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Somatic & Cognitive

Anxiety

BCIA V
Electrodermal Activity
Based on the didactic requirements for BCIA
certification in biofeedback

2 types of anxiety
Body anxiety Mind anxiety

Also called Also called


somatic anxiety cognitive anxiety

More physiological More psychological

Somatic Anxiety

 The stress response and somatic anxiety


 Fight or Flight = action responses
 build up of adrenaline
 release of sugar into blood
 ready response with muscle tensing
 Best treated with EMG and thermal bfb
 AND - Physically based lifestyle changes
like improved diet, exercise and quality
sleep (sleep hygiene training)

BCIA 5c - ANS 1
Cognitive Anxiety
 The stress response & cognitive anxiety
 apprehensive expectedness
 hypervigilence
 “what if”… thinking
 Best treated with GSR biofeedback
 Emotionally based lifestyle changes like
meditation, mindfulness, bibliotherapy and
psychotherapy (RET, CBT, SIT, supportive
and insight therapies)

The Stress Response


 Adaptive nature of hand sweating
 improves grip & lowers skin abrasion
(spitting on hands)

 Adaptive nature of body sweating


 communication (odor familiarity)
 improves body cooling

Physiology of electrodermal activity


[EDA]
 It is cholinergic
 Acetyl choline (Ach) is released at the nerve
ending
 [Adrenergic means norepinephrine (adrenaline) is
released at the nerve ending]
 2 types of sweat glands
1) eccrine (merocrine) - most common-located over
most of the body but concentrated in hands and
feet
2) apocrine - armpits and genital area –
communication & cooling

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History of Galvanic Skin Response
in Physiology
 Galvani’s Theory
 Luigi Galvani (1737-1798)
 The relationship between electricity &
the body
 The life force

 Alessandro Volta (1745-1827)


 Not life force - created the 1st battery

History of Galvanic Skin Response


in Physiology

 Vigouroux (1879 study)


 1st observation of psychological factors in EDA
 measured skin resistance in cases of hysterical
amnesia

 Charles Fere (1888 study)


 may have been 1st usage of term GSR
 1st study of arousal theory and GSR

History of Galvanic Skin Response


in Physiology

 Tarchanoff (1848-1909)
 wrote the first paper (1890) on the “psycho-
galvanometer”
 The GSR is sometimes referred to as the
Tarchanoff Response

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History of Galvanic Skin Response
in Physiology

 Carl Jung (1875-1961)


 used in word association experiments
 Studies in Word Analysis published in 1906

 Studying “emotionally charged” words

 observing invisible “emotional tone”


 “so…tell me about your mother”

Tarchanoff Response
 The change in electrical potential
across neurons of the autonomic
nervous system connected to the
sensori-motor strip of the cortex

 Relates to the level of cortical arousal

 SMR protocol for ADHD and sleep


disorders

Jungian (psychoanalytic)
use of GSR

 The Higher Self knows the objective


truth and, when in conflict with
distorted concepts, causes reactive
arousal.
 The rise and fall of GSR relates to
stimulation of repressed mental
conflicts.

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psycho-galvanometer

2 forms of EDA
Skin Conductance Skin Potential
(mhos) (volts)
Skin conductance level (SCL)
Skin potential level
Tonic = overall SNS arousal level

Skin conductance response (SCR)


Phasic = arousal generated by a Skin potential response
stimulus

In s. conductance, an external In s. potential we are measuring the


current is passed through the skin inherent potentials generated by the skin

exosomatic endosomatic

SCL SCR
skin conductance level skin conductance response

Tonic Phasic

baseline reactivity

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Ohm’s Law & GSR
 V=IxR
 Voltage equals current times resistance
 Volts equals amps times ohms
 The greater number of sweat glands that are active
 The more moisture is generated
 The more current is allowed to flow or the greater
the conductance (or, the less the resistance)
 Conductance and resistance are inversely related,
or R = 1/C

The units for GSR are µmhos

 The units of resistance is the ohm

 Spelled backwards it’s mho

 The units of conductance are mhos

 The amount of mhos in the body is


small so we speak of micromhos

Measuring GSR
 Sensors placed on volar surface of the hand
 About 2000 sweat glands per square inch
 Pattern recognition
 “flat line” = low conductance with little or no
reactivity - Nonresponsive pattern ∝ helplessness,
detachment and/or over control

 ≤ 5µmhos relaxed
 > 10 µmhos agitated
 > 20 µmohs r/o anxiety disorder

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Biofeedback session
 Excesses in variability (labile pattern)
 too responsive to external/internal stimuli
 shy/high self-consciousness

 “sumo” training - staying centered


 Using a circle graph on the feedback screen, the
patient’s goal is to stay inside circle (the
threshold)…the therapist’s job is to push her/he
out of the circle with cognitive challenges (noise
distractions, imagery suggestions, etc.)

Increases in GSR often follow stressful thinking

Here a student began thinking about the work of her dissertation

This GSR pattern is labile (lots of variability) during


each stress challenge
On the Psychophysiological Stress Profile

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This GSR pattern is labile (lots of variability).
Highest peak occurred during Anticipation
Challenge on the Psychophysiological Stress Profile

The Impact of Diversity on


Psychophysiology
Class discussion
 socio-economic status
 poor dietary habits may be due to financial
strains
 Exercise may not be possible for someone
working 2 jobs!
 access to health care resources
 cultural norms
 Emotional taboos and expectations

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