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Randomized Controlled Trial
. 2014 Mar;28(2):241-5.
doi: 10.1016/j.janxdis.2013.12.006. Epub 2013 Dec 27.

The impact of hypervigilance: evidence for a forward feedback loop

Matthew Kimble  1 , Mariam Boxwala  2 , Whitney Bean  2 , Kristin Maletsky  2 , Jessica Halper  2 , Kaleigh Spollen  2 , Kevin Fleming  3
Affiliations
Randomized Controlled Trial

The impact of hypervigilance: evidence for a forward feedback loop

Matthew Kimble et al. J Anxiety Disord. 2014 Mar.

Abstract

A number of prominent theories suggest that hypervigilance and attentional bias play a central role in anxiety disorders and PTSD. It is argued that hypervigilance may focus attention on potential threats and precipitate or maintain a forward feedback loop in which anxiety is increased. While there is considerable data to suggest that attentional bias exists, there is little evidence to suggest that it plays this proposed but critical role. This study investigated how manipulating hypervigilance would impact the forward feedback loop via self-reported anxiety, visual scanning, and pupil size. Seventy-one participants were assigned to either a hypervigilant, pleasant, or control condition while looking at a series of neutral pictures. Those in the hypervigilant condition had significantly more fixations than those in the other two groups. These fixations were more spread out and covered a greater percentage of the ambiguous scene. Pupil size was also significantly larger in the hypervigilant condition relative to the control condition. Thus the study provided support for the role of hypervigilance in increasing visual scanning and arousal even to neutral stimuli and even when there is no change in self-reported anxiety. Implications for the role this may play in perpetuating a forward feedback loop are discussed.

Keywords: Anxiety; Attentional bias; Eye tracking; Hypervigilance; PTSD.

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Figures

Figure 1
Figure 1. Example visual stimulus with grid overlay
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