Papers by Carien van Reekum
Neuroscience & Biobehavioral Reviews, 2018
Reading's research outputs online Commentary on fear extinction in the human brain: A meta-analys... more Reading's research outputs online Commentary on fear extinction in the human brain: A meta-analysis of fMRI studies in healthy participants.

Psychophysiology, 2007
To examine the basis of emotional changes to the voice, physiological and electroglottal measures... more To examine the basis of emotional changes to the voice, physiological and electroglottal measures were combined with acoustic speech analysis of 30 men performing a computer task in which they lost or gained points under two levels of difficulty. Predictions of the main effects of difficulty and reward on the voice were not borne out by the data. Instead, vocal changes depended largely on interactions between gain versus loss and difficulty. The rate at which the vocal folds open and close (fundamental frequency; f 0) was higher for loss than for gain when difficulty was high, but not when difficulty was low. Electroglottal measures revealed that f 0 changes corresponded to shorter glottal open times for the loss conditions. Longer closed and shorter open phases were consistent with raised laryngeal tension in difficult loss conditions. Similarly, skin conductance indicated higher sympathetic arousal in loss than gain conditions, particularly when difficulty was high. The results provide evidence of the physiological basis of affective vocal responses, confirming the utility of measuring physiology and voice in the study of emotion.
Nature Human Behaviour
Research over the past decades has demonstrated the explanatory power of emotions, feelings, moti... more Research over the past decades has demonstrated the explanatory power of emotions, feelings, motivations, moods, and other affective processes when trying to understand and predict how we think and behave. In this consensus article, we ask: has the increasingly recognized impact of affective phenomena ushered in a new era, the era of affectivism?

Difficulty updating threat associations to safe associations has been observed in individuals who... more Difficulty updating threat associations to safe associations has been observed in individuals who score high in self-reported Intolerance of Uncertainty (IU). Here we sought to determine whether an instruction based on fundamental principles of Cognitive Behavioural Therapy (CBT) could promote safety learning in individuals with higher levels of IU. We measured skin conductance response (SCR), pupil dilation and expectancy ratings during an associative threat learning task in which participants either received a cognitive behavioural instruction (CB) or no instruction prior to threat extinction (n = 92). Analyses with IU as a grouping factor revealed IU-related differences in SCR. During threat extinction, low IU no instruction, high IU no instruction and high IU CB instruction groups showed greater SCR to learned threat vs. safety cues. Only the low IU CB instruction group displayed no difference in SCR to the learned threat and safety cues during threat extinction. Discussion. The...

Journal of Experimental Psychopathology
Intolerance of uncertainty (IU) is associated with difficulty in updating contingencies from thre... more Intolerance of uncertainty (IU) is associated with difficulty in updating contingencies from threatening to safe during extinction learning. However, it is unknown whether high IU individuals have difficulty (1) generally with updating threat to safe associations when contingencies change or (2) specifically with updating threat to safe associations during extinction learning, where direct threat is omitted. To address this question, we recorded IU, expectancy ratings, and skin conductance in 44 healthy participants during an associative learning paradigm, where threat and safety contingencies were reversed. During acquisition and reversal, we observed larger skin conductance response (SCR) magnitude and expectancy ratings for threat versus safety cues. However, during reversal, higher IU was associated with larger SCR magnitude to new threat versus new safety cues, compared with lower IU. These results were specific to IU-related variance, over shared variance with trait anxiety (State-Trait Anxiety Inventory, Trait Version). Overall, these findings suggest that individuals high in IU are able to reverse threat and safety associations in the presence of direct threat. Such findings help us understand the recently revealed link between IU and threat extinction, where direct threat is absent. Moreover, these findings highlight the potential relevance of IU in clinical intervention and treatment for anxiety disorders.

Behaviour Research and Therapy
Extinction-resistant threat is considered to be a central feature of pathological anxiety. Reduce... more Extinction-resistant threat is considered to be a central feature of pathological anxiety. Reduced threat extinction is observed in individuals with high intolerance of uncertainty (IU). Here we sought to determine whether contingency instructions could alter the course of threat extinction for individuals high in IU. We tested this hypothesis in two identical experiments (Exp 1 n = 60, Exp 2 n = 82) where we recorded electrodermal activity during threat acquisition with partial reinforcement, and extinction. Participants were split into groups based on extinction instructions (instructed, uninstructed) and IU score (low, high). All groups displayed larger skin conductance responses to learned threat versus safety cues during threat acquisition, indicative of threat conditioning. In both experiments, only the uninstructed high IU groups displayed larger skin conductance responses to the learned threat versus safety cue during threat extinction. These findings suggest that uncertain threat during extinction maintains conditioned responding in individuals high in IU. Keywords: Instructed; Intolerance of uncertainty; Skin conductance; Threat conditioning; Threat extinction.

Biological Psychology
Pervasive avoidance behaviour is a core feature of anxiety disorders. However, little is known ab... more Pervasive avoidance behaviour is a core feature of anxiety disorders. However, little is known about how the availability of avoidance modulates learned threat responding. To assess this question, we recorded avoidance behaviour, electrodermal activity and expectancy ratings in 53 healthy participants during an associative learning paradigm with embedded unavoidable and avoidable trials. When avoidance was available, we observed greater avoidance behaviour for threat versus safety cues, as well as reduced differential skin conductance responses for unavoidable threat versus safety cues. When avoidance was unavailable, as during the extinction phase, we observed sustained differential skin conductance responses for threat versus safety cues. For all phases, we found greater expectancy ratings for threat versus safe cues. Furthermore, greater avoidance behaviour predicted larger differential skin conductance responses to threat versus safety cues during extinction. Overall, the results show that the conditioned response is attenuated during situations where avoidance is available, but it recovers when avoidance is unavailable, subsequently prolonging threat extinction.

Extinction-resistant threat is considered to be a central feature of pathological anxiety. Reduce... more Extinction-resistant threat is considered to be a central feature of pathological anxiety. Reduced threat extinction is observed in individuals with high intolerance of uncertainty (IU). Here we sought to determine whether contingency instructions could alter the course threat extinction for individuals high in IU. We tested this hypothesis in two identical experiments (Exp 1 n = 60, Exp 2 n = 82) where we recorded electrodermal activity during threat acquisition with partial reinforcement, and extinction. Participants were split into groups based on extinction instructions (instructed, uninstructed) and IU score (low, high). All groups displayed larger skin conductance responses to learned threat versus safety cues during threat acquisition, indicative of threat conditioning. In both experiments, only the uninstructed high IU groups displayed larger skin conductance responses to the learned threat versus safety cue during threat extinction. These findings suggest that uncertain thr...

Current behavioral neuroscience reports, 2016
Research on psychological well-being in later life has identified strengths and vulnerabilities t... more Research on psychological well-being in later life has identified strengths and vulnerabilities that occur with aging. We review the conceptual and philosophical foundations of a eudaimonic model of well-being and its empirical translation into six key dimensions of positive functioning. We also consider its implications for health, broadly defined. Numerous findings from national longitudinal samples of U.S. adults are described. They show declining scores on purpose in life and personal growth with aging, but also underscore the notable variability among older persons in these patterns. Recently, health benefits have been identified among older adults who maintain high levels of a particular aspect of well-being, namely, purposeful life engagement. These benefits include extended longevity, reduced risk for various disease outcomes, reduced physiological dysregulation, and gene expression linked to better inflammatory profiles. The brain mechanisms that underlie such outcomes are ...

Psychoneuroendocrinology, 2017
Frontal EEG asymmetry is thought to reflect variations in affective style, such that greater rela... more Frontal EEG asymmetry is thought to reflect variations in affective style, such that greater relative right frontal activity at rest predicts enhanced emotional responding to threatening or negative stimuli, and risk of depression and anxiety disorders. A diathesis-stress model has been proposed to explain how this neuro-affective style might predispose to psychopathology, with greater right frontal activity being a vulnerability factor especially under stressful conditions. Less is known about the extent to which greater relative right frontal activity at rest might be associated with or be a diathesis for deleterious physical health outcomes. The present study examined the association between resting frontal EEG asymmetry and systemic, low-grade inflammation and tested the diathesis-stress model by examining whether childhood maltreatment exposure interacts with resting frontal asymmetry in explaining inflammation. Resting EEG, serum inflammatory biomarkers (interleukin-6, C-react...
Cognition & Emotion, 2014
Cognition & Emotion, 1999
... Requests for reprints should be sent to Carien van Reekum, whose present address is FPSE, Sec... more ... Requests for reprints should be sent to Carien van Reekum, whose present address is FPSE, Section Psychology, UniversiteÂde GeneÁve, 9 route de Drize, CH-1227 Carouge-GeneÁve, Switzerland; e-mail: [email protected] This study was completed by C. vR and H ...

Networks in the prefrontal cortex (PFC) that are important for executive function are also engage... more Networks in the prefrontal cortex (PFC) that are important for executive function are also engaged in adaptive responding to negative events. These networks are particularly vulnerable to age-related structural atrophy and an associated loss of executive function, yet existing evidence suggests preserved emotion processing ability in aging. Using longitudinally acquired data from a battery of cognitive tasks, we defined a metric for the rate of decline of executive function. With this metric, we investigated relationships between changes in executive function and emotion reappraisal ability and brain structure, in older adults using functional and structural MRI. During task-based fMRI, participants were asked to cognitively reappraise negatively valenced images. We hypothesised one of two associations with decreasing executive function over time: 1) a decreased ability to reappraise reflected in decreased PFC and increased amygdala activation, or 2) a neural compensation mechanism ...

Recent evidence suggests that individual differences in intolerance of uncertainty (IUS) are asso... more Recent evidence suggests that individual differences in intolerance of uncertainty (IUS) are associated with disrupted threat extinction. However, it is unknown what maintains the learned threat association in high IUS individuals: is it the experienced uncertainty during extinction or the combination of experienced uncertainty with potential threat during extinction? Here we addressed this question by running two independent experiments with uncertain auditory stimuli that varied in threat level (Experiment 1, aversive human scream (n = 30); Experiment 2, neutral tone (n = 47) and mildly aversive tone (n = 49)). During the experiments, we recorded skin conductance responses and subjective ratings to the learned cues during acquisition and extinction. In experiment 1, high IUS was associated with heightened skin conductance responding to the learned threat vs. safe cue during extinction. In experiment 2, high IUS was associated only with larger skin conductance responding to the learned cues with more threatening properties during extinction i.e. mildly aversive tone. These findings suggest that uncertainty in combination with threat, even when mild, disrupts extinction in high IUS individuals. Such findings help us understand the link between IUS and threat extinction, and its relevance to anxiety disorder pathology.
Keywords: Acquisition; Extinction; Intolerance of uncertainty; Skin conductance; Threat.

Abstract
Uncertainty is often inevitable in everyday life and can be both stressful and exciting.... more Abstract
Uncertainty is often inevitable in everyday life and can be both stressful and exciting. Given its relevance to psychopathology and wellbeing, recent research has begun to address the brain basis of uncertainty. In the current review we examined whether there are discrete and shared neural signatures for different uncertain contexts. From the literature we identified three broad categories of uncertainty currently empirically studied using functional MRI (fMRI): basic threat and reward uncertainty, decision-making under uncertainty, and associative learning under uncertainty. We examined the neural basis of each category by using a coordinate based meta-analysis, where brain activation foci from previously published fMRI experiments were drawn together (1998–2017; 87 studies). The analyses revealed shared and discrete patterns of neural activation for uncertainty, such as the insula and amygdala, depending on the category. Such findings will have relevance for researchers attempting to conceptualise uncertainty, as well as clinical researchers examining the neural basis of uncertainty in relation to psychopathology.

Emotional reactivity and recovery are crucial for maintaining well-being. It remains unknown, how... more Emotional reactivity and recovery are crucial for maintaining well-being. It remains unknown, however, to what extent emotion modulates the time course of recovery assessed using a simple categorization task and how this varies based on individual differences in worry. To address these questions, 35 participants viewed emotional pictures, followed by abstract greeble targets, which were to be categorized. Greebles were presented between 100 ms and 4,000 ms after picture offset. Physiological measures including skin conductance level and the corrugator supercilii were recorded and served as indicators of responsivity to emotional pictures. Measures of reaction time (RT) and accuracy scores were taken as indicators of the impact of emotion on facilitation or interference to the greeble target. Effects of interference and facilitation were observed up to 4,000 ms after emotional pictures on RT and accuracy scores. High worry was associated with greater (1) corrugator supercilii and skin conductance level to negative versus positive and neutral pictures and (2) interference from emotional pictures on accuracy scores. Overall, these findings suggest that subsequent processing is still impacted up to 4,000 ms after the offset of emotional pictures, particularly for negative events in individuals with high worry.
Cognition & emotion, 2016
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Papers by Carien van Reekum
Keywords: Acquisition; Extinction; Intolerance of uncertainty; Skin conductance; Threat.
Uncertainty is often inevitable in everyday life and can be both stressful and exciting. Given its relevance to psychopathology and wellbeing, recent research has begun to address the brain basis of uncertainty. In the current review we examined whether there are discrete and shared neural signatures for different uncertain contexts. From the literature we identified three broad categories of uncertainty currently empirically studied using functional MRI (fMRI): basic threat and reward uncertainty, decision-making under uncertainty, and associative learning under uncertainty. We examined the neural basis of each category by using a coordinate based meta-analysis, where brain activation foci from previously published fMRI experiments were drawn together (1998–2017; 87 studies). The analyses revealed shared and discrete patterns of neural activation for uncertainty, such as the insula and amygdala, depending on the category. Such findings will have relevance for researchers attempting to conceptualise uncertainty, as well as clinical researchers examining the neural basis of uncertainty in relation to psychopathology.
Keywords: Acquisition; Extinction; Intolerance of uncertainty; Skin conductance; Threat.
Uncertainty is often inevitable in everyday life and can be both stressful and exciting. Given its relevance to psychopathology and wellbeing, recent research has begun to address the brain basis of uncertainty. In the current review we examined whether there are discrete and shared neural signatures for different uncertain contexts. From the literature we identified three broad categories of uncertainty currently empirically studied using functional MRI (fMRI): basic threat and reward uncertainty, decision-making under uncertainty, and associative learning under uncertainty. We examined the neural basis of each category by using a coordinate based meta-analysis, where brain activation foci from previously published fMRI experiments were drawn together (1998–2017; 87 studies). The analyses revealed shared and discrete patterns of neural activation for uncertainty, such as the insula and amygdala, depending on the category. Such findings will have relevance for researchers attempting to conceptualise uncertainty, as well as clinical researchers examining the neural basis of uncertainty in relation to psychopathology.