greater deficit for auditory than visual recognition of implicit emotions. Findings show emotional dampening as an observable correlate of elevated BP and hypertension.
emotional dampening / explicit / hypertension / implicit / prehypertension
[1] |
Alexander, F. (1939). Psychological aspects of medicine. Psychosomatic Medicine, 1, 7–18.
CrossRef
Google scholar
|
[2] |
Aslam, M., & Alghamdi, N. G. (2017). Anger and interpersonal relationships: Social life in adolescence. European Online Journal of Natural and Social Sciences, 6(2), 221–227.
|
[3] |
Bruehl, S., & Chung, O. Y. (2004). Interactions between the cardiovascular and pain regulatory systems: an updated review of mechanisms and possible alterations in chronic pain. Neuroscience & Biobehavioral Reviews, 28(4), 395–414.
CrossRef
Google scholar
|
[4] |
Cepeda, N. J., & Munakata, Y. (2007). Why do children perseverate when they seem to know better: Graded working memory, or directed inhibition? Psychonomic Bulletin & Review, 14(6), 1058–1065.
CrossRef
Google scholar
|
[5] |
Charkoudian, N., & Rabbitts, J. A. (2009). Sympathetic neural mechanisms in human cardiovascular health and disease. Mayo Clinic Proceedings, 84(9), 822–830.
CrossRef
Google scholar
|
[6] |
Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jr., Jones, D. W., Materson, B. J., Oparil, S., Wright, J. T., Jr., Roccella, E. J., & The National High Blood Pressure Education Program Coordinating Committee. (2003). The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report. The Journal of the American Medical Association, 289(19), 2560–2572.
CrossRef
Google scholar
|
[7] |
Elbert, T., Dworkin, B. R., Rau, H., Pauli, P., Birbaumer, N., Droste, C., & Brunia, C. H. M. (1994). Sensory effects of baroreceptor activation and perceived stress together predict long-term blood pressure elevations. International Journal of Behavioral Medicine, 1(3), 215–228.
CrossRef
Google scholar
|
[8] |
Elfenbein, H. A., & Ambady, N. (2002). Is there an in-group advantage in emotion recognition? Psychological Bulletin, 128(2), 203–235.
CrossRef
Google scholar
|
[9] |
Friedman, N. P., & Miyake, A. (2004). The relations among inhibition and interference control functions: a latent-variable analysis. Journal of Experimental Psychology: General, 133(1), 101–135.
CrossRef
Google scholar
|
[10] |
Greiner, M., Pfeiffer, D., & Smith, R. D. (2000). Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Preventive Veterinary Medicine, 45(1–2), 23–41.
CrossRef
Google scholar
|
[11] |
Ihle, A., Gouveia, É. R., Gouveia, B. R., Freitas, D. L., Jurema, J., Machado, F. T., & Kliegel, M. (2017). The relation of hypertension to performance in immediate and delayed cued recall and working memory in old age: The role of cognitive reserve. Journal of Aging and Health, 30, 1171–1187.
CrossRef
Google scholar
|
[12] |
Jonas, B. S., Franks, P., & Ingram, D. D. (1997). Are symptoms of anxiety and depression risk factors for hypertension? Longitudinal evidence from the National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. Archives of Family Medicine, 6(1), 43–49.
CrossRef
Google scholar
|
[13] |
Kanade, T., Cohn, J. F., & Tian, Y. (2000). Comprehensive database for facial expression analysis. In Proceedings of the Fourth IEEE International Conference on Automatic Face and Gesture Recognition (FG'00) (pp. 46–53). Institute of Electrical and Electronics Engineers.
|
[14] |
Khairnar, M., Kumar, P., & Kusumakar, A. (2021). Updated BG prasad socioeconomic status classification for the year 2021. Journal of Indian Association of Public Health Dentistry, 19(2), 155.
CrossRef
Google scholar
|
[15] |
Koolagudi, S. G., Reddy, R., Yadav, J., & Rao, K. S. (2011). IITKGP-SEHSC: Hindi speech corpus for emotion analysis. In Devices and Communications (ICDeCom), 2011 International Conference on (pp. 1–5). IEEE.
|
[16] |
Kougias, P., Weakley, S. M., Yao, Q., Lin, P. H., & Chen, C. (2010). Arterial baroreceptors in the management of systemic hypertension. Medical Science Monitor, 16(1), RA1-RA8.
|
[17] |
Krousel-Wood, M. A., & Frohlich, E. D. (2010). Hypertension and depression: coexisting barriers to medication adherence. The Journal of Clinical Hypertension, 12(7), 481–486.
CrossRef
Google scholar
|
[18] |
Loveless, J. P., Nicoletta, A. J., Winters, A. R., Carels, R. A., Wuensch, K. L., Whited, M. C., McCubbin, J. A., & Everhart, D. E. (2018). Exploring the relationship between frontal asymmetry and emotional dampening. International Journal of Psychophysiology, 123, 8–16.
CrossRef
Google scholar
|
[19] |
Lucey, P., Cohn, J. F., Kanade, T., Saragih, J., Ambadar, Z., & Matthews, I. (2010). The Extended Cohn-Kanade Dataset (CK+): A complete expression dataset for action unit and emotion-specified expression. In Proceedings of the Third International Workshop on CVPR for Human Communicative Behavior Analysis (CVPR4HB 2010) (pp. 94–101). Institute of Electrical and Electronics Engineers.
|
[20] |
Markovitz, J. H., Matthews, K. A., Wing, R. R., Kuller, L. H., & Meilahn, E. N. (1991). Psychological, biological and health behavior predictors of blood pressure changes in middle-aged women. Journal of Hypertension, 9(5), 399–406.
CrossRef
Google scholar
|
[21] |
McCubbin, J. A., Helfer, S. G., Switzer, F. S., III, Galloway, C., & Griffith, W. V. (2006). Opioid analgesia in persons at risk for hypertension. Psychosomatic Medicine, 68(1), 116–120.
CrossRef
Google scholar
|
[22] |
McCubbin, J. A., Loveless, J. P., Graham, J. G., Hall, G. A., Bart, R. M., Moore, D. D., Merritt, M. M., Lane, R. D., & Thayer, J. F. (2014). Emotional Dampening in Persons with Elevated Blood Pressure: Affect Dysregulation and Risk for Hypertension. Annals of Behavioral Medicine, 47(1), 111–119.
CrossRef
Google scholar
|
[23] |
McCubbin, J. A., Merritt, M. M., Sollers, J. J., 3rd, Evans, M. K., Zonderman, A. B., Lane, R. D., & Thayer, J. F. (2011). Cardiovascular emotional dampening: the relationship between blood pressure and recognition of emotion. Psychosomatic Medicine, 73(9), 743–750.
CrossRef
Google scholar
|
[24] |
McCubbin, J. A., Nathan, A., Hibdon, M. A., Castillo, A. V., Graham, J. G., & Switzer, F. S., III. (2018). Blood pressure, emotional dampening, and risk behavior: implications for hypertension development. Psychosomatic Medicine, 80(6), 544–550.
CrossRef
Google scholar
|
[25] |
McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England Journal of Medicine, 338(3), 171–179.
CrossRef
Google scholar
|
[26] |
Mini, A., Rau, H., Montoya, P., Palomba, D., & Birbaumer, N. (1995). Baroreceptor cortical effects, emotions and pain. International Journal of Psychophysiology, 19(1), 67–77.
CrossRef
Google scholar
|
[27] |
Oparil, S., Zaman, M. A., & Calhoun, D. A. (2003). Pathogenesis of hypertension. Annals of Internal Medicine, 139(9), 761–776.
CrossRef
Google scholar
|
[28] |
Patel, V., & Jain, A. (2017). Assessment of emotional intelligent in hypertensive adults and normal adults: a comparative study. Journal of Advanced Medical and Dental Sciences Research, 5(7), 9–12.
CrossRef
Google scholar
|
[29] |
Pury, C. L. S., McCubbin, J. A., Helfer, S. G., Galloway, C., & McMullen, L. J. (2004). Elevated resting blood pressure and dampened emotional response. Psychosomatic Medicine, 66(4), 583–587.
CrossRef
Google scholar
|
[30] |
Rau, H., Brody, S., Larbig, W., Pauli, P., Vöhringer, M., Harsch, B., Kröling, P., & Birbaumer, N. (1994). Effects of PRES baroreceptor stimulation on thermal and mechanical pain threshold in borderline hypertensives and normotensives. Psychophysiology, 31(5), 480–485.
CrossRef
Google scholar
|
[31] |
Sabu, P., Stuldreher, I. V., Kaneko, D., & Brouwer, A. M. (2022). A review on the role of affective stimuli in event-related frontal alpha asymmetry. Frontiers in Computer Science, 4, 869123.
CrossRef
Google scholar
|
[32] |
Shukla, M. (2018). Emotion recognition as a unitary construct independent of sensory modality and level of processing. In Evidence from a novel emotion recognition test battery [Conference presentation]. 4th International Conference of Indian Academy of Health Psychology (ICIAHP-2018). Indian Academy of Health Psychology.
|
[33] |
Shukla, M., Lau, J. Y. F., Lissek, S., Pandey, R., & Kumari, V. (2020). Reduced emotional responsiveness in individuals with marginal elevation in blood pressure within the normal range: Evidence from altered affect-modulated startle response. Int J Psychophysiol, 153, 18–26.
CrossRef
Google scholar
|
[34] |
Shukla, M., Pandey, R., Jain, D., & Lau, J. Y. F. (2018). Poor Emotional Responsiveness in Clinical Hypertension: Reduced Accuracy in the Labelling and Matching of Emotional Faces amongst Individuals with Hypertension and Prehypertension. Psychology and Health, 33(6), 1–18.
CrossRef
Google scholar
|
[35] |
Shukla, M., Pandey, R., & Lau, J. Y. F. (2019). Assessing emotional processing difficulties in normotensive individuals with high and isolated blood pressure elevations. International Journal of Psychology, 54(2), 214–222.
CrossRef
Google scholar
|
[36] |
Weinberger, J., Kelner, S., & McClelland, D. (1997). The effects of subliminal symbiotic stimulation on free-response and self-report mood. Journal of Nervous and Mental Disease, 185(10), 599–605.
CrossRef
Google scholar
|
[37] |
Yan, L. L., Liu, K., Matthews, K. A., Daviglus, M. L., Ferguson, T. F., & Kiefe, C. I. (2003). Psychosocial factors and risk of hypertension: the Coronary Artery Risk Development in Young Adults (CARDIA) study. Journal of the American Medical Association, 290(16), 2138–2148.
CrossRef
Google scholar
|
[38] |
Yang, Y. C., Boen, C., & Mullan Harris, K. (2015). Social relationships and hypertension in late life: evidence from a nationally representative longitudinal study of older adults. Journal of Aging and Health, 27(3), 403–431.
CrossRef
Google scholar
|
[39] |
Zhang, Y., Chen, Y., & Ma, L. (2018). Depression and cardiovascular disease in elderly: current understanding. Journal of Clinical Neuroscience, 47, 1–5.
CrossRef
Google scholar
|
[40] |
Zhu, T., Xue, J., & Chen, S. (2019). Social support and depression related to older adults' hypertension control in rural China. The American Journal of Geriatric Psychiatry, 27(11), 1268–1276.
CrossRef
Google scholar
|
/
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