Memory representation of aversive social experiences in Social Anxiety Disorder.

Aversive social experiences are proposed to be a risk factor for developing Social Anxiety Disorder (SAD). Many patients with SAD report associated daily life symptoms, such as intrusive re-experiencing (e.g., negatively distorted images of oneself), avoidance, alterations in cognitions and mood, as well as hyperarousal, resembling symptom dimensions of Posttraumatic Stress Disorder (PTSD). These PTSD-like symptoms may result from maladaptive processing and representation of the aversive social experiences in memory. Emotional hyperreactivity during memory retrieval of aversive social experiences is another feature of SAD which was found in previous studies. This study aimed to further investigate PTSD-like symptoms and emotional reactivity associated with etiologically relevant aversive social experiences and shed more light on a potential relationship between both. Eighty-five patients with SAD and 85 healthy controls (HC) participated in this cross-sectional study. It comprised an imagination task with self-report and physiological measures to assess emotional reactivity during the cued recall of the aversive social experience and clinical interviews to assess PTSD-like symptoms. We expected increased emotional reactivity and more severe PTSD-like symptoms in response to the aversive social experience in patients with SAD compared to HC, as well as a positive correlation between emotional reactivity and PTSD-like symptoms in patients with SAD. Indeed, patients with SAD showed emotional hyperreactivity (self-report, physiology) during the cued recall of the aversive social experiences, also when compared to two control memory conditions (neutral, negative non-social) and HC. Patients with SAD furthermore reported more severe PTSD-like symptoms compared to HC and intrusive re-experiencing symptoms were positively correlated with distress during imagery of the social aversive event in patients with SAD. These results might point toward a maladaptive representation of aversive social experiences in memory. Similar to PTSD, this maladaptive memory representation might promote the development of PTSD-like symptoms such as intrusive re-experiencing (e.g., in the form of intrusive self-images in patients with SAD), which might finally lead to and maintain symptoms of SAD.

Subjective vividness of motor imagery has a neural signature in human premotor and parietal cortex.

Motor imagery (MI) is the process in which subjects imagine executing a body movement with a strong kinesthetic component from a first-person perspective. The individual capacity to elicit such mental images is not universal but varies within and between subjects. Neuroimaging studies have shown that these inter-as well as intra-individual differences in imagery quality mediate the amplitude of neural activity during MI on a group level. However, these analyses were not sensitive to forms of representation that may not map onto a simple modulation of overall amplitude. Therefore, the present study asked how far the subjective impression of motor imagery vividness is reflected by a spatial neural code, and how patterns of neural activation in different motor regions relate to specific imagery impressions. During fMRI scanning, 20 volunteers imagined three different types of right-hand actions. After each imagery trial, subjects were asked to evaluate the perceived vividness of their imagery. A correlation analysis compared the rating differences and neural dissimilarity values of the rating groups separately for each region of interest. Results showed a significant positive correlation in the left vPMC and right IPL, indicating that these regions particularly reflect perceived imagery vividness in that similar rated trials evoke more similar neural patterns. A decoding analysis revealed that the vividness of the motor image related systematically to the action specificity of neural activation patterns in left vPMC and right SPL. Imagined actions accompanied by higher vividness ratings were significantly more distinguishable within these areas. Altogether, results showed that spatial patterns of neural activity within the human motor cortices reflect the individual vividness of imagined actions. Hence, the findings reveal a link between the subjective impression of motor imagery vividness and objective physiological markers.

Imagined and Executed Actions in the Human Motor System: Testing Neural Similarity Between Execution and Imagery of Actions with a Multivariate Approach.

Simulation theory proposes motor imagery (MI) to be a simulation based on representations also used for motor execution (ME). Nonetheless, it is unclear how far they use the same neural code. We use multivariate pattern analysis (MVPA) and representational similarity analysis (RSA) to describe the neural representations associated with MI and ME within the frontoparietal motor network. During functional magnetic resonance imaging scanning, 20 volunteers imagined or executed 3 different types of right-hand actions. Results of MVPA showed that these actions as well as their modality (MI or ME) could be decoded significantly above chance from the spatial patterns of BOLD signals in premotor and posterior parietal cortices. This was also true for cross-modal decoding. Furthermore, representational dissimilarity matrices of frontal and parietal areas showed that MI and ME representations formed separate clusters, but that the representational organization of action types within these clusters was identical. For most ROIs, this pattern of results best fits with a model that assumes a low-to-moderate degree of similarity between the neural patterns associated with MI and ME. Thus, neural representations of MI and ME are neither the same nor totally distinct but exhibit a similar structural geometry with respect to different types of action.

How equivalent are the action execution, imagery, and observation of intransitive movements? Revisiting the concept of somatotopy during action simulation.

Jeannerod (2001) hypothesized that action execution, imagery, and observation are functionally equivalent. This led to the major prediction that these motor states are based on the same action-specific and even effector-specific motor representations. The present study examined whether hand and foot movements are represented in a somatotopic manner during action execution, imagery, and action observation. The experiment contained ten conditions: three execution conditions, three imagery conditions, three observation conditions, and one baseline condition. In the nine experimental conditions, participants had to execute, observe, or imagine right-hand extension/flexion movements or right-foot extension/flexion movements. The fMRI results showed a somatotopic organization within the contralateral premotor and primary motor cortex during motor imagery and motor execution. However, there was no clear somatotopic organization of action observation in the given regions of interest within the contralateral hemisphere, although observation of these movements activated these areas significantly.

The 5-HTTLPR polymorphism is associated with altered hemodynamic responses during appetitive conditioning.

BACKGROUND: Current models suggest that a variation in the promoter region of the serotonin transporter gene (5-HTTLPR) is associated with altered amygdala reactivity not only towards negative but also towards positive stimuli, which has been neglected in the past. This association may possibly convey an elevated vulnerability for psychopathology like abuse, craving, and relapses. Since appetitive conditioning is a crucial mechanism in the pathogenesis of these psychiatric disorders, the identification of specific factors contributing to interindividual variation is important. METHODS: In the present study (N = 86), an appetitive conditioning paradigm was conducted, in which a neutral stimulus (CS+) was associated with appetitive stimuli, while a second stimulus (CS-) predicted their absence. Subjects were genotyped according to the 5-HTTLPR genotype. RESULTS: As the main result, we report a significant association between the 5-HTTLPR genotype and hemodynamic responses. Individuals with the s-allele displayed elevated conditioned bilateral amygdala activity in contrast to l/l-allele carriers. Further, increased hemodynamic responses in s-allele carriers were also found in the extended emotional network including the orbitofrontal cortex, the thalamus, and the ventral striatum. CONCLUSION: The present findings indicate an association of the 5-HTTLPR and altered conditioned responses in appetitive conditioning. Further, the findings contribute to the ongoing debate on 5-HTTLPR dependent hemodynamic response patterns by emphasizing that s-allele carriers are not exclusively biased towards fearful, but also towards positive stimuli. In conclusion, our results imply that s-allele carriers might be better described as hyper-reactive towards salient stimuli, which may convey vulnerability for the development of psychiatric disorders.

Interaction of the serotonin transporter-linked polymorphic region and environmental adversity: increased amygdala-hypothalamus connectivity as a potential mechanism linking neural and endocrine hyperreactivity.

BACKGROUND: Gene by environment (G×E) interaction between genetic variation in the promoter region of the serotonin transporter gene (serotonin transporter-linked polymorphic region [5-HTTLPR]) and stressful life events (SLEs) has been extensively studied in the context of depression. Recent findings suggest increased neural and endocrine stress sensitivity as a possible mechanism conveying elevated vulnerability to psychopathology. Furthermore, these G×E mediated alterations very likely reflect interrelated biological processes. METHODS: In the present functional magnetic resonance imaging study, amygdala reactivity to fearful stimuli was assessed in healthy male adults (n = 44), who were previously found to differ with regard to endocrine stress reactivity as a function of 5-HTTLPR × SLEs. Furthermore, functional connectivity between the amygdala and the hypothalamus was measured as a potential mechanism linking elevated neural and endocrine responses during stressful/threatening situations. The study sample was carefully preselected regarding 5-HTTLPR genotype and SLEs. RESULTS: We report significant G×E interaction on neural response patterns and functional amygdala-hypothalamus connectivity. Specifically, homozygous carriers of the 5-HTTLPR S' allele with a history of SLEs (S'S'/high SLEs group) displayed elevated bilateral amygdala activation in response to fearful faces. Within the same sample, a comparable G×E interaction effect has previously been demonstrated regarding increased cortisol reactivity, indicating a cross-validation of heightened biological stress sensitivity. Furthermore, S'S'/high SLEs subjects were characterized by an increased functional coupling between the right amygdala and the hypothalamus, thus indicating a potential link between neural and endocrine hyperreactivity. CONCLUSIONS: The present findings contribute to the ongoing debate on 5-HTTLPR × SLEs interaction and are discussed with respect to clinical implications.

Alexithymia and script-driven emotional imagery in healthy female subjects: no support for deficiencies in imagination.

Alexithymia is associated with a limited access to inner emotional processes. Furthermore, alexithymia is assumed to be characterized by a limited ability to use imagination. To evaluate the frequently proposed thesis of a reduced imagination ability in alexithymic persons, 25 high and 24 low alexithymic women self-rated their imagination ability. Furthermore, the electrodermal activity (EDA) during script-driven emotional imagination was determined and valence, arousal, and vividness of the respective imaginations were rated. Our results indicate no significant differences between high and low alexithymic women in the self-rated imagination ability, the EDA during imagination and the ratings of valence, arousal and vividness. The study provides evidence that healthy high alexithymic women are capable of differentiated emotional imagination.

A Concealed Information Test with multimodal measurement.

A Concealed Information Test (CIT) investigates differential physiological responses to deed-related (probe) vs. irrelevant items. The present study focused on the detection of concealed information using simultaneous recordings of autonomic and brain electrical measures. As a secondary issue, verbal and pictorial presentations were compared with respect to their influence on the recorded measures. Thirty-one participants underwent a mock-crime scenario with a combined verbal and pictorial presentation of nine items. The subsequent CIT, designed with respect to event-related potential (ERP) measurement, used a 3-3.5s interstimulus interval. The item presentation modality, i.e. pictures or written words, was varied between subjects; no response was required from the participants. In addition to electroencephalogram (EEG), electrodermal activity (EDA), electrocardiogram (ECG), respiratory activity, and finger plethysmogram were recorded. A significant probe-vs.-irrelevant effect was found for each of the measures. Compared to sole ERP measurement, the combination of ERP and EDA yielded incremental information for detecting concealed information. Although, EDA per se did not reach the predictive value known from studies primarily designed for peripheral physiological measurement. Presentation modality neither influenced the detection accuracy for autonomic measures nor EEG measures; this underpins the equivalence of verbal and pictorial item presentation in a CIT, regardless of the physiological measures recorded. Future studies should further clarify whether the incremental validity observed in the present study reflects a differential sensitivity of ERP and EDA to different sub-processes in a CIT.

Your mind's hand: motor imagery of pointing movements with different accuracy.

Jeannerod (2001) postulated that motor control and motor simulation states are functionally equivalent. If this is the case, the specifically relevant task parameters in online motor control should also be represented in motor imagery. We tested whether the different spatial accuracy demands of manual pointing movements are reflected on a neural level in motor imagery. During functional magnetic resonance imaging (fMRI) scanning, 23 participants imagined hand movements that differed systematically in terms of pointing accuracy needs (i.e., none, low, high). In a low-accuracy condition, two big squares were presented visually prior to the imagery phase. These squares had to be pointed at alternately on a mental level. In the high-accuracy condition, two little squares had to be hit. As expected on the basis of speed-accuracy trade-off principles, results showed that participants required more time when accuracy of the imagined movements increased. The fMRI results showed a stepwise increase in activation in the anterior cerebellum and the anterior part of the superior parietal lobe (SPL) with rising accuracy needs. Moreover, we found increased activation of the anterior part of the SPL and of the dorsal premotor cortex (dPMC) when imagery included a square (i.e., in the low- and high-accuracy conditions) compared to the no-square condition. These areas have also been discussed in relation to online motor control, suggesting that specific task parameters relevant in the domain of motor control are also coded in motor imagery. We suggest that the functional equivalence of action states is due mostly to internal estimations of the expected sensory feedback in both motor control and motor imagery.

Neural activations of the acquisition of conditioned sexual arousal: effects of contingency awareness and sex.

INTRODUCTION: Learning processes like classical conditioning are involved in mediating sexual behavior. Yet, the neural bases underlying these processes have not been investigated so far. AIM: The aim of this study was to explore neural activations of classical conditioning of sexual arousal with respect to sex differences and contingency awareness. METHODS: In the acquisition phase, a geometric figure (CS+) was presented for 8 seconds and was followed by highly sexual arousing pictures (UCS), whereas another figure (CS-) predicted neutral pictures. Ratings and contingency awareness were assessed after the entire conditioning procedure. Forty subjects (20 females) were classified into one of four groups according to their sex and the development of contingency awareness (aware females, aware males, unaware females, and unaware males). MAIN OUTCOME MEASURES: Blood oxygen level dependent (BOLD) responses measured by functional magnetic resonance imaging (fMRI), skin conductance responses (SCRs), and subjective ratings. RESULTS: fMRI analysis showed two effects (awareness and sex) when comparing CS+ with CS-: (i) aware compared to unaware subjects showed enhanced differentiation (e.g., ventral striatum, orbitofrontal cortex, occipital cortex); and (ii) men showed increased activity compared to women in the amygdala, thalamus, and brainstem. CS+ and CS- ratings differed in aware subjects only. However, no conditioned SCRs occurred in any group. CONCLUSION: The increased activity in men is in line with theories postulating that men are generally more prone to conditioning of sexual arousal. Further, contingency awareness seems to be an important factor in appetitive learning processes, which facilitates conditioning processes.

Neural correlates of attentional focusing during finger movements: A fMRI study.

One finding in recent motor control and learning research is that an external focus (i.e., attending to environmental aspects) improves performance, whereas an internal focus (i.e., controlling bodily movements) impedes it. Despite being replicated in behavioral studies, the neurophysiological basis of this phenomenon remains largely unknown. The present authors separate global attention to actions into an external and an internal focus. Using a between-participants design, participants were either trained to attend to moving their fingers (internal focus) or to the keys to be hit (external focus) during learning a finger sequence. Subsequently, they applied functional magnetic resonance imaging under focus (internal/external), dual task, and move-only conditions. Results revealed higher activation in primary somatosensory and motor cortex for an external compared to an internal focus. The authors conclude that external participants focused on the task-related environment (i.e., the keys) to enhance tactile input to somatosensory areas that closely connect to motor areas.

Neural activation in cognitive motor processes: comparing motor imagery and observation of gymnastic movements.

The simulation concept suggested by Jeannerod (Neuroimage 14:S103-S109, 2001) defines the S-states of action observation and mental simulation of action as action-related mental states lacking overt execution. Within this framework, similarities and neural overlap between S-states and overt execution are interpreted as providing the common basis for the motor representations implemented within the motor system. The present brain imaging study compared activation overlap and differential activation during mental simulation (motor imagery) with that while observing gymnastic movements. The fMRI conjunction analysis revealed overlapping activation for both S-states in primary motor cortex, premotor cortex, and the supplementary motor area as well as in the intraparietal sulcus, cerebellar hemispheres, and parts of the basal ganglia. A direct contrast between the motor imagery and observation conditions revealed stronger activation for imagery in the posterior insula and the anterior cingulate gyrus. The hippocampus, the superior parietal lobe, and the cerebellar areas were differentially activated in the observation condition. In general, these data corroborate the concept of action-related S-states because of the high overlap in core motor as well as in motor-related areas. We argue that differential activity between S-states relates to task-specific and modal information processing.

Differential engagement of anterior cingulate and adjacent medial frontal cortex in adept meditators and non-meditators.

This study investigated differences in brain activation during meditation between meditators and non-meditators. Fifteen Vipassana meditators (mean practice: 7.9 years, 2h daily) and fifteen non-meditators, matched for sex, age, education, and handedness, participated in a block-design fMRI study that included mindfulness of breathing and mental arithmetic conditions. For the meditation condition (contrasted to arithmetic), meditators showed stronger activations in the rostral anterior cingulate cortex and the dorsal medial prefrontal cortex bilaterally, compared to controls. Greater rostral anterior cingulate cortex activation in meditators may reflect stronger processing of distracting events. The increased activation in the medial prefrontal cortex may reflect that meditators are stronger engaged in emotional processing.

Diminished medial prefrontal cortex activity in blood-injection-injury phobia.

We examined the effects of symptom induction on neural activation in blood-injection-injury (BII) phobia. Nine phobic and 10 non-phobic subjects participated in an fMRI study in which they were presented with disorder-relevant, generally disgust-inducing, generally fear-evoking and neutral pictures. We observed diminished medial prefrontal cortex (MPFC) activity in patients compared to controls for phobia-relevant and disgust-inducing pictures. The MPFC has been shown to be critically involved in the automatic and effortful cognitive regulation of emotions. Therefore, the results might reflect reduced cognitive control of emotions in BII phobics during the experience of phobic symptoms as well as during states of disgust. The latter response component might be a result of the elevated disgust sensitivity of BII phobics.

Erotic and disgust-inducing pictures--differences in the hemodynamic responses of the brain.

The aim of this fMRI study was to explore brain structures that are involved in the processing of erotic and disgust-inducing pictures. The stimuli were chosen to trigger approach and withdrawal tendencies, respectively. By adding sadomasochistic (SM) scenes to the design and examining 12 subjects with and 12 subjects without sadomasochistic preferences, we introduced a picture category that induced erotic pleasure in one sample and disgust in the other sample. Since we also presented neutral pictures, all subjects viewed pictures of four different categories: neutral, disgust-inducing, erotic, and SM erotic pictures. The analysis indicated that several brain structures are commonly involved in the processing of disgust-inducing and erotic pictures (occipital cortex, hippocampus, thalamus, and the amygdala). The ventral striatum was specifically activated when subjects saw highly sexually arousing pictures. This indicates the involvement of the human reward system during the processing of visual erotica.