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Cui X, Ding Q, Yu S, Zhang S, Li X. The deficit in cognitive reappraisal capacity in individuals with anxiety or depressive disorders: meta-analyses of behavioral and neuroimaging studies. Clin Psychol Rev 2024; 114:102480. [PMID: 39243683 DOI: 10.1016/j.cpr.2024.102480] [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: 03/14/2024] [Revised: 07/07/2024] [Accepted: 08/12/2024] [Indexed: 09/09/2024]
Abstract
BACKGROUND The deficit in cognitive reappraisal capacity is a key factor in developing and maintaining emotional disorders such as anxiety disorders and depressive disorders. However, the results from both neuroimaging and behavioral studies are mixed. Therefore, we systematically conducted a series of meta-analyses based on behavioral and neuroimaging studies to clarify this issue. METHODS In behavioral meta-analyses, we used three-level random-effects models to summarize the overall effect sizes based on Hedges' g. In neuroimaging meta-analyses, we used SDM-PSI to summarize the brain activation patterns. RESULTS Behavioral meta-analyses found that individuals with anxiety disorders or depressive disorders could reduce negative reactivity through reappraisal; the reduction of negative emotions through reappraisal by individuals with anxiety disorders was similar to that by healthy individuals; the reduction by depressive disorders was lower than that of healthy individuals. Neuroimaging meta-analyses showed that individuals with anxiety disorders or depressive disorders activated regions of cognitive control during cognitive reappraisal; the activation in individuals with anxiety disorders was lower than in healthy individuals; while the activation in individuals with depressive disorders was similar to that in healthy individuals. CONCLUSION Individuals with anxiety and depressive disorders showed dissociation in behaviour and neuroimaging patterns of cognitive reappraisal capacity deficit.
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Affiliation(s)
- Xiaobing Cui
- Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 10049, China
| | - Qingwen Ding
- Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 10049, China
| | - Shuting Yu
- Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 10049, China
| | - Siyuan Zhang
- Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 10049, China
| | - Xuebing Li
- Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing 10049, China.
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2
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Wang HY, You HL, Song CL, Zhou L, Wang SY, Li XL, Liang ZH, Zhang BW. Shared and distinct prefrontal cortex alterations of implicit emotion regulation in depression and anxiety: An fNIRS investigation. J Affect Disord 2024; 354:126-135. [PMID: 38479517 DOI: 10.1016/j.jad.2024.03.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 03/04/2024] [Accepted: 03/09/2024] [Indexed: 03/18/2024]
Abstract
BACKGROUND Emotion regulation deficits, particularly in cognitive reappraisal, are crucial in depression and anxiety. However, research on the neural mechanisms of implicit emotion regulation is lacking, and it remains unclear whether these mechanisms are shared or distinct between the two disorders. METHODS We investigated the neural mechanisms of implicit cognitive reappraisal in 28 individuals with major depressive disorder (MDD), 25 with generalized anxiety disorder (GAD), and 30 healthy controls (HC) using functional near-infrared spectroscopy (fNIRS). Participants completed an implicit cognitive reappraisal task and underwent neuropsychological and clinical assessments. RESULTS We found that MDD patients reported higher levels of rumination and lower utilization of cognitive reappraisal, while GAD patients reported reduced use of perspective-taking. Notably, both MDD and GAD patients exhibited decreased activation in the dorsolateral prefrontal cortex (DLPFC) and orbitofrontal cortex (OFC) compared to HC participants during implicit cognitive reappraisal. Specifically, inadequate OFC activation was observed in MDD patients, while GAD patients demonstrated OFC deactivation during the task. Furthermore, DLPFC activation showed a negative correlation with depression severity in MDD patients, while OFC activation was positively correlated with perspective-taking in GAD patients. LIMITATIONS fNIRS has limited depth and spatial resolution. CONCLUSION Our fNIRS study is the first to reveal shared and distinct neurobiological profiles of depression and anxiety in implicit emotion regulation. These findings underscore the significance of reduced DLPFC/OFC activation in emotion regulation impairment and highlight unique OFC activation patterns in these disorders. These insights have potential implications for developing cognitive-behavioral therapy and transcranial magnetic stimulation as treatment approaches.
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Affiliation(s)
- Hai-Yang Wang
- Department of Neurology and Psychiatry, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China; Department of Neurology, Jining No. 1 People's Hospital, Jining 272000, China
| | - Hui-Li You
- Department of Neurology and Psychiatry, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
| | - Chun-Li Song
- Department of Neurology and Psychiatry, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
| | - Lu Zhou
- Department of Neurology and Psychiatry, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
| | - Shi-Yao Wang
- Department of Neurology and Psychiatry, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
| | - Xue-Lin Li
- Department of Intensive Care Unit, Jining No. 1 People's Hospital, Jining 272000, China
| | - Zhan-Hua Liang
- Department of Neurology and Psychiatry, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
| | - Bing-Wei Zhang
- Department of Neurology and Psychiatry, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China; Department of Psychology, Dalian Medical University, Dalian 116044, China.
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3
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Guo Y, Dong D, Wu H, Xue Z, Zhou F, Zhao L, Li Z, Feng T. The intracortical myelin content of impulsive choices: results from T1- and T2-weighted MRI myelin mapping. Cereb Cortex 2023; 33:7163-7174. [PMID: 36748995 PMCID: PMC10422924 DOI: 10.1093/cercor/bhad028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 01/18/2023] [Indexed: 02/08/2023] Open
Abstract
Delay discounting (DD) refers to a phenomenon that humans tend to choose small-sooner over large-later rewards during intertemporal choices. Steep discounting of delayed outcome is related to a variety of maladaptive behaviors and is considered as a transdiagnostic process across psychiatric disorders. Previous studies have investigated the association between brain structure (e.g. gray matter volume) and DD; however, it is unclear whether the intracortical myelin (ICM) influences DD. Here, based on a sample of 951 healthy young adults drawn from the Human Connectome Project, we examined the relationship between ICM, which was measured by the contrast of T1w and T2w images, and DD and further tested whether the identified associations were mediated by the regional homogeneity (ReHo) of brain spontaneous activity. Vertex-wise regression analyses revealed that steeper DD was significantly associated with lower ICM in the left temporoparietal junction (TPJ) and right middle-posterior cingulate cortex. Region-of-interest analysis revealed that the ReHo values in the left TPJ partially mediated the association of its myelin content with DD. Our findings provide the first evidence that cortical myelination is linked with individual differences in decision impulsivity and suggest that the myelin content affects cognitive performances partially through altered local brain synchrony.
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Affiliation(s)
- Yiqun Guo
- School of Innovation and Entrepreneurship education, Chongqing University of Posts and Telecommunications, Chongqing, China
- Research Center of Biomedical Engineering, Chongqing University of Posts and Telecommunications, Chongqing, China
| | - Debo Dong
- Key Laboratory of Cognition and Personality, Ministry of Education, Chongqing, China
- Faculty of Psychology, Southwest University, Chongqing, China
- Institute of Neuroscience and Medicine (INM-7: Brain and Behaviour), Research Centre Jülich, Jülich, Germany
| | - Huimin Wu
- Faculty of Psychology, Southwest University, Chongqing, China
| | - Zhiyuan Xue
- School of Humanities and Management, Heilongjiang University of Chinese Medicine, Harbin, China
| | - Feng Zhou
- Faculty of Psychology, Southwest University, Chongqing, China
| | - Le Zhao
- Faculty of Psychology, Beijing Normal University, Zhuhai, China
| | - Zhangyong Li
- Research Center of Biomedical Engineering, Chongqing University of Posts and Telecommunications, Chongqing, China
| | - Tingyong Feng
- Key Laboratory of Cognition and Personality, Ministry of Education, Chongqing, China
- Faculty of Psychology, Southwest University, Chongqing, China
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4
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Lucherini Angeletti L, Scalabrini A, Ricca V, Northoff G. Topography of the Anxious Self: Abnormal Rest-Task Modulation in Social Anxiety Disorder. Neuroscientist 2023; 29:221-244. [PMID: 34282680 DOI: 10.1177/10738584211030497] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Social anxiety disorder (SAD) is characterized by social anxiety/fear, self-attention, and interoception. Functional magnetic resonance imaging studies demonstrate increased activity during symptom-sensitive tasks in regions of the default-mode network (DMN), amygdala (AMG), and salience network (SN). What is the source of this task-unspecific symptom-sensitive hyperactivity in DMN? We address this question by probing SAD resting state (rs) changes in DMN including their relation to other regions as possible source of task-unspecific hyperactivity in the same regions. Our findings show the following: (1) rs-hypoconnectivity within-DMN regions; (2) rs-hyperconnectivity between DMN and AMG/SN; (3) task-evoked hyperactivity in the abnormal rs-regions of DMN and AMG/SN during different symptom-sensitive tasks; (4) negative relationship of rest and task changes in especially anterior DMN regions as their rs-hypoconnectivity is accompanied by task-unspecific hyperactivity; (5) abnormal top-down/bottom-up modulation between anterior DMN regions and AMG during rest and task. Findings demonstrate that rs-hypoconnectivity among DMN regions is negatively related to task-unspecific hyperactivity in DMN and AMG/SN. We propose a model of "Topography of the Anxious Self" in SAD (TAS-SAD). Abnormal DMN-AMG/SN topography during rest, as trait feature of an "unstable social self", is abnormally aggravated during SAD-sensitive situations resulting in task-related hyperactivity in the same regions with an "anxious self" as state feature.
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Affiliation(s)
| | - Andrea Scalabrini
- Department of Psychological Health and Territorial Sciences (DiSPuTer), G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Valdo Ricca
- Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy
| | - Georg Northoff
- Mental Health Centre, Zhejiang University School of Medicine, Hangzhou, China.,Centre for Cognition and Brain Disorders, Hangzhou Normal University, Hangzhou, China.,The Royal's Institute of Mental Health Research & University of Ottawa, Ottawa, Ontario, Canada.,Centre for Neural Dynamics, Faculty of Medicine, Brain and Mind Research Institute, University of Ottawa, Ottawa, Ontario, Canada
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5
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Liu Q, Chen W, Preece DA, Xu D, Li H, Liu N, Fu G, Wang Y, Qian Q, Gross JJ, Liu L. Emotion dysregulation in adults with ADHD: The role of cognitive reappraisal and expressive suppression. J Affect Disord 2022; 319:267-276. [PMID: 36162656 DOI: 10.1016/j.jad.2022.09.058] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Revised: 08/05/2022] [Accepted: 09/20/2022] [Indexed: 10/14/2022]
Abstract
BACKGROUND Emotion dysregulation (ED) is a common clinical feature of attention-deficit/hyperactivity disorder (ADHD). The present study examined the role of cognitive reappraisal (CR) and expressive suppression (ES) in adults with ADHD. In addition, resting-state fMRI (rs-fMRI) data were analyzed to identify neural substrates of CR/ES-ED relationships. METHODS A total of 309 adults with ADHD and 163 healthy controls were recruited. ED was assessed using the 'emotional control' (EC) subscale from Behavior Rating Inventory of Executive Function-Adult Version. The Emotion Regulation Questionnaire was used to measure CR and ES. The functional connectivities (FCs) with the amygdala as Region of Interest, were analyzed in a subsample to explore their association with CR, ES and EC, respectively. RESULTS Higher EC scores (indicative of lesser emotional control), as well as lower CR and higher ES utilization were detected in adults with ADHD compared with healthy controls. CR and ES were both negatively correlated with EC in adults with ADHD. Mediation analysis detected a potential effect of ADHD diagnosis on EC via CR. In addition, a unique significant mediation effect was found between ES-related FC of the right amygdala-prefrontal cortex and ED expression in adults with ADHD, confirming the '↑ES → ↓FCs [amygR-PFC] →↓EC' relationship. LIMITATIONS Only self-reported scales and rs-fMRI data were included in these analyses. CONCLUSIONS Our findings provide preliminary evidence that in adults with ADHD, less frequent use of CR accounts for ED expression, while more frequent use of ES may play a unique compensatory role in emotion regulation.
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Affiliation(s)
- Qianrong Liu
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China
| | - Wai Chen
- Mental Health Service, Fiona Stanley Hospital, Perth, Australia; Graduate School of Education, University of Western Australia, Australia; School of Medicine, University of Notre Dame Australia, Fremantle, Australia.; School of Psychology, Murdoch University, Perth, Australia; Curtin Medical School, Curtin University, Perth, Australia; The enAble Institute, Curtin University, Perth, Australia
| | - David A Preece
- The enAble Institute, Curtin University, Perth, Australia; School of Psychology, Curtin University, Perth, Australia; School of Psychological Science, University of Western Australia, Perth, Australia
| | - Defeng Xu
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China; Department of Psychiatry, Shandong Mental Health Center, Shandong University, Jinan, Shandong, 250014, China
| | - Haimei Li
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China
| | - Ningning Liu
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China
| | - Guanghui Fu
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China; Department of Psychiatry, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China; The Key Laboratory of Mental Disorder's Management of Zhejiang Province, Hangzhou 310003, China
| | - Yufeng Wang
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China
| | - Qiujin Qian
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China.
| | - James J Gross
- Department of Psychology, Stanford University, United States
| | - Lu Liu
- Peking University Sixth Hospital/Institute of Mental Health, NHC Key Laboratory of Mental Health, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing 100191, China.
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6
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Hietanen JO, Syrjämäki AH, Hietanen JK. Perception of eye contact, self-referential thinking and age. Conscious Cogn 2022; 106:103435. [PMID: 36399921 DOI: 10.1016/j.concog.2022.103435] [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: 12/21/2021] [Revised: 10/28/2022] [Accepted: 10/31/2022] [Indexed: 11/17/2022]
Abstract
Increased thinking about one's self has been proposed to widen the gaze cone, that is, the range of gaze deviations that an observer judges as looking directly at them (eye contact). This study investigated the effects of a self-referential thinking manipulation and demographic factors on the gaze cone. In a preregistered experiment (N = 200), the self-referential thinking manipulation, as compared to a control manipulation, did not influence the gaze cone, or the use of first-person pronouns in a manipulation check measuring self-referential processing. This may indicate a failure of the manipulation and participants' lack of effort. However, participants' age was significantly correlated with both measures: older people had wider gaze cones and used more self-referring pronouns. A second experiment (N = 300) further examined the effect of the manipulation and demographic factors on self-referential processing, and the results were replicated. These findings may reflect age-related self-reference and positivity effects.
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7
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Liu X, Zheng G, Wang X, Li Y, Ji S, Zhang Y, Yao C, Zhang Y, Hu B. The brain activation of anxiety disorders with emotional stimuli-an fMRI ALE meta-analysis. Neurocase 2022; 28:448-457. [PMID: 36548914 DOI: 10.1080/13554794.2022.2160262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Numerous studies have analyzed the state of brain activation about anxiety disorders under emotional stimuli. However, there is no meta-analysis to assess the commonality and specificity activation concerning different subtypes of anxiety. Here, we used ALE to assess this. 29 studies revealed increased bilateral amygdala, anterior cingulate gyrus, parahippocampal gyrus activation in anxiety disorders during emotional stimuli. Moreover, we observed decreased activations in the posterior cingulate, lingual gyrus, and precuneus. In sub-analysis, although different anxiety showed dissimilar activations, the principal activations were observed in limbic lobe, which might indicate the limbic circuit was the main neural reflection of anxiety symptoms.
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Affiliation(s)
- Xia Liu
- School of Computer Science, Qinghai Normal University, Xining, Qinghai Province, China
| | - Guowei Zheng
- Guangyuan Mental Health Center, Guangyuan, Sichuan Province, China
| | - Xiuzhen Wang
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Yongchao Li
- Guangyuan Mental Health Center, Guangyuan, Sichuan Province, China
| | - Shanling Ji
- Guangyuan Mental Health Center, Guangyuan, Sichuan Province, China
| | - Yu Zhang
- Guangyuan Mental Health Center, Guangyuan, Sichuan Province, China
| | - Chaofan Yao
- Guangyuan Mental Health Center, Guangyuan, Sichuan Province, China
| | - Yinghui Zhang
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, China
| | - Bin Hu
- School of Computer Science, Qinghai Normal University, Xining, Qinghai Province, China.,Guangyuan Mental Health Center, Guangyuan, Sichuan Province, China.,CAS Center for Excellence in Brain Science and Intelligence Technology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Beijing, China.,Chinese Academy of Sciences, Joint Research Center for Cognitive Neurosensor Technology of Lanzhou University & Institute of Semiconductors, Lanzhou, China.,School of Medical Technology, Beijing Institute of Technology Beijing, China
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8
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Sikka P, Stenberg J, Vorobyev V, Gross JJ. The neural bases of expressive suppression: A systematic review of functional neuroimaging studies. Neurosci Biobehav Rev 2022; 138:104708. [PMID: 35636561 DOI: 10.1016/j.neubiorev.2022.104708] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 05/01/2022] [Accepted: 05/19/2022] [Indexed: 11/18/2022]
Abstract
Expressive suppression refers to the inhibition of emotion-expressive behavior (e.g., facial expressions of emotion). Although it is a commonly used emotion regulation strategy with well-documented consequences for well-being, little is known about its underlying mechanisms. In this systematic review, we for the first time synthesize functional neuroimaging studies on the neural bases of expressive suppression in non-clinical populations. The 12 studies included in this review contrasted the use of expressive suppression to simply watching emotional stimuli. Results showed that expressive suppression consistently increased activation of frontoparietal regions, especially the dorsolateral and ventrolateral prefrontal cortices and inferior parietal cortex, but decreased activation in temporo-occipital areas. Results regarding the involvement of the insula and amygdala were inconsistent with studies showing increased, decreased, or no changes in activation. These mixed findings underscore the importance of distinguishing expressive suppression from other forms of suppression and highlight the need to pay more attention to experimental design and neuroimaging data analysis procedures. We discuss these conceptual and methodological issues and provide suggestions for future research.
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Affiliation(s)
- Pilleriin Sikka
- Department of Psychology, Stanford University, 94305, USA; Department of Psychology, University of Turku, 20014, Finland; Department of Cognitive Neuroscience and Philosophy, University of Skövde, 541 28, Sweden.
| | - Jonathan Stenberg
- Department of Cognitive Neuroscience and Philosophy, University of Skövde, 541 28, Sweden
| | - Victor Vorobyev
- Turku University Hospital, 20521, Finland; Department of Radiology, University of Turku, 20520, Finland
| | - James J Gross
- Department of Psychology, Stanford University, 94305, USA
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9
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Gonzalez-Escamilla G, Dörfel D, Becke M, Trefz J, Bonanno GA, Groppa S. Associating Flexible Regulation of Emotional Expression With Psychopathological Symptoms. Front Behav Neurosci 2022; 16:924305. [PMID: 35832294 PMCID: PMC9272006 DOI: 10.3389/fnbeh.2022.924305] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 05/20/2022] [Indexed: 11/21/2022] Open
Abstract
Background: Stressful situations and psychopathology symptoms (e.g., depression and anxiety) shape how individuals regulate and respond to others’ emotions. However, how emotional expressions influence mental health and impact intrapersonal and interpersonal experiences is still unclear. Objective: Here, we used the Flexible Regulation of Emotional Expression (FREE) scale to explore the relationship between emotional expression abilities with affective symptoms and mental health markers. Methods: From a sample of 351 participants, we firstly validate a German version of the FREE scale on a final sample of 222 participants located in Germany, recruited through an online platform. Following this, we performed confirmatory factor analyses to assess the model structure of the FREE-scale. We then utilize a LASSO regression to determine which indicators of psychopathology symptoms and mental health are related to emotional expressive regulation and determine their particular interactions through the general linear model. Results: We replicated the FREE scale’s four latent factors (i.e., ability to enhance and suppress positive as well as negative emotional expressions). After the selection of relevant instruments through LASSO regression, the suppress ability showed specific negative associations with depression (r = 0.2) and stress symptoms (r = 0.16) and positive associations with readiness to confront distressing situations (r = 0.25), self-support (r = 0.2), and tolerance of emotions (r = 0.2). Both, emotional expressions enhance and suppress abilities positively associated with coping markers (resilience) and emotion regulation skills. Finally, the interaction effects between emotional flexibility abilities and stress, depression, and anxiety symptoms evidenced that consistent with the flexibility theory, enhancing and suppressing abilities may predict psychopathological symptoms. Conclusions: These findings emphasize the importance of considering the flexibility to express emotions as a relevant factor for preserved mental health or the development of psychopathological symptoms and indicate that online surveys may serve as a reliable indicator of mental health.
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Affiliation(s)
- Gabriel Gonzalez-Escamilla
- Department of Neurology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- *Correspondence: Sergiu Groppa Gabriel Gonzalez-Escamilla
| | - Denise Dörfel
- Differential and Personality Psychology, Faculty of Psychology, Technische Universität Dresden, Dresden, Germany
| | - Miriam Becke
- Department of Neurology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - Janina Trefz
- Department of Neurology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
| | - George A. Bonanno
- Department of Clinical Psychology, Teachers College, Columbia University, New York, NY, United States
| | - Sergiu Groppa
- Department of Neurology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany
- *Correspondence: Sergiu Groppa Gabriel Gonzalez-Escamilla
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10
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Moran T, Eyal T. Emotion Regulation by Psychological Distance and Level of Abstraction: Two Meta-Analyses. PERSONALITY AND SOCIAL PSYCHOLOGY REVIEW 2022; 26:112-159. [PMID: 35100904 DOI: 10.1177/10888683211069025] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Self-reflection is suggested to attenuate feelings, yet researchers disagree on whether adopting a distant or near perspective, or processing the experience abstractly or concretely, is more effective. Given the relationship between psychological distance and level of abstraction, we suggest the "construal-matching hypothesis": Psychological distance and abstraction differently influence emotion intensity, depending on whether the emotion's appraisal involves low-level or high-level construal. Two meta-analyses tested the effects of psychological distance (k = 230) and level-of-abstraction (k = 98) manipulations on emotional experience. A distant perspective attenuated emotional experience (g = 0.52) but with weaker effects for high-level (g = 0.29; for example, self-conscious emotions) than low-level emotions (g= 0.64; for example, basic emotions). Level of abstraction only attenuated the experience of low-level emotions (g = 0.2) and showed a reverse (nonsignificant) effect for high-level emotions (g = -0.13). These results highlight differences between distancing and level-of-abstraction manipulations and the importance of considering the type of emotion experienced in emotion regulation.
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Affiliation(s)
- Tal Moran
- The Open University of Israel, Ra'anana, Israel.,Ghent University, Belgium
| | - Tal Eyal
- Ben-Gurion University of the Negev, Be'er Sheva, Israel
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11
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Li YT, Chen JW, Yan LF, Hu B, Chen TQ, Chen ZH, Sun JT, Shang YX, Lu LJ, Cui GB, Wang W. Dynamic Alterations of Functional Connectivity and Amplitude of Low-Frequency Fluctuations in Patients with Unilateral Sudden Sensorineural Hearing Loss. Neurosci Lett 2022; 772:136470. [PMID: 35066092 DOI: 10.1016/j.neulet.2022.136470] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 12/26/2021] [Accepted: 01/17/2022] [Indexed: 02/05/2023]
Abstract
Unilateral sudden sensorineural hearing loss (SSNHL) adversely affects the quality of life, leading to increased risk of depression and cognitive decline. Our previous studies have mainly focused on the static brain function abnormalities in SSNHL patients. However, the dynamic features of brain activity in SSNHL patients are not elucidated. To explore the dynamic brain functional alterations in SSNHL patients, age- and sex- matched SSNHL patients (n=38) and healthy controls (HC, n=44) were enrolled. The dynamic functional connectivity (dFC) and dynamic amplitude of low-frequency fluctuation (dALFF) methods were used to compare the temporal features and dynamic neural activity between the two groups. In dFC analyses, the multiple functional connectivities (FCs) were clustered into 2 different states; a greater proportion of FCs in SSNHL patients showed sparse state compared with HC. In dALFF analyses, SSNHL individuals exhibited decreased dALFF variability in bilateral inferior occipital gyrus, middle occipital gyrus, calcarine, right lingual gyrus, and right fusiform gyrus. dALFF variability showed a negative correlation with activated partial thromboplatin time. The dynamic characteristics of SSNHL patients were different from static functional connectivity and static amplitude of low-frequency fluctuation, especially within the visual cortices. These findings suggest that SSNHL patients experience cross-modal plasticity and visual compensation, which may be closely related to the pathophysiology of SSNHL.
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Affiliation(s)
- Yu-Ting Li
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China
| | - Jia-Wei Chen
- Department of Otolaryngology Head and Neck Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, Shaanxi, China
| | - Lin-Feng Yan
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China
| | - Bo Hu
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China
| | - Tian-Qi Chen
- Institution of Basic Medicine, Fourth Military Medical University, 169 Changle Road, Xi'an 710032, Shaanxi, China
| | - Zhu-Hong Chen
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China
| | - Jing-Ting Sun
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China; Shaanxi University of Chinese Medicine, Middle Section of Century Avenue, Xianyang 712046, Shaanxi, China
| | - Yu-Xuan Shang
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China
| | - Lian-Jun Lu
- Department of Otolaryngology Head and Neck Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, Shaanxi, China.
| | - Guang-Bin Cui
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China.
| | - Wen Wang
- Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Fourth Military Medical University, 569 Xinsi Road, Xi'an 710038, Shaanxi, China.
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12
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Cosmoiu A, Nedelcea C. Factors impacting the experience of empathic distress in social anxiety: a path analysis approach. The Journal of Social Psychology 2021; 162:57-70. [PMID: 34913406 DOI: 10.1080/00224545.2021.2003284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Personal distress is a manifestation of empathy characterized by a tendency to respond to others' difficulties by increasing one's distress. Previous work on socially anxious individuals has shown mixed results, consistent with a model of social anxiety symptomatology characterized by increased personal distress in empathy eliciting situations, which is driven by emotional dysregulation. The current study aimed to test a serial mediation model to uncover the role of emotional dysregulation in the relationship between social anxiety and empathic distress. 330 young adults were included in the sample. Social anxiety symptomatology, difficulty identifying one's feelings, expressive suppression, and empathic distress were analyzed through Structural Equation Modeling. Measurement and structural models were supported by data, with social anxiety exhibiting direct and indirect effects on empathic distress. Results also suggest that expressive suppression exhibits a negative effect on the distress exhibited in empathy eliciting situations, which brings forth relevant theoretical and clinical implications.
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Affiliation(s)
- Ana Cosmoiu
- Department of Psychology and Cognitive Sciences, Faculty of Psychology and Educational Sciences, University of Bucharest, Bucharest, Romania
| | - Cătălin Nedelcea
- Department of Psychology and Cognitive Sciences, Faculty of Psychology and Educational Sciences, University of Bucharest, Bucharest, Romania
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13
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Feldborg M, Lee NA, Hung K, Peng K, Sui J. Perceiving the Self and Emotions with an Anxious Mind: Evidence from an Implicit Perceptual Task. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182212096. [PMID: 34831851 PMCID: PMC8622160 DOI: 10.3390/ijerph182212096] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 11/11/2021] [Accepted: 11/16/2021] [Indexed: 12/19/2022]
Abstract
Anxiety disorders cause mental distress and low wellbeing in many people worldwide. Theories of anxiety describe negative worldviews and self-views as maintaining factors of the disorders. Recent research in social cognition has found a link between depression and altered perceptual biases to emotions, but the same research on anxiety is still missing. In this study, we measured perceptual biases to emotional and self-related stimuli in sub-clinically anxious participants and healthy controls using a self-emotional shape-label matching task. Results demonstrate that anxious participants had a diminished perceptual self-bias compared with healthy controls. Furthermore, the severity of anxiety was related to an emotional bias towards valanced other-related stimuli. The findings confirm the hypothesis that anxious individuals display an altered self-prioritisation effect in comparison with healthy individuals and that anxiety severity is linked to altered responses to emotionally valanced others. These findings have potential implications for early diagnosis and treatment of anxiety disorders.
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Affiliation(s)
- Michella Feldborg
- School of Psychology, University of Aberdeen, Aberdeen AB24 3FX, UK; (M.F.); (N.A.L.); (J.S.)
| | - Naomi A. Lee
- School of Psychology, University of Aberdeen, Aberdeen AB24 3FX, UK; (M.F.); (N.A.L.); (J.S.)
| | - Kalai Hung
- Department of Psychology, Tsinghua University, Beijing 100084, China;
- Correspondence:
| | - Kaiping Peng
- Department of Psychology, Tsinghua University, Beijing 100084, China;
| | - Jie Sui
- School of Psychology, University of Aberdeen, Aberdeen AB24 3FX, UK; (M.F.); (N.A.L.); (J.S.)
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14
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Yu X, Ruan Y, Zhang Y, Wang J, Liu Y, Zhang J, Zhang L. Cognitive Neural Mechanism of Social Anxiety Disorder: A Meta-Analysis Based on fMRI Studies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115556. [PMID: 34067468 PMCID: PMC8196988 DOI: 10.3390/ijerph18115556] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 05/13/2021] [Accepted: 05/19/2021] [Indexed: 11/16/2022]
Abstract
Objective: The present meta-analysis aimed to explore the cognitive and neural mechanism of social anxiety disorder (SAD) from a whole-brain view, and compare the differences in brain activations under different task paradigms. Methods: We searched Web of Science Core Collection and other databases with the keywords related to social anxiety, social phobia, and functional magnetic resonance imaging (fMRI) for comparing persons with SAD to healthy controls and used the activation likelihood estimation method. Thirty-seven papers met the inclusion criteria, including 15 with emotional faces as stimuli, 8 presenting specific situations as stimuli, and 14 using other types of tasks as stimuli. Among these papers, 654 participants were in the SAD group and 594 participants were in the control group with 335 activation increase points and 115 activation decrease points. Results: Whole-brain analysis showed that compared with healthy controls, persons with SAD showed significantly lower activation of the left anterior cingulate gyrus (MNI coordinate: x = −6, y = 22, z = 38; p 0.001). Sub-group analysis based on task indicated that when performing tasks with emotional faces as stimuli, persons with SAD showed significantly lower activation of the left cerebellar slope and fusiform gyrus (MNI coordinate: x = −26, y = −68, z = −12; p 0.001), and significantly higher activation of the right supramarginal gyrus and angular gyrus, than healthy controls (MNI coordinate: x = 58, y = −52, z = 30; p 0.001). Conclusion: Individuals with social anxiety disorder show abnormal activation in the cingulate gyrus, which is responsible for the process of attention control, and task type can influence the activation pattern.
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Affiliation(s)
- Xianglian Yu
- Department of Education, Jianghan University, Wuhan 430056, China; (X.Y.); (J.W.); (Y.L.)
- Key Laboratory of Adolescent Cyberpsychology and Behavior, Ministry of Education, Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan 430056, China
| | - Yijun Ruan
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong 999077, China;
| | - Yawen Zhang
- Department of Medical Psychology, School of Health Humanities, Peking University, Beijing 100191, China;
| | - Jiayi Wang
- Department of Education, Jianghan University, Wuhan 430056, China; (X.Y.); (J.W.); (Y.L.)
| | - Yuting Liu
- Department of Education, Jianghan University, Wuhan 430056, China; (X.Y.); (J.W.); (Y.L.)
| | - Jibiao Zhang
- Department of Education, Jianghan University, Wuhan 430056, China; (X.Y.); (J.W.); (Y.L.)
- Correspondence: (J.Z.); (L.Z.); Tel.: +86-151-1631-9551 (J.Z.); Tel.: +86-186-2215-2329 (L.Z.)
| | - Lin Zhang
- Key Laboratory of Adolescent Cyberpsychology and Behavior, Ministry of Education, Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan 430056, China
- Correspondence: (J.Z.); (L.Z.); Tel.: +86-151-1631-9551 (J.Z.); Tel.: +86-186-2215-2329 (L.Z.)
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15
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Kivity Y, Cohen L, Weiss M, Elizur J, Huppert JD. The role of expressive suppression and cognitive reappraisal in cognitive behavioral therapy for social anxiety disorder: A study of self-report, subjective, and electrocortical measures. J Affect Disord 2021; 279:334-342. [PMID: 33096332 DOI: 10.1016/j.jad.2020.10.021] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2020] [Revised: 08/16/2020] [Accepted: 10/11/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Contemporary models of cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) emphasize emotion dysregulation as a core impairment whose reduction may play a causal role in psychotherapy. The current study examined changes in use of emotion regulation strategies as possible mechanisms of change in CBT for SAD. Specifically, we examined changes in expressive suppression and cognitive reappraisal during CBT and whether these changes predict treatment outcome. METHODS Patients (n = 34; 13 females; Mean age = 28.36 (6.97)) were allocated to 16-20 sessions of CBT. An electrocortical measure of emotion regulation and a clinician-rated measure of SAD were administered monthly. Self-report measures of emotion regulation and social anxiety were administered weekly. Multilevel models were used to examine changes in emotion regulation during treatment and cross-lagged associations between emotion regulation and anxiety. RESULTS CBT led to decreased suppression frequency, increased reappraisal self-efficacy, and decreased unpleasantness for SAD-related pictures (ps < .05). At post-treatment, patients were equivalent to healthy controls in terms of suppression frequency and subjective reactivity to SAD-related stimuli. Gains were maintained at 3-months follow-up. Decreases in suppression frequency and electrocortical reactivity to SAD-related pictures predicted lower subsequent anxiety but not the other way around (ps < .05). Lower anxiety predicted greater subsequent increases in reappraisal self-efficacy. LIMITATIONS The lack of a control group precludes conclusions regarding mechanisms specificity. CONCLUSIONS Decreased frequency of suppression is a potential mechanism of change in CBT for SAD.
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Affiliation(s)
- Yogev Kivity
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
| | - Lior Cohen
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Michal Weiss
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Jonathan Elizur
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Jonathan D Huppert
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
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16
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Emotion regulation strategy of self-focused and situation-focused reappraisal and their impact on subsequent cognitive control. ACTA PSYCHOLOGICA SINICA 2020. [DOI: 10.3724/sp.j.1041.2020.01393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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17
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MacIlvane N, Fede SJ, Pearson EE, Diazgranados N, Momenan R. A Distinct Neurophenotype of Fearful Face Processing in Alcohol Use Disorder With and Without Comorbid Anxiety. Alcohol Clin Exp Res 2020; 44:2212-2224. [PMID: 32981080 DOI: 10.1111/acer.14465] [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: 06/04/2020] [Accepted: 09/11/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Individuals with alcohol use disorder (AUD) can present with comorbid anxiety symptoms and often have deficits in emotional processing. Previous research suggests brain response is altered during facial affect recognition tasks, especially in limbic areas, due to either AUD or anxiety symptomology; however, the impact of both AUD and clinically significant anxiety symptoms during these tasks has not yet been examined. METHODS In this study, we investigated neural activation differences during an emotional face-matching task. Participants (N = 232) underwent fMRI scanning, as part of a larger study. Three groups were investigated: individuals with diagnosed AUD and elevated anxiety traits (AUD + ANX, n = 90), individuals with diagnosed AUD but non-clinically significant levels of anxiety (AUD-ANX, n = 39), and healthy controls (HC, n = 103). RESULTS Our results illustrate distinct neurophenotypes of AUD, where individuals with comorbid anxiety symptomology have blunted emotional face processing while those with singular AUD are hyperresponsive. CONCLUSIONS This suggests AUD with anxiety symptomology may have a unique neurobiological underpinning, and treatment and intervention should be tailored to individual constellations of symptoms.
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Affiliation(s)
- Nicole MacIlvane
- From the, Clinical NeuroImaging Research Core, (NM, SJF, EEP, RM), National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA
| | - Samantha J Fede
- From the, Clinical NeuroImaging Research Core, (NM, SJF, EEP, RM), National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA
| | - Emma E Pearson
- From the, Clinical NeuroImaging Research Core, (NM, SJF, EEP, RM), National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA
| | - Nancy Diazgranados
- Office of Clinical Director (ND), National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA
| | - Reza Momenan
- From the, Clinical NeuroImaging Research Core, (NM, SJF, EEP, RM), National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA
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18
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Jacob Y, Shany O, Goldin PR, Gross JJ, Hendler T. Reappraisal of Interpersonal Criticism in Social Anxiety Disorder: A Brain Network Hierarchy Perspective. Cereb Cortex 2020; 29:3154-3167. [PMID: 30124815 DOI: 10.1093/cercor/bhy181] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 06/15/2018] [Accepted: 07/13/2018] [Indexed: 12/29/2022] Open
Abstract
Emotion regulation is thought to involve communication between and within large-scale brain networks that underlie emotion reactivity and cognitive control. Aberrant network interaction might therefore be a key neural feature of mental disorders that involve emotion dysregulation. Here we tested whether connectivity hierarchies within and between emotion reactivity and cognitive reappraisal networks distinguishes social anxiety disorder (SAD) patients (n = 70) from healthy controls (HC) (n = 25). To investigate network organization, we implemented a graph-theory method called Dependency Network Analysis. Participants underwent fMRI while watching or reappraising video clips involving interpersonal verbal criticism. During reappraisal, the reappraisal network exerted less influence on the reactivity network in SAD participants. Specifically, the influence of the right inferior frontal gyrus on both reappraisal and reactivity networks was significantly reduced in SAD compared with HC, and correlated negatively with negative emotion ratings among SAD participants. Surprisingly, the amygdala exhibited reduced influence on the reappraisal network in SAD relative to HC. Yet, during the watch condition, the left amygdala's influence on the reactivity network increased with greater social anxiety symptoms among SAD participants. These findings refine our understanding of network organization that contributes to efficient reappraisal or to disturbances in applying this strategy in SAD.
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Affiliation(s)
- Y Jacob
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.,Tel Aviv Center for Brain Functions, Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.,Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - O Shany
- Tel Aviv Center for Brain Functions, Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.,The School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel
| | - P R Goldin
- University of California, Davis, Sacramento, CA, USA
| | - J J Gross
- Department of Psychology, Stanford University, Stanford, CA, USA
| | - T Hendler
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.,Tel Aviv Center for Brain Functions, Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.,The School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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19
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Examining the Role of Lateral Parietal Cortex in Emotional Distancing Using TMS. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2020; 20:1090-1102. [DOI: 10.3758/s13415-020-00821-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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20
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Brain and behavioral alterations in subjects with social anxiety dominated by empathic embarrassment. Proc Natl Acad Sci U S A 2020; 117:4385-4391. [PMID: 32041879 PMCID: PMC7049137 DOI: 10.1073/pnas.1918081117] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
People are increasingly affected by social anxiety that includes emotional hypersensitivity and inaccurate interpretation of social encounters, and varies markedly in its subjective manifestations. We searched for insights into the underlying neurocognitive mechanisms of Taijin-kyofusho (TKS), a specific subtype of social-anxiety disorder common in East Asia and dominated by empathic or other-oriented embarrassment. We found TKS to be characterized by enhanced affective and reduced cognitive empathy. Moreover, analysis of functional MRI data—collected while subjects viewed videos of badly singing people—revealed disruption of the cognitive–empathy network, possibly obstructing flexible inference of others’ perspective or augmenting maladaptive feelings of embarrassment. Our findings shed light on how altered affective and cognitive processing can contribute to the development of imaginary fears. Social-anxiety disorder involves a fear of embarrassing oneself in the presence of others. Taijin-kyofusho (TKS), a subtype common in East Asia, additionally includes a fear of embarrassing others. TKS individuals are hypersensitive to others’ feelings and worry that their physical or behavioral defects humiliate others. To explore the underlying neurocognitive mechanisms, we compared TKS ratings with questionnaire-based empathic disposition, cognitive flexibility (set-shifting), and empathy-associated brain activity in 23 Japanese adults. During 3-tesla functional MRI, subjects watched video clips of badly singing people who expressed either authentic embarrassment (EMBAR) or hubristic pride (PRIDE). We expected the EMBAR singers to embarrass the viewers via emotion-sharing involving affective empathy (affEMP), and the PRIDE singers to embarrass via perspective-taking involving cognitive empathy (cogEMP). During affEMP (EMBAR > PRIDE), TKS scores correlated positively with dispositional affEMP (personal-distress dimension) and with amygdala activity. During cogEMP (EMBAR < PRIDE), TKS scores correlated negatively with cognitive flexibility and with activity of the posterior superior temporal sulcus/temporoparietal junction (pSTS/TPJ). Intersubject correlation analysis implied stronger involvement of the anterior insula, inferior frontal gyrus, and premotor cortex during affEMP than cogEMP and stronger involvement of the medial prefrontal cortex, posterior cingulate cortex, and pSTS/TPJ during cogEMP than affEMP. During cogEMP, the whole-brain functional connectivity was weaker the higher the TKS scores. The observed imbalance between affEMP and cogEMP, and the disruption of functional brain connectivity, likely deteriorate cognitive processing during embarrassing situations in persons who suffer from other-oriented social anxiety dominated by empathic embarrassment.
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21
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Emotion Regulation in Social Anxiety Disorder: Reappraisal and Acceptance of Negative Self-beliefs. BIOLOGICAL PSYCHIATRY: COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2020; 5:119-129. [DOI: 10.1016/j.bpsc.2019.07.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 07/18/2019] [Accepted: 07/18/2019] [Indexed: 02/02/2023]
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22
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Powers JP, Graner JL, LaBar KS. Multivariate Patterns of Posterior Cortical Activity Differentiate Forms of Emotional Distancing. Cereb Cortex 2019; 30:2766-2776. [PMID: 31813987 DOI: 10.1093/cercor/bhz273] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 08/23/2019] [Accepted: 09/17/2019] [Indexed: 11/13/2022] Open
Abstract
Distancing is an effective tactic for emotion regulation, which can take several forms depending on the type(s) of psychological distance being manipulated to modify affect. We recently proposed a neurocognitive model of emotional distancing, but it is unknown how its specific forms are instantiated in the brain. Here, we presented healthy young adults (N = 34) with aversive pictures during functional magnetic resonance imaging to directly compare behavioral performance and brain activity across spatial, temporal, and objective forms of distancing. We found emotion regulation performance to be largely comparable across these forms. A conjunction analysis of activity associated with these forms yielded a high degree of overlap, encompassing regions of the default mode and frontoparietal networks as predicted by our model. A multivariate pattern classification further revealed distributed patches of posterior cortical activation that discriminated each form from one another. These findings not only confirm aspects of our overarching model but also elucidate a novel role for cortical regions in and around the parietal lobe in selectively supporting spatial, temporal, and social cognitive processes to distance oneself from an emotional encounter. These regions may provide new targets for brain-based interventions for emotion dysregulation.
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Affiliation(s)
- John P Powers
- Center for Cognitive Neuroscience, Duke University, Durham, NC 27708-0999, USA
| | - John L Graner
- Center for Cognitive Neuroscience, Duke University, Durham, NC 27708-0999, USA
| | - Kevin S LaBar
- Center for Cognitive Neuroscience, Duke University, Durham, NC 27708-0999, USA
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23
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Leehr EJ, Redlich R, Zaremba D, Dohm K, Böhnlein J, Grotegerd D, Kähler C, Repple J, Förster K, Opel N, Meinert S, Enneking V, Bürger C, Hahn T, Wilkens E, Dernbecher M, Kugel H, Arolt V, Dannlowski U. Structural and functional neural correlates of vigilant and avoidant regulation style. J Affect Disord 2019; 258:96-101. [PMID: 31400629 DOI: 10.1016/j.jad.2019.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Revised: 07/30/2019] [Accepted: 08/02/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND Regulation of emotional arousal is a relevant factor for mental health. The investigation of neural underpinnings of regulation styles in healthy individuals may provide important insights regarding potential risk factors. To fill the gap of structural correlates of regulation styles and to expand previous results, we focused on the association between brain structure, neural responsiveness and vigilant/avoidant regulation style. METHODS In n = 302 healthy individuals regulation style was assessed with the Mainz Coping Inventory (MCI). Participants underwent structural and functional MRI during an emotion-processing paradigm. Structural MRI (voxel-based morphometry) and functional MRI were analysed in two regions of interest (amygdala and anterior cingulate cortex [ACC]). RESULTS Regulation styles did not show an association with brain structure after correction for gender, age, trait anxiety, depressive symptoms. During emotion processing, a vigilant regulation style was negatively associated with ACC activation. LIMITATIONS The cross-sectional study in a non-pathological sample is not adequate to unveil causalities or draw conclusions regarding prevention interventions. CONCLUSION Regulation styles are associated with specific neural activation patterns. The association of a high-vigilant regulation style and low ACC activation during emotion processing in healthy participants might be a potential risk factor.
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Affiliation(s)
- Elisabeth J Leehr
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany.
| | - Ronny Redlich
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Dario Zaremba
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Katharina Dohm
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Joscha Böhnlein
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Dominik Grotegerd
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Claas Kähler
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Jonathan Repple
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Katharina Förster
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Nils Opel
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Susanne Meinert
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Verena Enneking
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Christian Bürger
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Tim Hahn
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Elena Wilkens
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Marius Dernbecher
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Harald Kugel
- Department of Clinical Radiology, University of Muenster, Albert Schweitzer-Campus 1, G A1, 48149 Muenster, Germany
| | - Volker Arolt
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
| | - Udo Dannlowski
- Department of Psychiatry and Psychotherapy, University of Muenster, Albert Schweitzer-Campus 1, G 9A, 48149 Muenster, Germany
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24
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Picó-Pérez M, Alemany-Navarro M, Dunsmoor J, Radua J, Albajes-Eizagirre A, Vervliet B, Cardoner N, Benet O, Harrison B, Soriano-Mas C, Fullana M. Common and distinct neural correlates of fear extinction and cognitive reappraisal: A meta-analysis of fMRI studies. Neurosci Biobehav Rev 2019; 104:102-115. [DOI: 10.1016/j.neubiorev.2019.06.029] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Revised: 05/22/2019] [Accepted: 06/20/2019] [Indexed: 12/25/2022]
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25
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Yoon HJ, Seo EH, Kim JJ, Choo IH. Neural Correlates of Self-referential Processing and Their Clinical Implications in Social Anxiety Disorder. CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE 2019; 17:12-24. [PMID: 30690936 PMCID: PMC6361035 DOI: 10.9758/cpn.2019.17.1.12] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 03/14/2018] [Accepted: 04/27/2018] [Indexed: 12/20/2022]
Abstract
Social anxiety disorder (SAD) is associated with aberrant self-referential processing (SRP) such as increased self-focused attention. Aberrant SRP is one of the core features of SAD and is also related to therapeutic interventions. Understanding of the underlying neural correlates of SRP in SAD is important for identifying specific brain regions as treatment targets. We reviewed functional magnetic resonance imaging (fMRI) studies to clarify the neural correlates of SRP and their clinical implications for SAD. Task-based and resting fMRI studies have reported the cortical midline structures including the default mode network, theory of mind-related regions of the temporo-parietal junction and temporal pole, and the insula as significant neural correlates of aberrant SRP in SAD patients. Also, these neural correlates are related to clinical improvement on pharmacological and cognitive-behavioral treatments. Furthermore, these could be candidates for the development of novel SAD treatments. This review supports that neural correlates of SAD may be significant biomarkers for future pathophysiology based treatment.
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Affiliation(s)
- Hyung-Jun Yoon
- Department of Neuropsychiatry, Chosun University Hospital, College of Medicine, Chosun University, Gwangju, Korea
| | - Eun Hyun Seo
- Premedical Science, College of Medicine, Chosun University, Gwangju, Korea
| | - Jae-Jin Kim
- Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Il Han Choo
- Department of Neuropsychiatry, Chosun University Hospital, College of Medicine, Chosun University, Gwangju, Korea
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Powers JP, LaBar KS. Regulating emotion through distancing: A taxonomy, neurocognitive model, and supporting meta-analysis. Neurosci Biobehav Rev 2018; 96:155-173. [PMID: 30502352 DOI: 10.1016/j.neubiorev.2018.04.023] [Citation(s) in RCA: 59] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Revised: 04/13/2018] [Accepted: 04/29/2018] [Indexed: 01/09/2023]
Abstract
Distancing is a type of emotion regulation that involves simulating a new perspective to alter the psychological distance and emotional impact of a stimulus. The effectiveness and versatility of distancing relative to other types of emotion regulation make it a promising tool for clinical applications. However, the neurocognitive mechanisms of this tactic are unclear, and inconsistencies in terminology and methods across studies make it difficult to synthesize the literature. To promote more effective research, we propose a taxonomy of distancing within the broader context of emotion regulation strategies; review the effects of this tactic; and offer a preliminary neurocognitive model describing key cognitive processes and their neural bases. Our model emphasizes three components-self-projection, affective self-reflection, and cognitive control. Additionally, we present results from a supporting meta-analysis of neuroimaging studies of distancing. These efforts are presented within the overarching goals of supporting effective applications of distancing in laboratory, clinical, and other real-world contexts, and advancing understanding of the relevant high-level cognitive functions in the brain.
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Affiliation(s)
- John P Powers
- Duke University, Department of Psychology & Neuroscience, Center for Cognitive Neuroscience, Box 90999, Durham, NC, 27708-0999, United States.
| | - Kevin S LaBar
- Duke University, Department of Psychology & Neuroscience, Center for Cognitive Neuroscience, Box 90999, Durham, NC, 27708-0999, United States.
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27
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Gianotti LRR, Lobmaier JS, Calluso C, Dahinden FM, Knoch D. Theta resting EEG in TPJ/pSTS is associated with individual differences in the feeling of being looked at. Soc Cogn Affect Neurosci 2018; 13:216-223. [PMID: 29228358 PMCID: PMC5827341 DOI: 10.1093/scan/nsx143] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Accepted: 11/29/2017] [Indexed: 12/18/2022] Open
Abstract
Direct eye gaze is a powerful stimulus in social interactions, yet people vary considerably in the range of gaze lines that they accept as being direct (cone of direct gaze, CoDG). Here, we searched for a possible neural trait marker of these individual differences. We measured the width of the CoDG in 137 healthy participants and related their individual CoDG to their neural baseline activation as measured with resting electroencephalogram. Using a source-localization technique, we found that resting theta current density in the left temporo-parietal junction (TPJ) and adjacent posterior superior temporal sulcus (pSTS) was associated with the width of CoDG. Our findings suggest that the higher the baseline cortical activation in the left TPJ/pSTS, the wider the CoDG and thus the more liberal the individuals’ judgments were in deciding whether a looker stimulus was making eye contact or not. This is a first demonstration of the neural signatures underlying individual differences in the feeling of being looked at.
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Affiliation(s)
- Lorena R R Gianotti
- Department of Social Psychology and Social Neuroscience, Institute of Psychology, University of Bern, CH-3012 Bern, Switzerland
| | - Janek S Lobmaier
- Department of Social Psychology and Social Neuroscience, Institute of Psychology, University of Bern, CH-3012 Bern, Switzerland
| | - Cinzia Calluso
- Department of Social Psychology and Social Neuroscience, Institute of Psychology, University of Bern, CH-3012 Bern, Switzerland.,Department of Business and Management, LUISS Guido Carli University, Rome 00197, Italy
| | - Franziska M Dahinden
- Department of Social Psychology and Social Neuroscience, Institute of Psychology, University of Bern, CH-3012 Bern, Switzerland
| | - Daria Knoch
- Department of Social Psychology and Social Neuroscience, Institute of Psychology, University of Bern, CH-3012 Bern, Switzerland
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Kraus J, Frick A, Fischer H, Howner K, Fredrikson M, Furmark T. Amygdala reactivity and connectivity during social and non-social aversive stimulation in social anxiety disorder. Psychiatry Res Neuroimaging 2018; 280:56-61. [PMID: 30165271 DOI: 10.1016/j.pscychresns.2018.08.012] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 08/18/2018] [Accepted: 08/19/2018] [Indexed: 11/21/2022]
Abstract
Social anxiety disorder (SAD) is characterized by exaggerated amygdala reactivity in response to symptom provocation, but it is unclear if such hyper-reactivity is elicited by disorder-specific challenges only or characterizes reactions to aversive stimuli in general. Here, using functional magnetic resonance imaging in 14 patients with SAD, as compared to 12 healthy controls, we found that amygdala hyper-reactivity is confined to disorder-relevant social stimulation. SAD patients displayed increased amygdala reactivity to fearful as compared to neutral facial pictures, but not in response to generally aversive but mainly non-social stimulation when compared to neutral pictorial stimuli taken from the International Affective Picture System. The increased amygdala reactivity was not mediated by an altered prefrontal inhibition among SAD patients as compared to controls, suggesting increased bottom-up processes rather than attenuated top-down control. In conclusion, the enhanced amygdala reactivity in SAD seems specific to socially relevant stimuli rather than aversive stimuli in general.
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Affiliation(s)
- Jakub Kraus
- Department of Clinical Neuroscience, Karolinska Institute, Nobels väg 9, Stockholm, Sweden; Centre for Neuroscience, Central European Institute of Technology, Masaryk University, Brno, Czech Republic; Faculty of Medicine, Masaryk University, Brno, Czech Republic.
| | - Andreas Frick
- Department of Psychology, Uppsala University, Uppsala, Sweden; Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Håkan Fischer
- Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Katarina Howner
- Department of Clinical Neuroscience, Karolinska Institute, Nobels väg 9, Stockholm, Sweden
| | - Mats Fredrikson
- Department of Clinical Neuroscience, Karolinska Institute, Nobels väg 9, Stockholm, Sweden; Department of Psychology, Uppsala University, Uppsala, Sweden
| | - Tomas Furmark
- Department of Psychology, Uppsala University, Uppsala, Sweden
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Kivity Y, Huppert JD. Are individuals diagnosed with social anxiety disorder successful in regulating their emotions? A mixed-method investigation using self-report, subjective, and event-related potentials measures. J Affect Disord 2018. [PMID: 29525052 DOI: 10.1016/j.jad.2018.02.029] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Models of social anxiety emphasize the role of emotion dysregulation, but the nature of these impairments needs clarification. METHODS We utilized a mixed-method approach to examine impairments in cognitive reappraisal and expressive suppression in social anxiety disorder. Forty nine treatment-seeking individuals diagnosed with social anxiety disorder and 35 healthy controls completed self-reports and a lab-based task of suppression and reappraisal. Unpleasantness ratings and event-related potentials (ERPs) were collected while participants regulated their emotions in response to shame-arousing pictures. ERP analyses focused on the late positive potential, a measure of increased attention to emotional stimuli that is reduced during emotion regulation. RESULTS Participants with social anxiety reported less frequent and effective use of reappraisal and more frequent and effective use of suppression than controls. Counter to most models and our hypotheses, participants with social anxiety were more successful than controls in lab-based reappraisal as measured by unpleasantness ratings, but no differences emerged for ERPs. No differences were found in measures of lab-based suppression. LIMITATIONS Use of standardized, and not participant-generated, materials in the lab-based task of emotion regulation may limit the generalizability of the findings. CONCLUSIONS Subjective appraisals of self-efficacy and frequency suggest strong impairments in emotion-regulation in social anxiety that are not revealed in the laboratory. Models and treatment protocols should specify the exact nature of emotion dyregulation in social anxiety, highlighting difficulties in implementation of potentially intact emotion regulation abilities.
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Affiliation(s)
- Yogev Kivity
- Department of Psychology, The Hebrew University of Jerusalem, Mount Scopus , Jerusalem 91905, Israel.
| | - Jonathan D Huppert
- Department of Psychology, The Hebrew University of Jerusalem, Mount Scopus , Jerusalem 91905, Israel
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30
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Muranaka S, Sasaki J. The Effect of Enumeration of Self-Relevant Words on Self-Focused Attention and Repetitive Negative Thoughts. Front Psychol 2018; 9:819. [PMID: 29896140 PMCID: PMC5987036 DOI: 10.3389/fpsyg.2018.00819] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Accepted: 05/07/2018] [Indexed: 11/13/2022] Open
Abstract
Self-focused attention refers to awareness of self-referent, internally generated information. It can be categorized into dysfunctional (i.e., self-rumination) and functional (self-reflection) aspects. According to theory on cognitive resource limitations (e.g., Moreno, 2006), there is a difference in cognitive resource allocation between these two aspects of self-focused attention. We propose a new task, self-relevant word (SRW) enumeration, that can aid in behaviorally identifying individuals’ use of self-rumination and self-reflection. The present study has two purposes: to determine the association between self-focus and SRW enumeration, and to examine the effect of dysfunctional SRW enumeration on repetitive negative thinking. One hundred forty-six undergraduate students participated in this study. They completed a measure of state anxiety twice, before and after imagining a social failure situation. They also completed the SRW enumeration task, Repetitive Thinking Questionnaire, Short Fear of Negative Evaluation Scale, and Rumination-Reflection Questionnaire. A correlational analysis indicated a significant positive correlation between self-reflection and the number of SRWs. Furthermore, individuals high in self-reflection had a tendency to pay more attention to problems than did those high in self-rumination. A significant positive correlation was found between self-rumination and the strength of self-relevance of negative SRWs. Through a path analysis, we found a significant positive effect of the self-relevance of negative SRWs on repetitive negative thinking. Notably, however, the model that excluded self-rumination as an explanatory variable showed a better fit to the data than did the model that included it. In summary, SRW enumeration might enable selective and independent detection of the degree of self-reflection and self-rumination, and therefore should be examined in future research in order to design new behavioral procedures.
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Affiliation(s)
- Seiji Muranaka
- Department of Clinical Psychology, Graduate School of Human Sciences, Osaka University, Suita, Japan
| | - Jun Sasaki
- Department of Clinical Psychology, Graduate School of Human Sciences, Osaka University, Suita, Japan
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31
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Wang HY, Zhang XX, Si CP, Xu Y, Liu Q, Bian HT, Zhang BW, Li XL, Yan ZR. Prefrontoparietal dysfunction during emotion regulation in anxiety disorder: a meta-analysis of functional magnetic resonance imaging studies. Neuropsychiatr Dis Treat 2018; 14:1183-1198. [PMID: 29785110 PMCID: PMC5953307 DOI: 10.2147/ndt.s165677] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE Impairments in emotion regulation, and more specifically in cognitive reappraisal, are thought to play a key role in the pathogenesis of anxiety disorders. However, the available evidence on such deficits is inconsistent. To further illustrate the neurobiological underpinnings of anxiety disorder, the present meta-analysis summarizes functional magnetic resonance imaging (fMRI) findings for cognitive reappraisal tasks and investigates related brain areas. METHODS We performed a comprehensive series of meta-analyses of cognitive reappraisal fMRI studies contrasting patients with anxiety disorder with healthy control (HC) subjects, employing an anisotropic effect-size signed differential mapping approach. We also conducted a subgroup analysis of medication status, anxiety disorder subtype, data-processing software, and MRI field strengths. Meta-regression was used to explore the effects of demographics and clinical characteristics. Eight studies, with 11 datasets including 219 patients with anxiety disorder and 227 HC, were identified. RESULTS Compared with HC, patients with anxiety disorder showed relatively decreased activation of the bilateral dorsomedial prefrontal cortex (dmPFC), bilateral dorsal anterior cingulate cortex (dACC), bilateral supplementary motor area (SMA), left ventromedial prefrontal cortex (vmPFC), bilateral parietal cortex, and left fusiform gyrus during cognitive reappraisal. The subgroup analysis, jackknife sensitivity analysis, heterogeneity analysis, and Egger's tests further confirmed these findings. CONCLUSIONS Impaired cognitive reappraisal in anxiety disorder may be the consequence of hypo-activation of the prefrontoparietal network, consistent with insufficient top-down control. Our findings provide robust evidence that functional impairment in prefrontoparietal neuronal circuits may have a significant role in the pathogenesis of anxiety disorder.
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Affiliation(s)
- Hai-Yang Wang
- Department of Neurology, Jining No 1 People’s Hospital, Jining, Shandong Province, China
| | - Xiao-Xia Zhang
- Department of Neurology, Jining No 1 People’s Hospital, Jining, Shandong Province, China
| | - Cui-Ping Si
- Department of Neurology, Jining No 1 People’s Hospital, Jining, Shandong Province, China
| | - Yang Xu
- Department of Neurology, Jining No 1 People’s Hospital, Jining, Shandong Province, China
| | - Qian Liu
- Department of Neurology, Jining No 1 People’s Hospital, Jining, Shandong Province, China
| | - He-Tao Bian
- Department of Neurology, Jining No 1 People’s Hospital, Jining, Shandong Province, China
| | - Bing-Wei Zhang
- Department of Neurology and Psychiatry, First Affiliate Hospital of Dalian Medical University, Dalian, Liaoning Province, China
| | - Xue-Lin Li
- Department of Intensive Care Unit, Jining No 1 People’s Hospital, Jining, Shandong Province, China
| | - Zhong-Rui Yan
- Department of Neurology, Jining No 1 People’s Hospital, Jining, Shandong Province, China
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32
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Rabany L, Diefenbach GJ, Bragdon LB, Pittman BP, Zertuche L, Tolin DF, Goethe JW, Assaf M. Resting-State Functional Connectivity in Generalized Anxiety Disorder and Social Anxiety Disorder: Evidence for a Dimensional Approach. Brain Connect 2018; 7:289-298. [PMID: 28478685 DOI: 10.1089/brain.2017.0497] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Generalized anxiety disorder (GAD) and social anxiety disorder (SAD) are currently considered distinct diagnostic categories. Accumulating data suggest the study of anxiety disorders may benefit from the use of dimensional conceptualizations. One such dimension of shared dysfunction is emotion regulation (ER). The current study evaluated dimensional (ER) and categorical (diagnosis) neurocorrelates of resting-state functional connectivity (rsFC) in participants with GAD and SAD and healthy controls (HC). Functional magnetic resonance imaging (fMRI) rsFC was estimated between all regions of the default mode network (DMN), salience network (SN), and bilateral amygdala (N = 37: HC-19; GAD-10; SAD-8). Thereafter, rsFC was predicted by both ER, (using the Difficulties in Emotion Regulation Scale [DERS]), and diagnosis (DSM-5) within a single unified analysis of covariance (ANCOVA). For the ER dimension, there was a significant association between impaired ER abilities and anticorrelated rsFC of amygdala and DMN (L.amygdala-ACC: p = 0.011, beta = -0.345), as well as amygdala and SN (L.amygdala-posterior cingulate cortex [PCC]: p = 0.032, beta = -0.409). Diagnostic status was significantly associated with rsFC differences between the SAD and HC groups, both within the DMN (PCC-MPFC: p = 0.009) and between the DMN and SN (R.LP-ACC: p = 0.010). Although preliminary, our results exemplify the potential contribution of the dimensional approach to the study of GAD and SAD and support a combined categorical and dimensional model of rsFC of anxiety disorders.
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Affiliation(s)
- Liron Rabany
- 1 Olin Neuropsychiatry Research Center, Institute of Living , Hartford, Connecticut
| | - Gretchen J Diefenbach
- 2 Anxiety Disorders Center, Institute of Living , Hartford, Connecticut.,3 Yale University School of Medicine , New Haven, Connecticut
| | - Laura B Bragdon
- 2 Anxiety Disorders Center, Institute of Living , Hartford, Connecticut
| | - Brian P Pittman
- 3 Yale University School of Medicine , New Haven, Connecticut
| | - Luis Zertuche
- 1 Olin Neuropsychiatry Research Center, Institute of Living , Hartford, Connecticut
| | - David F Tolin
- 2 Anxiety Disorders Center, Institute of Living , Hartford, Connecticut.,3 Yale University School of Medicine , New Haven, Connecticut
| | - John W Goethe
- 2 Anxiety Disorders Center, Institute of Living , Hartford, Connecticut
| | - Michal Assaf
- 1 Olin Neuropsychiatry Research Center, Institute of Living , Hartford, Connecticut.,3 Yale University School of Medicine , New Haven, Connecticut
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33
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Kivity Y, Huppert JD. Emotion regulation in social anxiety: a systematic investigation and meta-analysis using self-report, subjective, and event-related potentials measures. Cogn Emot 2018. [DOI: 10.1080/02699931.2018.1446414] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Yogev Kivity
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Jonathan D. Huppert
- Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel
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Picó-Pérez M, Radua J, Steward T, Menchón JM, Soriano-Mas C. Emotion regulation in mood and anxiety disorders: A meta-analysis of fMRI cognitive reappraisal studies. Prog Neuropsychopharmacol Biol Psychiatry 2017; 79:96-104. [PMID: 28579400 DOI: 10.1016/j.pnpbp.2017.06.001] [Citation(s) in RCA: 209] [Impact Index Per Article: 29.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Revised: 05/03/2017] [Accepted: 06/01/2017] [Indexed: 12/16/2022]
Abstract
Emotion regulation by means of cognitive reappraisal has been widely studied with functional magnetic resonance imaging (fMRI). To date, several meta-analyses of studies using cognitive reappraisal tasks in healthy volunteers have been carried out, but no meta-analyses have yet been performed on the fMRI data of clinical populations with identified alterations in emotion regulation capacity. We provide a comprehensive meta-analysis of cognitive reappraisal fMRI studies in populations of patients with mood or anxiety disorders, yielding a pooled sample of 247 patients and 262 controls from thirteen independent studies. As a distinguishing feature of this meta-analysis, original statistical brain maps were obtained from six of these studies. Our primary results demonstrated that patients with mood and anxiety disorders recruited the regulatory fronto-parietal network involved in cognitive reappraisal to a lesser extent in comparison to healthy controls. Conversely, they presented increased activation in regions that may be associated with the emotional experience (i.e., insula, cerebellum, precentral and inferior occipital gyri) and in regions whose activation may be the consequence of compensatory mechanisms (i.e., supramarginal gyri and superior parietal lobule). Moreover, activations in the left ventrolateral prefrontal cortex and the left superior temporal gyrus were associated with reinterpretation emotion regulation strategies, whereas medial frontal and parietal activations were associated with the deployment of distancing strategies. The regions revealed by this meta-analysis conform to a pattern of dysfunctional brain activation during cognitive reappraisal common to mood and anxiety disorders. As such, this neural pattern may reflect a transdiagnostic feature of these disorders.
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Affiliation(s)
- Maria Picó-Pérez
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Joaquim Radua
- FIDMAG Germanes Hospitalàries, Barcelona, Spain; Centre for Psychiatric Research and Education, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK; CIBER Salud Mental (CIBERSam), Instituto Salud Carlos III (ISCIII), Barcelona, Spain
| | - Trevor Steward
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain; CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III (ISCIII), Barcelona, Spain
| | - José M Menchón
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain; CIBER Salud Mental (CIBERSam), Instituto Salud Carlos III (ISCIII), Barcelona, Spain
| | - Carles Soriano-Mas
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; CIBER Salud Mental (CIBERSam), Instituto Salud Carlos III (ISCIII), Barcelona, Spain; Department of Psychobiology and Methodology in Health Sciences, Universitat Autònoma de Barcelona, Barcelona, Spain.
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35
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Young KS, Burklund LJ, Torre JB, Saxbe D, Lieberman MD, Craske MG. Treatment for social anxiety disorder alters functional connectivity in emotion regulation neural circuitry. Psychiatry Res 2017; 261:44-51. [PMID: 28129555 PMCID: PMC5330298 DOI: 10.1016/j.pscychresns.2017.01.005] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2016] [Revised: 01/05/2017] [Accepted: 01/12/2017] [Indexed: 11/27/2022]
Abstract
Social anxiety disorder (SAD) is characterized at a neurobiological level by disrupted activity in emotion regulation neural circuitry. Previous work has demonstrated amygdala hyperreactivity and disrupted prefrontal responses to social cues in individuals with SAD (Kim et al., 2011). While exposure-based psychological treatments effectively reduce SAD symptoms, not all individuals respond to treatment. Better understanding of the neural mechanisms involved offers the potential to improve treatment efficacy. In this study, we investigated functional connectivity in emotion regulation neural circuitry in a randomized controlled treatment trial for SAD. Participants with SAD underwent fMRI scanning while performing an implicit emotion regulation task prior to treatment (n=62). Following 12 weeks of cognitive behavioral therapy, acceptance and commitment therapy, or wait-list, participants completed a second scan (n=42). Psychophysiological interaction analyses using amygdala seed regions demonstrated differences between SAD and healthy control participants (HC; n=16) in right amygdala-vmPFC connectivity. SAD participants demonstrated more negative amygdala-to-vmPFC connectivity, compared to HC participants, an effect that was correlated with SAD symptom severity. Post-treatment symptom reduction was correlated with altered amygdala-to-vm/vlPFC connectivity, independent of treatment type. Greater symptom reduction was associated with more negative amygdala-to-vm/vlPFC connectivity. These findings suggest that effective psychological treatment for SAD enhances amygdala-prefrontal functional connectivity.
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Affiliation(s)
- Katherine S Young
- Department of Psychology, University of California, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA
| | - Lisa J Burklund
- Department of Psychology, University of California, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA
| | - Jared B Torre
- Department of Psychology, University of California, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA
| | - Darby Saxbe
- Department of Psychology, University of Southern California, Los Angeles, CA, USA
| | - Matthew D Lieberman
- Department of Psychology, University of California, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA
| | - Michelle G Craske
- Department of Psychology, University of California, 405 Hilgard Avenue, Los Angeles, CA 90095-1563, USA.
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Han KM, Won E, Sim Y, Kang J, Han C, Kim YK, Kim SH, Joe SH, Lee MS, Tae WS, Ham BJ. Influence of FKBP5 polymorphism and DNA methylation on structural changes of the brain in major depressive disorder. Sci Rep 2017; 7:42621. [PMID: 28198448 PMCID: PMC5309810 DOI: 10.1038/srep42621] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Accepted: 01/13/2017] [Indexed: 12/17/2022] Open
Abstract
A single nucleotide polymorphism of rs1360780 in the FKBP5 gene is associated with a predisposition to developing major depressive disorder (MDD). We investigated the interactive effects of FKBP5 rs1360780 allelic variants, DNA methylation, and the diagnosis of MDD on structural changes of the entire brain. One hundred and fourteen patients with MDD and eighty-eight healthy controls underwent T1-weighted structural magnetic resonance imaging and FKBP5 rs1360780 genotyping, including DNA methylation of intron 7. We analyzed the volume of cortical and subcortical regions and cortical thickness using FreeSurfer. Significant genotype-by-diagnosis interactions were observed for volumes of the left pars triangularis, supramarginal gyrus, superior parietal lobule, right frontomarginal, and posterior midcingulate gyrus. The T allele was associated with significant volume reductions in these brain regions only in the MDD group except for the right posterior midcingulate gyrus. FKBP5 DNA methylation showed a positive correlation with the thickness of the right transverse frontopolar gyrus in the C allele homozygote group. Our findings suggest that the FKBP5 gene and its epigenetic changes could have influence on morphologic changes of several brain regions involved in emotion regulation, and that this process may be associated with the development of MDD.
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Affiliation(s)
- Kyu-Man Han
- Department of Psychiatry, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea
| | - Eunsoo Won
- Department of Psychiatry, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea
| | - Youngbo Sim
- Brain Convergence Research Center, Korea University Anam Hospital, Seoul, Republic of Korea
| | - June Kang
- Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Republic of Korea
| | - Changsu Han
- Department of Psychiatry, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Republic of Korea
| | - Yong-Ku Kim
- Department of Psychiatry, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Republic of Korea
| | - Seung-Hyun Kim
- Department of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea
| | - Sook-Haeng Joe
- Department of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea
| | - Min-Soo Lee
- Department of Psychiatry, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea
| | - Woo-Suk Tae
- Brain Convergence Research Center, Korea University Anam Hospital, Seoul, Republic of Korea
| | - Byung-Joo Ham
- Department of Psychiatry, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.,Brain Convergence Research Center, Korea University Anam Hospital, Seoul, Republic of Korea
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37
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Kreifelts B, Brück C, Ethofer T, Ritter J, Weigel L, Erb M, Wildgruber D. Prefrontal mediation of emotion regulation in social anxiety disorder during laughter perception. Neuropsychologia 2017; 96:175-183. [DOI: 10.1016/j.neuropsychologia.2017.01.016] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2015] [Revised: 01/11/2017] [Accepted: 01/13/2017] [Indexed: 11/28/2022]
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Zilverstand A, Parvaz MA, Goldstein RZ. Neuroimaging cognitive reappraisal in clinical populations to define neural targets for enhancing emotion regulation. A systematic review. Neuroimage 2016; 151:105-116. [PMID: 27288319 DOI: 10.1016/j.neuroimage.2016.06.009] [Citation(s) in RCA: 218] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 05/26/2016] [Accepted: 06/06/2016] [Indexed: 02/07/2023] Open
Abstract
Reduced capacity to cognitively regulate emotional responses is a common impairment across major neuropsychiatric disorders. Brain systems supporting one such strategy, cognitive reappraisal of emotion, have been investigated extensively in the healthy population, a research focus that has led to influential meta-analyses and literature reviews. However, the emerging literature on neural substrates underlying cognitive reappraisal in clinical populations is yet to be systematically reviewed. Therefore, the goal of the current review was to summarize the literature on cognitive reappraisal and highlight common and distinct neural correlates of impaired emotion regulation in clinical populations. We performed a two-stage systematic literature search, selecting 32 studies on cognitive reappraisal in individuals with mood disorders (n=12), anxiety disorders (n=14), addiction (n=2), schizophrenia (n=2), and personality disorders (n=5). Comparing findings across these disorders allowed us to determine underlying mechanisms that were either disorder-specific or common across disorders. Results showed that across clinical populations, individuals consistently demonstrated reduced recruitment of the ventrolateral prefrontal cortex (vlPFC) and dorsolateral prefrontal cortex (dlPFC) during downregulation of negative emotion, indicating that there may be a core deficit in selection, manipulation and inhibition during reappraisal. Further, in individuals with mood disorders, amygdala responses were enhanced during downregulation of emotion, suggesting hyperactive bottom-up responses or reduced modulatory capacity. In individuals with anxiety disorders, however, emotion regulation revealed reduced activity in the dorsal anterior cingulate cortex (dACC) and inferior/superior parietal cortex, possibly indicating a deficit in allocation of attention. The reviewed studies thus provide evidence for both disorder-specific and common deficits across clinical populations. These findings highlight the role of distinct neural substrates as targets for developing/assessing novel therapeutic approaches that are geared towards cognitive regulation of emotion, as well as the importance of transdiagnostic research to identify both disorder specific and core mechanisms.
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Affiliation(s)
- Anna Zilverstand
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Muhammad A Parvaz
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Rita Z Goldstein
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
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Weidt S, Lutz J, Rufer M, Delsignore A, Jakob NJ, Herwig U, Bruehl AB. Common and differential alterations of general emotion processing in obsessive-compulsive and social anxiety disorder. Psychol Med 2016; 46:1427-1436. [PMID: 26804333 DOI: 10.1017/s0033291715002998] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
BACKGROUND Obsessive compulsive disorder (OCD) and social anxiety disorder (SAD) are characterized by biased perception and processing of potentially threatening stimuli. A hyper-reactivity of the fear-circuit [e.g. amygdala, anterior cingulate (ACC)] has been consistently reported using functional magnetic resonance imaging (fMRI) in SAD in comparison with healthy controls (HCs). Studies investigating the processing of specific emotional stimuli in OCD reported mainly orbitofrontal-striatal abnormalities. The goal of this study was to examine similar/common and differential neurobiological responses in OCD and SAD using unspecific emotional stimuli. METHOD Fifty-four subjects participated: two groups (each n = 18) of outpatients with a current diagnosis of OCD or SAD, and 18 HCs. All subjects underwent fMRI while anticipating and perceiving unspecific visual stimuli with prior announced emotional valence (e.g. positive). RESULTS Compared to HCs, the combined patient group showed increased activation in amygdala, caudate and prefrontal/orbitofrontal cortex while anticipating unspecific emotional stimuli. Caudate was more active in the combined patient group during perception. A comparison between the OCD and the SAD samples revealed increased amygdala and decreased rostral ACC activation in OCD patients during perception, but no differences in the anticipation phase. CONCLUSIONS Overall, we could identify common fronto-subcortical hyper-reactivity in OCD and SAD while anticipating and perceiving unspecific emotional stimuli. While differential neurobiological responses between OCD and SAD when processing specific stimuli are evident from the literature, differences were less pronounced using unspecific stimuli. This could indicate a disturbance of emotion regulation common to both OCD and SAD.
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Affiliation(s)
- S Weidt
- Department of Psychiatry and Psychotherapy,University Hospital,University of Zurich,Zurich,Switzerland
| | - J Lutz
- Department of Psychiatry, Psychotherapy and Psychosomatics,Psychiatric Hospital,University of Zurich,Switzerland
| | - M Rufer
- Department of Psychiatry and Psychotherapy,University Hospital,University of Zurich,Zurich,Switzerland
| | - A Delsignore
- Department of Psychiatry and Psychotherapy,University Hospital,University of Zurich,Zurich,Switzerland
| | - N J Jakob
- Sanatorium Kilchberg,Kilchberg,Switzerland
| | - U Herwig
- Department of Psychiatry, Psychotherapy and Psychosomatics,Psychiatric Hospital,University of Zurich,Switzerland
| | - A B Bruehl
- Behavioural and Clinical Neuroscience Institute and Department of Psychiatry,University of Cambridge,UK
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Paschke LM, Dörfel D, Steimke R, Trempler I, Magrabi A, Ludwig VU, Schubert T, Stelzel C, Walter H. Individual differences in self-reported self-control predict successful emotion regulation. Soc Cogn Affect Neurosci 2016; 11:1193-204. [PMID: 27013102 DOI: 10.1093/scan/nsw036] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2015] [Accepted: 03/16/2016] [Indexed: 11/13/2022] Open
Abstract
Both self-control and emotion regulation enable individuals to adapt to external circumstances and social contexts, and both are assumed to rely on the overlapping neural resources. Here, we tested whether high self-reported self-control is related to successful emotion regulation on the behavioral and neural level. One hundred eight participants completed three self-control questionnaires and regulated their negative emotions during functional magnetic resonance imaging using reappraisal (distancing). Trait self-control correlated positively with successful emotion regulation both subjectively and neurally, as indicated by online ratings of negative emotions and functional connectivity strength between the amygdala and prefrontal areas, respectively. This stronger overall connectivity of the left amygdala was related to more successful subjective emotion regulation. Comparing amygdala activity over time showed that high self-controllers successfully maintained down-regulation of the left amygdala over time, while low self-controllers failed to down-regulate towards the end of the experiment. This indicates that high self-controllers are better at maintaining a motivated state supporting emotion regulation over time. Our results support assumptions concerning a close relation of self-control and emotion regulation as two domains of behavioral control. They further indicate that individual differences in functional connectivity between task-related brain areas directly relate to differences in trait self-control.
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Affiliation(s)
- Lena M Paschke
- Department of Psychiatry and Psychotherapy, Division of Mind and Brain Research, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, Berlin 10117, Germany Berlin School of Mind and Brain, Humboldt-Universitaet zu Berlin, Luisenstraße 56, Berlin 10117, Germany Department of Psychology, Humboldt Universitaet zu Berlin, Rudower Chaussee 18, Berlin 12489, Germany
| | - Denise Dörfel
- Department of Psychology, Technische Universität Dresden, Zellescher Weg 17, Dresden 01062, Germany
| | - Rosa Steimke
- Department of Psychiatry and Psychotherapy, Division of Mind and Brain Research, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, Berlin 10117, Germany Berlin School of Mind and Brain, Humboldt-Universitaet zu Berlin, Luisenstraße 56, Berlin 10117, Germany
| | - Ima Trempler
- Department of Psychology, Westfaelische Wilhelms-Universitaet Muenster, Fliednerstraße 21, Muenster 48149, Germany
| | - Amadeus Magrabi
- Department of Psychiatry and Psychotherapy, Division of Mind and Brain Research, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, Berlin 10117, Germany Berlin School of Mind and Brain, Humboldt-Universitaet zu Berlin, Luisenstraße 56, Berlin 10117, Germany Department of Education and Psychology, Freie Universiteat Berlin, Berlin 14195, Germany
| | - Vera U Ludwig
- Department of Psychiatry and Psychotherapy, Division of Mind and Brain Research, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, Berlin 10117, Germany Berlin School of Mind and Brain, Humboldt-Universitaet zu Berlin, Luisenstraße 56, Berlin 10117, Germany Berlin Center for Advanced Neuroimaging, Charité - Universitaetsmedizin Berlin, Berlin 10119, Germany
| | - Torsten Schubert
- Berlin School of Mind and Brain, Humboldt-Universitaet zu Berlin, Luisenstraße 56, Berlin 10117, Germany Department of Psychology, Humboldt Universitaet zu Berlin, Rudower Chaussee 18, Berlin 12489, Germany
| | - Christine Stelzel
- Department of Psychiatry and Psychotherapy, Division of Mind and Brain Research, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, Berlin 10117, Germany Berlin School of Mind and Brain, Humboldt-Universitaet zu Berlin, Luisenstraße 56, Berlin 10117, Germany Department of Psychology, Humboldt Universitaet zu Berlin, Rudower Chaussee 18, Berlin 12489, Germany International Psychoanalytic University, Stromstraße 1, Berlin 10555, Germany
| | - Henrik Walter
- Department of Psychiatry and Psychotherapy, Division of Mind and Brain Research, Charité - Universitaetsmedizin Berlin, Charitéplatz 1, Berlin 10117, Germany Berlin School of Mind and Brain, Humboldt-Universitaet zu Berlin, Luisenstraße 56, Berlin 10117, Germany Berlin Center for Advanced Neuroimaging, Charité - Universitaetsmedizin Berlin, Berlin 10119, Germany
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Oxytocin Facilitates Pavlovian Fear Learning in Males. Neuropsychopharmacology 2016; 41:932-9. [PMID: 26272050 PMCID: PMC4748433 DOI: 10.1038/npp.2015.245] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Revised: 07/07/2015] [Accepted: 07/09/2015] [Indexed: 12/29/2022]
Abstract
In human evolution, social group living and Pavlovian fear conditioning have evolved as adaptive mechanisms promoting survival and reproductive success. The evolutionarily conserved hypothalamic peptide oxytocin is a key modulator of human sociality, but its effects on fear conditioning are still elusive. In the present randomized controlled study involving 97 healthy male subjects, we therefore employed functional magnetic resonance imaging and simultaneous skin conductance response (SCR) measures to characterize the modulatory influence of intranasal oxytocin (24 IU) on Pavlovian fear conditioning. We found that the peptide strengthened conditioning on both the behavioral and neural levels. Specifically, subjects exhibited faster task-related responses and enhanced SCRs to fear-associated stimuli in the late phase of conditioning, which was paralleled by heightened activity in cingulate cortex subregions in the absence of changes in amygdala function. This speaks against amygdalocentric views of oxytocin having pure anxiolytic-like effects. Instead, it suggests that the peptide enables extremely rapid and flexible adaptation to fear signals in social contexts, which may confer clear evolutionary advantages but could also elevate vulnerability for the pathological sequelae of interpersonal trauma.
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Wang M, Zhang K, Zhang J, Dong G, Zhang H, Du X. Abnormal Neural Responses to Emotional Stimuli but Not Go/NoGo and Stroop Tasks in Adults with a History of Childhood Nocturnal Enuresis. PLoS One 2015; 10:e0142957. [PMID: 26571500 PMCID: PMC4646674 DOI: 10.1371/journal.pone.0142957] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Accepted: 10/28/2015] [Indexed: 12/28/2022] Open
Abstract
Background Nocturnal enuresis (NE) is a common disorder in school-aged children. Previous studies have reported that children with NE exhibit structural, functional and neurochemical abnormalities in the brain, suggesting that children with NE may have cognitive problems. Additionally, children with NE have been shown to process emotions differently from control children. In fact, most cases of NE resolve with age. However, adults who had experienced NE during childhood may still have potential cognitive or emotion problems, and this possibility has not been thoroughly investigated. Methodology/Principal Findings In this work, we used functional magnetic resonance imaging (fMRI) to evaluate brain functional changes in adults with a history of NE. Two groups, consisting of 21 adults with NE and 21 healthy controls, were scanned using fMRI. We did not observe a significant abnormality in activation during the Go/NoGo and Stroop tasks in adults with a history of NE compared with the control group. However, compared to healthy subjects, young adults with a history of NE mainly showed increased activation in the bilateral temporoparietal junctions, bilateral dorsolateral prefrontal cortex, and bilateral anterior cingulate cortex while looking at negative vs. neutral pictures. Conclusions/Significance Our results demonstrate that adults with a history of childhood NE have no obvious deficit in response inhibition or cognitive control but showed abnormal neural responses to emotional stimuli.
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Affiliation(s)
- Mengxing Wang
- Shanghai Key Laboratory of Magnetic Resonance & Department of Physics, East China Normal University, Shanghai, China
| | - Kaihua Zhang
- Shanghai Key Laboratory of Magnetic Resonance & Department of Physics, East China Normal University, Shanghai, China
| | - Jilei Zhang
- Shanghai Key Laboratory of Magnetic Resonance & Department of Physics, East China Normal University, Shanghai, China
| | - Guangheng Dong
- Department of Psychology, Zhejiang Normal University, Jinhua City, Zhejiang Province, China
| | - Hui Zhang
- Shanghai Key Laboratory of Magnetic Resonance & Department of Physics, East China Normal University, Shanghai, China
| | - Xiaoxia Du
- Shanghai Key Laboratory of Magnetic Resonance & Department of Physics, East China Normal University, Shanghai, China
- * E-mail:
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Stein DJ. Social anxiety disorder and the psychobiology of self-consciousness. Front Hum Neurosci 2015; 9:489. [PMID: 26441590 PMCID: PMC4585074 DOI: 10.3389/fnhum.2015.00489] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2015] [Accepted: 08/24/2015] [Indexed: 12/11/2022] Open
Abstract
Individuals with social anxiety disorder (SAD) are characterized by fear or anxiety about social situations, but also by important alterations in self-referential processing. Given advances in our understanding of the neurocircuitry and neurochemistry of SAD, the question arises of the relationship between this research and an emergent literature on the psychobiology of self and self-consciousness. A number of investigations of SAD have highlighted altered activity in the medial prefrontal cortex (mPFC; involved in self-representation), insula (involved in interoceptive processing), and other structures that play a role in bodily self-consciousness, as well as the potential value of interventions such as selective serotonin reuptake inhibitors (SSRI) and self-focused reappraisal in normalizing such changes. Future studies to more closely investigate associations between psychobiological alterations and changes in self-related processing in SAD, may be useful in shedding additional light on both SAD and self-consciousness.
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Affiliation(s)
- Dan J Stein
- Department of Psychiatry and MRC Unit on Anxiety and Stress Disorders, University of Cape Town Cape Town, South Africa
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Jiang J, He Z, Peng Y, Jin W, Mu J, Xue H, Wang Z, Chang M, Wang R. Effects of Phoenixin-14 on anxiolytic-like behavior in mice. Behav Brain Res 2015; 286:39-48. [DOI: 10.1016/j.bbr.2015.02.011] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2014] [Revised: 01/31/2015] [Accepted: 02/05/2015] [Indexed: 01/21/2023]
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Jazaieri H, Morrison AS, Goldin PR, Gross JJ. The role of emotion and emotion regulation in social anxiety disorder. Curr Psychiatry Rep 2015; 17:531. [PMID: 25413637 DOI: 10.1007/s11920-014-0531-3] [Citation(s) in RCA: 79] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Many psychiatric disorders involve problematic patterns of emotional reactivity and regulation. In this review, we consider recent findings regarding emotion and emotion regulation in the context of social anxiety disorder (SAD). We first describe key features of SAD which suggest altered emotional and self-related processing difficulties. Next, we lay the conceptual foundation for a discussion of emotion and emotion regulation and present a common framework for understanding emotion regulation, the process model of emotion regulation. Using the process model, we evaluate the recent empirical literature spanning self-report, observational, behavioral, and physiological methods across five specific families of emotion regulation processes-situation selection, situation modification, attentional deployment, cognitive change, and response modulation. Next, we examine the empirical evidence behind two psychosocial interventions for SAD: cognitive behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR). Throughout, we present suggestions for future directions in the continued examination of emotion and emotion regulation in SAD.
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Affiliation(s)
- Hooria Jazaieri
- Department of Psychology, Institute of Personality and Social Research, University of California, Berkeley, 4152 Tolman Hall, Berkeley, CA, 94720-1650, USA,
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Neuroimaging in social anxiety disorder—A meta-analytic review resulting in a new neurofunctional model. Neurosci Biobehav Rev 2014; 47:260-80. [PMID: 25124509 DOI: 10.1016/j.neubiorev.2014.08.003] [Citation(s) in RCA: 237] [Impact Index Per Article: 23.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2014] [Revised: 06/26/2014] [Accepted: 08/01/2014] [Indexed: 01/30/2023]
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