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      Anxiety and perceptual-motor performance: toward an integrated model of concepts, mechanisms, and processes

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      Psychological Research
      Springer-Verlag

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          Abstract

          Under anxiety, people sometimes perform poorly. This concerns cognitive performance (e.g., taking an important exam) as well as perceptual-motor performance (e.g., picking up a cup from a table). There is still much debate about how anxiety affects perceptual-motor performance. In the current paper we review the experimental literature on anxiety and perceptual-motor performance, thereby focusing on how anxiety affects the perception, selection, and realization of action possibilities. Based on this review we discuss the merits of two opposing theoretical explanations and build on existing frameworks of anxiety and cognitive performance to develop an integrated model that explains the various ways in which anxiety may specifically affect perceptual-motor performance. This model distinguishes between positive and negative effects of anxiety and, moving beyond previous approaches, recognizes three operational levels (i.e., attentional, interpretational, and behavioral) at which anxiety may affect different aspects of goal-directed action. Finally, predictions are formulated and directions for future research suggested.

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          Most cited references64

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          Anxiety and Performance: The Processing Efficiency Theory

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            Neurocognitive mechanisms of anxiety: an integrative account.

            Anxiety can be hugely disruptive to everyday life. Anxious individuals show increased attentional capture by potential signs of danger, and interpret expressions, comments and events in a negative manner. These cognitive biases have been widely explored in human anxiety research. By contrast, animal models have focused upon the mechanisms underlying acquisition and extinction of conditioned fear, guiding exposure-based therapies for anxiety disorders. Recent neuroimaging studies of conditioned fear, attention to threat and interpretation of emotionally ambiguous stimuli indicate common amygdala-prefrontal circuitry underlying these processes, and suggest that the balance of activity within this circuitry is altered in anxiety, creating a bias towards threat-related responses. This provides a focus for future translational research, and targeted pharmacological and cognitive interventions.
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              Prefrontal cortical function and anxiety: controlling attention to threat-related stimuli.

              Threat-related stimuli are strong competitors for attention, particularly in anxious individuals. We used functional magnetic resonance imaging (fMRI) with healthy human volunteers to study how the processing of threat-related distractors is controlled and whether this alters as anxiety levels increase. Our work builds upon prior analyses of the cognitive control functions of lateral prefrontal cortex (lateral PFC) and anterior cingulate cortex (ACC). We found that rostral ACC was strongly activated by infrequent threat-related distractors, consistent with a role for this area in responding to unexpected processing conflict caused by salient emotional stimuli. Participants with higher anxiety levels showed both less rostral ACC activity overall and reduced recruitment of lateral PFC as expectancy of threat-related distractors was established. This supports the proposal that anxiety is associated with reduced top-down control over threat-related distractors. Our results suggest distinct roles for rostral ACC and lateral PFC in governing the processing of task-irrelevant, threat-related stimuli, and indicate reduced recruitment of this circuitry in anxiety.
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                Author and article information

                Contributors
                +31-20-5985136 , +31-20-5988529 , a.nieuwenhuys@vu.nl
                r.oudejans@vu.nl
                Journal
                Psychol Res
                Psychol Res
                Psychological Research
                Springer-Verlag (Berlin/Heidelberg )
                0340-0727
                1430-2772
                29 October 2011
                29 October 2011
                November 2012
                : 76
                : 6
                : 747-759
                Affiliations
                Research Institute MOVE, Faculty of Human Movement Sciences, VU University Amsterdam, Van der Boechorstraat 9, 1081 BT Amsterdam, The Netherlands
                Article
                384
                10.1007/s00426-011-0384-x
                3470682
                22038472
                977c8823-0fbd-4916-9596-460e4f72b296
                © The Author(s) 2011
                History
                : 9 March 2011
                : 11 October 2011
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag Berlin Heidelberg 2012

                Clinical Psychology & Psychiatry
                Clinical Psychology & Psychiatry

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