Neural communication in posttraumatic growth.

Posttraumatic growth (PTG), or positive psychological changes following exposure to traumatic events, is commonly reported among trauma survivors. In the present study, we examined neural correlates of PTG in 106 veterans with PTSD and 193 veteran controls using task-free magnetoencephalography (MEG), diagnostic interviews and measures of PTG, and traumatic event exposure. Global synchronous neural interactions (SNIs) were significantly modulated downward with increasing PTG scores in controls (p = .005), but not in veterans with PTSD (p = .601). This effect was primarily characterized by negative slopes in local neural networks, was strongest in the medial prefrontal cortex, and was much stronger and more extensive in the control than the PTSD group. The present study complements previous research highlighting the role of neural adaptation in healthy functioning.

DSM-5 personality traits discriminate between posttraumatic stress disorder and control groups.

The relevance of personality traits to the study of psychopathology has long been recognized, particularly in terms of understanding patterns of comorbidity. In fact, a multidimensional personality trait model reflecting five higher-order personality dimensions-negative affect, detachment, antagonism, disinhibition, and psychoticism-is included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and represented in the Personality Inventory for DSM-5 (PID-5). However, evaluation of these dimensions and underlying personality facets within clinical samples has been limited. In the present study, we utilized the PID-5 to evaluate the personality profile elevation and composition of 150 control veterans and 35 veterans diagnosed with posttraumatic stress disorder (PTSD). Results indicated that veterans with PTSD endorsed significantly more personality pathology than control veterans, with scores on detachment and psychoticism domains most clearly discriminating between the two groups. When personality domain scores were considered as parts of each subject's personality profile, a slightly different picture emerged. Specifically, the PTSD composition was primarily characterized by detachment and negative affect, followed by disinhibition, psychoticism, and antagonism in that order of relative importance. The profile of the control group was significantly different, mostly accounted for differences in antagonism and psychoticism. Using these complementary analytic strategies, the findings demonstrate the relevance of personality pathology to PTSD, highlight internalizing features of PTSD, and pave the way for future research aimed at evaluating the role of shared maladaptive personality traits in underlying the comorbidity of PTSD and related disorders.

The Number of Cysteine Residues per Mole in Apolipoprotein E Is Associated With the Severity of PTSD Re-Experiencing Symptoms.

Apolipoprotien E (ApoE) is involved in critical neural functions and is associated with various neuropsychiatric disorders. ApoE exists in three isoforms that differ in the number of cysteine residues per mole (CysR/mole). This study evaluated associations between this informative ordinal biochemical scale (CysR/mole) and symptom severity in veterans with posttraumatic stress disorder (PTSD) or subthreshold PTSD. Results demonstrated a significant negative relationship between the CysR/mole and severity of PTSD re-experiencing symptoms, adjusted for trauma. The findings suggest a genetic influence on PTSD symptomatology and dovetail with recent advances regarding the molecular mechanisms underlying the differential effects of ApoE in the brain.

Jealousy: novel methods and neural correlates.

Because of the difficulties surrounding the evocation of jealousy, past research has relied on reactions to hypothetical scenarios and recall of past experiences of jealousy. Both methodologies have limitations, however. The present research was designed to develop a method of evoking jealousy in the laboratory that would be well controlled, ethically permissible, and psychologically meaningful. Study 1 demonstrated that jealousy could be evoked in a modified version of K. D. Williams' (2007) Cyberball ostracism paradigm in which the rejecting person was computer-generated. Study 2, the first to examine neural activity during the active experience of jealousy, tested whether experienced jealousy was associated with greater relative left or right frontal cortical activation. The findings revealed that the experience of jealousy was correlated with greater relative left frontal cortical activation toward the "sexually" desired partner. This pattern of activation suggests that jealousy is associated with approach motivation. Taken together, the present studies developed a laboratory paradigm for the study of jealousy that should help foster research on one of the most social of emotions.

PANAS positive activation is associated with anger.

As a prototypic negative emotion, anger would seem to have little in common with positive activation, as measured by the Positive and Negative Affect Schedule (PANAS; D. Watson, L. A. Clark, & A. Tellegen, 1988). However, growing evidence suggests that both anger and positive affect are associated with approach motivation. This suggests the counterintuitive hypotheses that positive affect should be increased by anger-evoking situations, and that positive affect and anger should be directly correlated in such situations. Four studies tested and supported these hypotheses. Discussion focuses on the implications of these results.

Preinsertion paramedian ultrasound guidance for epidural anesthesia.

BACKGROUND: Ultrasound is receiving growing interest for improving the guidance of needle insertion in epidural anesthesia. Defining a paramedian ultrasound scanning technique would be helpful for correctly identifying the vertebral level. Finding surrogate measures of the depth of the epidural space may also improve the ease of scanning. METHODS: We examined 20 parturients with pre-epidural ultrasound in the paramedian plane, and the predicted depth was compared with the actual midline depth. The actual depth was also compared with subject biometrics, depth of transverse process, and thickness of lumbar fat. RESULTS: The scanning technique allowed the depth of the epidural space to be measured in all subjects. The depth measured in ultrasound was strongly correlated to the actual depth (R(2) = 0.8 and 95% limits of agreement of -14.8 to 5.2 mm), unlike patient biometrics (R(2) < 0.25), the depth of the neighboring transverse processes (R(2) = 0.35 and 95% limits of agreement of -13.8 to 19.1 mm), or the thickness of overlying fat (R(2) = 0.66). The duration of the ultrasound scan was 10 min at the beginning of the trial and 3 min for the last subjects. CONCLUSIONS: Paramedian ultrasound can be used to estimate the midline depth to the epidural space. The surrogate measures are not sufficiently correlated with the depth to the epidural space to recommend them as a replacement for the actual depth to the epidural space measurement.

Proneness to hypomania predicts EEG coherence between left motor cortex and left prefrontal cortex.

Previous research has demonstrated that hypomania is associated with approach motivation and activity in the left prefrontal cortex (PFC). Other research has linked left motor cortex excitability to approach motivation, suggesting the existence of connections between the motor cortex and PFC. The present research extends this work using unilateral hand contractions to manipulate contralateral cortical activity, and examining the relationship between motor cortex and PFC inter-electrode EEG coherence and hypomania. Within the right-hand contraction condition, hypomania related to greater connectivity between the left motor cortex and left PFC, relative to connectivity between the left motor cortex and right PFC. No relationships were found within the left-hand condition. The present research provides additional support for the role of the left PFC in bipolar disorder, as well as an important extension of research linking motor cortex excitability to emotion and approach motivation.

Does Cognitive Broadening Reduce Anger?

Past theory and research have suggested that motivationally intense affective states narrow cognitive scope. Research has also suggested manipulations that broaden cognitive scope reduce responses to appetitive positive affective stimuli and disgusting stimuli, thus suggesting that cognitive broadening reduces motivational intensity. This led to the hypothesis that cognitive broadening would reduce the approach-motivated negative emotion of anger. Seven studies assessed the effect of cognitive broadening on reported trait anger, state anger, attitudes toward anger, attributions of anger to ambiguous pictures, and accessibility of aggressive words. Results from individual studies found mixed support for these predictions. A meta-analysis, however, suggested a small but significant effect on trait anger/aggression and attitudes toward anger across studies. These results may indicate that cognitive scope, as manipulated in these studies, has a small effect on anger-related responses. Discussion speculates on potential explanations of these findings, and their importance for informing future research.

MitraClip for papillary muscle rupture in patient with cardiogenic shock.

We report the successful use of the MitraClip device (Abbott Vascular, Santa Clara, CA) in a 68-year-old man with posterolateral ST-elevation myocardial infarction complicated by papillary muscle rupture and cardiogenic shock.

Anger and testosterone: evidence that situationally-induced anger relates to situationally-induced testosterone.

Testosterone has been shown to relate to power, dominance, social status, and aggression. However, no research has related situationally induced changes in testosterone to subjective emotional experience. Based on the fact that anger relates to power, dominance, social status, and aggression, we predicted that testosterone would be uniquely related to the subjective experience of anger. In this study, salivary testosterone and cortisol were measured both prior to and following an anger-inducing event. In line with predictions, anger was associated with increased testosterone but not cortisol. These results provide the first evidence of a subjective emotional experience linked with changes in testosterone.

Toward an understanding of the emotion-modulated startle eyeblink reflex: the case of anger.

Three studies investigated the effect of angering pictures on the startle eyeblink response, based on anger's unique identity as an approach-oriented negative affect. In Study 1, eyeblinks to startling noise probes during angering and neutral pictures did not differ, despite angering pictures being rated higher on arousal and anger and more negative in valence. Study 2 replicated Study 1; also, dysphoric participants exhibited potentiated eyeblinks to probes during angering pictures much like those to probes during fear/disgust stimuli. A follow-up study revealed that dysphoric participants rated angering pictures higher in fear. Study 3 again found that eyeblinks to probes during angering and neutral pictures did not differ. Taken together, these results suggest that probes during angering stimuli elicit eyeblinks much like those during neutral stimuli, perhaps due to the competing influences of arousal, valence, and motivation on the startle eyeblink reflex.

Asymmetric frontal cortical activity and negative affective responses to ostracism.

Ostracism arouses negative affect. However, little is known about variables that influence the intensity of these negative affective responses. Two studies fill this void by incorporating work on approach- and withdrawal-related emotional states and their associated cortical activations. Study 1 found that following ostracism anger related directly to relative left frontal cortical activation. Study 2 used unilateral hand contractions to manipulate frontal cortical activity prior to an ostracizing event. Right-hand contractions, compared to left-hand contractions, caused greater relative left frontal cortical activation during the hand contractions as well as ostracism. Also, right-hand contractions caused more self-reported anger in response to being ostracized. Within-condition correlations revealed patterns of associations between ostracism-induced frontal asymmetry and emotive responses to ostracism consistent with Study 1. Taken together, these results suggest that asymmetrical frontal cortical activity is related to angry responses to ostracism, with greater relative left frontal cortical activity being associated with increased anger.

The role of asymmetric frontal cortical activity in emotion-related phenomena: a review and update.

Conceptual and empirical approaches to the study of the role of asymmetric frontal cortical activity in emotional processes are reviewed. Although early research suggested that greater left than right frontal cortical activity was associated with positive affect, more recent research, primarily on anger, suggests that greater left than right frontal cortical activity is associated with approach motivation, which can be positive (e.g., enthusiasm) or negative in valence (e.g., anger). In addition to reviewing this research on anger, research on guilt, bipolar disorder, and various types of positive affect is reviewed with relation to their association with asymmetric frontal cortical activity. The reviewed research not only contributes to a more complete understanding of the emotive functions of asymmetric frontal cortical activity, but it also points to the importance of considering motivational direction as separate from affective valence in psychological models of emotional space.

Circadian and seasonal variability of resting frontal EEG asymmetry.

Asymmetrical frontal cortical activity at resting baseline relates to important aspects of personality and psychopathology. However, some research has failed to replicate these relationships, perhaps because of situational influences. The present research investigates two situational variables, circadian and seasonal variability. These variables affect basal cortisol levels and mood, which have also been found to relate to resting asymmetrical frontal activity. Results of two correlational studies revealed that relative right frontal activity was greatest during fall mornings. These results suggest the importance of assessing time of day (TOD) and time of year (TOY) effects on resting frontal EEG asymmetry, which could reflect circadian and seasonal influences, but also selection effects when participants are free to select among study session times.

Asymmetrical frontal ERPs, emotion, and behavioral approach/inhibition sensitivity.

The present study sought to extend past research on frontal brain asymmetry and individual differences by examining relationships of individual differences in behavioral inhibition/approach system (BIS/BAS) sensitivity with asymmetrical frontal event-related brain responses to startle probes presented during viewing of affective pictures. One hundred and ten participants were shown unpleasant, neutral, and pleasant affective pictures, and presented startle probes during picture presentations. Individual differences in BIS sensitivity related to relatively greater right frontal N100 amplitude to startle probes presented during pleasant and unpleasant pictures, whereas individual differences in BAS sensitivity related to reduced left frontal P300 amplitude to startle probes presented during pleasant pictures. The results of this study suggest that BIS sensitivity is related to greater relative right frontal cortical activity during affective states, while BAS sensitivity is related to greater relative left frontal cortical activity during appetitive states.