Back to Biofeedback... Home Page Psychophysiology, Vol. 18 No.1, pp. 75-81 First_emp81.doc Effects of Instructions and Contingency of Reinforcement on the Operant Conditioning of Human Phasic Heart-Rate Change Diane M. Riley & John J. Furedy, University of Toronto, Toronto, Canada Address requests for reprints to: Diane M. Riley, Department of Psychology, University of Toronto, Toronto M5S 1A1, Canada ABSTRACT The aim of these studies was to determine reinforcement contingency on phasic heart the effects of rate (HR) change. instructions and In Exp.I, 36 human subjects were given 20 conditioning trials with a muscle-tensing task which produced a phasic HR acceleration. The experimental manipulation produced an elevated baseline and allowed for the observation of instructed HR change during exercise. A 2 x 2 between subject design varied instructions (to increase or decrease the phasic tensioninduced HR contingent acceleration) on or and unrelated to contingency HR change) (whether as the factors. verbal There reinforcement was a was significant instructional effect at the end of conditioning, with increase subjects producing more HR acceleration and decrease subjects less acceleration relative to pretrials. The instructional effect developed over trials and decrease subjects significantly improved with practice. There was no difference between contingent and non-contingent groups in either of the two conditions in ability to change HR in the instructed direction. This study shows the usefulness of the elevated baseline technique for cardiac research. A second experiment demonstrated that, in subjects not instructed to attempt HR change, the phasic HR response did not change in magnitude over conditioning. The results of these studies indicate that subjects are able to control phasic HR during physicalstress induced tension but biofeedback is not relevant for the production of such HR changes. DESCRIPTORS: Heart-rate change, Heart-rate baseline, Biofeedback The investigation of the role of instructions and of reinforcement in the operant conditioning of human heart-rate (HR) change has been extensive, but the data pertaining to both variables unequivocal assessment of their effects. have been insufficient for the Some studies (e.g., Blanchard & Young, 1972; Blanchard, Young, Scott & Haynes, 1974; Colgan, 1977; Davidson & Schwartz, 1976; Gatchel, 1974; Lang & Twentyman, 1974; Rupert & Holmes, 1978) 2 have reported an advantage in HR increase performance when reinforcement was provided over sessions where no reward was given, whereas others (Bell & Schwartz, 1975; Bergman & Johnson, 1972; Holmes, Solomon & Buchsbaum, 1979; Levenson, 1976; White, Holmes & Bennett, 1977) have reported no significant differences increase. between reinforcement and no-reinforcement conditions for HR For HR decrease the results have been somewhat less conflicting, the data generally indicating no significant effect of reinforcement on HR change performance (e.g., Blanchard & Young, 1972; Blanchard et al., 1974; Davidson & Schwartz, 1976; Levenson, 1976; Rupert & Holmes, 1978; Young & Blanchard, 1974). The precise role of instructions as to the nature of the target response (TR) in the production of HR changes has likewise not been clearly established. There is some support for the position that superior tonic HR changes are produced when the subject is not informed as to the nature of the TR (Engel & Chism, 1967; Engel & Hansen, 1966). However, contrary to this position, instructed subjects have been reported to perform as well at HR increase and better at HR decrease than non-instructed subjects (Blanchard & al., 1974). Substantial differences between HR increase and decrease performance are often reported, increase being generally much superior to decrease. differences may be the result of there being many mediators of These reliable acceleration, such as muscle tension (c.f., Bell & Schwartz, 1975; Belmaker, Proctor St Feather, 1972; Lynch, Schuri & D’Anna, 1976) and respiration (c.f., Colgan, 1977; Obrist, Galosy, Lawler, Gaebelein, Howard & Shanks, 1975), but few mediators of any HR deceleration of significant magnitude. It has also been suggested that a "floor" effect prevents such deceleration, resting HR levels of subjects in the laboratory being close to their lowest daily waking levels (c.f., Bell & Schwartz, 1975; Clemens & Shattock, 1979). One means of investigating this "baseline-effects" possibility is to elevate the resting 3 level of the subject's HR, thereby lifting them of the "floor", and to then observe the production of HR change. The elevation of HR baseline can be effected through increasing the muscle-tension of the subject. The present study investigated the ability of human subjects to change HR when muscletension was kept constant at a very high level. through monitoring and instructions, but no Breathing was also regulated attempt was made to produce "unmediated" cardiac changes, the aim being to investigate the differential effects of instructions on HR change in subjects with elevated baselines. In the present study the response to be modified was a phasic HR increase produced by a muscle-tensing task. This elicited phasic response was employed because it has a number of advantages over the spontaneous IBI measure used in tonic studies (cf., Furedy, 1979; Riley & Furedy, 1979). Firstly, this elicited increase in HR is reliably produced by experimental manipulations. Secondly, this phasic HR change appears to be a more meaningful response unit than is the spontaneous IBI because the former has the normal response- associated properties of onset latency, recruitment, duration and magnitude, while the latter has only the property of magnitude, i.e., level. In addition to being an investigation of instructional effects on phasic HR in subjects in a state of physical stress-induced tension, this study was also an investigation of the effect of contingency of reinforcement on HR change. To adequately assess the effect of contingent reinforcement on the HR response and to thereby determine less equivocally the role of reinforcement in cardiac conditioning, a non-contingent control is necessary. Non-contingent control subjects receive the same reinforcement as do experimental subjects, but reinforcement is independent of responding for controls. The non- contingent control group used in this study was a modification of the standard yoked control. Church (1964) has noted that there can be a problem with the standard control reinforcement qua if subjects stimulus. The are differentially differences in responsive responsivity can to the confound 4 comparisons between groups, with subjects in the "master" (contingent) group being favored. can either There are two possible ways of overcoming this problem. equate subjects on their reinforcement given to subjects. responsivity, or one can equate for observed reinforcement effects are due contingency to the In the present study the latter method was used, the amount of reinforcement, being equated for each subject. control One the enables actual one to relationship ascertain between the Such a whether target response (TR) and the reinforcer, or simply to stimulus properties of the reinforcing event (cf., Berlyne, 1960; Furedy & Riley, 1979). EXPERIMENT I Method Subjects Subjects were 36 University of Toronto students who were paid $3 for participation in the one hour experiment. Ages ranged from 19 to 37 years, with a mean age of 23 years. of the two pathological There were 9 male and 9 female subjects in each instructional conditions. history, none and were All under subjects were medication at free the of time cardioof the experiment. Apparatus HR., respiration and EKG were recorded by an E & M Instruments physiograph, model 4Af with the signals from the silver/silver chloride recording electrodes through a Narco Biotachometer BT-1200. from the EKG by a Narco Impedence pneumograph. Respiration was monitored Exercise equipment used for the production of the phasic HR acceleration comprised a 36 kilogram spring weight clamped in position horizontally at a height of 83 centimetres. A handle was attached to the end of the spring on which the subject pulled with both hands. To ensure constancy of position, the experimenter placed the subject's back against a backboard, and their foot position was marked on the 5 floor indicating to the subject the point themselves in order to maintain balance. at which they must position This positioning ensured that the body weight of the subject was not being used in the movement of the spring and the task thus produced a substantial increase in tension in the muscles of the arms, chest, abdomen and back. The verbal reinforcement was delivered to the subject by the experimenter through a microphone that transmitted to the Koss Pro 4A headphones worn by the subject. White noise was delivered continually to the subject in order to mask any cues from the clicking of the physiograph. Procedure On arrival at the laboratory the subjects were randomly allocated to one of 4 groups, with allocation being initially restricted to one of the 2 experimental groups, since control subjects were yoked to experimental partners. Subjects were given instructions on the experiment as they were placed in the spring-pulling position and electrodes were attached. Following placement, the position to which the subject would be required to pull the spring was determined by calculating 80% of the maximum point at which the subject could hold the spring steady for 10 seconds following a smooth pull. The position calculated was marked on the spring calibration for the subject. The subject was instructed to relax, then instructions were delivered regarding pretrials. After 3 successful practice trials and 2 pretrials, on which the subject carried out the muscle-tensing task without attempting to change the phasic HR acceleration produced by it, subjects were instructed as to the nature of their task on the 20 conditioning trials. Subjects in the increase condition were instructed to attempt to increase HR when they pulled and during each 10 second spring-pull trial, while decrease condition subjects were instructed to decrease HR in this period. The response to be modified was the HR acceleration elicited by the pull, occurring 2-3 seconds after 6 trial onset. of A pilot study had shown that 10 seconds was the minimum duration spring-pull effective for maintaining a sufficiently elevated baseline throughout the session. Subjects were consequently required to hold the spring for a full 10 seconds. The reinforcement was then explained to the subject. Verbal reinforcement was administered following a shaping procedure with a shifting performancedependent criterion. The size of the phasic HR change occurring 2-3 seconds after trial onset was read from the physiograph record by the experimenter, who calculated reinforcement and delivered it immediately. Reinforcement was thus delivered approximately 4-5 seconds after trial onset, being contingent upon the phasic HR acceleration produced by experimental subjects commencing the muscle-tensing task. positive reinforcement If the subject failed to meet the criterion for on a particular trial then no verbal reward was delivered. One half of the subjects in each condition received reinforcement contingent upon the correct response. For the increase condition this response was larger HR acceleration relative to the previous trial, while for the decrease condition it was smaller acceleration. reinforced according to a shifting criterion. HR responses were The "amount" of reinforcement for each trial for increase subjects was determined as follows: "good", "very good", and "excellent" was said if, respectively, relative to the immediate trial there was an increase of 2-4, 4-6, and 6 or more bpm. For decrease subjects, reinforcement was calculated on the basis of less strict criteria, decrease being less reliably produced than increase (see introduction). A l bpm decrease in magnitude of phasic acceleration over the previous trial was reinforced with "good", 2 bpm with "very good", and 3 bpm with "excellent". The control subjects received the same reinforcement as their experimental partners, delivered at the same time during the trial, but for controls this reinforcement was non-contingent on the nature of their response. To overcome the statistical problems associated with variable amounts of reinforcement for 7 subjects due to their different HR labilities, the reinforcement was determined in advance as being delivered on approximately 80% of trials. There were 20 conditioning trials, with intertrial intervals (ITIs) of 40, 45, or Following written 50 the seconds. During conditioning trials questionnaire. This conditioning the subjects questionnaire trials were were asked pertained to not to the blocked. complete a subject's cognitions, strategies and awareness of HR during the experiment and also asked the subject whether or not he had perceived the reinforcement as being dependent on his response i.e., contingent. Results HR was sampled second by second from 2 seconds prior to task onset to 3 seconds following onset, the first 3 seconds being the baseline and the last 3 the phasic HR response that was to be modified. A series of ANOVAs on the HR data revealed no group differences in either tonic or phasic HR on pretrials, and there v/ere no tonic-level differences between groups over the conditioning trials, which were blocked into 4 blocks of 5 trials. For phasic HR, expressed in the ANOVAs as the Seconds (1-6) factor, the ANOVA with Trials (Pre vs Block 1) and Instruction Direction (Increase vs Decrease) did not yield a significant Seconds x Instruction Direction x Trials interaction. That is, the introduction of instructions immediately following the pretrials but preceding Block 1 did not differentially affect phasic HR acceleration. However, a significant Trials x Seconds interaction, (F(5,170) = 4.712, p< .001), indicated that the instructions generally (independently of direction) produced an increase in the phasic HR acceleratory response, as shown in Figure 1. An ANOVA on Block 1 data revealed that phasic HR did not change over the 5 trials (F<1), indicating that the observed difference from the 2 pretrials was not simply due to there being relatively more HR acceleration in the later 3 trials of Block 1. 8 Fig. 1: Phasic HR change on pretrials and on four blocks of five conditioning trials. With respect to changes in phasic HR over conditioning, an ANOVA revealed no significant main effect significant interactions significant Seconds x for contingency involving of contingency. Instruction-Direction x reinforcement, A breakdown Trial-Block nor any of the interaction (F(15,480) = 1.763, p<.O5), revealed by this analysis of conditioning data showed that there was a significant change in phasic HR over blocks for the decrease condition (F(15,240) = 2.904, p< .001). There was no such change for the increase condition, HR increase subjects showing no further change in the magnitude of phasic HR acceleration over that produced on the first block of conditioning. Inspection of the concomitantly monitored HR and respiration recordings indicated that subjects complied with instructions requesting regular breathing even during the task, and that the observed changes in phasic HR 9 acceleration were not due to gross changes in respiratory rate or depth. Since, as indicated above, this study was not designed to produce cardiac changes that were independent of respiratory variations it is quite possible that subtle changes in respiration contributed to the observed phasic HR changes. The responses to the post-experimental questionnaire items on subjectivestate during the task on HR change trials indicated distinctly different patterns of cognition and affect for increase and decrease subjects. All of the 18 increase-condition subjects reported having concentrated on exciting or frightening thoughts or images while all of the 18 decrease-condition subjects reported relaxing thoughts or images. With regard to the contingency of reinforcement received by the subject, 30 of the 36 subjects stated that they had considered the reinforcement given to them to be dependent upon the nature of their response. Those subjects expressing doubt as to the genuine nature of reinforcement (6 subjects) were equally from contingent (3) and non-contingent (3) groups. awareness Questions as to the subject's awareness of his HR indicated that had not increased over the session, pre- ratings of subjects not being significantly different. and post-experimental All subjects, however, did express being aware of the HR acceleration produced by the muscle-tensing task. An analysis of the actual mean percentage reinforcement delivered to each of the 4 groups showed that the amount of reinforcement for subjects in each group did not differ significantly (F<1), thus indicating that any differences in responding between groups could not be attributed to variability in amount of reinforcement. In order to determine the amount of contingent reinforcement delivered to subjects, the relationship between reinforcement actually delivered and HR response on each trial was calculated for every subject. The mean number of trials with response-contingent (correct) reinforcement for contingent subjects was 18 (18.5 for increase, 18 for decrease). The mean 10 number with response-contingent (adventitious) reinforcement for the non- contingent subjects was 6 (6.3 for increase, 6.3 for decrease). An ANOVA on this received reinforcement revealed a significant contingency (1,32) = 857, (p<.01), but no instructional effect (£<1). effect (F The absence of a contingency-of-reinforcement effect in this study could, therefore, not be simply due to a failure to establish contingent versus non-contingent reinforcement schedules. Conversely, since there was no difference in the amount of contingent reinforcement received by increase and decrease groups, the obtained instructional effects could not be due to reinforcement- contingency differences. Discussion A significant instructional effect emerged clearly in this study, as reflected in the significant differences between pretrial and conditioningtrial performance for increase- and decrease-condition subjects. The results indicate that there was no difference in magnitude of HR acceleration for the two conditions on the first block of conditioning, all subjects showing a significant increase in the magnitude of phasic HR acceleration as compared to pretrials. This increase may be interpreted as a general instructional effect which is due to the subject directing attention to the experimental task, and may be related to the initial anxiety of the subject. Over conditioning/ however, a significant differential instructional effect did emerge, with the increase condition performance, and maintaining the decrease increased condition acceleration producing smaller relative to pretrials and the first stage of conditioning. conditioning there was a significant difference in over the pretrial acceleration By the end of magnitude of HR acceleration between the two conditions. One possible interpretation of this differential instructional effect is that subjects are habituating to the muscle-tensing task and increase subjects 11 are simply accelerating against this habituation. In order to assess this possibility that the instructional effect was entirely due to acceleration in the increase groups and not to any deceleration in the decrease groups, a second experiment was conducted in which subjects were not instructed to change HR. EXPERIMENT II To determine whether the phasic HR acceleration to the muscle-tensing task did habituate, subjects were run who were not instructed to attempt to change HR. Subjects The 9 subjects, 4 males and 5 females, were from the University of Toronto. Their ages ranged from 18 to 32 years, with a mean age of 23, and they were each paid $3 for participation. Apparatus The apparatus was the same as described for Exp. I. Procedure The procedure was the same as that used in Exp. I, except that the instructions given to the subject after pretrials were modified. ; Rather than being instructed to attempt either HR increase or decrease after the pretrials, subjects were told to pull back on the spring rapidly and smoothly, as they had been instructed at the beginning of the session. Results As in Exp. I, the concomitant monitoring of HR and respiration indicated that subjects complied with instructions requesting regular breathing at all times, and the absence respiratory activity. of a systematic relationship between cardiac and HR was sampled as for Exp. I. An ANOVA on the phasic HR data revealed that there was a significant increase in HR over seconds 1-6 (F(5,40) = 6.803, p<.01), indicating that 12 there was a phasic response to the task. This response was found not to change over conditioning (F<1), the mean HR responses from baseline to the third second following trial onset being 4.72 bpm for pretrials and 5.13, 5.36, 5.15 and 5.27 bpm for each of the four blocks of five conditioning trials. GENERAL DISCUSSION The results of the second experiment indicate that with no instructions to change HR the magnitude of the phasic HR response did not change over conditioning. This makes it improbable that the differential instructional effect in Exp. I was simply the result of the increase-condition subjects producing acceleration against a background of habituation. at the end of conditioning for the second study was Further, the mean 5.3 bpm, which is comparable to the 6 bpm of the increase-instructed groups, suggesting that decrease rather than increase was improved. To precisely access the degree of acceleration and deceleration that is due to instruction, however, it would be necessary to run a no-treatment control group within the same experiment.1 These findings of an instructional effect on HR increase performance are in accord with results of other cardiac conditioning studies (e.g., Bergman & Johnson, 1972; Blanchard & Young, 1972; Blanchard et al., 1974; Colgan, 1977; Davidson & Schwartz, 1976; Gatchel, 1974; Lang & Twentyman, 1974; Schwartz, Young & Volger, 1976; Shapiro, Tursky & Schwartz, 1970; Sirota, Schwartz & Shapiro, 1974, 1976). The fact that the performance of decrease subjects improved significantly over conditioning is not consistent with the majority of earlier findings of tonic HR decrease where, after correction for HR decrease due to general relaxation, no improvements are found (e.g., Bell & Schwartz, 1975; Bouchard & Granger, 1977; Gatchel, 1974; Lang & Twentyman, 1974, 1976). The main differences between these studies and the present one are that the present study employed a phasic response and the baseline against 13 which change was to be demonstrated was an elevated one. Clemens and Shattock (1979) and Holmes, Frost and Bennett (1977) have reported significant tonic HR decrease over training with an elevated baseline. change as the TR, other researchers have With respect to phasic HR noted that significant phasic decelerations can be produced with training (e.g., Gatchel & Proctor, 1976; Schwartz et al., 1976; Sirota et al., 1974, 1976). These tonic/phasic indicates that the contingently reinforced subjects had no advantage over their non-contingently reinforced partners in the production of phasic HR change. On a strict or ‘narrow’ definition of biofeedback, we have argued elsewhere that a contingency-of-reinforcement effect is necessary for it to be said that the biofeedback phenomenon has occurred (cf., Furedy, 1979; Furedy & Riley, 1979), biofeedback being due to the relationship between the TR and the reinforcer, or to the information conveyed to the subject. cardiac conditioning conditions which have studies not to date, allowed for however, the have evaluation The majority of employed of control contingency-of- reinforcement effects and consequently the present findings of no such effect cannot be meaningfully compared to earlier findings. Most other studies have employed controls in which the reinforcement is totally removed rather than, as in the present study, the relationship between the reinforcer and the TR being manipulated. By removing reinforcement totally one may also be removing a stimulus which is producing the observed HR change through some property which is totally Berlyne, 1960). independent of its relationship to the response (cf., One may, for example, be also removing a stimulus which is functioning as a general motivator for the subject, and as a consequence of its total removal one cannot unequivocally say that any observed effect is due to the contingency of the reinforcement. The instructional and experimental manipulations used in this study controlled only for gross physiological changes, and the changes in HR that were found may have been mediated by a variety of subtle physiological changes 14 such as those in muscle tension, respiration and general activity. The results of the post-experimental questionnaire indicate that psychological processes may also have been contributing to the instructional effect obtained. The very different patterns of cognition and affect noted in the two conditions is of particular interest, and in line with the findings of other researchers (e.g., Engel & Chism, 1967; Engel & Hansen, 1966; Stephens et al., 1975). Subjects in the increase condition consistently reported exciting or frightening thoughts, those in the decrease condition relaxing ones. It would thus appear that the cognitive and affective state of the subject is related to the direction of HR change, but as to whether such states are causally efficacious or merely epiphenomena remains to be determined through further systematic experimental observations. What is clear from the present study is that significant differential instructional effects on phasic HR can be obtained in subjects during exercise, and that contingent reinforcement is irrelevant to this effect. This finding of there being no effect on HR other than that due to instructions is in line with a number of other studies which have controlled for the effects of instructions alone (e.g., Holmes et al., 1977, 1979; White et al., 1977). With regard to the development of procedures for changing cardiac responses, it has been suggested elsewhere (cf., Johnston, 1977; Lang, 1977), that the feedback methodology is not an efficient one. The failure of any contingency-of-reinforcement or a narrowly defined 'biofeedback1 effect to emerge in the present study could also be seen to indicate that biofeedback may not be one of the processes necessary for the production of HR change. 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