Altered striatal response to reward in bulimia nervosa after recovery.

OBJECTIVE: It is possible that disturbances of systems modulating reward may contribute to a vulnerability to develop an eating disorder. METHOD: This hypothesis was tested by assessing functional magnetic resonance brain imaging response to a monetary reward task known to activate the anterior ventral striatum (AVS), a region implicated in motivational aspects toward stimuli. To avoid the confounding effects of malnutrition, 10 women who had recovered from bulimia nervosa (BN) were compared with 10 healthy comparison women (CW). RESULTS: For the AVS, CW distinguished positive and negative feedback, whereas recovered BN women had similar responses to both conditions. In addition, these groups had similar patterns of findings for the dorsal caudate. DISCUSSION: We have previously shown that individuals recovered from anorexia nervosa (AN) also had altered striatal responses and difficulties in differentiating positive and negative feedback. Thus BN and AN individuals may share a difficulty in discriminating the emotional significance of a stimulus.

Altered reward processing in women recovered from anorexia nervosa.

OBJECTIVE: Individuals with anorexia nervosa are known to be ascetic and able to sustain self-denial of food as well as most comforts and pleasures in life. Building on previous findings of altered striatal dopamine binding in anorexia nervosa, the authors sought to assess the response of the anterior ventral striatum to reward and loss in this disorder. METHOD: Striatal responses to a simple monetary reward task were investigated using event-related functional magnetic resonance imaging. To avoid the confounding effects of malnutrition, the authors compared 13 healthy comparison women and 13 women who had recovered from restricting-type anorexia nervosa and had 1 year of normal weight and regular menstrual cycles, without binge eating or purging. RESULTS: Recovered women showed greater hemodynamic activation in the caudate than comparison women. Only the recovered women showed a significant positive relationship between trait anxiety and the percentage change in hemodynamic signal in the caudate during either wins or losses. In contrast, in the anterior ventral striatum, comparison women distinguished positive and negative feedback, whereas recovered women had similar responses to both conditions. CONCLUSIONS: Individuals who have recovered from anorexia nervosa may have difficulties in differentiating positive and negative feedback. The exaggerated activation of the caudate, a region involved in linking action to outcome, may constitute an attempt at "strategic" (as opposed to hedonic) means of responding to reward stimuli. The authors hypothesize that individuals with anorexia nervosa have an imbalance in information processing, with impaired ability to identify the emotional significance of a stimulus but increased traffic in neurocircuits concerned with planning and consequences.

Neural correlates of habituation to taste stimuli in healthy women.

Recent studies show that specific regions of the cortex contribute to modulation of appetitive behaviors. The purpose of this study was to determine whether neural response in these regions changes over time when a taste stimulus is administered repeatedly. Such a paradigm may be useful for determining whether altered habituation contributes to disturbed eating behavior. This study used a programmable syringe pump to compare administration of a 10% sucrose solution to distilled water in 11 healthy female subjects using functional magnetic resonance imaging. The stimuli were presented in either a sequential or pseudorandom order. An a priori 'Region of Interest' (ROI) based analysis method was used, with ROIs defined in the prefrontal cortex, insula, amygdala, and hippocampus. To test habituation, activation during the first half of each block was compared with activation during the second half. For the pseudorandom blocks, subjects showed habituation in almost all ROIs to water, but in none to sucrose. By contrast, for sequential blocks, both stimuli produced habituation in taste-related brain regions. These data suggest that habituation patterns in healthy subjects may depend on frequency and regularity of stimulus administration.

Is there a functional neural correlate of individual differences in cardiovascular reactivity?

OBJECTIVE: The present study tested whether individuals who differ in the magnitude of their blood pressure reactions to a behavioral stressor also differ in their stressor-induced patterns of functional neural activation. METHODS: Sixteen participants (7 men, 9 women aged 47 to 72 years) were classified as high (n = 8) or low (n = 8) blood pressure reactors by the magnitude and temporal consistency of their systolic blood pressure (SBP) reaction to a Stroop color-word interference stressor. Both high and low SBP reactors completed this Stroop stressor while their task-related changes in blood pressure and functional neural activity were assessed in a blocked functional magnetic resonance imaging design. RESULTS: In both high and low SBP reactors, the Stroop-stressor engaged the anterior cingulate, orbitofrontal, insular, posterior parietal, and the dorsolateral prefrontal regions of the cortex, the thalamus, and the cerebellum. Compared with low reactors, however, high reactors not only showed a larger magnitude increase in SBP to the Stroop stressor, but also an increased activation of the posterior cingulate cortex. CONCLUSION: A behavioral stressor that is used widely in cardiovascular reactivity research, the Stroop stressor, engages brain systems that are thought to support both stressor processing and cardiovascular reactivity. Increased activation of the posterior cingulate, a brain region implicated in vigilance to the environment and evaluative emotional processes, may be a functional neural correlate of an individual's tendency to show large-magnitude (exaggerated) blood pressure reactions to behavioral stressors.

Event-related functional magnetic resonance imaging of reward-related brain circuitry in children and adolescents.

BACKGROUND: Functional disturbances in reward-related brain systems are thought to play a role in the development of mood, impulse, and substance-abuse disorders. Studies in nonhuman primates have identified brain regions, including the dorsal/ventral striatum and orbital-frontal cortex, in which neural activity is modulated by reward. Recent studies in adults have concurred with these findings by observing reward-contingent blood oxygen level-dependent (BOLD) responses in these regions during functional magnetic resonance imaging (fMRI) paradigms; however, no previous studies indicate whether comparable modulations of neural activity exist in the brain reward systems of children and adolescents. METHODS: We used event-related fMRI and a behavioral paradigm modeled on previous work in adults to study brain responses to monetary gains and losses in psychiatrically healthy children and adolescents as part of a program examining the neural substrates of anxiety and depression in youth. RESULTS: Regions and time-courses of reward-related activity were similar to those observed in adults with condition-dependent BOLD changes in the ventral striatum and lateral and medial orbital-frontal cortex; specifically, these regions showed larger responses to positive than to negative feedback. CONCLUSIONS: These results provide further evidence for the value of event-related fMRI in examining reward systems of the brain, demonstrate the feasibility of this approach in children and adolescents, and establish a baseline from which to understand the pathophysiology of reward-related psychiatric disorders in youth.

Test modality affects source monitoring and event-related potentials.

Two experiments investigated the effect of test modality (visual or auditory) on source memory and event-related potentials (ERPs). Test modality influenced source monitoring such that source memory was better when the source and test modalities were congruent. Test modality had less of an influence when alternative information (i.e., cognitive operations) could be used to inform source judgments in Experiment 2. Test modality also affected ERP activity. Variation in parietal ERPs suggested that this activity reflects activation of sensory information, which can be attenuated when the sensory information is misleading. Changes in frontal ERPs support the hypothesis that frontal systems are used to evaluate source-specifying information present in the memory trace.

Anterior cingulate activity correlates with blood pressure during stress.

The anterior cingulate cortex presumptively regulates blood pressure reactions to behavioral stressors. There is little evidence in humans, however, that stressor-evoked changes in blood pressure correlate with concurrent changes in anterior cingulate activity. Using fMRI, we tested whether changes in mean arterial blood pressure correlate with ongoing changes in blood oxygen level dependent (BOLD) activation in 9 women and 11 men who completed a stressful Stroop color-word interference task. Higher mean arterial pressure during the Stroop task correlated with greater BOLD activation in two regions of the cingulate cortex (perigenual and mid-anterior) and in other networked brain regions, including the insula, thalamus, and periaqueductal gray. These results support the hypothesis that the anterior cingulate cortex regulates blood pressure reactions to behavioral stressors in humans.