Astrid Steffen

Neuromagnetic indication of dysfunctional emotion regulation in affective disorders

Dysfunctional emotion regulation is often reported in affective disorders, but it is unclear whether this dysfunction concerns initial processing of emotional input or regulation of resulting emotion. The present study addressed these aspects in 27 depressive and 15 borderline personality disorder patients and 28 healthy controls who were instructed to either passively view unpleasant and neutral pictures or downregulate emotional responses by reappraisal, while neuromagnetic brain activity was measured. All three groups showed more early response to unpleasant than to neutral pictures, whereas patients failed to show subsequent activity suppression under instructions to down-regulate. This deficient emotion regulation was evident primarily in those subjects reporting high childhood adversity. Results support intact emotional input processing but impaired emotion regulation in affective disorders and indicate a moderating influence of early life stress.

Cross-frequency dynamics of neuromagnetic oscillatory activity : Two mechanisms of emotion regulation

Hemodynamic and electromagnetic neuroimaging suggests a sequence of intraregional and interregional activity during emotion processing. Oscillatory activity within trials may offer insight into neural mechanisms involved in this process. MEG was measured in 24 subjects during passive viewing of neutral and unpleasant pictures and emotion regulation by cognitive reappraisal. Regulation prompted more gamma increase and alpha decrease to picture onset than did passive viewing. Source analysis confirmed differential modulation of these power changes in occipitoparietal regions during passive viewing and larger power changes in prefrontal regions during regulation. Local coupling of alpha phase to gamma amplitude within a medial prefrontal region and long-range synchrony of medial prefrontal, occipital, and temporoparietal regions index mechanisms of prefrontal top-down contribution to emotion processing.

“That pulled the rug out from under my feet!” – adverse experiences and altered emotion processing in patients with functional neurological symptoms compared to healthy comparison subjects

BackgroundMedically unexplained movement or sensibility disorders, recently defined in DSM-5 as functional neurological symptoms (FNS), are still insufficiently understood. Stress and trauma have been addressed as relevant factors in FNS genesis. Altered emotion processing has been discussed.The present study screened different types and times of adverse experiences in childhood and adulthood in patients with FNS as well as in healthy individuals. The relationship between stress profile, aspects of emotion processing and symptom severity was examined, with the hypothesis that particularly emotional childhood adversities would have an impact on dysfunctional emotion processing as a mediator of FNS.MethodsAdverse childhood experiences (ACE), recent negative life events (LE), alexithymia, and emotion regulation style were assessed in 45 inpatients diagnosed with dissociative disorder expressing FNS, and in 45 healthy comparison subjects (HC).ResultsPatients reported more severe FNS, more (particularly emotional) ACE, and more LE than HC. FNS severity varied with emotional ACE and negative LE, and LE partially mediated the relation between ACE and FNS. Alexithymia and suppressive emotion regulation style were stronger in patients than HC, and alexithymia varied with FNS severity. Structural equation modeling verified partial mediation of the relationship between emotional ACE and FNS by alexithymia.ConclusionsEarly, emotional and accumulating stress show a substantial impact on FNS-associated emotion processing, influencing FNS. Understanding this complex interplay of stress, emotion processing and the severity of FNS is relevant not only for theoretical models, but, as a consequence also inform diagnostic and therapeutic adjustments.

Emotion regulation and functional neurological symptoms: Does emotion processing convert into sensorimotor activity?

OBJECTIVE Functional neurological symptoms (FNS) are hypothetically explained as a shift of emotion processing to sensorimotor deficits, but psychophysiological evidence supporting this hypothesis is scarce. The present study measured neuromagnetic and somatic sensation during emotion regulation to examine frontocortical and sensorimotor activity as signals of altered emotion processing. METHODS Magnetoencephalographic (MEG) activity was mapped during an emotion regulation task in 20 patients with FNS and 20 healthy comparison participants (HC). Participants were instructed to (A) passively watch unpleasant or neutral pictures or (B) down-regulate their emotional response to unpleasant pictures utilizing cognitive reappraisal strategies. Group- and task-specific cortical activity was evaluated via 8-12 Hz (alpha) power modulation, while modulation of somatic sensation was measured via perception and discomfort thresholds of transcutaneous electrical nerve stimulation. RESULTS Implementing emotion regulation strategies induced frontocortical alpha power modulation in HC but not in patients, who showed prominent activity modulation in sensorimotor regions. Compared to HC, discomfort threshold for transcutaneous stimulation decreased after the task in patients, who also expressed increased symptom intensity. CONCLUSIONS Reduced frontocortical, but enhanced sensorimotor involvement in emotion regulation efforts offers a trace to modeling a conversion of (aversive) feelings into (aversive) somatic sensations in FNS.

Distinct cognitive mechanisms in a gambling task share neural mechanisms

Distinct psychological processes have been proposed to unfold in decision-making. The time course of neural mechanisms supporting these processes has not been fully identified. The present MEG study examined spatio-temporal activity related to components of decision-making proposed to support reward valuation, reward prediction, and outcome evaluation. Each trial presented information on reward value (10 or 50 cents) and reward probability (10%, 50%, or 90%). Brain activity related to those inputs and to outcome feedback was evaluated via electromagnetic responses in source space. Distributed dipole activity reflected reward value and reward probability 150-350 ms after information arrival. Neural responses to reward-value information peaked earlier than those to reward-probability information. Results suggest that valuation, prediction, and outcome evaluation share neural structures and mechanisms even on a relatively fine time scale.

Functional neurological symptoms modulate processing of emotionally salient stimuli

OBJECTIVE Dysfunctional emotion processing has been discussed as a contributing factor to functional neurological symptoms (FNS) in the context of conversion disorder, and refers to blunted recognition and the expression of ones own feelings. However, the emotion processing components characteristic for FNS and/or relevant for conversion remain to be specified. With this goal, the present study targeted the initial, automatic discrimination of emotionally salient stimuli. METHODS The magnetoencephalogram (MEG) was monitored in 21 patients with functional weakness and/or sensory disturbance subtypes of FNS and 21 healthy comparison participants (HC) while they passively watched 600 emotionally arousing, pleasant, unpleasant or neutral stimuli in a rapid serial visual presentation (RSVP) design. Neuromagnetic activity was analyzed 110-330ms following picture onset in source space for prior defined posterior and central regions of interest. RESULTS As early as 110ms and across presentation interval, posterior neural activity modulation by picture category was similar in both groups, despite smaller initial (110-150ms) overall and posterior power in patients with FNS. The initial activity modulation by picture category was also evident in the left sensorimotor area in patients with FNS, but not significant in HC. CONCLUSIONS Similar activity modulation by emotional picture category in patients with FNS and HC suggests that the fast, automatic detection of emotional salience is unchanged in patients with FNS, but involves an emotion-processing network spanning posterior and sensorimotor areas.