Background
There are large individual differences in dealing with everyday social stress. Therefore, we investigated the association of social inhibition (and its facets) with the emotional and physiological responses to the Trier Social Stress Test (TSST).
Methods
Undergraduate students (N = 312) completed the 15-item Social Inhibition Questionnaire (SIQ15) and participated in the TSST, while emotional and cardiovascular stress responses were recorded. We examined the effect of social inhibition across time with repeated-measures ANCOVAs.
Findings
During social stress (and recovery), social inhibition was associated with increased negative mood reactivity (especially the behavioral inhibition facet) and heightened sympathetic activation (especially the social withdrawal and interpersonal sensitivity). Physiological stress reactivity seems to be mostly α-adrenergic in women, and also β-adrenergic in men.
Conclusions
Emotional and physiological stress responses are associated with individual differences in social inhibition. This warrants more research on mechanisms that underlie the relations between social inhibition, stress and health.

Background and objectives
Emotion can be seen as the organizing process that coordinates response systems to deal effectively with challenges and opportunities. Synchronous change in subjective and physiological reactivity is regarded as an indication of this organizing process. Synchrony is expected to increase with the intensity of emotional stimuli. Conversely, adaptive emotional functioning could be indicated by progressive synchrony upon increasing demands, and the magnitude of synchrony could be an indication of progress during therapy.
Methods
We examined whether synchronous change in subjective and physiological reactivity over repeated exposures increased from watching a flight video through simulated flight to actual flight, and whether the magnitude of synchronous change predicted favourable short- and long-term treatment outcome within a group of 77 aviophobic participants during CBT.
Results
Results did not show a relationship between the intensity of the phobic stimuli and the magnitude of synchronous change in subjective and physiological reactivity. Moreover, synchronous change across both response systems did not predict treatment outcome.
Limitations
By design this study had no control group. Additional treatment or life events between end of treatment and 3-year follow-up were not assessed.
Conclusion
The results provide only weak support for the functionalistic view that successful treatment of anxiety disorders is indicated by synchronous change in reactivity across emotional response systems. The relationship between these systems is likely to be affected by many intervening variables including higher order cognitive processes.

The Sing-a-Song Stress Test (SSST) was recently developed as an alternative to the Trier Social Stress Test (TSST) to investigate autonomic nervous system responses to social-evaluative stress. In the SSST, participants are suddenly cued to sing a song in the presence of confederates. However, the SSST is still quite long (~15 min) and the requirement for confederates makes it labor-intensive. The current study tested whether a shorter (~6.5 min), single-experimenter, version of the SSST can still reliably elicit subjective and physiological stress reactivity. Our sample consisted of 87 healthy young adult participants (age range: 18–35 years). During the short SSST and a speeded reaction time task, in which aversive loud tones were to be avoided (TA), we measured heart period (HP), sympathetic nervous system (SNS) activity using pre-ejection-period (PEP), skin conductance level (SCL), and non-specific skin conductance responses (ns.SCR), and parasympathetic nervous system (PNS) activity using respiratory-sinus-arrhythmia (RSA) and the root-mean-square of successive differences (RMSSD). The short SSST induced significant decreases in positive affect and increases in negative affect. MANOVAs on the clusters of SNS and PNS variables showed that the short SSST elicited significant HP (−118.46 ms), PEP (−7.76 ms), SCL (+4.85 μS), ns.SCR (+8.42 peaks/min) and RMSSD (−14.67) reactivity. Affective, SNS, and PNS reactivity to the new SSST social-evaluative stress task were of comparable magnitude to that evoked by the TA mental stressor. We conclude that the short SSST is a valid and cost-effective task for large scaled studies to induce social-evaluative stress to a sufficient degree to evoke measurable changes in PNS and SNS activity and affective state.

Individuals tend to compare themselves with others, and the results of these self-evaluations influence subsequent performance. When individuals perceive an advantage over their rivals (challenge-type response), they achieve higher levels of performance. According to the biopsychosocial model of challenge and threat, benefits of favourable appraisals are partly mediated by cardiovascular efficiency, which is increased by challenge and decreased by threat evaluations. In this study, we tested whether the biopsychosocial model can be extended to predict behavioural outcomes in esports. We expected that challenge-type evaluations would increase performance compared to threat-type evaluations. Eighty-two men were assigned to a challenge or threat group and completed three rounds of Counter-Strike: Global Offensive – a video game popular in esports. Individuals with the highest scores were awarded cash prizes. Cardiovascular markers of challenge and threat, cognitive appraisals, and game scores were recorded. We manipulated the social challenge and social threat evaluation by informing participants that their performance in the initial round was superior (challenge) or inferior (threat) compared with other gamers. We found that individuals with more gaming experience, believed they were better than other gamers, had higher heart rate and, in turn, achieved higher scores. These effects were related to initial situational appraisal at the baseline and were not boosted by feedback provided during the actual performance. These results are the first to document that social comparisons among gamers are accurate in the prediction of future physiological and behavioural outcomes. Furthermore, these findings emphasize that physiological responses mediate relationships between action-related cognitions and performance.

Although many musicians perceive music performance anxiety (MPA) as a significant problem, studies about the psychobiological and performance-related concomitants of MPA are limited. Using the biopsychosocial model of challenge and threat as theoretical framework, we aim to investigate whether musicians’ changes in their psychobiological responses and performance quality from a private to a public performance are moderated by their general MPA level. According to the challenge and threat framework, individuals are in a threat state when the perceived demands of a performance situation outweigh the perceived resources, whereas they are in a challenge state when the perceived resources outweigh the perceived demands. The resources-demands differential (resources minus demands) and the cardiovascular challenge-threat index (sum of cardiac output and reverse scored total peripheral resistance) are the main indices of these states. We postulate that the relationship between general MPA level and performance quality is mediated by these challenge and threat measures.

Wearable monitoring devices are an innovative way to measure heart rate (HR) and heart rate variability (HRV), however, there is still debate about the validity of these wearables. This study aimed to validate the accuracy and predictive value of the Empatica E4 wristband against the VU University Ambulatory Monitoring System (VU-AMS) in a clinical population of traumatized adolescents in residential care. A sample of 345 recordings of both the Empatica E4 wristband and the VU-AMS was derived from a feasibility study that included fifteen participants. They wore both devices during two experimental testing and twelve intervention sessions. We used correlations, cross-correlations, Mann-Whitney tests, difference factors, Bland-Altman plots, and Limits of Agreement to evaluate differences in outcomes between devices. Significant correlations were found between Empatica E4 and VU-AMS recordings for HR, SDNN, RMSSD, and HF recordings. There was a significant difference between the devices for all parameters but HR, although effect sizes were small for SDNN, LF, and HF. For all parameters but RMSSD, testing outcomes of the two devices led to the same conclusions regarding significance. The Empatica E4 wristband provides a new opportunity to measure HRV in an unobtrusive way. Results of this study indicate the potential of the Empatica E4 as a practical and valid tool for research on HR and HRV under non-movement conditions. While more research needs to be conducted, this study could be considered as a first step to support the use of HRV recordings provided by wearables.

Background
Childhood trauma (CT) is a risk factor for depressive and anxiety disorders. Although dysregulated biological stress systems may underlie the enduring effect of CT, the relation between CT and separate and cumulative activity of the major stress systems, namely, the hypothalamic-pituitary-adrenal (HPA)-axis, the immune-inflammatory system, and the autonomic nervous system (ANS), remains inconclusive.
Methods
In the Netherlands Study of Depression and Anxiety (NESDA, n = 2778), we determined whether self-reported CT (as assessed by the Childhood Trauma Interview) was associated with separate and cumulative markers of the HPA-axis (cortisol awakening response, evening cortisol, dexamethasone suppression test cortisol), the immune-inflammatory system (C-reactive protein, interleukin-6, tumor necrosis factor-α), and the ANS (heart rate, respiratory sinus arrhythmia, pre-ejection period) in adulthood.
Results
Almost all individuals with CT (n = 1330) had either current or remitted depressive and/or anxiety disorder (88.6%). Total-sample analyses showed little evidence for CT being significantly associated with the separate or cumulative stress systems’ activity in adulthood. These findings were true for individuals with and without depressive and/or anxiety disorders. To maximize contrast, individuals with severe CT were compared to healthy controls without CT. This yielded slight, but significantly higher levels of cortisol awakening response (AUCg, β = .088, p =  .007; AUCi, β = .084, p =  .010), cumulative HPA-axis markers (β = .115, p =  .001), C-reactive protein (β = .055, p = .032), interleukin-6 (β = .053, p =  .038), cumulative inflammation (β = .060, p =  .020), and cumulative markers across all systems (β = .125, p =  .0003) for those with severe CT, partially explained by higher rates of smoking, body mass index, and chronic diseases.
Conclusion
While our findings do not provide conclusive evidence on CT directly dysregulating stress systems, individuals with severe CT showed slight indications of dysregulations, partially explained by an unhealthy lifestyle and poorer health.

Classic and modern emotion theories suggest that the perception of bodily sensations, or interoception, is foundational to emotion processing. The present research examined whether interoception is enhanced among people high in ruminative tendencies, especially under stress. To test this notion, the present research examined the effects of a mild stressor on subjective and objective measures of interoception among people varying in ruminative tendencies. Under conditions of mild stress, rumination was positively associated with self-reported private body consciousness -a marker of interoceptive sensibility- in Study 1 (N = 312) and with heartbeat detection accuracy (especially in the presence of auditory interference) in Study 2 (N = 180). In both studies, rumination was not significantly associated with interoceptive sensibility or accuracy in the absence of stress. These findings suggest that stress-induced amplification of bodily sensations may be important in explaining emotional dysregulation among chronic ruminators.

SYNOPSISObjective. Mothers’ affective responses to infant laughing are essential in parent-child interaction. This experimental study examined whether instructing mothers to employ emotion regulation strategies can change their self-reported, physiological, and facial expressive responses to infant laughing. Design. Using a within-subjects design, mothers (N = 100, age M = 30.87 years) were exposed to infant laughing sounds while receiving enhancement, suppression, and no emotion regulation instructions. Positive affect, perception of laughing, intended sensitive and insensitive caregiving responses, skin conductance level, and facial expressions in response to infant laughing were measured. Results. Enhancement resulted in increased positive affect, a more positive perception of the laugh, more intended sensitive caregiving responses, and, compared to suppression, fewer intended insensitive caregiving responses. Moreover, enhancement resulted in lower sad and, compared to suppression, higher happy facial expressi-vity. In contrast, suppression resulted in a less positive perception. Enhancement did not affect skin conductance level. Conclusions. Enhancement can have beneficial effects on mothers’ self-reported and facial expressive responses to infant laughing in an experimental setting. Enhancement instructions may be used to increase mothers’ positive feelings in response to infant laughing and to promote sensitive caregiving behaviors and positive facial expressions, which may benefit affective mother-child interchanges.

Interpersonal aspects of teaching have repeatedly been linked to teacher emotions and well-being on a general level. However, it is unclear how teachers’ moment-to-moment interpersonal behavior is associated with their physiological arousal during teaching and how this contributes to their lesson-focused emotional outcomes. Eighty secondary education teachers with a mean age of 43.7 years (SD = 11.5) and 13.4 years of teaching experience (SD = 9.7) participated during one real-life lesson. We coded teacher behavior from an interpersonal perspective on the dimensions of agency (i.e., social influence) and communion (i.e., friendliness). Teachers’ physiology (in terms of heart rate) was measured as a proxy for their affective arousal. Teachers differed widely in their behaviors and in how behavior and physiology were associated from moment to moment. Being generally agentic was associated with higher levels of self-reported positive emotions after the lesson, also when being agentic went together with a high heart rate. In contrast, the stronger and the more positively a teacher’s physiological arousal was associated with displaying communal behavior, the more likely a teacher was to report negative emotions. We conclude that combining moment-to-moment data of teachers’ interpersonal behavior and physiological arousal has the potential to explain differences in teachers’ emotional outcomes. Such an approach might ultimately provide teachers and teacher educators with the fine-grained and personalized information needed to foster teacher well-being.