Creativity and borderline personality disorder: evidence from a voxel-based morphometry study.

INTRODUCTION: Throughout the history, various examples of eminent creative people suffering from mental disorders along with some empirical research reports strengthened the idea of a potential link between creativity and psychopathology. METHODS: This study investigated different facets of psychometrically determined creativity in 20 females diagnosed with borderline personality disorder (BPD) relative to 19 healthy female controls. In addition, group differences in grey matter (GM) were examined. RESULTS: Behavioural findings revealed no significant differences between the BPD group and healthy controls with respect to verbal and figural-graphic creative task performance and creativity-related personality characteristics. Whole-brain voxel-based morphometry analyses revealed a distinct pattern of GM reductions in the BPD group (relative to controls) in a network of brain regions closely associated with various cognitive and emotional functions (including the bilateral orbital inferior frontal gyri and the left superior temporal gyrus), partly overlapping with creativity-related brain regions. Correlation analyses moreover revealed that in the BPD group GM reductions in the orbital parts of the inferior and middle frontal gyri were associated with lower levels of creativity. CONCLUSIONS: This study provides no indications in favour of the putative link between creativity and psychopathology, as sometimes reported in the literature.

Out of sight, but still in mind: electrocortical correlates of attentional capture in spider phobia as revealed by a 'dot probe' paradigm.

The current investigation focused on attentional processes in spider phobia. Twenty phobics and 20 controls performed a dot-probe task while event-related potentials were recorded. In each trial they viewed a picture pair (a spider or a generally disgust eliciting picture that was paired with a neutral picture) for either 100 or 1500 ms. After the offset a visual probe (a dot) was presented either at the previous position of the emotionally relevant or the neutral slide and participants were asked to indicate with a button press whether the dot had been presented on the left or the right side of the screen. Results revealed a modulation of the centro-parietal P300 (340-500 ms after picture onset). Amplitudes were higher when the dot replaced a spider than when it replaced a neutral picture. This was phobia-specific, as it was only present in phobics and did not appear in response to disgust pictures. Moreover, the modulation could only be shown for short presentation times. The results are interpreted to reflect motivated attention in spider phobia, if disorder-relevant and neutral pictures are shown simultaneously. As the modulation of the P300 was found after picture offset, attentional allocation seems to be persist after the phobic object is no longer present.

Can you read my pokerface? A study on sex differences in dentophobia.

Men and women with dentophobia differ in specific fear contents and underlying brain activity during symptom provocation. Possible sex differences concerning other basic emotions, such as disgust, have undergone minimal investigation. Therefore, we recorded the facial electromyogram from the musculus levator labii (as a specific disgust indicator) and the heart rate of 36 individuals with dentophobia (18 women and 18 men with comparable disorder severity) and of 36 non-phobic controls (18 women and 18 men). The participants were asked to look at pictures showing dental treatment scenes, generally fear- and disgust-inducing, as well as pictures with neutral contents. Subsequently they performed an affective picture rating. Independently of sex, phobic subjects relative to controls showed heart-rate acceleration when watching pictures of dental treatment scenes, reflecting a fear reaction. Male and female phobic subjects did not differ in their verbal reports of fear and disgust experienced. However, phobic women showed enhanced disgust-related facial electromyographic activity to dental treatment scenes relative to men. This sex-specific response pattern points to the greater relevance of disgust for the female symptomatology of dentophobia, or it might also be possible that male patients more successfully inhibit disgust reactions during confrontation.

[The Spider Phobia Questionnaire for Children and Adolescents (SPQ-CA) - development and validation of a German short scale]. / Der Spinnenphobie-Fragebogen für Kinder und Jugendliche (SPF-KJ). Entwicklung und Validierung einer deutschsprachigen Kurzskala.

OBJECTIVE: Spider phobia is rather common in Western societies and mainly afflicts females. The disorder has a very early onset but is very rarely diagnosed and treated in children and adolescents. Thus, there is a need for a reliable, valid, and economic questionnaire for the assessment of the disorder in children and adolescents. METHOD: For the development (exploratory and confirmatory factor analysis) and validation purposes, 816 children and adolescents aged between 7 and 15 years answered the questionnaire. RESULTS: The resulting Spider Phobia Questionnaire for Children and Adolescents (SPQ-CA) consists of ten items and has a good internal consistency (Cronbach's α = .86). The scale correlates positively with overall anxiety, disgust proneness, and sensitivity. CONCLUSIONS: The short scale SPQ-CA is a reliable, valid and economic instrument for the assessment of spider fear and is particularly well suited for application in psychotherapeutic studies.

[Psychoeducation leads to a reduction in fear of spiders in 8- to 9-year-old children - a pilot study]. / Reduktion der auf Spinnen bezogenen Ängste durch Psychoedukation bei 8- bis 9-jährigen Kindern - eine Pilotstudie.

OBJECTIVE: In Western societies spiders are among the least liked of all arthropods, eliciting feelings of fear and disgust. The clinical manifestation of this fear - spider phobia - is a common anxiety disorder. In most cases the disorder has an early onset in childhood. The symptoms show a chronic course and can persist into adulthood if not treated. Etiological models emphasize the role of modeling and negative information transmission for the acquisition of the disorder. Even though powerful psychotherapeutic methods exist, referral to treatment is rather uncommon for children. Often spontaneous remission is expected, but that is atypical. METHOD: The current study developed a psychoeducative program on spiders for elementary school children and evaluated it on a sample of 36 children aged 8 to 10 years. The main goal of this pilot study was to test the feasibility of the program. RESULTS: The study showed a reduction of fear of spiders after psychoeducation in girls and boys with previously high or moderate fear of spiders. CONCLUSIONS: The program could become a valuable contribution to the prevention of spider phobia and should be evaluated in future controlled trials.

Discrimination of Oribotritia species by oil gland chemistry (Acari, Oribatida).

The chemical composition of secretions from opisthonotal (oil) glands in four species of the oribatid mite genus Oribotritia (Mixonomata, Euphthiracaroidea, Oribotritiidae) was compared by means of gas chromatography--mass spectrometry. The secretions of all, O. banksi (from North America) and three Austrian oribotritiids (O. berlesei, O. hermanni, O. storkani), are shown to be based on certain unusual compounds, the iridoid monoterpenes chrysomelidial and epi-chrysomelidial and the diterpene ß-springene. These components probably represent general chemical characteristics of oribotriid oil glands. Their relative abundance in the secretions along with further components (mainly saturated and unsaturated C(13)-, C(15)-, C(17)-hydrocarbons, and the tentatively identified octadecadienal) led to well-distinguishable, species-specific oil gland secretions profiles. In addition a reduced set of "Astigmata compounds" (sensu Sakata and Norton in Int J Acarol 27:281-291, 2001)--namely the two monoterpenes neral and geranial--could be detected in extracts of O. banksi nevertheless indicating the classification of euphthiracaroids within the (monophyletic) group of "Astigmata compounds-bearing"-Oribatida. These compounds are considered to be apomorphically reduced in all Austrian species. Our findings emphasize the potential of chemosystematics using oil gland secretion profiles in the discrimination of morphologically very similar, syntopically living or even cryptic oribatid species.

Naphthoquinones and anthraquinones from scent glands of a dyspnoid Harvestman, Paranemastoma quadripunctatum.

Extracts of Paranemastoma quadripunctatum (Opiliones, Dyspnoi, Nemastomatidae) contained seven components, all of which likely originated from the secretion of well-developed prosomal scent glands. The two main components (together accounting for more than 90% of the secretion) were identified as 1,4-naphthoquinone and 6-methyl-1,4-naphthoquinone. The minor components were 1,4-naphthalenediol, two methoxy-naphthoquinones (2-methoxy-1,4-naphthoquinone, and 2-methoxy-6-methyl-1,4-naphthoquinone) and two anthraquinones (2-methyl-9,10-anthraquinone and a dimethyl-9,10-anthraquinone). While some chemical data on scent gland secretions of the other suborders of Opiliones (Cyphophthalmi, palpatorean Eupnoi, and Laniatores) already exist, this is the first report on the scent gland chemistry in the Dyspnoi. Naphthoquinones are known scent gland exudates of Cyphophthalmi and certain Eupnoi, methoxy-naphthoquinones and anthraquinones are new for opilionid scent gland secretions.

Is this blood? An ERP study on the visual identification of red fluids in patients with blood phobia.

Blood can be easily recognized in situations involving injury. However, very little is known about the ability of humans to identify blood without such context information. We investigated the blood detection capacity and associated electrocortical correlates (event-related potentials) in 20 women with blood phobia and 20 non-phobic females. The participants viewed images depicting droplets of pig blood, and water with pink or red food coloring. They were asked to decide, whether the pictures showed real blood or not. Blood provoked enhanced P100 amplitudes (90-140 ms) in blood phobics. Late positivity (P300: 340-500 ms) as well as classification accuracy did not differ between the groups. However, blood elicited a general P300 enhancement (relative to red and pink fluids) possibly reflecting elevated visual attention to blood as a general characteristic in humans. The P100 augmentation in blood phobics very likely reflects enhanced early selective attention. Patients with BII phobia showed prioritized visual processing of blood without having to rely on contextual information.

Neuronal correlates of personal space intrusion in violent offenders.

Personal space (PS) is defined as the imagery region immediately surrounding our body, which acts as safety zone. It has been suggested that PS is enlarged in violent offenders and that this group shows an enhanced sensitivity to the reduction of interpersonal distance. In the present fMRI study high-risk violent offenders and noncriminal controls were presented with photos of neutral facial expressions by men and women. All images were shown twice, as static photos, and animated (i.e., appearing to approach the subject) in order to simulate PS intrusion. Approaching faces generally provoked activation of a fronto-parietal network and the insula. Offenders responded with greater insula activation to approaching faces, especially when the person was male. Insular activation has been recognized before as a neuronal correlate of potential threat and harm detection in PS. The increased reactivity of violent offenders is possibly a result of their hostile attribution bias.

Simulating Intrusion Into Personal Space Among Violent Offenders: The Role of Disgust.

Intrusion into one's own personal space (PS) elicits discomfort. This is especially true when the intruder's facial mimicry expresses disgust or anger. Although it is known that the affective context influences PS processing, this has not been investigated in violent offenders. We presented images of affective facial expressions (i.e., anger, disgust, neutral) of men and women to violent offenders and nonoffenders. All images were shown twice-once as nonanimated photos and a second time as expanding (i.e., appearing to approach the participant). The participants rated their experienced arousal and valence for each image and completed personality questionnaires for the assessment of disgust proneness (tendency to experience disgust), disgust sensitivity (tendency to perceive one's own disgust feelings as aversive and uncontrollable), self-disgust (tendency to find oneself repulsive), and trait anger (tendency to experience anger). Offenders reported significantly elevated disgust proneness, self-disgust, and negative affect to male facial expressions of disgust. The negative affect experienced by offenders in the approaching disgust condition correlated with their self-disgust. Future studies should specifically investigate the association between sensitivity to disgust cues reflecting social rejection, self-disgust, and violent behavior.

Differential amygdala activation during simulated personal space intrusion by men and women.

Responses to personal space (PS) violations are variable and depend (besides many other factors) on the sex of the person who enters this space. The neuronal basis of this effect is still largely unknown. A previous neuroimaging investigation had shown that male participants responded with increased amygdala activation to PS violation, but only when the intruder was male. Gender-specific responses by females have not been studied yet. In the present study we recorded affective as well as hemodynamic responses of 30 women (mean age: M=27.3years; SD=8.1). The participants were exposed to images of neutral facial expressions from men and women. All stimuli were once shown as photos (static), and once were zoomed in (picture enlargement by the factor 2.75) in order to simulate PS intrusion. In both conditions ('static' and 'approaching' faces) the eyes and mouth region of the depicted persons were always completely visible. Approaching faces generally provoked activation of a parietal network (e.g., intraparietal sulcus, superior/inferior parietal cortex). When the approaching person was male additional amygdala activation was detected. Because the amygdala is a central structure for the initiation of defense responses, the heightened activation might reflect that male intrusion was decoded as potential threat. Hence, we observed a similar gender bias to simulated space intrusion in women as previously in men.

Altered cerebellar-amygdala connectivity in violent offenders: A resting-state fMRI study.

It has repeatedly been reported, that there are differences in grey matter volume (GMV) between violent offenders and non-violent controls. However, it remains unclear, if structural brain abnormalities influence resting-state functional connectivity (RS-fc) between brain regions. Therefore, in the present investigation, 31 male high-risk violent prisoners were compared to 30 non-criminal controls with respect to RS-fc between brain areas. Seed regions for resting-state analysis were selected based on GMV differences between the two groups. Overall, inmates had more GMV in the cerebellum than controls and revealed higher RS-fc between the cerebellum and the amygdala. In contrast, controls relative to prisoners showed higher RS-fc between the cerebellum and the orbitofrontal cortex (OFC). In addition, controls showed more GMV in the dorsolateral prefrontal cortex (DLPFC). Inmates relative to controls had higher RS-fc within the DLPFC. Results are discussed with respect to cerebellar contributions to a brain network underlying moral behavior and violence. Enhanced cerebellar-amygdala connectivity in violent offenders might reflect alterations in the processing of moral emotions. Heightened functional connectivity between cerebellar hemispheres and the OFC in controls could be a correlate of enhanced emotion regulation capacities. Higher functional intra-DLPFC connectivity in violent offenders might represent an effort to regulate emotions.

Symptom severity and disgust-related traits in borderline personality disorder: The role of amygdala subdivisions.

The majority of morphometric studies on borderline personality disorder (BPD) found that diagnosed patients have a reduced amygdala volume. We sought to extend this finding by focusing on amygdala subdivisions (centromedial, laterobasal, superficial) and their association with symptom severity and disgust-related traits. Additional disorder-/disgust-relevant regions (insula, somatosensory cortex) were also investigated. We compared structural imaging data from 25 female BPD patients and 25 healthy women via voxel-based morphometry. Scores on self-report measures for symptom severity, disgust proneness, and self-disgust were correlated with gray matter volume (GMV) of regions of interest. Relative to controls, BPD patients had more GMV in the laterobasal amygdala. The volume of this region was positively correlated with symptom severity. In contrast, GMV of the centromedial amygdala showed a negative correlation with symptom severity. The degree of reported self-injury and self-disgust correlated negatively with the volume of the secondary somatosensory cortex (SII). Our data point to a differential contribution of amygdala subdivisions to symptom severity in BPD. Future longitudinal studies should focus on these subregions and possible volume changes during the course of the disorder. The meaning of altered SII volume for dysfunctional auto-aggressive behavior needs further investigation.

Electrocortical effects of a disgust placebo in children.

The electroencephalogram has been widely used to study voluntary emotion regulation (ER), whereas automatic ER has hardly been investigated. This experiment focused on automatic changes of disgust feelings and event-related potentials due to placebo treatment. Twenty-eight disgust-prone 8- to 13-year-old girls were presented with disgusting, fear-eliciting and neutral pictures once with and once without a placebo (syrup presented with the suggestion that it is able to ease disgust symptoms). In the disgust condition, the placebo reduced experienced disgust and increased frontal late positivity (400-1000 ms after picture onset). A similar electrocortical placebo effect was obtained for the fear pictures. These findings suggest that the placebo had the function of a safety signal which helped the children to direct their automatic attention to the aversive stimuli and to overcome visual avoidance. Future studies should integrate behavioral designs and should use additional psychophysiological measures (e.g., eye-tracking) in order to substantiate this interpretation.

Effects of personal space intrusion in affective contexts: an fMRI investigation with women suffering from borderline personality disorder.

The amygdala and the parietal cortex play a key role in the neural representation of personal space. Although the concept of personal space is clinically very relevant for borderline personality disorder (BPD), especially in affective contexts, it has not been investigated thus far with functional magnetic resonance imaging (fMRI). In this fMRI study, 25 female BPD patients and 25 healthy women were exposed to photos of angry, disgusted and neutral facial expressions. All stimuli were once shown as still photos, and once were zoomed-in in order to simulate intrusion into one's own personal space. Approaching faces generally provoked activation of the amygdala and the somatosensory cortex. BPD patients showed an increased activation within both regions, but only toward approaching disgusted faces. Their amygdala activation in this specific condition positively correlated with self-disgust scores. Moreover, the clinical group indicated an enhanced personal distance preference, which was associated with parietal activation. The present study revealed altered personal space processing of BPD patients, especially in situations that relate to social contexts involving disgust. Future studies should focus on the temporal stability of personal space processing during the natural course of BPD as well as during therapy.

Benzoquinones from scent glands of phalangiid harvestmen (Arachnida, Opiliones, Eupnoi): a lesson from Rilaena triangularis.

In case of disturbance, the phalangiine harvestman Rilaena triangularis (Eupnoi, Phalangiidae) emits a directed jet from large prosomal scent ("defensive") glands. The pungent-smelling secretion was analyzed by gas chromatography-mass spectrometry and found to contain mainly 1,4-benzoquinone along with 1,4-naphthoquinone and caprylic (=octanoic) acid. While various alkylated benzoquinones are characteristic for the scent gland secretions of many grassatorean Laniatores, this is the first incidence of benzoquinone-based chemical defense in palpatorean harvestmen.

Disrupted response inhibition toward facial anger cues in children with attention-deficit hyperactivity disorder (ADHD): an event-related potential study.

This event-related potential study focused on neural correlates of inhibitory affective control in attention-deficit hyperactivity disorder (ADHD). Sixteen boys with ADHD and 16 healthy boys underwent an emotional Go/NoGo task with pictures of facial expressions from the categories anger, sadness, happiness, and neutral. The participants were instructed to execute or withhold a motor response to specific emotions. Patients relative to controls displayed a severe impairment in response inhibition toward anger cues, which was accompanied by a reduced P300 amplitude (positive voltage deflection about 300 ms after picture onset). The control group showed a P300 differentiation of the affective categories that was absent in the ADHD group. The pronounced anger-processing deficit in ADHD patients might be linked to their interpersonal difficulties and should be addressed in psychotherapy.

Electrocortical effects of directing attention during visual exposure in dentophobia.

Fear of pain is a main motivator for avoidance or delay of dental treatment in patients afflicted with dentophobia. Studies employing passive viewing paradigms found motivated attention to the phobic object to be associated with enhanced amplitudes of the late positive potential (LPP). The aim of the current study was to investigate, if explicit attention-guiding instructions are able to modify the LPP. Twenty-three patients suffering from dentophobia and 23 controls were presented with pictures showing disorder-relevant or neutral contents, which were combined with different instructions: to distract the attention away from the picture, to classify the content, or to decide whether the scene elicited fear of pain. Relative to controls, dentophobics displayed enhanced late positivity (300-1000 ms after picture onset) in the fear of pain condition at frontal and central recording sites, whereas there was no group difference during classification and distraction. Within patients, fear of pain elicited greater positivity than classification and distraction. The findings are discussed within the framework of attentional direction. Future studies could investigate whether psychotherapy differentially affects neural correlates of attention regulation.

Does cardiac reactivity in the laboratory predict ambulatory heart rate? Baseline counts.

Cardiovascular reactivity to laboratory stress might predict cardiovascular load in everyday life. However, previous research throws doubt on this hypothesis. This study examined associations between heart rate (HR) to a public speaking task and ambulatory HR throughout a day. Electrocardiogram, bodily movement, and psychosocial variables (affect, context) were recorded in 111 individuals. Ambulatory HR was positively associated with both positive and negative affect. Baseline HR in the laboratory significantly predicted ambulatory HR, but HR reactivity did not. The interaction of momentary negative affect and cardiac reactivity in the laboratory was also not significant. However, a significant interaction of baseline HR and reactivity indicated that, when baseline was high, there was a positive relation between HR reactivity and ambulatory HR. Findings suggest that baseline has to be considered when aiming to predict cardiovascular load in everyday life.

Altered functional connectivity of basal ganglia circuitry in dental phobia.

Recent symptom provocation studies that compared patients suffering from dental phobia with healthy controls identified hyperactivation of basal ganglia structures, but none have assessed striatal functional connectivity. We reanalyzed data from a previous functional magnetic resonance imaging study on dental phobia. Patients (20 men, 25 women) and healthy controls (18 men, 23 women) had been exposed to pictures showing dental treatment, and neutral contents. We conducted connectivity analyses via psychophysiological interactions (PPIs). Relative to non-phobic controls, the patients showed decreased connectivity between prefrontal and basal ganglia regions. Moreover, the clinical group was characterized by increased internal basal ganglia connectivity, which was more pronounced in female compared with male patients. This study provides first evidence for an altered information flow within a fronto-striatal network in dentophobic individuals during visual symptom provocation, which can be considered a neuromarker of this disorder.