E3 Anxietys Effect On Direct Attention Fatigue
E3 Anxietys Effect On Direct Attention Fatigue
E3 Anxietys Effect On Direct Attention Fatigue
By
August 2014
ACKNOWLEDGEMENTS
I would like to express my sincere gratitude to my advisor, Dr. Winford Gordon, for his
unending support and patience throughout the entirety of my time at WCU. His aid through the
years has been invaluable and no words could ever fully express my gratitude. I would also like
to thank my committee members, Dr. Candace Boan-Lenzo and Dr. Erin Myers, for their
brilliant guidance. They have been an absolute pleasure to work with. Furthermore, I would like
thank David Scales for being both a fantastic mentor and an even better friend.
Additionally, I would like to thank Mom, Dad, Eric, Andrew, Katelyn, Nana, and Papa
for their unending patience and love. There is nothing I have done or ever will do that I do not
owe to all of you. I would like to thank Dr. Anthony Hickey and Dr. Marilyn Chamberlin for
convincing me that my potential is dictated only by how hard I am willing to push myself. I
would never have made it here without both of you. Finally, I would also like to thank Samantha
Harding for her kindness, understanding, and above all, her unconditional love. Whatever the
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TABLE OF CONTENTS
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LIST OF TABLES AND FIGURES
Table Page
1. Average measurement of each variable at each observation point....................................25
2. Individual results for each regression................................................................................29
Figure
1. Average number of figure reversals at each measurement point........................................26
2. Average heart-rate of participants throughout the procedure.............................................26
3. Average state anxiety self-reported by participants............................................................27
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ABSTRACT
Stephen M. Hesselbirg
Research has suggested that the use of sustained direct attention can result in a fatiguing effect. It
is believed that this attention fatigue is specific to direct attention, which is an intentional
cognitive process. Direct attention serves to focus a person’s cognition on selected information
so that the targeted information may be processed. If common activities fatigue attention then it
is possible that these important processes may be less efficient. A common daily experience is
social evaluation. For many people, perhaps most people, social evaluation evokes anxiety. It is
possible that the feeling of anxiety can act as a powerful distractor requiring you to use
intentional direct attention. Thus, performing while feeling anxiety may result in attention
fatigue. To test whether anxiety could cause attention fatigue, 54 undergraduates performed a
modified TSST task, during which heart rate and the STAI-Y-6 were collected as measures of
state anxiety and the reversible figure test was used as a measure of attention. Results were
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CHAPTER ONE: LITERATURE REVIEW
Attention as a Whole
that attention can be sustained (Cohen, 2014). Sensory selection occurs when the attention is
directed to a specific sensory channel or a segment of the sensory input in one channel. This
process can be either intentional and active or automatic. Selection can be affected by several
factors, such as interest, priming, orienting, or past experiences (Cohen & O’Donell, 1993;
Kundsen, 2007). For instance, an individual may “choose” to focus on something and orient his
or her attention accordingly. For example, in a loud, confusing social setting he or she may
select just a small portion of his or her auditory channel in order to process the name of a
stranger he or she just met (Cohen & O’Donell, 1993; Kundsen, 2007).
a situation (Cohen & O’Donell, 1993). When an environment presents many stimuli each
stimulus may suggest a different response, an individual takes all the information and develops a
response strategy that will be effective in the context (Cohen, 2014; Cohen & O’Donell 1993;
Cohen & Sparling-Cohen, 1993; Garforth, McHale, Meehah, 2006). For example, when you are
driving on a sunny day an upcoming curve will not call for a change in your response. You can
simply maintain your speed. If you are performing the same task during a heavy rain driving
requires a much more active approach. You must select new responses based on “rain” cues.
There will be more conscious effort to focus and react in the latter case (Cohen & O’Donell,
1993).
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Humans have an attentional capacity. We cannot process an infinite amount of
information. Our attentional capacity consists of two parts, structural capacity and amount of
exerted focus, both of which can vary on an individual basis. Structural capacity includes the
individual’s more fixed abilities, such as channel capacity or processing speed (Cohen &
O’Donell, 1993; Haroz & Whitney, 2012; Huang & Pashler, 2004). Our exerted focus takes into
account the generated effort used toward attending to presented information. Unlike structural
capacity, focus is affected by more dynamic factors, such as motivation or level of arousal
(Cohen, Lohr, Paul, & Boland, 2001; Cohen & O’Donell 1993). Put more simply, our structural
capacity is the maximum amount of information we can process. Exerted focus is the amount of
effort we are using when we attempt to process information. The resulting interaction between
our maximum information capacity and the amount of effort exerted to processes the information
Sustained attention is the process of fixating your attention on a selected stimulus for a
prolonged amount of time (Cohen & O’Donell, 1993). In order to sustain attention a combination
sensory selection, response selection, and focus is used. Returning to the example of driving a
car, optimal driving performance requires that you provide preferential treatment to all stimuli
that can affect the task, such as weather conditions, other cars, warning lights, etc. Doing so
allows you to create and alter reaction strategies as needed. This preferential treatment of stimuli
must be maintained for the entire drive or you risk a wreck. In order to ensure that you continue
to show preferential treatment to stimuli that are relevant to the task of driving you must
maintain a minimal level of focus. The minimal level of focus needed will vary depending on the
complexity of the drive. Because sustained attention is the result of the interaction of sensory
selection, response selection, and exerted focus; sustained attention can be rather fragile. If a
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single element of our attention shifts or falters then sustained attention will be broken. (Cohen &
O’Donell, 1993).
Attention is clearly limited and focusing on one stimulus in an incredibly complex world
can be challenging (Cohen, Lohr, Paul, & Boland, 2001; Cohen & O’Donell, 1993; Haroz &
Whitney, 2012; Huang & Pashler, 2004). This raises the obvious question of what is it that
guides attention to one stimulus at any given moment? William James (1892) suggested that your
level of “interest” in the stimulus is the key to sensory selection and sustained attention. Further,
in an early version of the direct and indirect attention dichotomy mentioned above, James
suggested that attention can be either passive and involuntary or active and voluntary and that
James (1892) argued that people do not focus on a stimulus, even for a brief amount of
time, without some sort of interest in the stimulus. When a person is surrounded by stimuli, the
stimulus of greater interest is the stimulus on which the individual focuses. When a stimulus is
the absence of such fascination a person chooses to attend to a stimulus and generates an interest
in the stimuli.
A good example of this is an atypical event or stimulus. For example, an obvious black
mark on a white wall. The mark is in such contrast to it surrounding that it may engage your
attention automatically. Your focus will immediately be drawn to the black mark because clear
contrast makes it fascinating. On the other hand, voluntary attention is engaged when the
individual chooses to make the stimulus interesting (James 1892). Voluntary attention requires
effort to assign the stimulus importance. For example, the black mark on a white wall initially
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draws involuntary attention but quickly becomes unimportant. To remain focused on the black
mark you must assign it significance. As you adapt to the contrast between the mark and the
wall to remain focused you must assign the mark importance. The assigned importance can
seem similar to the mark’s original intriguing character but it is fundamentally different. In other
words, you are still focused on the black mark not because the mark looks out of place in the
white room, but because you are now consciously assigning the mark’s significance.
Further, when you are directing your attention you actually perform two tasks
simultaneously. You assign importance to the target stimulus, as mentioned above, and at the
same time you try to reduce the importance of non-target stimuli. Whenever you lose focus on
an object you must exert renewed effort to resume both of these tasks (Kaplan, 1995). Returning
a final time to the black mark on a white wall, if you are to focus your attention on the mark for a
long period then you must repeatedly assign the mark a high level of importance. At the same
time you must ensure that no other stimulus appears more important than the mark.
While James’ theory of attention was entirely theoretical key components of James’s
theory have been validated in contemporary empirical work. For example, Jonides (1981)
demonstrated that attention can be engaged either automatically or voluntarily and that actively
engaging attention is much more difficult. Jonides reported three experiments relating direct and
The first experiment asked participant to fixate on the center of a computer screen and
respond when either the letter L or R appeared somewhere on the screen (Jonides, 1981). The
target letter was presented amid a random array of seven distractor letters. Before the
appearance of the target letter an arrow would appear momentarily. The arrow was at either the
center of the screen or the edge of the screen. The arrow acted as a reliable but not perfect cue to
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the location of the next target letter. Participants were asked to respond as quickly as possible
and their accuracy and reaction times were measured. Participants benefited by attending to the
arrow cues. Lastly, the participants were asked to memorize a series of digits before the task and
This experiment showed that when the cue was in the center of the screen the reactions
were slower, the discrimination was performed with less accuracy and digits were recalled with
less accuracy (Jonides, 1981). Jonides proposed that centered cues were processed deliberately
and thus activated direct attention. On the other hand, peripheral cues activated automatic or
indirect attention. Because direct attention requires more cognitive effort than indirect attention,
centered cues interfered more with recall in the digit span task.
Jonides explanation is supported by Eimer (2000) and Doallo et al. (2004). Eimer and
Doallo et al. found that a peripheral cue is processed much more quickly than a central cue.
When a peripheral cue appeared for 100 milliseconds reaction times to the cue were faster. This
effect disappeared when the peripheral cue appeared for a longer period (700 milliseconds).
With longer presentations subjects shift their attention to actively process the cue. Essentially,
with longer presentations the peripheral cue became the center of the subject’s attention. This
interpretation matches the findings that when cues were presented centrally reaction time
For his second experiment Jonides (1981) hypothesized that if peripheral cues
automatically engaged attention, they should be harder to ignore than central cues. In order to
test this, Jonides conducted the same stimulus response task but removed the digit span recall
task and reduced predictable validity of the arrow cue from 70% to 12.5%. He informed the
participants that the arrow cues appeared at random and that it was unlikely that the arrows
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would predict the location of the L or R in the letter array and that it was in the participant’s best
interest to ignore the cues. Unreliable peripheral cues slowed reaction times and reduced
response accuracy.
Jonides (1981) argues that this difference appeared because the participants were unable
to ignore the peripheral arrow cues. Despite the fact the participants had been advised to ignore
the cues, the cues in the peripheral condition automatically engaged the participant’s attention
and created a response tendency. Responding based on the unreliable cue was often incorrect
producing lower accuracy or inhibiting the incorrect response slowed reaction time.
Eimer (2000) and Doallo et al. (2004) also replicated this effect. Unreliable peripheral
cues increased reaction time. These studies suggest that when peripheral information is noticed it
For the final experiment Jonides (1981) used a reliable cue presented one of two ways.
In one condition the arrow cue appeared 80 times in a central location and 20 times in the
periphery. In the alternative conditions these rates of appearance were reversed. Further, there
were two groups in each condition. One group was given a 25 millisecond delay between the
appearance of the arrow cue and target letter while the other was given a 100 millisecond delay
between the appearance of the cue and target. The results of this experiment showed that when
central cues are expected, because they are appearing much more often, they improve
performance if they are accurate and reduce performance if they are inaccurate. However if the
central cue is unexpected, because it is appearing infrequently, the cue has no effect on reaction
time and error rate unless there is a delay between the cue and the target stimulus.
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This finding requires some explanation. We process the center of our perceptual field
intentionally using direct attention. Direct attention demands time. However, we can be primed
to process the arrow cue if it is appearing consistently. Thus, when we expect the appearance of
a cue we are primed to engage direct attention and can do so more effectively. Accurate arrows
then help and inaccurate arrows hurt. However, when we do not expect the appearance of a cue
that requires direct attention, there is a delay in the process of engaging our attention. Thus, in
the unexpected central presentation with a short delay direct attention never engaged, the
information represented by the arrow isn’t processed and the arrow has no effect on reaction time
or accuracy. When there is an unexpected arrow and a long delay, which gives the subject time
to engage direct attention and process the arrow, accurate arrows help and inaccurate arrows hurt
performance.
This effect of delay should not appear when the arrow cues are presented in the periphery
because those cues would be always processed using automatic indirect attention. The data show
that regardless of the rate at which peripheral arrow cues appeared, they still resulted in faster
reaction times and more accurate discriminations when they were valid, and the opposite when
they were not valid. Peripheral cues engage indirect attention and do not benefit from or depend
Jonides’ (1981) work provides evidence that two forms of attention operate in human
cognition. Peripheral cues engage indirect attention automatically and central cues engage
effortful direct attention. The key point to take forward from this work is that the direct attention
Jonides (1981) conclusions in experiments 2 and 3 have been replicated and extended by
Rees, Frith and Lavie (1997) who showed that participants were less able to detect words that
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were printed in all capital letters when the detection task was presented with peripheral
distractors. Peripheral cues engaged indirect attention and actively distracted the subjects from
completing the primary task. However, Rees, Frith and Lavie’s (1997) extended Jonides’ result
by showing that direct attention can resist disruption if the central task is more completely
engaging. Specifically, the negative effects of peripheral distractors were significantly reduced
when subjects were asked to find a bisyllabic word within a list of monosyllabic words. This is a
very demanding central task. The outside cues were more easily ignored when direct attention
The studies cited above suggest that attention is dichotomous. Events in our primary
perceptual field are typically subject to voluntary or direct attention and events in our periphery
are processed automatically using indirect attention. Further, it seems that engaging direct
attention is more cognitively demanding. One final line of evidence for both the dichotomy of
attention and the effortful nature of direct attention is found in the phenomena of direct attention
fatigue.
When a long duration task demands direct attention performance will drop over time
(Halliday & Gordon 2012; Macemore, Hurlbut & Gordon, 2011; McGathy, Hesselbirg, &
Gordon, 2014; Shemery, McConnell, Halliday, & Gordon 2012). The argument is that the effort
of exerting direct attention drains some finite cognitive resource. Thus continued use of direct
attention causes a fatigue effect, making it more difficult to maintain or engage direct attention
Current research suggests that the finite cognitive resource behind directed attention
fatigue could be part of the central executive function of cognition (Kaplan & Berman 2010).
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The central executive is known to play a role in cueing, directing, and coordinating many of our
mental processes, including perception, emotion, and response selection (McCloskey & Perkins
2012). It is reasonable to suppose that the stimulus selection we know as attention is managed by
The idea that resources used by the central executive functions are finite is still
theoretical, but support for this idea does exist. For example, Schmeichel et al. (2003) has shown
aptitude tests. Baumeister et al. (1998) has shown that when a subject makes a great effort to
show self-control, or is forced to suppress emotional responses, that subject’s ability to solve
puzzles is significantly reduced. Baumeister, Vohs and Tice (2007) found a link between direct
attention and emotional regulation, and impulse control, all of which seem to suffer as we self-
regulate. This evidence strongly suggests that exertion of our executive functions seems to harm
our performance in any other task that involves our executive functions.
Based on what is known about direct and indirect attention an effective measure of
attention fatigue should achieve three goals. First, the measure must vary reliably and
systematically after operations that should fatigue direct attention. Second, the measure should
be brief and minimally invasive. An ideal measure of direct attention fatigue would be brief
because a brief measure is less likely to cause attention fatigue. If the measure were extended
and fatigued attention this would confound any study. A brief non-fatiguing measure would give
a more accurate measurement of a subject’s level of fatigue and allow multiple tests within a
subject (Baumeister et al., 1998; Baumeister, Vohs and Tice, 2007; Kaplan & Berman, 2010;
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Schmeichel et al., 2003). Finally, the measure must be compatible with other operations that will
fatigue direct attention. For example, an ideal measure of attention fatigue could be used directly
before and after a task such as mental math. This would allow for the most accurate within-
Recent evidence suggests that the perceived reversal rate of an ambiguous or reversible
figure can be a measure of direct attention fatigue (Cimprich, 1992; Macemore, Hurlbut &
Gordon, 2011; Tennessen & Cimprich, 1995). The reversible figure test (RFT) is an
experimental behavioral measure. In this sense it is like other behavioral measures used to assess
cognitive functions such as number of items recalled in a list. The RFT is not a clinical measure
of direct attention and it has not been normed for any population. The RFT is a new measure
that is still in development. This research is both part of that ongoing development of the
subject’s perception of the image changes (Pitts, Gavin, & Nerger 2007).
When you look at these drawings you see two or more versions of the image in irregular
alternation. Individuals can stabilize the figure, or reduce the frequency of perceptual shifts, by
attending to cues that favor one form of the figure. This focus on one cue is intentional and uses
direct attention. Thus, stabilizing an ambiguous figure demands direct attention. If the figure is
changing appearance frequently then the individual is not using direct attention to stabilize the
image. Over time or across tasks an increase in the frequency with which the figure changes is
an indication of reduced direct attention. In simple terms, direct attention stabilizes a reversible
figure. The less often the image changes the more effectively attention is stabilizing the image
(Cimprich, 1992; Macemore, Hurlbut & Gordon, 2011; Tennessen & Cimprich, 1995).
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There is a dispute about whether the reversal of an ambiguous figure arises from a “top-
down” or “bottom-up” process (Kornmeier, Hein, & Bach, 2008). Recent research has found
evidence for both sides of this dispute. Top-down processing, which is intentional and effortful,
seem consistent with exerting control over the perceived reversals of an ambiguous figure. A
top-down model suggests that we can see a reversible figure in whatever form we wish to see. If
we want stability then the image is stable and if we want a reversal to occur, it will occur.
(Kornmeier & Bach, 2004; Kornmeier & Bach 2006; Kornmeier, Hein, & Bach, 2008; Pitts,
In contrast, the automatic mechanisms of bottom-up processing also seem to play a role
in figure reversals. Whenever you reorient to a reversible figure, the appearance of the reversible
figure often changes automatically. This occurs even if you are making a conscious effort to hold
the figure stable. (Kornmeier & Bach, 2004; Kornmeier & Bach 2006; Kornmeier, Hein, &
Bach, 2008; Pitts, Gavin, & Nerger 2007; Theeuwes, 2009). From a bottom-up perspective some
element in the reversible figure triggers an automatic perception of one form of the figure. This
automatic, bottom-up process can occur even when you are attempting to hold a figure stable.
Thus, the bottom-up shift can overwhelm the top-down attempt to maintain stability. This
dominance of the bottom-up process may increase as the intentional top-down process is
fatigued.
The RFT has been shown to be an experimentally useful measure of attention. From an
empirical perspective ambiguous figure reversals have yielded consistent experimental findings
in measuring sustained attention. Cimprich (1992) and Tennessen and Cimprich (1995) used the
Necker cube as part of a test battery to asses attention in cancer patients. They found that as the
disease affected the patients their ability to stabilize the Necker cube’s appearance was reduced.
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The conclusion was that the illness reduced the patients’ direct attention. Macemore, Hurlbut and
Gordon (2011) found that reported changes in the appearance of the Necker cube increased when
observing the cube alternated with a reverse digit span task that demanded direct attention.
Further, the frequency of change increased as the reverse digit span task was increased in
duration. When the reverse digit span task increased in duration it should have demanded
This effect has been replicated and extended in several subsequent tests. Shemery,
McConnell, Halliday, and Gordon, (2012) showed results similar to Macemore, Hurlbut and
Gordon (2011) using a letter search task rather than reverse digit span to fatigue participant
attention. Halliday and Gordon (2012) worked with several reversible figures (see Appendix A)
and used letter search as a fatiguing operation and produced results like the earlier studies and
results that were similar across all the figures. Finally, McGathy, Hesselbirg, and Gordon (2014)
showed that the RFT shows the same results regardless of whether or not the figure is presented
The RFT fits all of the criteria for a good experimental measure of attention. First,
changes in the reversal rate have been attributed to changes in subjects' attentional processes. A
momentary loss of sustained attention can result in an image reversal (Intaite, Koivisto, Rukše, &
Revonsuo 2010; Kornmeier & Bach 2004; Kornmeier & Bach 2006). Second, the measure is
complete in one minute thus the RFT is minimally fatiguing. And finally, the measure seems to
work well with other tasks that are used to fatigue attention (Cimprich, 1992; Halliday & Gordon
2012; Hesselbirg, McGathy, & Gordon 2014; Macemore, Hurlbut & Gordon, 2011; McGathy,
Hesselbirg, & Gordon, 2014; Shemery, McConnell, Halliday, & Gordon 2012; Tennessen &
Cimprich, 1995).
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The Importance of Direct Attention Fatigue
world, then it is possible everyone’s direct attention is often fatigued. If direct attention is
central to effective cognitive function then living in a constant state of fatigue is of some
concern. At very least you would have a reduced attention and miss valuable information.
There is also another more serious implication. Returning to the suggestion that
sustained attention is drawing upon finite executive functions then sustained attention could
reduce other executive functions (Baumeister et al., 1998; Baumeister, Vohs & Tice, 2007;
Kaplan & Berman, 2010; Schmeichel et al., 2003). Fatigued executive functions would result in
decreased performance in many tasks. In other words, whenever you are suffering from direct
attention fatigue, your central executive functioning and response regulation are also likely to
suffer. Though this interaction between cognitive functions is theoretical, the negative
If attention fatigue may reduce our day-to-day performance, the next logical question
may be whether direct attention fatigue really occurs in day-to-day activity and whether this
would be of little significance in day to day function. However, if the fatigue is a general effect
then many people may be performing well below their peak ability. If direct attention fatigue
proves to be a broad general phenomenon then research into how to restore direct attention
would be important.
circumstances. For example, in the ambiguous figure experiments the participant’s attention was
intentionally fatigued by either reverse digit span or letter search, both of which are mentally
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strenuous activities (Halliday & Gordon, 2012; Shemery, McConnell, Halliday, & Gordon,
2012). Though the results were significant and reliable, both reverse digit span and letter search
are narrow experimental tasks. While it is good to see that fatigue is predictable, does this
evidence suggest that direct attention fatigue is a general problem? If it were shown that
significant levels of direct attention fatigue follows day to day tasks then the phenomenon is
more problematic.
Since people are constantly surrounded by many stimuli yet they seem to function well,
perhaps direct attention fatigue isn’t really an issue? However, you do not need to be in a
constant state of fatigue for the fatigue to be a problem. You only have to be fatigued at a
critical moment when attention is absolutely necessary. To test whether specific momentary
fatigue is a problem you could test the fatiguing impact of a typical daily activity. To have the
best measure of this impact a controlled experimental procedure could test simulations of such
activities.
The present experiment is designed to test whether attention fatigue appears after a more
common event. This event is experiencing social evaluation. Some common examples of this
would be public speaking, public performance, or job interviews. Scenarios involving social
evaluation are rather frequent in day-to-day life. (Baumeister & Leary, 1995) When we are
subjected to social evaluation we actively attend, often intensely, to both the judges who are
evaluating us and to the affective arousal that accompanies the evaluation (Baumeister & Leary,
1995). This intense focus would depend upon and possibly fatigue direct attention.
It is easy to see the external judges in a social evaluation scenario. However, how does
affective arousal appear as a distracting event? One expression of the arousal is anxiety.
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Anxiety is an unpleasant affective state that includes the feelings of nervousness, worry, tension,
and apprehension (Weegar, 1993). Anxiety also activates the autonomic nervous system
dry mouth, difficulty breathing, feelings of weakness, restlessness, and tremors (Weegar, 1993).
Anxiety can be reliably triggered, and anxiety can be reliably measured (Dawans,
Kirschbaumb, & Heinrichs 2011; Dickerson & Kemeny, 2004; Spielberger, 1989; Speilberger,
Gorsuch, & Luchene, 1970; Spielberger et al., 1983). It has been shown that any task which
combines social evaluation with a level of uncontrollability will reliably trigger anxiety seen as a
psychological and biological stress responses (Dawans, Kirschbaumb, & Heinrichs 2011;
Dickerson & Kemeny, 2004). In other words, when you are placed in a situation in which you
face impending social judgment and you do not feel that you will be able to avoid this judgment,
you will dread the possibility of negative social judgment and show physiological changes.
Baumeister and Leary (1995) suggest that this occurs because humans have a fundamental desire
to form positive social relationships. Negative social judgment threatens these relationships.
Anxiety can be reliably measured (Spielberger, 1989; Speilberger, Gorsuch, & Luchene,
1970; Spielberger et al., 1983). There are well-established, reliable psychological measures such
as the State-Trait Anxiety Inventory (STAI) (Spielberger et al., 1983; Spielberger, 1989). The
STAI includes two 20 question forms, one measures trait anxiety while the other measures state
anxiety (Speilberger, Gorsuch, & Luchene, 1970). In the context of social judgment only the
state portion of the measure would be required. The variable of interest is the momentary
anxiety that accompanies social judgment. It is not critical whether you are generally prone to
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being anxious, trait anxiety, it is critical whether your anxiety increases at the time of social
judgment. Therefore the state portion of the STAI could be used to accurately measure the
There is a short from of the STAI anxiety questionnaire (STAI-Y-6) created to measure
state anxiety in situations where the full form may not be appropriate. Though the STAI-Y-6 has
lower reliability, Cronbach’s alpha drops from .91 to a .82 with the shorter form (Marteau &
Bekker, 1992), the short form is less likely to confound the test of attention by causing direct
attention fatigue in and of itself. Thus, the STAI-Y-6 is a good measure for measuring anxiety
due to social evaluation. Then the level of anxiety can be related to direct attention fatigue.
A non-invasive measure of physiological stress, such as heart rate, can also be used to
complement the psychological measure of state anxiety. Elevated heart rate beyond one’s
baseline measure is a physiological symptom of stress which has been shown to have a high
positive correlation with anxiety (Cannon, 1929). Higher scores on the STAI-Y-6 questionnaire
should show a positive correlation with elevated heart rate. Heart rate can be measured in a non-
Research has shown that an anxious individual is more likely to pay attention to a
stimulus that is deemed threatening and more likely to interpret a stimulus as threatening
(Barlow, 1988; Eysenck, Derakshan, Santos, & Calvo, 2007; Reinholdt-Dunne, Mogg, &
Bradley, 2008). When threatening stimuli reach some threshold they seem to demand our
attention (Koster, et al., 2006; LeDoux, 1995; Mueller, et al, 2012; Pessoa & Adolphs, 2010;
Shechner et al, 2012). This response to threat creates a challenge for direct attention. When task
irrelevant stimuli are perceived as threatening it is harder to ignore them (Barlow, 1988;
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Eysenck, Derakshan, Santos, & Calvo, 2007; Reinholdt-Dunne, Mogg, and Bradley, 2008) than
when they are not perceived as threatening (Koster, et al., 2006; LeDoux, 1995; Mueller, et al,
2012; Pessoa & Adolphs, 2010; Shechner et al, 2012). Thus, when an individual is anxious
sustaining attention on task relevant stimuli requires effortful direct attention (Cohen & O’Donell
1993; Jonides 1981; Rees, Frith & Lavie 1997.) Exerting more effort towards sustaining
attention while in a state of anxiety should result in higher levels of attention fatigue.
Hypothesis
Anxiety is both a very salient and very common event or state. An anxious individual
will have to engage direct attention to focus on task relevant stimuli to the exclusion of task
irrelevant anxiety producing stimuli. Therefore, if an individual is placed in a situation that will
induce higher levels of state anxiety, that individual’s direct attention will become significantly
fatigued.
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CHAPTER TWO: STATEMENT OF THE PROBLEM
which some information is encoded while other information is relatively neglected (Young,
2014). Research on attention, both past and current, has suggested that attention can be directed
while voluntary, intentional focus is direct attention (Cohen & O’Donell 1993; James, 1892;
Jonides 1981; Kundsen, 2007; Rees, Frith & Lavie 1997). Direct attention draws on and expends
cognitive resources. These are resources that are also needed for other central executive
functions, such as response inhibition and stimulus selection. Extended periods of attention
deplete these executive function resources and results in attention fatigue (Baumeister, Vohs &
Attention fatigue is both theoretically and practically interesting. Operations that are
fatiguing may tell us something about how human cognition functions. Further, in a complex
world full of competing demands there are practical negative implications of suffering from
fatigued attention (Baumeister et al., 1998; Baumeister, Vohs & Tice, 2007; Kaplan & Berman,
2010; Schmeichel et al., 2003). However, it is not known how much of a problem attention
fatigue may pose in day-to-day life. While it seems that the environment would demand direct
Social evaluation is a rather common experience that often results in social anxiety (Baumeister
& Leary 1995). When someone feels anxiety that person is more likely to interpret surrounding
stimuli as threatening (Barlow, 1988; Eysenck, Derakshan, Santos, & Calvo, 2007; Reinholdt-
Dunne, Mogg, & Bradley, 2008). When a stimulus is deemed threatening it becomes very
18
difficult to ignore (Koster, et al., 2006; LeDoux, 1995; Mueller, et al, 2012; Pessoa & Adolphs,
2010; Shechner et al, 2012). Because voluntarily focusing and sustaining our attention requires
that we ignore task irrelevant stimuli, even if they may appear to be threatening, anxiety should
create competition for attention and the effort of directing attention to relevant cues could cause
attention fatigue.
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CHAPTER THREE: METHOD
Participants
The participants in this experiment consisted of 54 (28 female, 26 male; mean age =
serving as volunteers. No significant difference was found between gender and age. The
participants were informed that the purpose of the experiment was to measure impromptu
Materials
For the purposes of this experiment, a modified version of the Trier Social Stress Test
(TSST) was used. The TSST is a standardized performance task that uses a combination of social
evaluation and uncontrollability to produce high levels of stress within participants. The TSST
task consists of three phases: (1) An introduction, preparation, and anticipation phase of 300
seconds, (2) a public speaking task (mock job interview) of 120 seconds, and (3) a mental
arithmetic task (serial subtraction) of 80 seconds (Dawans Kirschbaumb & Heinrichs 2011;
Kirschbaum, Pirke, & Hellhammer, 1993). Previous lit (e.g., Dawans Kirschbaumb & Heinrichs
2011, Dickerson & Kemeny, 2004; Kirschbaum, Pirke, & Hellhammer, 1993) that has used the
TSST provides no formal info concerning reliability, such as Cronbach’s alpha (Cronbach,
1951)”. Thought the TSST is widely used and is a standard protocol for evoking anxiety
For this experiment, each phase of the TSST was set to 120 seconds. Unlike the original
TSST in which each phase was performed in front of a panel of confederates, in this experiment
each phase was performed in front of a conspicuous video camera and one experimenter. The
20
camera was a Flip Video™ Model F260W digital video camera. The participants were told that
at a later date the recordings would be evaluated by expert judges. This was intended to create a
stronger feeling of social evaluation. In addition to this, rather than performing a mock job
interview, the participants were asked to provide a persuasive argument either for or against one
of five controversial topics. The five topics were abortion, gay marriage, welfare, euthanasia, and
the Patient Protection and Affordable Care Act (ACA; 2010), colloquially known as
“Obamacare”. Finally, for the serial subtraction task participants were presented with the number
the experimenter interrupted the participant saying “Stop. Please start again with 1379.”
The Reversible Figure Test (RFT) was used to measure the participant’s level of direct
attention fatigue. In the RFT, as the participant’s direct attention fatigues, the rate at which the
ambiguous image reverses increases. Because individual levels of ambiguous figure reversals
can vary RFT scores are always within-subject comparisons to baseline rather than comparison
to group norms. Increasing reversal rates represent a greater level of fatigue. Participants were
asked perform the RFT four times, once before the experiment began and once after each phase
of the experiment. For the purposes of this experiment the reversible figure was the duck-rabbit
(see appendix A). The figure was presented as a black and white image on a standard 4th-
generation Apple® iPad®. Each RFT was timed for 60s and participants were asked to indicate
a reversal by touching the iPad® screen. This digital version of the RFT has been used
successfully in previous studies (Hesselbirg, McGathy, & Gordon, 2014; McGathy, Hesselbirg,
& Gordon, 2014). As previously mentioned the RFT is an experimental behavioral measure of
direct attention and is still in development. The RFT has not been normed for any population and
21
The State-Trait Anxiety Inventory six-item short-form (STAI-Y-6) (see Appendix B) is a
6 item questionnaire derived from the State-Trait Anxiety Inventory form Y (STAI-Y)
(Spielberger, Gorsuch, & Lushene, 1970). The questionnaire was used to obtain a self-report
measure of the participant’s current state of anxiety. The STAI-Y-6 was created by Marteau and
Bekker (1992) for the purpose acquiring reliable measures of acute anxiety in situations where
the 20-item anxiety measure is inappropriate. STAI-Y-6 has shown a strong positive correlation
with the results of its 20-item counterpart (r =.95) and thought the STAI-Y-6 does suffer a drop
in reliability (α = .82; as compared to α = .91) its level of reliability is still within an acceptable
range (Scales, 2013). The STAI-Y-6 is has a minimum score of 6 and a maximum score of 24
Participants were asked to fill out the STAI-Y-6 four times throughout the experiment,
once before the procedure began and once after each phase of the procedure. The STAI-Y-6
questions were presented on the iPad® and the response to each item was recorded by touching
the screen.
A Polar® T31 coded transmitter chest strap heart rate monitor was also used. The
measured heart rate was displayed on a wrist monitor and participants were asked to read the
monitor and report their current heart rate seven times throughout the procedure, once before the
experiment and once before and after each phase of the experiment.
Procedure
Upon arrival each participant read and signed a consent form (see Appendix C). Each
participant was then excused to the bathroom and asked to attach the chest strap heart rate
monitor. The participants were then placed in individual observation rooms in front of a
conspicuous video-camera and an experimenter. At this time the experimenter asked the
22
participant to fill out a basic demographic form presented on the iPad®. The experimenter also
confirmed that the heart rate monitor was working correctly. Next, each participant received
written instructions for the modified TSST task and for the RFT presented on the iPad®. After
reading these instructions, the participants were asked to report their current heart rate. The
participant then completed the first RFT and the first STAI-Y-6 form.
After the participant completed the first RFT and STAI-Y-6 form, the participant was
told that he or she was about to enter the preparation phase for the presentation of a persuasive
argument and the participant’s heart rate was recorded. The participant was presented with the
five controversial topics, asked to choose one topic, and then indicate whether he or she would
argue for or against the chosen topic. After selection, each participant was given 120 seconds for
preparation. During the preparation phase, the participant was given paper and pencil to plan an
argument. The paper was then taken away after the planning phase ended. After this phase, the
participant’s heart rate was recorded again and the participant completed another RFT and STAI-
Y-6 form.
After the participant completed the second RFT and STAI-Y-6 form, the experimenter
told the participant that it was time to present the persuasive argument. The experimenter
recorded the participant’s heart rate, told the participant to look at the camera, and the
experimenter activated the camera. Once it was clear to the participant that the camera was
recording, he or she was told to begin speaking. If the participant finished his or her speech in
less than 120 seconds the experimenter prompted the participant to continue by saying “You still
have some time left, please continue.” If the participant finished a second time before the 120
seconds is over, the experimenter would wait quietly for 10 seconds stop the camera then move
23
After the 120-second presentation the participant’s heart-rate was again and the
participant completed another RFT and STAI-Y-6 form. Once these tasks had been completed
the experimenter told the participant that it was time to start the serial subtraction task. The
experimenter recorded the participant’s heart rate, told the participant to look into the camera,
and the experimenter activated the camera. Once it was clear to the participant that the camera
After a participant finished the 120-second subtraction task the participant’s heart-rate
was recorded for the final time and the participant completed the final RFT and STAI-Y-6 form.
Once the participant completed these final tasks the experimenter thanked him or her for
participating. The experimenter then debriefed the participant, explaining that the videos were in
fact being deleted. The entire procedure took an average of approximately 16 minutes per
subject.
24
CHAPTER FOUR: RESULTS
The dependent measures in this study were the number of figure reversals reported (Duck
Rabbit Reversal, DRR), heart-beats per minute (BPM), and the subjects self-reported anxiety
(SR Anxiety) at each observation point. There was no upper limit on the reversal measure. BPM
was limited physiologically. The STAI-Y-6 has a maximum of 24 and a minimum of 6. The
average reported measurement of each dependent variable and the standard errors at each
observation period were calculated in Microsoft® Excel® and are listed below in Table 1 and
Table 1:
25
Figure 1:
Attention Fatigue
34
32
30
28
Figure
reversals in 26
60 seconds DRR
24
22
20
18
Baseline Post speech Post speech Post mental
prep math
Figure 2:
100
95
Beats per BPM
Minute 90
85
80
26
Figure 3:
and multiple regressions while effect sizes we measured using values of partial eta squared (η2p).
Though there are not hard rules concerning interpretation of eta squared or partial eta squared,
Cohen (1988) established that values of eta squared close to .10 signify a small practical effect,
values around .25 signify a moderate effect, and values around .40 or larger demonstrate a large
practical effect. Sphericity for all RM ANOVAs was measured using Mauchly’s W (Mauchly,
1940) statistic. Because the assumption of sphericity was violated for all RM ANOVAs, all
statistically significant results below were reported using the Greenhouse-Geisser (1959)
adjusted values.
27
The first research question addressed was whether or not attention fatigue was evident. A
RM ANOVA, using observation period of figure reversal rates (DRR) (four levels) as a within-
subject variable revealed a significant increase in reversible figure reversals across observation
periods (F(3,112.04) = 6.768, p = .001, η2p= .113, 1-β = .92). Post hoc comparisons between
individual observation periods found four significant differences. Baseline DRR was
significantly lower than post-speech preparation DRR (22.28 ± 2.28 versus 27.46 ± 2.62; F(1,53)
= 10.902, p = .002, η2p= .171, 1-β = .90), post-speech DRR (22.28 ± 2.28 versus 27.5 ± 2.84;
F(1,53) = 8.361, p = .006, η2p= .136, 1-β = .81), and post-mental math DRR (22.28 ± 2.28 versus
29 ± 2.93; F(1,53) = 9.926, p = .003, η2p= .158, 1-β = .87). Finally, post-speech DRR was lower
than post-mental math DRR (27.5 ± 2.84 versus 29 ± 2.93; F(1,53) = 5.475, p = .023, η2p= .094,
1-β = .632). These results suggest that the participants’ direct attention was fatigued by the
procedure.
The second research question addressed whether or not participants felt anxious due to
the procedure. A RM ANOVA, using observation periods of participant’s heart rates BPM
(seven levels) as a within-subject variable, revealed a significant change within the participant’s
heart rate’s throughout the procedure (F(6, 243.17) = 23.495, p < .001, η2p= .307 1-β = 1.0). Post
differences between 6 different observation levels. Baseline BPM report and pre-speech prep
BPM (88.91 ± 2.09 versus 84.296 ± 2.040; F(1,53) = 35.569, p < .001, η2p= .402,1-β = 1.0),
Baseline BPM report and pre-speech BPM (88.91 ± 2.09 versus 97.78 ± 2.08; F(1,53) = 47.110,
p < .001, η2p= .471,1-β = 1.0), Pre-speech prep BPM and post-speech prep BPM (84.3 ± 2.04
versus 90.78 ± 1.85; F(1,53) = 35.981, p < .001, η2p= .404,1-β = 1.0), post-speech prep BPM and
pre-speech BPM (90.78 ± 1.85 versus 97.78 ± 2.081; F(1,53) = 33.841, p < .001, η2p= .390,1-β =
28
1.0), pre-speech BPM and post-speech BPM (97.78 ± 2.08 versus 89.17 ± 2.05; F(1,53)= 31.832,
p < .001, η2p= .375,1-β = 1.0), pre-mental math BPM and post-mental math BPM (90.76 ± 1.88
versus 86.89 ± 1.76; F(1,53) = 10.734, p < .002, η2p= .168,1-β = .896). Additionally, an RM
ANOVA using observation period of participant’s self-reported anxiety (SR Anxiety) (four
fatigue. Four multiple regression analyses calculated using DRR as the independent variable
suggested no significant correlation between DRR and BPM, or DRR and SR anxiety measures
at any point during the procedure for these 54 subjects. Results suggest that neither participants’
heart-rates nor participants’ SR Anxiety was related to the overall increase in DRR. Thus, there
is no indication that anxiety is associated with attention fatigue. The unstandardized regression
weight (B) and the standard error (SE) of each weight are listed below in Table 2. r-squared
values ranged from .006 to .09 and were not reported due to their overall insignificance.
Table 2:
Individual results for each regression, standard errors are reported in parenthesis.
29
CHAPTER FIVE: DISCUSSION
The purpose of this study was to determine whether or not anxiety could result in
attention fatigue. Thus, the first question to be addressed is whether or not attention fatigue
occurred. The second question to address is whether anxiety was present in the subjects. Finally,
the possibility that anxiety may result in attention fatigue will be examined.
Based on previous work with the RFT, a significant increase in figure reversal rate
overtime should act as an indicator of attention fatigue (Cimprich, 1992; Halliday & Gordon
2012; Hesselbirg, McGathy, & Gordon 2014; Macemore, Hurlbut & Gordon, 2011; McGathy,
Hesselbirg, & Gordon, 2014; Shemery, McConnell, Halliday, & Gordon 2012; Tennessen &
Cimprich, 1995). Overall DRR increased significantly during the procedure. Further, baseline
DRR was less than DRR at every other point. There was not a significant increase in DRR from
post-speech preparation to post-speech but the reversal rate increased again after mental math.
Thus, it can be concluded that throughout the procedure attention fatigue occurred in the
subjects. Additionally, it can be concluded that the acts of preparing for speech and performing
mental math were the most fatiguing parts of the procedure. Given that no significant difference
can be seen between post-speech preparation and post-speech measurement points the act of
According to the literature, if anxiety was induced results should show both an increase
in HR and SR anxiety over time (Spielberger, 1989; Speilberger, Gorsuch, & Luchene, 1970;
Spielberger et al., 1983). Due to the non-significant differences in the SR Anxiety measures, an
argument can be made that the results of this study do not suggest that the subjects were anxious.
However, given that each measure of SR Anxiety occurred during a point at which the subjects’
30
HR were not significantly different from baseline HR measures, it is also possible that the
subjects simply were not anxious at the moment the SR anxiety was measured. The SR anxiety
measures took place immediately after each task of the experiment, and occurred immediately
after a significant drop in HR. Thus it is a strong possibility that the SR anxiety measures were
actually tapping into the relief felt by the participants after each part of the procedure was
completed. Therefore, the disagreement between SR Anxiety and HR measures can be seen as
Finally, the literature suggested that ignoring distractor stimuli results in attention fatigue
(Baumeister, Vohs & Tice 2007; Cohen & O’Donell 1993; James, 1892; Jonides 1981; Kaplan &
Berman 2010; Kundsen, 2007; Rees, Frith & Lavie 1997; Schmeichel et al. 2003). Anxiety
provoke stimuli are good a grabbing attention and would need to be ignored to focus on a task
(Barlow, 1988; Eysenck, Derakshan, Santos, & Calvo, 2007; Koster, et al., 2006; LeDoux,
1995; Mueller, et al, 2012; Pessoa & Adolphs, 2010; Reinholdt-Dunne, Mogg, & Bradley, 2008;
Shechner et al, 2012). Therefore, it is possible that attention fatigue can occur as a result of the
presence of anxiety. If this is the case, then a correlation between anxiety and attention fatigue
should be visible when both factors are present. Unfortunately, the results of this study make it
difficult to conclude that there is a link between anxiety due to social evaluation and attention
fatigue. The multiple regressions suggest that no relationship exists between anxiety and
attention fatigue as measured by the RFT. However, the multiple regression analyses may be
subject to flaws due to the different numbers of measurement points for the three variables.
Because DRR and SR anxiety were only measured four times, the three additional measures of
HR that were taken could not be used in the regression analysis. The three measurements that
could not be used were measures that showed significant changes in BPM, or anxiety. Losing
31
these three important data points may have affected the results of the analyses. Replications of
this study may consider including measures DRR and SR anxiety whenever HR is measured to
Further, the results suggest that fatigue created during the speech preparation may affect
the later measures of DRR. There is a significant increase in DRR from baseline to post-speech
preparation. However, the DRR post-speech is unchanged. This may suggest a carryover effect:
once attention becomes fatigued, it remains fatigued for some time, perhaps for the rest of the
procedure. This possibility has been supported by past research (Hesselbirg, McGathy, &
Gordon, 2014). If attention fatigue doesn’t drop during non-stressful parts of the procedure, it
would be difficult to find a relationship between attention fatigue and HR or SR Anxiety. The
generally homogenous levels of the RFT across all subjects through the duration of the tasks
A final noteworthy point about anxiety and attention fatigue is the significant increase of
BPM occurring between pre-speech preparation and post-speech preparation. The participants’
heart rates had slowed significantly before speech preparation began. With preparation, their
heart rates increased dramatically. Though the actual value was simply a return to baseline, this
jump in BPM occurs at the point in which DRR greatly increase. One interpretation of these
results suggests that the participants felt anxious, as indicated by elevated heart rate, and
attention was fatigued. It is also a possibility that due to the argumentative nature of the
participant’s speech, the participants’ elevated BPM was due to participants’ strong feelings
toward their own arguments. If any participant had strong enough feelings toward their own
stance, a heightened level of physiological arousal would make sense during speech preparation.
32
There is an obvious alternative explanation of the significant increases in DRR. It is
possible that the attention could be attributed to the task difficulty rather than anxiety over social
evaluation. Certainly there is task demand in rapidly preparing a speech and performing mental
math. Past work has shown that cognitive challenge in reverse digit span and letter search
fatigues attention (Hesselbirg, McGathy, & Gordon, 2014; Macemore, Hurlbut, & Gordon 2011;
Shemery, McConnell, Halliday, & Gordon, 2012). Thus, there is every reason to believe that the
cognitive demands of speech preparation and mental math would fatigue attention.
Limitations
There are three limitations in this study. First, the TSST may not have been evocative
enough. For the purpose of this experiment the TSST was redesigned to use digital camera in
place of live spectators. Thought previous research has suggested that recording a performance
can elicit an anxiety response; making use of spectators has been show to produce an even larger
anxiety response (Dickerson & Kemeny, 2004). Redesigning the experiment so that the TSST is
performed in front of spectators would likely produce a stronger anxiety response which could
provide a better test of anxiety’s effect on attention fatigue. The inconsistent scores on SR
Anxiety and heart rate make it difficult to determine whether the TSST was sufficiently anxiety-
provoking.
Another potential limitation of this procedure can be found in the lack of trait anxiety
measures. While state anxiety was arguably more logically linked to the question of the study,
measures of trait anxiety may very well have shown that the study had a range of participants
likely to show varying levels of anxiety during the procedure. Variations in this critical variable
would most likely have increased the chances of detecting a relationship between anxiety and
attention fatigue.
33
Finally, a limitation can be seen in the lack of a control group. Because each subject
experienced both social evaluation and cognitive demand it cannot be determined which part of
the procedure produced the observed attention fatigue. The presence of a non-anxious control
group would have allowed for a measure of attention fatigue due to task difficulty. While the
RFT is typically used as a within-subject measure perhaps significant differences in the RFT
between anxious and non-anxious groups would be informative. This is a major limitation and it
is highly recommended that a control group be added should this work be replicated.
Though this study did not establish that social anxiety fatigues attention, it does add to
the growing body of data related to attention fatigue. Even if the link between social evaluation
and attention remains unclear, furthering our understanding of the state of attention fatigue is
valuable. The possibility of carry over effects suggests that future analyses of attention fatigue
more closely examine the length of time a person remains fatigued, if there a natural recovery
Again, attention fatigue may have serious implications. One only needs to be fatigued at a key
point in time for a potential problem to occur. Further research that allows us to predict higher
that is both effective and quick would promise help. A combination of both of these additions
would be valuable. Either addition could mean that an anxious student passes the GRE, an
exhausted truck driver notices brake lights and avoids an accident, or a tired craftsman working
with a table saw is able to save a finger. Attention fatigue may not be widespread or even a big
inconvenience to the average person in everyday life. However, research strongly suggests that
34
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41
APPENDICES
Appendix A
42
Appendix B
Name___________________________________
Date____________
A number of statements which people have used to describe themselves are given below. Read
each statement and then circle the most appropriate number to the right of the statement to
indicate how you feel right now, at this moment. There are no right or wrong answers. Do not
spend too much time on any one statement but give the answer which seems to describe your
present feelings best.
2. I am tense 1 2 3 4
3. I feel upset 1 2 3 4
4. I am relaxed 1 2 3 4
5. I feel content 1 2 3 4
6. I am worried 1 2 3 4
Please make sure that you have answered all the questions.
43
Appendix C
Consent Form
If you have any concerns about how you were treated during the experiment, you may contact the
office of the IRB, a committee that oversees the ethical dimensions of the research process. The IRB
office can be contacted at 227-7212. This research project has been approved by the IRB.
Signature: ________________________________________
Participant
44