Effectiveness of the level of personal relevance of visual autobiographical stimuli in the induction of positive emotions in young and older adults: pilot study protocol for a randomized controlled trial

Dolores Fernández, Laura Ros, Roberto Sánchez-Reolid, Jorge Javier Ricarte, José Miguel Latorre, Dolores Fernández, Laura Ros, Roberto Sánchez-Reolid, Jorge Javier Ricarte, José Miguel Latorre

Abstract

Background: The ability to retrieve specific memories is a cognitive and emotional protective factor. Among the most effective techniques to generate autobiographical memories is the use of audio-visual stimuli, particularly images. Developing and improving techniques that facilitate the generation of such memories could be highly effective in the prevention of depressive symptoms, especially in the elderly population. The aim of the present study is to examine how the level of personal relevance of pictures as autobiographical memory cues to induce positive emotions may affect an individual's emotion regulation.

Methods: The participants, 120 older adults aged 65 and over and 120 young adults aged between 18 and 35, of both sexes and without depressive symptoms, will be induced to a negative mood state by means of viewing a film clip. Following the negative mood induction, the participants will be shown positive images according to experimental group to which they were randomly assigned (high personal relevance: personal autobiographical photographs; medium personal relevance: pictures of favourite locations associated with specific positive autobiographical memories; and low personal relevance: positive images from the International Affective Picture System). We will analyse the differences in subjective (responses to questionnaires) and objectives measures (EEG signal, heart rate variability and electrodermal activity) between the groups before and after the induction of negative affect and following the recall of positive memories.

Discussion: The use of images associated with specific positive autobiographical memories may be an effective input for inducing positive mood states, which has potentially important implications for their use as a cognitive behavioural technique to treat emotional disorders, such as depression, which are highly prevalent among older adults.

Trial registration: ClinicalTrials.gov NCT04251104 . Registered on 30 January 2020.

Keywords: Ageing; Autobiographical memories; Emotion regulation; Images; Mood induction; Personal relevance.

Figures

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Fig. 1
Randomization phase
Fig. 2
Fig. 2
Experimental phase

References

    1. Craven MA, Bland R. Depression in primary care: current and future challenges. Can J Psychiatr. 2013;58:442–448.
    1. Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, de Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med. 2011;9:90.
    1. Blazer DG. Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci. 2003;58:249–265.
    1. Damián J, Pastor-Barriuso R, Valderrama-Gama E. Descriptive epidemiology of undetected depression in institutionalized older people. J Am Med Dir Assoc. 2010;11:312–319.
    1. Bjorklof GH, Engedal K, Selbaek G, Kouwenhoven SE, Helvik AS. Coping and depression in old age: a literature review. Dement Geriatr Cogn Disord. 2013;35:121–154.
    1. Gould RL, Coulson MC, Howard RJ. Cognitive behavioral therapy for depression in older people: a meta-analysis and meta-regression of randomized controlled trials. J Am Geriatr Soc. 2012;60:1817–1830.
    1. Van der Weele GM, Gussekloo J, De Waal MW, De Craen AJ, Van der Mast RC. Co-occurrence of depression and anxiety in elderly subjects aged 90 years and its relationship with functional status, quality of life and mortality. Int J Geriatr Psychiatry. 2009;24:595–601.
    1. Berking M, Orth U, Wupperman P, Meier LL, Caspar F. Prospective effects of emotion-regulation skills on emotional adjustment. J Couns Psychol. 2008;55:485–494.
    1. Carstensen LL, Löckenhoff C. Aging, emotion and evolution: the bigger picture. Ann N Y Acad Sci. 2003;1000:152–179.
    1. Carstensen LL, Mikels JA, Mather M. Aging and the intersection of cognition, motivation, and emotion. In: Birren J, Schaie KW, editors. Handbook of the psychology of aging. San Diego: Academic; 2006. pp. 343–362.
    1. Charles ST, Luong G. Emotional experience across adulthood: the theoretical model of strength and vulnerability integration. Curr Dir Psychol Sci. 2013;22:443–448.
    1. Ros L, Latorre JM. Gender and age differences in the recall of affective autobiographical memories using the autobiographical memory test. Pers Individ Dif. 2010;49:950–954.
    1. D’Argembeau A, Comblain C, Van der Linden M. Affective valence and the self-reference effect: influence of retrieval conditions. Br J Psychol. 2005;96:457–466.
    1. Gallo DA, Korthauer LE, McDonough IM, Teshale S, Johnson EL. Age-related positivity effects and autobiographical memory detail: evidence from past/future source memory task. Memory. 2011;19:641–652.
    1. Lohani M, Isaacowitz DM. Age differences in managing response to sadness elicitors using attentional deployment, positive reappraisal, and suppresion. Cogn Emot. 2014;28:678–697.
    1. Allard ES, Kensinger EA. Cognitive emotion regulation in adulthood and old age: positive gaze preferences across two strategies. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2018;25:213–230.
    1. Martins B, Ponzio A, Velasco R, Kaplan J, Mather M. Dedifferentitation of emotion regulation strategies in the aging brain. Soc Cogn Affect Neurosci. 2015;10:840–847.
    1. Carretero LM, Latorre JM, Fernández D, Barry TJ, Ricarte JJ. Effects of positive personal and non-personal autobiographical stimuli on emotional regulation in older adults. Aging Clin Exp Res. 2020;32:157–164.
    1. Latorre JM, Ricarte JJ, Serrano JP, Ros L, Navarro B, Aguilar MJ. Performance in autobiographical memory of older adults with depression symptoms. Appl Cogn Psychol. 2013;27:167–172.
    1. Serrano JP, Latorre JM, Gatz M, Montanes J. Life review therapy using autobiographical retrieval practice for older adults with depressive symptomatology. Psychol Aging. 2004;19:270–277.
    1. Raes F, Williams JMG, Hermans D. Reducing cognitive vulnerability to depression: a preliminary investigation of Memory Specificity Training (MEST) in inpatients with depressive symptomatology. J Behav Ther Exp Psychiatry. 2009;40:24–38.
    1. Leahy F, Ridout N, Mushtaq F, Holland C. Improving specific autobiographical memory in older adults: impacts on mood, social problem solving, and functional limitations. Aging Neuropsychol Cogn. 2018;25:695–723.
    1. Joormann J, Siemer M. Memory accessibility, mood regulation, and dysphoria: difficulties in repairing sad mood with happy memories? J Abnorm Psychol. 2004;113:179–188.
    1. Joormann J, Siemer M, Gotlib IH. Mood regulation in depression: differential effects of distraction and recall of happy memories on sad mood. J Abnorm Psychol. 2007;116:484–490.
    1. Williams JMG, Barnhofer T, Crane C, Herman D, Raes F, Watkins E, et al. Autobiographical memory specificity and emotional disorder. Psychol Bull. 2007;133:122–148.
    1. Latorre JM, Serrano JP, Ricarte JJ, Bonete B, Ros L, Sitges E. Life review based on remembering specific positive events in active aging. J Aging Health. 2015;27:140–157.
    1. Blagov PS, Singer JA. Four dimensions of self-defining memories (specificity, meaning, content, and affect) and their relationships to self-restraint, distress, and repressive defensiveness. J Pers. 2004;72:481–511.
    1. Thorne A, McLean KC, Lawrence AM. When remembering is not enough: reflecting on self-defining memories in late adolescence. J Pers. 2004;72:513–541.
    1. Singer J, Rexhaj B, Baddeley J. Older, wiser, and happier? Comparing older adults’ and college students’ self-defining memories. Memory. 2007;15:886–898.
    1. Jallais C, Gilet AL. Inducing changes in arousal and valence: comparison of two mood induction procedures. Behav Res Methods. 2010;42:318–325.
    1. Zhang X, Yu HW, Barrett LF. How does this make you feel? A comparison of four affect induction procedures. Front Psychol. 2014;5:689.
    1. Westermann R, Spies K, Stahl G, Hesse FW. Relative effectiveness and validity of mood induction procedures: a meta-analysis. Eur J Soc Psychol. 1996;26:557–580.
    1. El-Ziab N. Walking down memory lane: the unfolding experience of nostalgia. Psychol Soc. 2016;8:120–136.
    1. Holmes EA, Mathews A. Mental imagery in emotion and emotional disorders. Clin Psychol Rev. 2010;30:349–362.
    1. Holmes EA, Mathews A, Dalgleish T, Mackintosh B. Positive interpretation training: effects of mental imagery versus verbal training on positive mood. Behav Ther. 2006;37:237–247.
    1. Holmes EA, Lang TJ, Shah DM. Developing interpretation bias modification as a “cognitive vaccine” for depressed mood: imagining positive events makes you feel better than thinking about them verbally. J Abnorm Psychol. 2009;118:76–88.
    1. Hackmann A, Bennett-Levy AJ, Holmes EA. Oxford guide to imagery in cognitive therapy. Oxford: Oxford University Press; 2011.
    1. Sitaram R, Lee S, Ruiz S, Rana M, Veit R, Birbaumer N. Real-time support vector classification and feedback of multiple emotional brain states. Neuroimage. 2011;56:753–765.
    1. Kosslyn SM, Ganis G, Thompson WL. Neural foundations of imagery. Nat Rev Neurosci. 2001;2:635–642.
    1. Conway MA. Sensory-perceptual episodic memory and its context: autobiographical memory. Philos Trans R Soc Lond Ser B Biol Sci. 2001;356:1375–1384.
    1. Lang PJ, Bradley MM, Cuthbert BN. International Affective Picture System (IAPS): technical manual and affective ratings. Gainesville: University of Florida, NIMH Center for the Study of Emotion and Attention; 1997.
    1. Lang PJ, Greenwald MK, Bradley MM, Hamm AO. Looking at pictures: affective, facial, visceral, and behavioral reactions. Psychophysiology. 1993;30:261–273.
    1. Hot P, Sequeira H. Time course of brain activation elicited by basic emotions. Neuroreport. 2013;24:898–902.
    1. Daly I, Malik A, Hwang F, Roesch E, Weaver J, Kirke A, et al. Neural correlates of emotional responses to music: an EEG study. Neurosci Lett. 2014;573:52–57.
    1. Iacoviello D, Petracca A, Spezialetti M, Placidi G. A classification algorithm for electroencephalography signals by self-induced emotional stimuli. IEEE Trans Cybern. 2016;46:3171–3180.
    1. Marosi E, Prieto-Corona B, Yanez G, Rodríguez-Camacho M, Rodríguez H, Guerrero V. Quantitative spectral EEG assessments during affective states evoked by the presentation of the International Affective Pictures. J Behav Health Soc Issues. 2012;4:23–35.
    1. Knyazev GG. Motivation, emotion, and their inhibitory control mirrored in brain oscillations. Neurosci Biobehav Rev. 2007;31:377–395.
    1. Knyazev GG, Slobodskoj-Plusnin JY, Bocharov AV. Event related delta and theta synchronization during explicit and implicit emotion processing. Neuroscience. 2009;164:1588–1600.
    1. Oberman LM, Pineda JA, Ramachandran VS. The human mirror neuron system: a link between action observation and social skills. Soc Cogn Affect Neurosci. 2007;2:62–66.
    1. Masood N, Farooq H. Investigating EEG patterns for dual-stimuli induced human fear emotional state. Sensors. 2019;19:522.
    1. Li M, Lu BL. Emotion classification based on gamma band EEG. Conf Proc IEEE Eng Med Biol Soc. 2009;2009:1323–1326.
    1. Silberman EK, Weingartner H. Hemispheric lateralization of functions related to emotion. Brain Cogn. 1986;5:322–353.
    1. Aftanas LI, Varlamov AA, Pavlov SV, Makhnev VP, Reva NV. Time dependent cortical asymmetries induced by emotional arousal: EGG analysis of event-related synchronization and desynchronization in individually defined frequency bands. Int J Psychophysiol. 2002;44:67–82.
    1. Choppin A. EEG-based human interface for disabled individuals: emotion expression with neural networks [Master thesis] Yokohama: Tokyo Institute of Technology; 2000.
    1. Aftanas LI, Golocheikine SA. Human anterior and frontal midline theta and lower alpha reflect emotionally positive state and internalized attention: high-resolution EEG investigation of meditation. Neurosci Lett. 2001;310:57–60.
    1. Marosi E, Bazán O, Yañez G, Bernal J, Fernández T, Rodríguez M, et al. Narrow-band spectral measurements of EEG during emotional tasks. Int J Neurosci. 2002;112:871–891.
    1. Davidson RJ, Ekman P, Saron CD, Senulis JA, Friesen WV. Approach-withdrawal and cerebral asymmetry: emotional expression and brain physiology. J Pers Soc Psychol. 1990;58:330–341.
    1. Barry RJ, Clarke AR, Johnstone SJ, Brown CR. EEG differences in children between eyes-closed and eyes-open resting conditions. Clin Neurophysiol. 2009;120:1806–1811.
    1. Klados MA, Frantzidis C, Vivas AB, Papadelis C, Lithari C, Pappas C, et al. A framework combining delta event-related oscillations (EROs) and synchronization effects (ERD/ERS) to study emotional processing. Comput Intell Neurosci. 2009;2009:549419.
    1. Kline JP, Blackhart GC, Woodward KM, Williams SR, Schwartz GE. Anterior electroencephalographic asymmetry changes in elderly women in response to a pleasant and an unpleasant odor. Biol Psychol. 2000;52:241–250.
    1. Schmidt LA, Trainor LJ. Frontal brain electrical activity (EEG) distinguishes valence and intensity of musical emotions. Cogn Emot. 2001;15:487–500.
    1. Vecchiato G, Toppi J, Astolfi L, De Vico Fallani F, Cincotti F, Mattia D, et al. Spectral EEG frontal asymmetries correlate with the experienced pleasantness of TV commercial advertisements. Med Biol Eng Comput. 2011;49:579–583.
    1. Knyazev GG, Savostyanov AN, Bocharov AV, Kuznetsova VB. Depressive symptoms and autobiographical memory: a pilot electroencephalography (EEG) study. J Clin Exp Neuropsychol. 2017;39:242–256.
    1. Svoboda E, McKinnon MC, Levine B. The functional neuroanatomy of autobiographical memory: a meta-analysis. Neuropsychologia. 2006;44:2189–2208.
    1. Conway MA, Pleydell-Pearce CW, Whitecross S, Sharpe H. Brain imaging autobiographical memory. Psychol Learn Motiv. 2002;41:229–263.
    1. Shammi P, Stuss DT. Humour appreciation: a role of the right frontal lobe. Brain. 1999;122:657–666.
    1. Winston JS, Strange BA, O’Doherty J, Dolan RJ. Automatic and intentional brain responses during evaluation of trustworthiness of faces. Nat Neurosci. 2002;5:277–283.
    1. Bradley MM, Codispoti M, Cuthbert BN, Lang PJ. Emotion and motivation I: defensive and appetitive reactions in picture processing. Emotion. 2001;1:276–298.
    1. Mauss IB, Robinson MD. Measures of emotion: a review. Cogn Emot. 2009;23:209–237.
    1. Kok BE, Fredrickson BL. Upward spirals of the heart: autonomic flexibility, as indexed by vagal tone, reciprocally and prospectively predicts positive emotions and social connectedness. Biol Psychol. 2010;85:432–436.
    1. Beauchaine TP, Thayer JF. Heart rate variability as a transdiagnostic biomarker of psychopathology. Int J Psychophysiol. 2015;98:338–350.
    1. Shaffer F, McCraty R, Zerr CL. A healthy heart is not a metronome: an integrative review of the heart’s anatomy and heart rate variability. Front Psychol. 2014;5:1040.
    1. Ottaviani C, Thayer JF, Verkuil B, Lonigro A, Medea B, Couyoumdjian A, et al. Physiological concomitants of perseverative cognition: a systematic review and meta-analysis. Psychol Bull. 2016;142:231–259.
    1. Kop WJ, Synowski SJ, Newell ME, Schmidt LA, Waldstein SR, Fox NA. Autonomic nervous system reactivity to positive and negative mood induction: the role of acute psychological responses and frontal electrocortical activity. Biol Psychol. 2011;86:230–238.
    1. Fredrickson BL, Levenson RW. Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cogn Emot. 1998;12:191–220.
    1. Katsis CD, Katertsidis NS, Fotiadis DI. An integrated system based on physiological signals for the assessments of affective states in patients with anxiety disorders. Biomed Signal Process Control. 2011;6:261–268.
    1. Bradley MM, Cuthbert BN, Lang PJ. Startle reflex modification: emotion or attention? Psychophysiology. 1990;27:513–522.
    1. Martínez-Rodrigo A, Zangróniz R, Pastor JM, Sokolova MV. Arousal level classification of the aging adult from electrodermal activity: from hardware development to software architecture. Pervasive Mob Comput. 2017;34:46–59.
    1. Codispoti M, Bradley MM, Lang PJ. Affective reactions to briefly presented pictures. Psychophysiology. 2001;38:474–478.
    1. Zangróniz R, Martínez-Rodrigo A, Pastor JM, López MT, Fernández-Caballero A. Electrodermal activity sensor for classification of calm/distress condition. Sensors. 2017;17:2324.
    1. Yun H, Fortenbacher A, Pinkwart N, Bisson T, Moukayed F. A pilot study of emotion detection using sensors in a learning context: towards an affective learning companion. In: Ullrich C, Wessner M, editors. Proceedings of DeLFI and GMW workshops. 2017.
    1. Talarico JM, LaBar KS, Rubin DC. Emotional intensity predicts autobiographical memory experience. Mem Cogn. 2004;32:1118–1132.
    1. Brown J, Pengas G, Dawson K, Brown LA, Clatworthy P. Self-administered cognitive screening test (TYM) for detection of Alzheimer’s disease: cross sectional study. BMJ. 2009;338:b2030.
    1. Ferrero-Arias J, Turrión-Rojo MA. Validation of a Spanish version of the test your memory. Neurologia. 2016;31:33–42.
    1. Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, et al. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol. 2010;63:1179–1194.
    1. Clark LA, Watson D. Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. J Abnorm Psychol. 1991;100:316–336.
    1. Brown TA, Campbell LA, Lehman CL, Grishman JR, Mancill RB. Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. J Abnorm Psychol. 2001;110:585–599.
    1. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54:1063–1070.
    1. Pilkonis PA, Choi SW, Reise SP, Stover AM, Riley WT, Cella D, et al. Item banks for measuring emotional distress from the Patient Reported Outcomes Measurement Information System (PROMIS®): depression, anxiety, and anger. Assessment. 2011;18:263–283.
    1. Myers DG, Diener E. Who is happy? Psychol Sci. 1995;6:10–19.
    1. Sandin B, Chorot P, Lostao L, Joiner TE, Santed MA, Valiente RM. Escalas PANAS de afecto positivo y negativo: Validación factorial y convergencia transcultural [PANAS scales of positive and negative affect: factor validation and cross-cultural convergence] Psicothema. 1999;11:37–51.
    1. Bradley MM, Lang PJ. Measuring emotion: the self-assessment manikin and the semantic differential. J Behav Ther Exp Psychiatry. 1994;25:49–59.
    1. Zamanian H, Farsi H. A new feature extraction method to improve emotion detection using EEG signals. Electron Lett Comput Vis Image Anal. 2018;17:29–44.
    1. Cohen J. Statistical power analysis for the behavioral sciences. Abingdon: Routledge; 1988.
    1. Urbaniak GC, Plous S. Research randomizer (version 3.0). Comput Softw. .
    1. Malik M. Heart rate variability: standards of measurement, physiological interpretation, and clinical use: Task force of the European Society of Cardiology and the North American Society for Pacing and Electrophysiology. Circulation. 1996;93:1043–1065.
    1. Martinez A, Alcaraz R, Rieta JJ. Application of the phasor transform for automatic delineation of single-lead ECG fiducial points. Physiol Meas. 2010;31:1467–1485.
    1. Delorme A, Makeig S. EEGLAB: an open source toolbox for analysis of single-trial EEG dynamics including independent component analysis. J Neurosci Methods. 2004;134:9–21.
    1. World Health Organization. 10 facts on ageing and health. . Accessed 3 July 2020.
    1. Akyol Y, Durmus D, Dogan C, Bek Y, Cantürk F. Quality of life and level of depressive symptoms in the geriatric population. Arch Rheumatol. 2010;25:165–173.
    1. Sivertsen H, Bjorklof GH, Engedal K, Selbaek G, Helvik AS. Depression and quality of life in older persons: a review. Dement Geriatr Cogn Disord. 2015;40:311–339.
    1. Gross JJ, Muñoz RF. Emotion regulation and mental health. Clin Psychol (New York) 1995;2:151–164.

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