How Does Surgeons' Autonomic Physiology Vary Intraoperatively?: A Real-time Study of Cardiac Reactivity.

OBJECTIVE: To measure the physiological responses of surgical team members under varying levels of intraoperative risk. BACKGROUND: Measurement of intraoperative physiological responses provides insight into how operation complexity, phase of surgery, and surgeon seniority impact stress. METHODS: Autonomic nervous system responses (interbeat intervals, IBIs) were measured continuously during different surgical operations of various complexity. The study investigated whether professional role (eg attending surgeon), operative risk (high vs. low), and type of primary operator (attending surgeon vs. resident) impacted IBI reactivity. Physiological synchrony captured the degree of correspondence between individuals' physiological responses at any given time point. RESULTS: A total of 10,005 observations of IBI reactivity were recorded in 26 participants during 16 high-risk (renal transplant and laparoscopic donor nephrectomy) and low-risk (arteriovenous fistula formation) operations. Attending surgeons showed greater IBI reactivity (faster heart rate) than residents and nurses during high-risk operations and while actively operating (Ps<0.001). Residents showed lower reactivity during high-risk (relative to low-risk) operations (P<0.001) and similar reactivity regardless of whether they or the attending surgeon was operating (P=0.10). Nurses responded similarly during low-risk and high-risk operations (P=0.102) but were more reactive when the resident was operating compared to when the attending surgeon was the primary operator (P<0.001). In high-risk operations, attending surgeons had negative physiological covariation with residents and nurses (P<0.001). In low-risk operations, only attending surgeons and nurses were synchronized (P<0.001). CONCLUSION: Attending surgeons' physiological responses were well-calibrated to operative demands. Residents' and nurses' responses were not callibrated to the same extent. This suggests that risk sensitivity is an adaptive response to stress that surgeons acquire.

Oxytocin increases physiological linkage during group therapy for methamphetamine use disorder: a randomized clinical trial.

Patients and psychotherapists often exhibit behavioral, psychological, and physiological similarity. Here, we test whether oxytocin-a neuropeptide that can enhance expressivity and social perception-influences time-lagged "linkage" of autonomic nervous system responses among participants and facilitators during group therapy. Physiological linkage estimates (n = 949) were created from ten cohorts, each with two facilitators (n = 5) and four to six participants (n = 48), over six weekly sessions of group therapy for methamphetamine use disorder. All participants of a cohort received oxytocin or placebo intranasally in a randomized double-blind procedure before each session. Cardiac interbeat intervals (IBI) were measured continuously during sessions to estimate physiological linkage, operationalized as one cohort-mate's IBI reactivity during one minute predicting another cohort-mate's IBI reactivity during the following minute. In oxytocin cohorts, participants and facilitators experienced significant physiological linkage to their cohort-mates (i.e., their physiological responses were predicted by the prior responses of their cohort-mates) and significantly more linkage than people in placebo cohorts. Both effects occurred during the first and second sessions but not later sessions. Results suggest that oxytocin may enhance psychosocial processes often associated with linkage-such as social engagement-in groups and highlight oxytocin's potential to improve group cohesion during group therapy.Clinical Trials Registration: NCT02881177, First published on 26/08/2016.

Physiological linkage among successful high-status women in international teams.

In contemporary society, decisions are often made by teams whose members represent different nationalities and genders. In the current work, participants from 55 countries formed groups of 3 to 4 people to select one of the 5 firms in a mock firm search. In all groups, one woman was randomly assigned to have higher status than her groupmates; she was also surreptitiously instructed to persuade her group to select one (randomly assigned) firm. We measured cardiac interbeat intervals for participants throughout the decision-making process to assess physiological linkage-the degree to which a 'sender's' physiological response predicts a 'receiver's' physiological response at a subsequent time interval. On average, high-status women were successful at persuasion. The physiological responses of successful high-status women were also predicted by the responses of their female groupmates: stronger linkage to female group members during the task was associated with success at persuading the group. Successful high-status women were also perceived as more persuasive than others in the group. This work shows that the link between status and successful persuasion generalizes to women among heterogeneous international teams. It also suggests that attention to others-often associated with physiological linkage-may be useful in persuading others during decision-making.

Emotional Empathy in the Social Regulation of Distress: A Dyadic Approach.

Although research suggests distressed individuals benefit from others' empathy, it is unclear how an individual's level of empathy influences dyadic responses during emotional situations. In the current study, female participants (N = 140; 70 dyads) were paired with a stranger. One member of each dyad (the experiencer) was randomly assigned to undergo a stressful task and disclose negative personal experiences to their partner (the listener). Experiencers paired with listeners higher in dispositional emotional empathy had less negative affect during emotional disclosure and lower sympathetic nervous system reactivity during the stressful task and disclosure. Listeners higher in emotional empathy reported more negative affect in response to their partner's distress. Furthermore, for listeners higher in emotional empathy, those who more accurately rated their partner's emotions were more physiologically influenced by their partners. Findings shed light on interpersonal functions of empathy and suggest a stranger's level of emotional empathy regulates distressed partner's emotions and physiology.

Keep it to yourself? Parent emotion suppression influences physiological linkage and interaction behavior.

Parents can influence children's emotional responses through direct and subtle behavior. In this study we examined how parents' acute stress responses might be transmitted to their 7- to 11-year-old children and how parental emotional suppression would affect parents' and children's physiological responses and behavior. Parents and their children (N = 214; Ndyads = 107; 47% fathers) completed a laboratory visit where we initially separated the parents and children and subjected the parent to a standardized laboratory stressor that reliably activates the body's primary stress systems. Before reuniting with their children, parents were randomly assigned to either suppress their affective state-hide their emotions from their child-or to act naturally (control condition). Once reunited, parents and children completed a conflict conversation and two interaction tasks together. We measured their sympathetic nervous system (SNS) responses and observed interaction behavior. We obtained three key findings: (a) suppressing mothers' SNS responses influenced their child's SNS responses; (b) suppressing fathers' SNS responses were influenced by their child's SNS responses; and (c) dyads with suppressing parents appeared less warm and less engaged during interaction than control dyads. These findings reveal that parents' emotion regulation efforts impact parent-child stress transmission and compromise interaction quality. Discussion focuses on short-term and long-term consequences of parental emotion regulation and children's social-emotional development. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Controlling the uncontrolled: Are there incidental experimenter effects on physiologic responding?

The degree to which experimenters shape participant behavior has long been of interest in experimental social science research. Here, we extend this question to the domain of peripheral psychophysiology, where experimenters often have direct, physical contact with participants, yet researchers do not consistently test for their influence. We describe analytic tools for examining experimenter effects in peripheral physiology. Using these tools, we investigate nine data sets totaling 1,341 participants and 160 experimenters across different roles (e.g., lead research assistants, evaluators, confederates) to demonstrate how researchers can test for experimenter effects in participant autonomic nervous system activity during baseline recordings and reactivity to study tasks. Our results showed (a) little to no significant variance in participants' physiological reactivity due to their experimenters, and (b) little to no evidence that three characteristics of experimenters that are well known to shape interpersonal interactions-status (using five studies with 682 total participants), gender (using two studies with 359 total participants), and race (in two studies with 554 total participants)-influenced participants' physiology. We highlight several reasons that experimenter effects in physiological data are still cause for concern, including the fact that experimenters in these studies were already restricted on a number of characteristics (e.g., age, education). We present recommendations for examining and reducing experimenter effects in physiological data and discuss implications for replication.

Bringing close others to the emergency department for an acute coronary event is associated with increased patient perception of threat.

OBJECTIVE: Relationship quality is one of the most consistent psychosocial predictors of physical and mental health. Yet, little research examines relationship types or support within the immediate context of acute health events. We tested the unexplored role that close others play in patients' experience of threat during evaluation for acute coronary syndrome (ACS) in the Emergency Department (ED), as well as the indirect effect of close others on ACS-induced posttraumatic stress disorder (PTSD). METHOD: Participants were 871 patients evaluated for ACS at an urban academic ED (60.86 years old; 54.08% male; 56.37% Hispanic, 19.86% Black, 16.65% White). Threat perceptions were assessed in-ED and median 3 days later. ACS-induced PTSD was assessed median 41 days later using the PTSD checklist cued to a specific stressor. Non-overlapping categories were created representing close others in the ED (i.e., spouse/significant other, child), non-close others (e.g., neighbor), or no one. RESULTS: Patients who brought close others recalled experiencing greater threat in the ED: vs. no one, b = 0.11, p = .072; vs. non-close others, b = 0.16, p = .030. There was no direct effect of close others on ACS-induced PTSD; however, recalled threat mediated the effect of close others on development of ACS-induced PTSD, ps < .05. CONCLUSIONS: Close others were associated with recalling greater threat during ED evaluation, which predicted ACS-induced PTSD. ACS-induced PTSD is associated with medication nonadherence, event recurrence, and mortality, highlighting the need to develop a greater understanding of the impact stressful medical environments have on patients and close others.

Physiological linkage to an interaction partner is negatively associated with stability in sympathetic nervous system responding.

Recent work has demonstrated that people can be influenced by the physiological states of their interaction partners, showing physiological linkage to them from one moment to the next. In a study of unacquainted dyads who interacted for 30 min (ndyads = 47), we examine the novel question: Are people who show physiological linkage to their partners in sympathetic nervous system responding also less stable in their own responses? Understanding this relationship has important implications for how social relationships impact affective functioning and health. Results using multilevel modeling demonstrated that the within-person correlation between linkage and stability was negative-the more dyad members were physiologically influenced by their interaction partners, the less stable they were in their own physiological responding. This work shows that physiological linkage can come at a cost to people's own stability, meaning our physiological states are more vulnerable to social influence than previously thought.

It takes two to tango: A dyadic approach to understanding the medication dialogue in patient-provider relationships.

OBJECTIVE: To describe typologies of dyadic communication exchanges between primary care providers and their hypertensive patients about prescribed antihypertensive medications. METHODS: Qualitative analysis of 94 audiotaped patient-provider encounters, using grounded theory methodology. RESULTS: Four types of dyadic exchanges were identified: Interactive (53% of interactions), divergent-traditional (24% of interactions), convergent-traditional (17% of interactions) and disconnected (6% of interactions). In the interactive and convergent-traditional types, providers adopted a patient-centered approach and used communication behaviors to engage patients in the relationship. Patients in these interactions adopted either an active role in the visit (interactive), or a passive role (convergent-traditional). The divergent-traditional type was characterized by provider verbal dominance, which inhibited patients' ability to ask questions, seek information, or check understanding of information. In the disconnected types, providers used mainly closed-ended questions and terse directives to gather and convey information, which was often disregarded by patients who instead diverted the conversation to psychosocial issues. CONCLUSIONS: This study identified interdependent patient-provider communication styles that can either facilitate or hinder discussions about prescribed medications. PRACTICE IMPLICATIONS: Examining the processes that underlie dyadic communication in patient-provider interactions is an essential first step to developing interventions that can improve the patient-provider relationship and patient health behaviors.

Measuring physiological influence in dyads: A guide to designing, implementing, and analyzing dyadic physiological studies.

Scholars across domains in psychology, physiology, and neuroscience have long been interested in the study of shared physiological experiences between people. Recent technological and analytic advances allow researchers to examine new questions about how shared physiological experiences occur. Yet comprehensive guides that address the theoretical, methodological, and analytic components of studying these processes are lacking. The goal of this article is to provide such a guide. We begin by addressing basic theoretical issues in the study of shared physiological states by presenting five guiding theoretical principles for making psychological inferences from physiological influence-the extent to which one dyad member's physiology predicts the other dyad member's physiology at a future time point. Second, keeping theoretical and conceptual concerns at the forefront, we outline considerations and recommendations for designing, implementing, and analyzing dyadic psychophysiological studies. In so doing, we discuss the different types of physiological measures one could use to address different theoretical questions. Third, we provide three illustrative examples in which we estimate physiological influence, using the stability and influence model. We conclude by providing detail about power analyses for the model and by comparing the strengths and limitations of this model with preexisting models. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Contagious Anxiety: Anxious European Americans Can Transmit Their Physiological Reactivity to African Americans.

During interracial encounters, well-intentioned European Americans sometimes engage in subtle displays of anxiety, which can be interpreted as signs of racial bias by African American partners. In the present research, same-race and cross-race stranger dyads ( N = 123) engaged in getting-acquainted tasks, during which measures of sympathetic nervous system responses (preejection period, PEP) and heart rate variability were continuously collected. PEP scores showed that African American partners had stronger physiological linkage to European American partners who evidenced greater anxiety-greater cortisol reactivity, behavioral tension, and self-reported discomfort-which suggests greater physiological responsiveness to momentary changes in partners' affective states when those partners were anxious. European Americans showed physiological linkage to African American and European American partners, but linkage did not vary as a function of their partner's anxiety. Using physiological linkage offers a novel approach to understanding how affective responses unfold during dynamic intergroup interactions.

Affect contagion between mothers and infants: Examining valence and touch.

Mothers and their babies represent one of the closest dyadic units and thus provide a powerful paradigm to examine how affective states are shared, and result in, synchronized physiologic responses between two people. We recruited mothers and their 12- to 14-month-old infants (Ndyads = 98) to complete a lab study in which mothers were initially separated from their infants and assigned to either a low-arousal positive/relaxation condition, intended to elicit parasympathetic nervous system (PNS) reactivity, or a high-arousal negative/stress task, intended to elicit sympathetic nervous system (SNS) reactivity. Upon reunion, infants were placed either on their mothers' laps (touch condition) or in a high chair next to the mother (no-touch condition). We then examined if the babies SNS and/or PNS responses changed from their baseline levels and how the dyads' physiological responses-both PNS and SNS responses-synchronized over time as a function of mothers' affect manipulation and touch condition. Three noteworthy findings were observed. First, infants of mothers assigned to the relaxation task showed greater PNS increases and PNS covariation. Second, infants of mothers assigned to the stress task showed stronger SNS covariation with their mothers over time. Finally, infants who sat on their mothers' laps (i.e., touch condition) showed stronger SNS covariation than those in the no-touch condition. Taken together, these results suggest that mothers' affective states-low-arousal positive states as well as high-arousal negative states-can be "caught" by their infants, and that touch can play a critical role in stress contagion. (PsycINFO Database Record

Ideological Differences in Anchoring and Adjustment During Social Inferences.

Recent research has demonstrated that conservatives perceive greater similarity to political ingroup members than do liberals. In two studies, we draw from a framework of "anchoring and adjustment" to understand why liberals and conservatives differ in their perceptions of ingroup similarity. Results indicate that when participants made judgments under time pressure, liberals and conservatives did not differ in assuming ingroup similarity. However, when participants were given sufficient time to make judgments, liberals assumed less similarity than conservatives did, suggesting that liberals adjusted their judgments to a greater extent than conservatives did (Studies 1 and 2). In examining an underlying motivational process, we found that when conservatives' desire to affiliate with others was attenuated, they adjusted their initial judgments of ingroup similarity to a similar extent as liberals did (Study 2). We discuss implications for research on ideology and social judgment.

Government instability shifts skin tone representations of and intentions to vote for political candidates.

Does government stability shift the way White and Black Americans represent and make voting decisions about political candidates? Participants judged how representative lightened, darkened, and unaltered photographs were of a racially ambiguous candidate ostensibly running for political office (Studies 1-3). When the governmental system was presented as stable, White participants who shared (vs. did not share) the candidate's political beliefs rated a lightened photo as more representative of the candidate, and Black participants who shared (vs. did not share) the candidate's political beliefs rated a darkened photo as more representative (Studies 1-3). However, under conditions of instability, both Whites and Blacks who shared (vs. did not share) the candidate's political beliefs rated a lightened photo as more representative (Study 3). Representations of (Studies 2 and 3) and actual differences in (Studies 4a and 4b) skin tone predicted intentions to vote for candidates, as a function of government stability and participants' race. Further evidence suggested that system stability shifted the motivations that guided voting decisions (Study 4a and 4b). When the system was stable, the motivation to enhance one's group predicted greater intentions to vote for lighter skinned candidates among Whites, and greater intentions to vote for darker skinned candidates among Blacks. When the system was unstable, however, lacking confidence in the sociopolitical system predicted intentions to vote for lighter skinned candidates among both Whites and Blacks. Implications for political leadership and social perception are discussed.

Conservatives negatively evaluate counterstereotypical people to maintain a sense of certainty.

People frequently use physical appearance stereotypes to categorize individuals when their group membership is not directly observable. Recent research indicates that political conservatives tend to use such stereotypes more than liberals do because they express a greater desire for certainty and order. In the present research, we found that conservatives were also more likely to negatively evaluate and distribute fewer economic resources to people who deviate from the stereotypes of their group. This occurred for people belonging to both preexisting and novel groups, regardless of whether the stereotypes were real or experimentally fabricated. Critically, conservatives only negatively evaluated counterstereotypical people when the stereotypes were functional-that is, when they expected that they would need to use the stereotypes at a later point to categorize individuals into groups. Moreover, increasing liberals' desire for certainty led them to negatively evaluate counterstereotypical people just like conservatives did. Thus, conservatives are not only more likely to use stereotypes than are liberals, but are especially likely to negatively evaluate counterstereotypical people to organize the social world with greater certainty.

Anxiety perseverance in intergroup interaction: When incidental explanations backfire.

Intergroup interactions are often anxiety provoking, and this can lead members of both majority and minority groups to avoid contact. Whereas negative consequences of experiencing intergroup anxiety are well documented, the role of perceived anxiety has received substantially less theoretical and empirical attention. We demonstrate in 3 experiments that the perception of anxiety in others can undermine intergroup interactions even when the anxiety can be attributed to a source that is unrelated to the interaction. Participants who learned that a cross-race partner's anxiety could be attributed to an upcoming evaluation (Study 1) or a stimulant (i.e., caffeine, Studies 2 and 3) expressed less interest in continuing an interaction (Studies 1 and 2), showed less self-disclosure (Study 2), and increased physical distance between themselves and their partner (Study 3) than did those given no source information and participants who interacted with a same-race partner. Moreover, compared to control participants, perceivers who were given an incidental explanation for their partner's anxiety perceived outgroup, but not ingroup, partners as more anxious (Studies 1 and 3) and showed heightened accessibility of anxiety words (Study 3), indicating that incidental source information enhanced accessibility of intergroup (but not intragroup) anxiety at early stages of information processing. Theoretical and practical implications for combating paradoxical effects of perceived anxiety in intergroup interactions are considered.

Racial attitudes and visual cues in political judgments: support for Obama during the 2008 presidential election.

The present longitudinal study examined the complex role of race-including racial attitudes and visual representations of race-in White Americans' responses to Obama during the 2008 U.S. presidential election. Consistent with prior research, participants who perceived Obama as darker skinned were less likely to vote for him and generally evaluated Obama less positively. It is important to note, however, that these effects were stronger among Whites with more egalitarian expressed racial attitudes. Moreover, this pattern occurred over and above effects of political orientation and remained stable over a 2-month period, including pre- and postelection. Implications of these findings for understanding the complex and persistent influence of race in politics are considered.

"Ditto Heads": Do Conservatives Perceive Greater Consensus Within Their Ranks Than Liberals?

In three studies, we examined (a) whether conservatives possess a stronger desire to share reality than liberals and are therefore more likely to perceive consensus with politically like-minded others even for non-political judgments and, if so, (b) whether motivated perceptions of consensus would give conservatives an edge in progressing toward collective goals. In Study 1, participants estimated ingroup consensus on non-political judgments. Conservatives perceived more ingroup consensus than liberals, regardless of the amount of actual consensus. The desire to share reality mediated the relationship between ideology and perceived ingroup consensus. Study 2 replicated these results and demonstrated that perceiving ingroup consensus predicted a sense of collective efficacy in politics. In Study 3, experimental manipulations of affiliative motives eliminated ideological differences in the desire to share reality. A sense of collective efficacy predicted intentions to vote in a major election. Implications for the attainment of shared goals are discussed.

A little similarity goes a long way: the effects of peripheral but self-revealing similarities on improving and sustaining interracial relationships.

Integrating theory on close relationships and intergroup relations, we construct a manipulation of similarity that we demonstrate can improve interracial interactions across different settings. We find that manipulating perceptions of similarity on self-revealing attributes that are peripheral to the interaction improves interactions in cross-race dyads and racially diverse task groups. In a getting-acquainted context, we demonstrate that the belief that one's different-race partner is similar to oneself on self-revealing, peripheral attributes leads to less anticipatory anxiety than the belief that one's partner is similar on peripheral, nonself-revealing attributes. In another dyadic context, we explore the range of benefits that perceptions of peripheral, self-revealing similarity can bring to different-race interaction partners and find (a) less anxiety during interaction, (b) greater interest in sustained contact with one's partner, and (c) stronger accuracy in perceptions of one's partners' relationship intentions. By contrast, participants in same-race interactions were largely unaffected by these manipulations of perceived similarity. Our final experiment shows that among small task groups composed of racially diverse individuals, those whose members perceive peripheral, self-revealing similarity perform superior to those who perceive dissimilarity. Implications for using this approach to improve interracial interactions across different goal-driven contexts are discussed.

Lost in the categorical shuffle: evidence for the social non-prototypicality of black women.

The white male norm hypothesis (Zárate & Smith, 1990) posits that White men's race and gender go overlooked as a result of their prototypical social statuses. In contrast, the intersectional invisibility hypothesis (Purdie-Vaughns & Eibach, 2008) posits that people with membership in multiple subordinate social groups experience social invisibility as a result of their non-prototypical social statuses. The present research reconciles these contradictory theories and provides empirical support for the core assumption of the intersectional invisibility hypothesis-that intersectional targets are non-prototypical within their race and gender ingroups. In a speeded categorization task, participants were slower to associate Black women versus Black men with the category "Black" and slower to associate Black women versus White women with the category "woman." We discuss the implications of this work for social categorical theory development and future intersectionality research.