Key result
Dominance smiles delivered as evaluative feedback induced a significantly greater overall salivary cortisol response compared to reward smiles (mean difference 18.18).
Why the study?
Does exposure to functionally distinct smiles alter HPA axis activity in individuals undergoing a social stress test?
RCT (n=90)
Single-blind
Randomly assigned
No
Does exposure to functionally distinct smiles alter HPA axis activity in individuals undergoing a social stress test?
Mean Difference: 18.18 (95% CI 5.83–30.54)
Absolute Event Rate: 19.4% vs 1.21%
p-value: p=0.004
Different types of smiles can physiologically augment or dampen stress responses, particularly in individuals with higher baseline heart rate variability.
Social smile types may modulate acute stress physiology; leaves open clinical applications and requires validation in diverse populations.
When people are being evaluated, their whole body responds. Verbal feedback causes robust activation in the hypothalamic-pituitary-adrenal (HPA) axis. What about nonverbal evaluative feedback? Recent discoveries about the social functions of facial expression have documented three morphologically distinct smiles, which serve the functions of reinforcement, social smoothing, and social challenge. In the present study, participants saw instances of one of three smile types from an evaluator during a modified social stress test. We find evidence in support of the claim that functionally different smiles are sufficient to augment or dampen HPA axis activity. We also find that responses to the meanings of smiles as evaluative feedback are more differentiated in individuals with higher baseline high-frequency heart rate variability (HF-HRV), which is associated with facial expression recognition accuracy. The differentiation is especially evident in response to smiles that are more ambiguous in context. Findings suggest that facial expressions have deep physiological implications and that smiles regulate the social world in a highly nuanced fashion.
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Martin et al. (2018) conducted an RCT in Healthy individuals undergoing social stress (n=90). Dominance smiles vs. Reward smiles was evaluated on Total salivary cortisol response (AUCi) (b = 18.18, 95% CI 5.83, 30.54, p=0.004). Dominance smiles delivered as evaluative feedback induced a significantly greater overall salivary cortisol response compared to reward smiles (mean difference 18.18).
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