Emotional and Nonemotional Conflict Processing in Pediatric and Adult Anxiety Disorders

Functional connectivity between the ventral anterior cingulate and amygdala during implicit emotional conflict regulation and daily-life emotion dysregulation

Emotional conflict adaptation involving ventral anterior cingulate cortex (ACC) suppression of the amygdala is thought to be important in emotion regulation, with evidence of impaired implicit emotion regulation in emotional distress disorders. However, it is unclear how this impairment is associated with daily-life emotion dysregulation in emotional distress disorders. In the current study, female participants with an emotional distress disorder (N = 27) were scanned with MRI while completing an implicit emotion conflict regulation task that involved identifying the facial expression of an image while ignoring an overlaid congruent or incongruent affect label. Participants then completed two weeks of ambulatory assessment of daily-life emotion dysregulation. Consistent with previous research on comorbid emotional distress disorders (Etkin and Schatzberg, 2011), there was no behavioral effect of emotional conflict adaptation (p = .701) but a significant effect of congruent adaptation (p = .006), suggesting impairment is specific to implicit emotional conflict regulation. Additionally, there was no neural evidence of emotional conflict adaptation in the ventral ACC and amygdala (ps > .766). Further, in our primary psychophysiological interactions analyses, we examined ventral ACC-amygdala functional connectivity. As hypothesized, increased ventral ACC-amygdala functional connectivity for emotional conflict adaptation was associated with increased daily-life affective instability (p = .022), but not mean daily-life negative affect (p = .372). Overall, results provide behavioral and neural evidence of impaired implicit emotional conflict adaptation in individuals with emotional distress disorders and suggests that this impairment is related to daily-life affective instability in these disorders.

Conflict monitoring and the affective-signaling hypothesis-An integrative review

Conflict-monitoring theory proposes that conflict between incompatible responses is registered by a dedicated monitoring system, and that this conflict signal triggers changes of attentional filters and adapts control processes according to the current task demands. Extending the conflict-monitoring theory, it has been suggested that conflict elicits a negative affective reaction, and that it is this affective signal that is monitored and then triggers control adaptation. This review article summarizes research on a potential signaling function of affect for cognitive control. First, we provide an overview of the conflict-monitoring theory, discuss neurophysiological and behavioral markers of monitoring and control adaptation, and introduce the affective-signaling hypothesis. In a second part, we review relevant studies that address the questions of (i) whether conflict elicits negative affect, (ii) whether negative affect is monitored, and (iii) whether affect modulates control. In sum, the reviewed literature supports the claim that conflict and errors trigger negative affect and provides some support for the claim that affect modulates control. However, studies on the monitoring of negative affect and the influence of phasic affect on control are ambiguous. On the basis of these findings, in a third part, we critically reassess the affective-signaling hypothesis, discuss relevant challenges to this account, and suggest future research strategies.

Reduced accuracy accompanied by reduced neural activity during the performance of an emotional conflict task by unmedicated patients with major depression: A CAN-BIND fMRI study

METHODS

We studied 48 MDD and 30 HC who performed an emotional conflict task in a functional magnetic resonance imaging (fMRI) scanner.

RESULTS

On the emotional conflict task, MDD and HC demonstrated a robust emotional Stroop effect in reaction time and accuracy. Overall, accuracy was lower in MDD compared to HC with no significant reaction time differences. The fMRI data indicated lower BOLD activation in MDD compared to HC on comparisons of all trials, congruent, incongruent, and incongruent > congruent trials in regions including right inferior temporal gyrus, lateral occipital cortex, and occipital fusiform gyrus. Behavioural and neuroimaging data indicated no group differences in fearful versus happy face processing.

LIMITATIONS

Inclusion of a neutral condition may have provided a valuable contrast to how MDD and HC process stimuli without emotional valence compared to stimuli with a strong emotional valence.

CONCLUSIONS

MDD and HC demonstrated a robust emotional Stroop effect. Compared to HC, MDD demonstrated an overall reduced accuracy on the emotional conflict task and reduced BOLD activity in regions important for face perception and emotion information processing, with no differences in responding to fearful versus happy faces. These findings provide support for the theory of emotion context insensitivity in individuals with depression.