Szczypiński J, Wypych M, Michalska A, Krasowska A, Kopera M, Suszek H, Marchewka A, Jakubczyk A, Wojnar M. Pedophilic sex offender show reduced actiation in the right dlpfc during integration of emotion and cognition – preliminary results.
Eur Psychiatry 2021. [PMCID:
PMC9475693 DOI:
10.1192/j.eurpsy.2021.1102]
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Abstract
Introduction
The pedophilic disorder is characterized by a sexual preference for children and leads to child sexual abuse (CSA) in half of the patients. Studies showed that pedophiles with a history of CSA (CSA+) are inferior, in inhibitory control, to those without (CSA-).
Objectives
Inhibitory control may be influenced by negative affectivity, which was shown to be a state factor facilitating sexual abuse. Nevertheless, it is not known if distress influence CSA+ and CSA- equally.
Methods
We recruited three groups of participants: healthy controls (HC) CSA+ and CSA- who performed an emotional Go-NoGo block task. The task was design specifically to correspond to a situation in which an indivisual is opposed by a negative life event. In each trial, participants were presented with photographs, either of neutral or negative valence, which did not require reaction. After the photographs, a circle (Go stimuli) or a square (NoGo stimuli) was presented.![]()
Results
We found that HC and CSA- had slower reaction time in negative compared to neutral condition (regardless of the block type), while CSA+ did not. Consequently, HC and CSA- showed increased activation in the right dorsolateral prefrontal cortex (DLPFC) in negative compared to the neutral condition, what was not observed in CSA+.![]()
Conclusions
DLPFC is crucial for cognitive control, however, the activity of this region is modulated by emotional valence. Reduced engagement of dlPFC in CSA+ in negative condition (irrespectively of the task instructions), suggest that negative emotions in CSA+ disrupt also other aspects of cognitive control, rather than inhibition specifically.
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