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Kim N, Kim MJ, Strauman TJ, Hariri AR. Intrinsic functional connectivity of motor and heteromodal association cortex predicts individual differences in regulatory focus. PNAS NEXUS 2024; 3:pgae167. [PMID: 38711811 PMCID: PMC11071117 DOI: 10.1093/pnasnexus/pgae167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 04/10/2024] [Indexed: 05/08/2024]
Abstract
Regulatory focus theory (RFT) describes two cognitive-motivational systems for goal pursuit-the promotion and prevention systems-important for self-regulation and previously implicated in vulnerability to psychopathology. According to RFT, the promotion system is engaged in attaining ideal goals (e.g. hopes and dreams), whereas the prevention system is associated with accomplishing ought goals (e.g. duties and obligations). Prior task-based functional magnetic resonance imaging (fMRI) studies have mostly explored the mapping of these two systems onto the activity of a priori brain regions supporting motivation and executive control in both healthy and depressed adults. However, complex behavioral processes such as those guided by individual differences in regulatory focus are likely supported by widely distributed patterns of intrinsic functional connectivity. We used data-driven connectome-based predictive modeling to identify patterns of distributed whole-brain intrinsic network connectivity associated with individual differences in promotion and prevention system orientation in 1,307 young university volunteers. Our analyses produced a network model predictive of prevention but not promotion orientation, specifically the subjective experience of successful goal pursuit using prevention strategies. The predictive model of prevention success was highlighted by decreased intrinsic functional connectivity of both heteromodal association cortices in the parietal and limbic networks and the primary motor cortex. We discuss these findings in the context of strategic inaction, which drives individuals with a strong dispositional prevention orientation to inhibit their behavioral tendencies in order to shield the self from potential losses, thus maintaining the safety of the status quo but also leading to trade-offs in goal pursuit success.
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Affiliation(s)
- Nayoung Kim
- Department of Psychology, Sungkyunkwan University, Seoul 03063, South Korea
- Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon 16419, South Korea
| | - M Justin Kim
- Department of Psychology, Sungkyunkwan University, Seoul 03063, South Korea
- Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon 16419, South Korea
| | - Timothy J Strauman
- Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA
| | - Ahmad R Hariri
- Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA
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2
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Davis SW, Beynel L, Neacsiu AD, Luber BM, Bernhardt E, Lisanby SH, Strauman TJ. Network-level dynamics underlying a combined rTMS and psychotherapy treatment for major depressive disorder: An exploratory network analysis. Int J Clin Health Psychol 2023; 23:100382. [PMID: 36922930 PMCID: PMC10009060 DOI: 10.1016/j.ijchp.2023.100382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 02/16/2023] [Indexed: 03/07/2023] Open
Abstract
Background Despite the growing use of repetitive transcranial magnetic stimulation (rTMS) as a treatment for depression, there is a limited understanding of the mechanisms of action and how potential treatment-related brain changes help to characterize treatment response. To address this gap in understanding we investigated the effects of an approach combining rTMS with simultaneous psychotherapy on global functional connectivity. Method We compared task-related functional connectomes based on an idiographic goal priming task tied to emotional regulation acquired before and after simultaneous rTMS/psychotherapy treatment for patients with major depressive disorders and compared these changes to normative connectivity patterns from a set of healthy volunteers (HV) performing the same task. Results At baseline, compared to HVs, patients demonstrated hyperconnectivity of the DMN, cerebellum and limbic system, and hypoconnectivity of the fronto-parietal dorsal-attention network and visual cortex. Simultaneous rTMS/psychotherapy helped to normalize these differences, which were reduced after treatment. This finding suggests that the rTMS/therapy treatment regularizes connectivity patterns in both hyperactive and hypoactive brain networks. Conclusions These results help to link treatment to a comprehensive model of the neurocircuitry underlying depression and pave the way for future studies using network-guided principles to significantly improve rTMS efficacy for depression.
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Affiliation(s)
- Simon W. Davis
- Department of Neurology, Duke University, Durham, NC, USA
| | | | - Andrada D. Neacsiu
- Psychiatry and Behavioral Neuroscience, Duke University, Durham, NC, USA
| | | | | | | | - Timothy J. Strauman
- Psychiatry and Behavioral Neuroscience, Duke University, Durham, NC, USA
- Psychology & Neuroscience, Duke University, Durham, NC, USA
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3
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Sharpley CF, Evans ID, Bitsika V, Arnold WM, Jesulola E, Agnew LL. Frontal Alpha Asymmetry Argues for the Heterogeneity of Psychological Resilience. Brain Sci 2023; 13:1354. [PMID: 37759955 PMCID: PMC10526132 DOI: 10.3390/brainsci13091354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 09/15/2023] [Accepted: 09/20/2023] [Indexed: 09/29/2023] Open
Abstract
Depression is associated with frontal alpha asymmetry (FAA) and Psychological Resilience (PR), although in different ways. Only cursory attention has been given to how these three constructs interact despite the possible clinical and research implications of those associations. One limitation of recent research into these associations has been conceptualising PR as a unitary construct, whereas it has been shown to be multi-component. This study investigated the underlying components of PR, their correlations with FAA, and the effect that participants' depressive status had upon those correlations in a community sample of 54 males and 46 females aged between 18 yr and 75 years. Results confirmed the overall inverse association between total PR and depression for four of the original five PR components and for one of the two components found in this sample. Similarly, there were differences between the ways that FAA and PR components were associated, depending upon the depressive status of participants. Source localisation data indicated that the PR components were not uniformly correlated with alpha activity in the same brain regions. These findings of content, efficacy, and neurophysiological differences between the five components of PR and their associations with FAA argue against consideration of PR as a unitary construct.
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Affiliation(s)
- Christopher F. Sharpley
- Brain-Behavior Research Group, University of New England, Armidale, NSW 2350, Australia; (I.D.E.); (V.B.); (W.M.A.); (E.J.)
- School of Science & Technology, University of New England, Queen Elizabeth Drive, Armidale, NSW 2351, Australia
| | - Ian D. Evans
- Brain-Behavior Research Group, University of New England, Armidale, NSW 2350, Australia; (I.D.E.); (V.B.); (W.M.A.); (E.J.)
| | - Vicki Bitsika
- Brain-Behavior Research Group, University of New England, Armidale, NSW 2350, Australia; (I.D.E.); (V.B.); (W.M.A.); (E.J.)
| | - Wayne M. Arnold
- Brain-Behavior Research Group, University of New England, Armidale, NSW 2350, Australia; (I.D.E.); (V.B.); (W.M.A.); (E.J.)
| | - Emmanuel Jesulola
- Brain-Behavior Research Group, University of New England, Armidale, NSW 2350, Australia; (I.D.E.); (V.B.); (W.M.A.); (E.J.)
- Department of Neurosurgery, The Alfred Hospital, Melbourne, VIC 4222, Australia
| | - Linda L. Agnew
- Brain-Behavior Research Group, University of New England, Armidale, NSW 2350, Australia; (I.D.E.); (V.B.); (W.M.A.); (E.J.)
- Griffith University, Nathan, QLD 4222, Australia
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Strauman TJ, Hariri AR. Revising a Self-Regulation Phenotype for Depression Through Individual Differences in Macroscale Brain Organization. CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE 2023; 32:267-275. [PMID: 37786408 PMCID: PMC10545323 DOI: 10.1177/09637214221149742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
Self-regulation denotes the processes by which people initiate, maintain, and control their own thoughts, behaviors, or emotions to produce a desired outcome or avoid an undesired outcome. Self-regulation brings the influence of distal factors such as biology, temperament, and socialization history onto cognition, motivation, and behavior. Dysfunction in self-regulation represents a contributory causal factor for psychopathology. Accordingly, we previously proposed a risk phenotype model for depression drawing from regulatory focus theory and traditional task-based fMRI studies. In this article, we revise and expand our risk phenotype model using insights from new methodologies allowing quantification of individual differences in task-free macroscale brain organization. We offer a set of hypotheses as examples of how examination of intrinsic macroscale brain organization can extend and enrich investigations of self-regulation and depression. In doing so, we hope to promote a useful heuristic for model development and for identifying transdiagnostic risk phenotypes in psychopathology.
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Affiliation(s)
| | - Ahmad R Hariri
- Department of Psychology and Neuroscience, Duke University
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5
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Sheeran P, Suls J, Bryan A, Cameron L, Ferrer RA, Klein WMP, Rothman AJ. Activation Versus Change as a Principle Underlying Intervention Strategies to Promote Health Behaviors. Ann Behav Med 2023; 57:205-215. [PMID: 36082928 PMCID: PMC10305802 DOI: 10.1093/abm/kaac045] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND PURPOSE Interventions are effective in promoting health behavior change to the extent that (a) intervention strategies modify targets (i.e., mechanisms of action), and (b) modifying targets leads to changes in behavior. To complement taxonomies that characterize the variety of strategies used in behavioral interventions, we outline a new principle that specifies how strategies modify targets and thereby promote behavior change. We distinguish two dimensions of targets-value (positive vs. negative) and accessibility (activation level)-and show that intervention strategies operate either by altering the value of what people think, feel, or want (target change) or by heightening the accessibility of behavior-related thoughts, feelings, and goals (target activation). METHODS AND RESULTS We review strategies designed to promote target activation and find that nudges, cue-reminders, goal priming, the question-behavior effect, and if-then planning are each effective in generating health behavior change, and that their effectiveness accrues from heightened accessibility of relevant targets. We also identify several other strategies that may operate, at least in part, via target activation (e.g., self-monitoring, message framing, anticipated regret inductions, and habits). CONCLUSIONS The Activation Vs. Change Principle (AVCP) offers a theoretically grounded and parsimonious means of distinguishing among intervention strategies. By focusing on how strategies modify targets, the AVCP can aid interventionists in deciding which intervention strategies to deploy and how to combine different strategies in behavioral trials. We outline a research agenda that could serve to further enhance the design and delivery of interventions to promote target activation.
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Affiliation(s)
- Paschal Sheeran
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, USA
- Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA
| | - Jerry Suls
- Center for Personalized Health, Institute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, New York, NY, USA
| | - Angela Bryan
- Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA
| | - Linda Cameron
- Psychological Sciences, School of Social Sciences, University of California, Merced, Merced CA, USA
| | - Rebecca A Ferrer
- Behavioral Research Program, National Cancer Institute, Bethesda, MD, USA
| | - William M P Klein
- Behavioral Research Program, National Cancer Institute, Bethesda, MD, USA
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Abstract
Abstract. The present research was aimed at providing a German version of the Personal Sense of Power Scale (GPSPS; Anderson et al., 2012 ) and testing its psychometric properties. A personal sense of power describes the perception of one’s ability to influence others. Probably every human relationship can be characterized by differences in power, which means that the measurement of experienced power is highly relevant. The availability of appropriate measures in different languages will help improve research and cross-cultural comparisons. Five studies were conducted. Internal consistency was high across all studies. Stability across 6 and 12 weeks was also high. A good fit was observed for a 6-item unidimensional version. Correlations with a variety of psychological and sociodemographic variables were in the expected directions, supporting nomological and criterion validity (Study 1). Measurement invariance across gender was demonstrated. In support of construct validity, a clinical sample scored significantly lower than others. Finally, two studies showed the sensitivity of a state version of the scale. We encourage researchers to use this scale as a reliable and valid instrument for assessing trait and state power.
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Affiliation(s)
- Robert Körner
- Department of Psychology, Martin-Luther-University of Halle-Wittenberg, Germany
- Department of Psychology, Otto-Friedrich-University of Bamberg, Germany
| | - Timo Heydasch
- Department of Psychology, Distance University of Hagen, Germany
| | - Astrid Schütz
- Department of Psychology, Otto-Friedrich-University of Bamberg, Germany
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7
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Silvia PJ, Eddington KM, Harper KL, Burgin CJ, Kwapil TR. Appetitive Motivation in Depressive Anhedonia: Effects of Piece-Rate Cash Rewards on Cardiac and Behavioral Outcomes. MOTIVATION SCIENCE 2020; 6:259-265. [PMID: 33778105 PMCID: PMC7989634 DOI: 10.1037/mot0000151] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Deficits in self-regulation and motivation are central to depression. Using motivational intensity theory (Brehm & Self, 1989), the present research examined how depressive anhedonia influences effort during a piece-rate appetitive task. In piece-rate tasks, people can work at their own pace and are rewarded for each correct response, so they can gain rewards more quickly by expending more effort. A sample of community adults (n = 78) was evaluated for depressive anhedonia using a structured clinical interview, yielding depressive anhedonia and control groups. Participants completed a self-paced cognitive task, and each correct response yielded a cash reward (3 cents or 15 cents, manipulated within-person). Using impedance cardiography, effort-related physiological activity was assessed via the cardiac pre-ejection period (PEP). The results indicated lower reward responsiveness in the anhedonia group. Compared to the control group, the depressive anhedonia group showed significantly less baseline-to-task change in PEP, and they performed marginally worse on the task. The experiment supports the predictions made by applying motivational intensity theory to depression and offers a useful paradigm for evaluating anhedonic effects on effort while people are striving for appealing rewards.
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Affiliation(s)
- Paul J Silvia
- Department of Psychology, University of North Carolina at Greensboro
| | - Kari M Eddington
- Department of Psychology, University of North Carolina at Greensboro
| | - Kelly L Harper
- Department of Psychology, University of North Carolina at Greensboro
| | | | - Thomas R Kwapil
- Department of Psychology, University of North Carolina at Greensboro
- Department of Psychology, University of Illinois at Urbana-Champaign
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Detloff AM, Hariri AR, Strauman TJ. Neural signatures of promotion versus prevention goal priming: fMRI evidence for distinct cognitive-motivational systems. PERSONALITY NEUROSCIENCE 2020; 3:e1. [PMID: 32435748 PMCID: PMC7219697 DOI: 10.1017/pen.2019.13] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Revised: 11/13/2019] [Accepted: 12/04/2019] [Indexed: 12/25/2022]
Abstract
Regulatory focus theory (RFT) postulates two cognitive-motivational systems for personal goal pursuit: the promotion system, which is associated with ideal goals (an individual's hopes, dreams, and aspirations), and the prevention system, which is associated with ought goals (an individual's duties, responsibilities, and obligations). The two systems have been studied extensively in behavioral research with reference to differences between promotion and prevention goal pursuit as well as the consequences of perceived attainment versus nonattainment within each system. However, no study has examined the neural correlates of each combination of goal domain and goal attainment status. We used a rapid masked idiographic goal priming paradigm and functional magnetic resonance imaging to present individually selected promotion and prevention goals, which participants had reported previously that they were close to attaining ("match") or far from attaining ("mismatch"). Across the four priming conditions, significant activations were observed in bilateral insula (Brodmann area (BA) 13) and visual association cortex (BA 18/19). Promotion priming discriminantly engaged left prefrontal cortex (BA 9), whereas prevention priming discriminantly engaged right prefrontal cortex (BA 8/9). Activation in response to promotion goal priming was also correlated with an individual difference measure of perceived success in promotion goal attainment. Our findings extend the construct validity of RFT by showing that the two systems postulated by RFT, under conditions of both attainment and nonattainment, have shared and distinct neural correlates that interface logically with established network models of self-regulatory cognition.
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Affiliation(s)
| | - Ahmad R. Hariri
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
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9
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Neural correlates of emotion-attention interactions: From perception, learning, and memory to social cognition, individual differences, and training interventions. Neurosci Biobehav Rev 2020; 108:559-601. [DOI: 10.1016/j.neubiorev.2019.08.017] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2019] [Revised: 07/02/2019] [Accepted: 08/21/2019] [Indexed: 12/12/2022]
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10
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Strauman TJ. Self-Regulation and Psychopathology: Toward an Integrative Translational Research Paradigm. Annu Rev Clin Psychol 2017; 13:497-523. [DOI: 10.1146/annurev-clinpsy-032816-045012] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Timothy J. Strauman
- Department of Psychology and Neuroscience, Duke University, Durham, North Carolina 27708
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11
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Luber BM, Davis S, Bernhardt E, Neacsiu A, Kwapil L, Lisanby SH, Strauman TJ. Reprint of ‘‘Using neuroimaging to individualize TMS treatment for depression: Toward a new paradigm for imaging-guided intervention’’. Neuroimage 2017; 151:65-71. [PMID: 28476213 PMCID: PMC10072336 DOI: 10.1016/j.neuroimage.2017.03.049] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Revised: 10/18/2016] [Accepted: 12/29/2016] [Indexed: 10/19/2022] Open
Abstract
The standard clinical technique for using repetitive transcranial magnetic stimulation (rTMS) for major depressive disorder (MDD) is associated with limited efficacy to date. Such limited efficacy may be due to reliance on scalp-based targeting rather than state-of-the-science methods which incorporate fMRI-guided neuronavigation based on a specific model of neurocircuit dysfunction. In this review, we examine such a specific model drawn from regulatory focus theory, which postulates two brain/behavior systems, the promotion and prevention systems, underlying goal pursuit. Individual differences in these systems have been shown to predict vulnerability to MDD as well as to comorbid generalized anxiety disorder (GAD). Activation of an individual's promotion or prevention goals via priming leads to motivational and affective responses modulated by the individual's appraisal of their progress in attaining the goal. In addition, priming promotion vs. prevention goals induces discriminable patterns of brain activation that are sensitive to the effects of depression and anxiety: MDD is associated with promotion system failure, anhedonic/dysphoric symptoms, and hypoactivation in specific regions in left prefrontal cortex, whereas GAD is associated with prevention system failure, hypervigilant/agitated symptoms, and hyperactivation in right prefrontal cortex (PFC). These left and right PFC locations can be directly targeted in an individualized manner for TMS. Additionally, this individually targeted rTMS can be integrated with cognitive interventions designed to activate the neural circuitry associated with promotion vs. prevention, thus allowing the neuroplasticity induced by the rTMS to benefit the systems likely to be involved in remediating depression. Targeted engagement of cortical systems involved in emotion regulation using individualized fMRI guidance may help increase the efficacy of rTMS in depression.
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12
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13
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Using neuroimaging to individualize TMS treatment for depression: Toward a new paradigm for imaging-guided intervention. Neuroimage 2017. [PMID: 28062252 DOI: 10.1016/j.neuroimage.2016.12.0831] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/13/2023] Open
Abstract
The standard clinical technique for using repetitive transcranial magnetic stimulation (rTMS) for major depressive disorder (MDD) is associated with limited efficacy to date. Such limited efficacy may be due to reliance on scalp-based targeting rather than state-of-the-science methods which incorporate fMRI-guided neuronavigation based on a specific model of neurocircuit dysfunction. In this review, we examine such a specific model drawn from regulatory focus theory, which postulates two brain/behavior systems, the promotion and prevention systems, underlying goal pursuit. Individual differences in these systems have been shown to predict vulnerability to MDD as well as to comorbid generalized anxiety disorder (GAD). Activation of an individual's promotion or prevention goals via priming leads to motivational and affective responses modulated by the individual's appraisal of their progress in attaining the goal. In addition, priming promotion vs. prevention goals induces discriminable patterns of brain activation that are sensitive to the effects of depression and anxiety: MDD is associated with promotion system failure, anhedonic/dysphoric symptoms, and hypoactivation in specific regions in left prefrontal cortex, whereas GAD is associated with prevention system failure, hypervigilant/agitated symptoms, and hyperactivation in right prefrontal cortex (PFC). These left and right PFC locations can be directly targeted in an individualized manner for TMS. Additionally, this individually targeted rTMS can be integrated with cognitive interventions designed to activate the neural circuitry associated with promotion vs. prevention, thus allowing the neuroplasticity induced by the rTMS to benefit the systems likely to be involved in remediating depression. Targeted engagement of cortical systems involved in emotion regulation using individualized fMRI guidance may help increase the efficacy of rTMS in depression.
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14
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Luber BM, Davis S, Bernhardt E, Neacsiu A, Kwapil L, Lisanby SH, Strauman TJ. Using neuroimaging to individualize TMS treatment for depression: Toward a new paradigm for imaging-guided intervention. Neuroimage 2017; 148:1-7. [PMID: 28062252 DOI: 10.1016/j.neuroimage.2016.12.083] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Revised: 10/18/2016] [Accepted: 12/29/2016] [Indexed: 10/20/2022] Open
Abstract
The standard clinical technique for using repetitive transcranial magnetic stimulation (rTMS) for major depressive disorder (MDD) is associated with limited efficacy to date. Such limited efficacy may be due to reliance on scalp-based targeting rather than state-of-the-science methods which incorporate fMRI-guided neuronavigation based on a specific model of neurocircuit dysfunction. In this review, we examine such a specific model drawn from regulatory focus theory, which postulates two brain/behavior systems, the promotion and prevention systems, underlying goal pursuit. Individual differences in these systems have been shown to predict vulnerability to MDD as well as to comorbid generalized anxiety disorder (GAD). Activation of an individual's promotion or prevention goals via priming leads to motivational and affective responses modulated by the individual's appraisal of their progress in attaining the goal. In addition, priming promotion vs. prevention goals induces discriminable patterns of brain activation that are sensitive to the effects of depression and anxiety: MDD is associated with promotion system failure, anhedonic/dysphoric symptoms, and hypoactivation in specific regions in left prefrontal cortex, whereas GAD is associated with prevention system failure, hypervigilant/agitated symptoms, and hyperactivation in right prefrontal cortex (PFC). These left and right PFC locations can be directly targeted in an individualized manner for TMS. Additionally, this individually targeted rTMS can be integrated with cognitive interventions designed to activate the neural circuitry associated with promotion vs. prevention, thus allowing the neuroplasticity induced by the rTMS to benefit the systems likely to be involved in remediating depression. Targeted engagement of cortical systems involved in emotion regulation using individualized fMRI guidance may help increase the efficacy of rTMS in depression.
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Affiliation(s)
- Bruce M Luber
- National Institute of Mental Health, Bethesda, MD, USA.
| | - Simon Davis
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
| | | | - Andrada Neacsiu
- Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA
| | - Lori Kwapil
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
| | - Sarah H Lisanby
- National Institute of Mental Health, Bethesda, MD, USA; Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA
| | - Timothy J Strauman
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
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15
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Chung T, Noronha A, Carroll KM, Potenza MN, Hutchison K, Calhoun VD, Gabrieli JDE, Morgenstern J, Nixon SJ, Wexler BE, Brewer J, Ray L, Filbey F, Strauman TJ, Kober H, Feldstein Ewing SW. Brain mechanisms of Change in Addictions Treatment: Models, Methods, and Emerging Findings. CURRENT ADDICTION REPORTS 2016; 3:332-342. [PMID: 27990326 PMCID: PMC5155705 DOI: 10.1007/s40429-016-0113-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Increased understanding of "how" and "for whom" treatment works at the level of the brain has potential to transform addictions treatment through the development of innovative neuroscience-informed interventions. The 2015 Science of Change meeting bridged the fields of neuroscience and psychotherapy research to identify brain mechanisms of behavior change that are "common" across therapies, and "specific" to distinct behavioral interventions. Conceptual models of brain mechanisms underlying effects of Cognitive Behavioral Therapy, mindfulness interventions, and Motivational Interviewing were discussed. Presentations covered methods for integrating neuroimaging into psychotherapy research, and novel analytic approaches. Effects of heavy substance use on the brain, and recovery of brain functioning with sustained abstinence, which may be facilitated by cognitive training, were reviewed. Neuroimaging provides powerful tools for determining brain mechanisms underlying psychotherapy and medication effects, predicting and monitoring outcomes, developing novel interventions that target specific brain circuits, and identifying for whom an intervention will be effective.
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Affiliation(s)
- Tammy Chung
- University of Pittsburgh, 3811 O’Hara Street, Pittsburgh, PA 15213, Phone: 412-246-5147, Fax: 412-246-6550
| | - Antonio Noronha
- National Institute on Alcohol Abuse and Alcoholism, 5635 Fishers Lane, Bethesda, MD, Phone: 301-443-7722, Fax: 301-443-1650
| | - Kathleen M. Carroll
- Yale University, 950 Campbell Avenue, MIRECC 151D, West Haven, CT 06516, Phone: 203-932-3869 x7403, Fax: 203-937-3869
| | - Marc N. Potenza
- Yale University, 34 Park St, New Haven, CT 06519, Phone: 203-974-7356, Fax: 203-974-7366
| | - Kent Hutchison
- University of Colorado at Boulder, Muenzinger Psychology, 345 UCB, Boulder, CO 80309, Phone: 303-492-8163
| | - Vince D. Calhoun
- The Mind Research Network, The University of New Mexico, 1 University of New Mexico, Albuquerque, NM 87131, Phone: 505-272-1817, Fax: 505-272-8002
| | - John D. E. Gabrieli
- McGovern Institute for Brain Research, Massachusetts Institute of Technology, 43 Vassar Street, Building 46-4033, Cambridge, MA 02139, Phone: 617-253-8946, Fax: 617-324-5311
| | - Jon Morgenstern
- Northwell Health, 1010 Northern Blvd, Great Neck, NY 11021, Phone: 516-837-1694
| | - Sara Jo Nixon
- McKnight Brain Institute, University of Florida, PO Box 100256, Gainesville, FL 32610, Phone: 352-294-4920
| | - Bruce E. Wexler
- Yale University, 34 Park St, New Haven, CT 06519, Phone: 203-974-7339
| | - Judson Brewer
- University of Massachusetts Medical School, Worcester, MA 01655 and Yale University School of Medicine, New Haven, CT 06515, Phone: 508-856-1632; Fax 508-856-1977
| | - Lara Ray
- Department of Psychology, University of California at Los Angeles, 1285 Franz Hall, Los Angeles, CA 90095, Phone: 310-794-5383
| | - Francesca Filbey
- University of Texas at Dallas Center for Brain Health, 2200 West Mockingbird Lane, Dallas, TX 75235, Phone: 972-883-3204
| | - Timothy J. Strauman
- Duke University, 316 Soc-psych Building, Durham, NC 27708, Phone: 919-660-5709
| | - Hedy Kober
- Yale University, 1 Church Street, Suite 701, New Haven, CT 06525, Phone: 203-737-5641
| | - Sarah W. Feldstein Ewing
- Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, Phone: 503-418-9604
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16
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Strauman TJ, Eddington KM. Treatment of Depression From a Self-Regulation Perspective: Basic Concepts and Applied Strategies in Self-System Therapy. COGNITIVE THERAPY AND RESEARCH 2016; 41:1-15. [PMID: 28216800 DOI: 10.1007/s10608-016-9801-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Self-regulation models of psychopathology provide a theory-based, empirically supported framework for developing psychotherapeutic interventions that complement and extend current cognitive-behavioral models. However, many clinicians are only minimally familiar with the psychology of self-regulation. The aim of the present manuscript is twofold. First, we provide an overview of self-regulation as a motivational process essential to well-being and introduce two related theories of self-regulation which have been applied to depression. Second, we describe how self-regulatory concepts and processes from those two theories have been translated into psychosocial interventions, focusing specifically on self-system therapy (SST), a brief structured treatment for depression that targets personal goal pursuit. Two randomized controlled trials have shown that SST is superior to cognitive therapy for depressed clients with specific self-regulatory deficits, and both studies found evidence that SST works in part by restoring adaptive self-regulation. Self-regulation-based psychotherapeutic approaches to depression hold significant promise for enhancing treatment efficacy and ultimately may provide an individualizable framework for treatment planning.
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Dolcos S, Hu Y, Iordan AD, Moore M, Dolcos F. Optimism and the brain: trait optimism mediates the protective role of the orbitofrontal cortex gray matter volume against anxiety. Soc Cogn Affect Neurosci 2015; 11:263-71. [PMID: 26371336 DOI: 10.1093/scan/nsv106] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Accepted: 08/17/2015] [Indexed: 02/04/2023] Open
Abstract
Converging evidence identifies trait optimism and the orbitofrontal cortex (OFC) as personality and brain factors influencing anxiety, but the nature of their relationships remains unclear. Here, the mechanisms underlying the protective role of trait optimism and of increased OFC volume against symptoms of anxiety were investigated in 61 healthy subjects, who completed measures of trait optimism and anxiety, and underwent structural scanning using magnetic resonance imaging. First, the OFC gray matter volume (GMV) was associated with increased optimism, which in turn was associated with reduced anxiety. Second, trait optimism mediated the relation between the left OFC volume and anxiety, thus demonstrating that increased GMV in this brain region protects against symptoms of anxiety through increased optimism. These results provide novel evidence about the brain-personality mechanisms protecting against anxiety symptoms in healthy functioning, and identify potential targets for preventive and therapeutic interventions aimed at reducing susceptibility and increasing resilience against emotional disturbances.
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Affiliation(s)
| | | | | | | | - Florin Dolcos
- Psychology Department, Neuroscience Program, and Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Illinois, IL 61820, USA
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18
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Van Hoeck N, Watson PD, Barbey AK. Cognitive neuroscience of human counterfactual reasoning. Front Hum Neurosci 2015; 9:420. [PMID: 26257633 PMCID: PMC4511878 DOI: 10.3389/fnhum.2015.00420] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2015] [Accepted: 07/07/2015] [Indexed: 12/16/2022] Open
Abstract
Counterfactual reasoning is a hallmark of human thought, enabling the capacity to shift from perceiving the immediate environment to an alternative, imagined perspective. Mental representations of counterfactual possibilities (e.g., imagined past events or future outcomes not yet at hand) provide the basis for learning from past experience, enable planning and prediction, support creativity and insight, and give rise to emotions and social attributions (e.g., regret and blame). Yet remarkably little is known about the psychological and neural foundations of counterfactual reasoning. In this review, we survey recent findings from psychology and neuroscience indicating that counterfactual thought depends on an integrative network of systems for affective processing, mental simulation, and cognitive control. We review evidence to elucidate how these mechanisms are systematically altered through psychiatric illness and neurological disease. We propose that counterfactual thinking depends on the coordination of multiple information processing systems that together enable adaptive behavior and goal-directed decision making and make recommendations for the study of counterfactual inference in health, aging, and disease.
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Affiliation(s)
- Nicole Van Hoeck
- Psychology and Educational Sciences, Vrije Universiteit BrusselBrussels, Belgium
| | - Patrick D. Watson
- Decision Neuroscience Laboratory, Beckman Institute for Advanced Science and Technology, University of IllinoisUrbana, IL, USA
| | - Aron K. Barbey
- Decision Neuroscience Laboratory, Beckman Institute for Advanced Science and Technology, University of IllinoisUrbana, IL, USA
- Department of Internal Medicine, University of IllinoisChampaign, IL, USA
- Department of Psychology, University of IllinoisChampaign, IL, USA
- Department of Speech and Hearing Science, University of IllinoisChampaign, IL, USA
- Neuroscience Program, University of IllinoisChampaign, IL, USA
- Carle R. Woese Institute for Genomic Biology, University of IllinoisChampaign, IL, USA
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Eddington KM, Silvia PJ, Foxworth TE, Hoet A, Kwapil TR. Motivational deficits differentially predict improvement in a randomized trial of self-system therapy for depression. J Consult Clin Psychol 2015; 83:602-616. [PMID: 25867448 PMCID: PMC4446180 DOI: 10.1037/a0039058] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE A randomized trial compared the time course and differential predictors of symptom improvement in 2 treatments for depression. METHOD Forty-nine adults (84% female) who were not taking antidepressant medications and met diagnostic criteria for major depressive disorder or dysthymia were randomly assigned either to cognitive-behavioral therapy (CBT) or self-system therapy (SST), a treatment that targets problems in self-regulation, the ongoing process of evaluating progress toward personal goals. Self-regulatory variables (promotion and prevention focus and goal disengagement and reengagement) were assessed as potential moderators of efficacy. At intake, most participants reported depression in the moderate to severe range and had histories of recurrent episodes and previous treatment attempts. Self-reported symptoms of depression and anxiety were assessed at each therapy session. Multilevel modeling was used to examine (a) differences in change associated with the treatment conditions and (b) moderation of treatment efficacy by pretreatment measures of self-regulatory deficits. RESULTS Both treatments were effective and did not show differences in the magnitude or rate of symptom change or in dropout rates, suggesting that CBT and SST were equally effective in improving depression and anxiety. Patients with self-regulatory deficits, however, showed greater improvement in depressive symptoms with SST. Specifically, patients with low promotion focus and low goal reengagement responded better to SST, whereas patients with high prevention focus responded better to CBT. CONCLUSIONS Overall, the results corroborate previous research suggesting that SST is a viable short-term treatment for depression that is particularly effective in helping patients compensate for self-regulatory deficits.
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Affiliation(s)
- Kari M Eddington
- Department of Psychology, University of North Carolina at Greensboro
| | - Paul J Silvia
- Department of Psychology, University of North Carolina at Greensboro
| | - Tamara E Foxworth
- Department of Psychology, University of North Carolina at Greensboro
| | - Ariana Hoet
- Department of Psychology, University of North Carolina at Greensboro
| | - Thomas R Kwapil
- Department of Psychology, University of North Carolina at Greensboro
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Dolcos F, Wang L, Mather M. Current research and emerging directions in emotion-cognition interactions. Front Integr Neurosci 2014; 8:83. [PMID: 25426034 PMCID: PMC4227476 DOI: 10.3389/fnint.2014.00083] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Accepted: 10/06/2014] [Indexed: 11/13/2022] Open
Affiliation(s)
- Florin Dolcos
- Psychology Department, Neuroscience Program, and Beckman Institute, University of Illinois at Urbana-Champaign Urbana, IL, USA
| | - Lihong Wang
- Brain Imaging and Analysis Center, Duke University Durham, NC, USA
| | - Mara Mather
- Davis School of Gerontology and Department of Psychology, University of Southern California Los Angeles, CA, USA
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Einstein DA. Extension of the Transdiagnostic Model to Focus on Intolerance of Uncertainty: A Review of the Literature and Implications for Treatment. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2014; 21:280-300. [PMID: 25400336 PMCID: PMC4204511 DOI: 10.1111/cpsp.12077] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2012] [Revised: 11/09/2013] [Accepted: 11/28/2013] [Indexed: 11/26/2022]
Abstract
This study reviews research on the construct of intolerance of uncertainty (IU). A recent factor analysis (Journal of Anxiety Disorders, 25, 2012, p. 533) has been used to extend the transdiagnostic model articulated by Mansell (2005, p. 141) to focus on the role of IU as a facet of the model that is important to address in treatment. Research suggests that individual differences in IU may compromise resilience and that individuals high in IU are susceptible to increased negative affect. The model extension provides a guide for the treatment of clients presenting with uncertainty in the context of either a single disorder or several comorbid disorders. By applying the extension, the clinician is assisted to explore two facets of IU, "Need for Predictability" and "Uncertainty Arousal."
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Affiliation(s)
- Danielle A Einstein
- Address correspondence to Danielle A. Einstein, Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW 2109, Australia. E-mail:
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Abstract
OBJECTIVE This article reviews neuroimaging studies that inform psychotherapy research. An introduction to neuroimaging methods is provided as background for the increasingly sophisticated breadth of methods and findings appearing in psychotherapy research. METHOD We compiled and assessed a comprehensive list of neuroimaging studies of psychotherapy outcome, along with selected examples of other types of studies that also are relevant to psychotherapy research. We emphasized magnetic resonance imaging (MRI) since it is the dominant neuroimaging modality in psychological research. RESULTS We summarize findings from neuroimaging studies of psychotherapy outcome, including treatment for depression, obsessive compulsive disorder (OCD), and schizophrenia. CONCLUSIONS The increasing use of neuroimaging methods in the study of psychotherapy continues to refine our understanding of both outcome and process. We suggest possible directions for future neuroimaging studies in psychotherapy research.
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Affiliation(s)
- Carol P Weingarten
- a Department of Psychiatry and Behavioral Sciences , Duke University , Durham , NC , USA
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Graham J, Salimi-Khorshidi G, Hagan C, Walsh N, Goodyer I, Lennox B, Suckling J. Meta-analytic evidence for neuroimaging models of depression: state or trait? J Affect Disord 2013; 151:423-431. [PMID: 23890584 DOI: 10.1016/j.jad.2013.07.002] [Citation(s) in RCA: 109] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2013] [Revised: 07/01/2013] [Accepted: 07/02/2013] [Indexed: 01/06/2023]
Abstract
BACKGROUND Major Depressive Disorder (MDD) is a leading cause of disease burden worldwide. With the rapid growth of neuroimaging research on relatively small samples, meta-analytic techniques are becoming increasingly important. Here, we aim to clarify the support in fMRI literature for three leading neurobiological models of MDD: limbic-cortical, cortico-striatal and the default mode network. METHODS Searches of PubMed and Web of Knowledge, and manual searches, were undertaken in early 2011. Data from 34 case-control comparisons (n=1165) and 6 treatment studies (n=105) were analysed separately with two meta-analytic methods for imaging data: Activation Likelihood Estimation and Gaussian-Process Regression. RESULTS There was broad support for limbic-cortical and cortico-striatal models in the case-control data. Evidence for the role of the default mode network was weaker. Treatment-sensitive regions were primarily in lateral frontal areas. LIMITATIONS In any meta-analysis, the increase in the statistical power of the inference comes with the risk of aggregating heterogeneous study pools. While we believe that this wide range of paradigms allows identification of key regions of dysfunction in MDD (regardless of task), we attempted to minimise such risks by employing GPR, which models such heterogeneity. CONCLUSIONS The focus of treatment effects in frontal areas indicates that dysregulation here may represent a biomarker of treatment response. Since the dysregulation in many subcortical regions in the case-control comparisons appeared insensitive to treatment, we propose that these act as trait vulnerability markers, or perhaps treatment insensitivity. Our findings allow these models of MDD to be applied to fMRI literature with some confidence.
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Affiliation(s)
- Julia Graham
- Department of Psychiatry, University of Cambridge, UK.
| | | | - Cindy Hagan
- Department of Psychiatry, University of Cambridge, UK
| | - Nicholas Walsh
- Behavioural and Clinical Neuroscience Institute, University of Cambridge, UK
| | - Ian Goodyer
- Department of Psychiatry, University of Cambridge, UK; Cambridge and Peterborough NHS Foundation Trust, UK; Behavioural and Clinical Neuroscience Institute, University of Cambridge, UK
| | - Belinda Lennox
- Department of Psychiatry, University of Cambridge, UK; Cambridge and Peterborough NHS Foundation Trust, UK
| | - John Suckling
- Department of Psychiatry, University of Cambridge, UK; Cambridge and Peterborough NHS Foundation Trust, UK; Behavioural and Clinical Neuroscience Institute, University of Cambridge, UK
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Tracking the implicit self using event-related potentials. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2013; 13:885-99. [DOI: 10.3758/s13415-013-0169-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Greening SG, Osuch EA, Williamson PC, Mitchell DGV. The neural correlates of regulating positive and negative emotions in medication-free major depression. Soc Cogn Affect Neurosci 2013; 9:628-37. [PMID: 23482626 DOI: 10.1093/scan/nst027] [Citation(s) in RCA: 77] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Depressive cognitive schemas play an important role in the emergence and persistence of major depressive disorder (MDD). The current study adapted emotion regulation techniques to reflect elements of cognitive behavioural therapy (CBT) and related psychotherapies to delineate neurocognitive abnormalities associated with modulating the negative cognitive style in MDD. Nineteen non-medicated patients with MDD and 19 matched controls reduced negative or enhanced positive feelings elicited by emotional scenes while undergoing functional magnetic resonance imaging. Although both groups showed significant emotion regulation success as measured by subjective ratings of affect, the controls were significantly better at modulating both negative and positive emotion. Both groups recruited regions of dorsolateral prefrontal cortex and ventrolateral prefrontal cortex (VLPFC) when regulating negative emotions. Only in controls was this accompanied by reduced activity in sensory cortices and amygdala. Similarly, both groups showed enhanced activity in VLPFC and ventral striatum when enhancing positive affect; however, only in controls was ventral striatum activity correlated with regulation efficacy. The results suggest that depression is associated with both a reduced capacity to achieve relief from negative affect despite recruitment of ventral and dorsal prefrontal cortical regions implicated in emotion regulation, coupled with a disconnect between activity in reward-related regions and subjective positive affect.
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Affiliation(s)
- Steven G Greening
- Brain and Mind Institute, Natural Sciences Building, University of Western Ontario, London, Ontario N6A 5B7, Canada.
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Goetz EL, Hariri AR, Pizzagalli DA, Strauman TJ. Genetic moderation of the association between regulatory focus and reward responsiveness: a proof-of-concept study. BIOLOGY OF MOOD & ANXIETY DISORDERS 2013; 3:3. [PMID: 23369671 PMCID: PMC3570330 DOI: 10.1186/2045-5380-3-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2012] [Accepted: 11/14/2012] [Indexed: 06/01/2023]
Abstract
BACKGROUND Recent studies implicate individual differences in regulatory focus as contributing to self-regulatory dysfunction, particularly not responding to positive outcomes. How such individual differences emerge, however, is unclear. We conducted a proof-of-concept study to examine the moderating effects of genetically driven variation in dopamine signaling, a key modulator of neural reward circuits, on the association between regulatory focus and reward cue responsiveness. METHOD Healthy Caucasians (N=59) completed a measure of chronic regulatory focus and a probabilistic reward task. A common functional genetic polymorphism impacting prefrontal dopamine signaling (COMT rs4680) was evaluated. RESULTS Response bias, the participants' propensity to modulate behavior as a function of reward, was predicted by an interaction of regulatory focus and COMT genotype. Specifically, self-perceived success at achieving promotion goals predicted total response bias, but only for individuals with the COMT genotype (Val/Val) associated with relatively increased phasic dopamine signaling and cognitive flexibility. CONCLUSIONS The combination of success in promotion goal pursuit and Val/Val genotype appears to facilitate responding to reward opportunities in the environment. This study is among the first to integrate an assessment of self-regulatory style with an examination of genetic variability that underlies responsiveness to positive outcomes in goal pursuit.
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Affiliation(s)
- Elena L Goetz
- Department of Psychology & Neuroscience, Duke University, Durham, NC, USA
| | - Ahmad R Hariri
- Department of Psychology & Neuroscience, Duke University, Durham, NC, USA
- Institute for Genome Sciences and Policy, Duke University, Durham, NC, USA
| | - Diego A Pizzagalli
- Department of Psychiatry, Harvard University Medical School, Boston, MA, USA
| | - Timothy J Strauman
- Department of Psychology & Neuroscience, Duke University, Durham, NC, USA
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Strauman TJ, Detloff AM, Sestokas R, Smith DV, Goetz EL, Rivera C, Kwapil L. What shall I be, what must I be: neural correlates of personal goal activation. Front Integr Neurosci 2013; 6:123. [PMID: 23316145 PMCID: PMC3539852 DOI: 10.3389/fnint.2012.00123] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2012] [Accepted: 12/09/2012] [Indexed: 01/28/2023] Open
Abstract
How is the brain engaged when people are thinking about their hopes, dreams, and obligations? Regulatory focus theory postulates two classes of personal goals and motivational systems for pursuing them. Ideal goals, such as hopes and aspirations, are pursued via the promotion system through "making good things happen." Ought goals, such as obligations or responsibilities, are pursued via the prevention system through "keeping bad things from happening." This study investigated the neural correlates of ideal and ought goal priming using an event-related fMRI design with rapid masked stimulus presentations. We exposed participants to their self-identified ideal and ought goals, yoked-control words and non-words. We also examined correlations between goal-related activation and measures of regulatory focus, behavioral activation/inhibition, and negative affect. Ideal priming led to activation in frontal and occipital regions as well as caudate and thalamus, whereas prevention goal priming was associated with activation in precuneus and posterior cingulate cortex. Individual differences in dysphoric/anxious affect and regulatory focus, but not differences in BAS/BIS strength, were predictive of differential activation in response to goal priming. The regions activated in response to ideal and ought goal priming broadly map onto the cortical midline network that has been shown to index processing of self-referential stimuli. Individual differences in regulatory focus and negative affect impact this network and appeared to influence the strength and accessibility of the promotion and prevention systems. The results support a fundamental distinction between promotion and prevention and extend our understanding of how personal goals influence behavior.
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Dolcos S, Sung K, Denkova E, Dixon RA, Dolcos F. Brain imaging investigation of the neural correlates of emotion regulation. J Vis Exp 2011:2430. [PMID: 21897354 DOI: 10.3791/2430] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
The ability to control/regulate emotions is an important coping mechanism in the face of emotionally stressful situations. Although significant progress has been made in understanding conscious/deliberate emotion regulation (ER), less is known about non-conscious/automatic ER and the associated neural correlates. This is in part due to the problems inherent in the unitary concepts of automatic and conscious processing. Here, we present a protocol that allows investigation of the neural correlates of both deliberate and automatic ER using functional magnetic resonance imaging (fMRI). This protocol allows new avenues of inquiry into various aspects of ER. For instance, the experimental design allows manipulation of the goal to regulate emotion (conscious vs. non-conscious), as well as the intensity of the emotional challenge (high vs. low). Moreover, it allows investigation of both immediate (emotion perception) and long-term effects (emotional memory) of ER strategies on emotion processing. Therefore, this protocol may contribute to better understanding of the neural mechanisms of emotion regulation in healthy behaviour, and to gaining insight into possible causes of deficits in depression and anxiety disorders in which emotion dysregulation is often among the core debilitating features.
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Affiliation(s)
- Sanda Dolcos
- Department of Psychology, University of Illinois, Urbana-Champaign, IL, USA.
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Sung K, Dolcos S, Flor-Henry S, Zhou C, Gasior C, Argo J, Dolcos F. Brain imaging investigation of the neural correlates of observing virtual social interactions. J Vis Exp 2011:e2379. [PMID: 21775952 DOI: 10.3791/2379] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
The ability to gauge social interactions is crucial in the assessment of others' intentions. Factors such as facial expressions and body language affect our decisions in personal and professional life alike (1). These "friend or foe" judgements are often based on first impressions, which in turn may affect our decisions to "approach or avoid". Previous studies investigating the neural correlates of social cognition tended to use static facial stimuli (2). Here, we illustrate an experimental design in which whole-body animated characters were used in conjunction with functional magnetic resonance imaging (fMRI) recordings. Fifteen participants were presented with short movie-clips of guest-host interactions in a business setting, while fMRI data were recorded; at the end of each movie, participants also provided ratings of the host behaviour. This design mimics more closely real-life situations, and hence may contribute to better understanding of the neural mechanisms of social interactions in healthy behaviour, and to gaining insight into possible causes of deficits in social behaviour in such clinical conditions as social anxiety and autism (3).
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Affiliation(s)
- Keen Sung
- Department of Computing Science, University of Alberta
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Klenk MM, Strauman TJ, Higgins ET. Regulatory Focus and Anxiety: A Self-Regulatory Model of GAD-Depression Comorbidity. PERSONALITY AND INDIVIDUAL DIFFERENCES 2011; 50:935-943. [PMID: 21516196 DOI: 10.1016/j.paid.2010.12.003] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
The etiology of generalized anxiety disorder (GAD), including its high degree of comorbidity with major depressive disorder (MDD), remains a conceptual and clinical challenge. In this article, we discuss the relevance of regulatory focus theory, an influential theory of self-regulation, for understanding vulnerability to GAD as well as GAD/MDD comorbidity. The theory postulates two systems for pursuing desired end states: the promotion and prevention systems. Drawing upon studies documenting the affective and motivational consequences of failing to attain promotion versus prevention goals, as well as the literature linking promotion failure with depression, we propose how dysfunction within the prevention system could lead to GAD - with, as well as without, MDD.
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McCauley SR, Wilde EA, Bigler ED, Chu Z, Yallampalli R, Oni MB, Wu TC, Ramos MA, Pedroza C, Vásquez AC, Hunter JV, Levin HS. Diffusion tensor imaging of incentive effects in prospective memory after pediatric traumatic brain injury. J Neurotrauma 2011; 28:503-16. [PMID: 21250917 DOI: 10.1089/neu.2010.1555] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Few studies exist investigating the brain-behavior relations of event-based prospective memory (EB-PM) impairments following traumatic brain injury (TBI). To address this, children with moderate-to-severe TBI performed an EB-PM test with two motivational enhancement conditions and underwent concurrent diffusion tensor imaging (DTI) at 3 months post-injury. Children with orthopedic injuries (OI; n=37) or moderate-to-severe TBI (n=40) were contrasted. Significant group differences were found for fractional anisotropy (FA) and apparent diffusion coefficient for orbitofrontal white matter (WM), cingulum bundles, and uncinate fasciculi. The FA of these WM structures in children with TBI significantly correlated with EB-PM performance in the high, but not the low motivation condition. Regression analyses within the TBI group indicated that the FA of the left cingulum bundle (p=0.003), left orbitofrontal WM (p<0.02), and left (p<0.02) and right (p<0.008) uncinate fasciculi significantly predicted EB-PM performance in the high motivation condition. We infer that the cingulum bundles, orbitofrontal WM, and uncinate fasciculi are important WM structures mediating motivation-based EB-PM responses following moderate-to-severe TBI in children.
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Affiliation(s)
- Stephen R McCauley
- Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and University of Texas-Houston Medical School, Houston, Texas, USA.
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Herrington JD, Heller W, Mohanty A, Engels AS, Banich MT, Webb AG, Miller GA. Localization of asymmetric brain function in emotion and depression. Psychophysiology 2010; 47:442-54. [PMID: 20070577 PMCID: PMC3086589 DOI: 10.1111/j.1469-8986.2009.00958.x] [Citation(s) in RCA: 104] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Although numerous EEG studies have shown that depression is associated with abnormal functional asymmetries in frontal cortex, fMRI and PET studies have largely failed to identify specific brain areas showing this effect. The present study tested the hypothesis that emotion processes are related to asymmetric patterns of fMRI activity, particularly within dorsolateral prefrontal cortex (DLPFC). Eleven depressed and 18 control participants identified the color in which pleasant, neutral, and unpleasant words were printed. Both groups showed a leftward lateralization for pleasant words in DLPFC. In a neighboring DLPFC area, the depression group showed more right-lateralized activation than controls, replicating EEG findings. These data confirm that emotional stimulus processing and trait depression are associated with asymmetric brain functions in distinct subregions of the DLPFC that may go undetected unless appropriate analytic procedures are used.
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Affiliation(s)
- John D Herrington
- Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19103, USA.
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